ACTIFUSE FLOW vs ACTIFUSE MIS for bone cyst filling?

When you're filling a bone cyst through a narrow corridor, the delivery system matters. From Elite Surgical in Cincinnati Children's, OH.

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You're standing over a patient at Cincinnati Children's with a bone cyst that's been cleaned out. The defect needs scaffold to heal. The opening is narrow. Do you use ACTIFUSE FLOW from a syringe, or the MIS applicator that navigates tight spaces? Both use the same silicate-substituted calcium phosphate graft. The difference is in delivery, and the answer affects your next step.

When you remove a benign lesion or cyst from bone, the void must fill with a scaffold that resorbs as new bone grows. ACTIFUSE is a bone graft substitute that does this. It is not a flowable or a putty you mix. It is a dry, granular material that comes in two delivery forms: a syringe pre-filled with FLOW, or a MIS applicator for small corridors. Both put the same osteoconductive scaffold into the defect. Your choice is about access.

The graft itself is priced per volume, not by delivery method. The cost difference comes down to the applicator. ACTIFUSE FLOW is a simple syringe, so it costs less per unit. The MIS system has a longer, narrow cannula and costs more per use. But if you force a syringe into a tight opening, you risk incomplete fill or pushing graft where it does not belong. That can add time. At Cincinnati Children's, the OR time and patient safety usually outweigh the applicator cost.

This week, before your next bone cyst case, call Elite Surgical. Ask for an in-service where you can handle both the ACTIFUSE FLOW syringe and the MIS applicator side by side. Try filling a model defect through a small corridor. See which one gives you control you trust. If the opening is wider than your thumb, FLOW is often enough. If it is a true keyhole, the MIS tool keeps the graft where you want it. You decide based on the anatomy, not the catalog.

Once you use the right delivery system, the graft fills the void fully. The scaffold resorbs over weeks as the patient's own bone replaces it. You close with confidence, knowing the cyst will not recur from a leftover pocket. Your patient at Cincinnati Children's heals stronger.

Authorized distributor of Baxter ACTIFUSE
93% fusion across 694 patients, independent review
FDA cleared and used in US spine surgery since 2007

Other things people in Cincinnati Children’s ask

when does a benign bone cyst need surgery

Treat if the lesion is large, painful, or weakening the bone. Small inactive lesions can often be watched. If you operate, pack the void after curettage.

weight bearing after bone cyst bone graft

Timing depends on the bone and defect size. Most lower-limb defects need protected weight bearing until new bone shows on X-ray. Upper-limb defects may return to use sooner.

bone graft substitute for benign bone cyst after removal

Use a synthetic bone graft substitute that fills the hole and resorbs as new bone replaces it. For a small opening, a MIS applicator can deliver the graft through a narrow path.

MIS bone graft delivery for benign bone lesion

Use an MIS applicator to deliver graft through a small cannula. This works for small contained defects. If the lesion is large or hard to reach, open packing may be safer.

Ready to talk?

Elite Surgical handles bone cysts & benign lesions in Cincinnati Children’s and the area around it.

Contact Us (440) 488-0091

Other situations we handle in Cincinnati Children’s

Bone Cysts & Benign Lesions in nearby areas