Which graft fills femoral bone loss in a revision hip?
Hip & knee revision guidance for Cincinnati Children’s, OH. Learn what makes a graft stay put in an open femoral defect.
You have a revision hip with a contained femoral bone defect. The old implant is out, and the bone surface left behind has a hole that needs filling before the new stem goes in. In Cincinnati Children’s, OH, you want a graft that packs well and stays where the surgeon puts it, not one that runs out of the defect.
During a revision hip, bone around the old femoral stem is often missing. This leaves a contained femoral defect, like a hole inside the canal. The hole must be filled so the new implant fits tight against living bone. Some graft materials are thin or runny. In an open femoral defect, they can leak out or shift after packing. That leads to poor support for the new stem. The right graft needs to hold its shape when packed.
The added surgical time depends on defect size and graft format. A small contained hole may take only a few extra minutes. A larger femoral defect can need more graft volume and careful packing. Graft cost varies with volume, shape, and how the product is supplied. Your surgical team reviews this before the case. You should ask for a clear plan, not a guess. This is a decision that can change the fit of the revision.
This week, ask your surgeon to match the graft format to the defect. Request a porous scaffold that holds shape when packed, not a runny material. Ask how it remodels into your own bone as the revision heals. Elite Surgical works with Cincinnati Children’s, OH surgical teams to review ACTIFUSE and ALTAPORE formats before surgery. This step helps you avoid a graft that falls away from an open femoral defect. It also gives the new stem a better chance to seat well.
Once the right graft is chosen, the packed defect stays filled as your bone grows through it. The new implant has a stable bed to sit against. Over time, the graft becomes your own bone. You head into surgery with one less unknown. Recovery starts on a firmer foundation.
Other things people in Cincinnati Children’s ask
bone graft for tibial bone loss revision knee
Pack the contained defect with a porous synthetic bone graft scaffold. It should hold shape and remodel as the revision heals. Do not leave the defect empty or filled with cement alone.
bone graft for tibial defect during knee revision
Pack the contained defect with a moldable bone graft substitute that has high porosity and remodels into host bone. Avoid autograft if the patient already has a second surgical site. The graft should support the new implant while healing.
bone graft substitute for large acetabular defect revision hip
Pick a graft that packs the defect well and has high porosity for bone ingrowth. ACTIFUSE's 80% porous scaffold fills contained defects and remodels into the patient's own bone as the revision heals. For very large defects, consider a moldable version like ACTIFUSE SHAPE to adapt to irregular contours. Avoid grafts that resorb too fast and leave the cup unsupported.
how to choose bone graft substitute for femoral defect revision hip
Choose a moldable synthetic bone graft substitute for irregular femoral defects. It should pack into the canal without extra instruments. Look for a graft that remodels into host bone so the area is not left with permanent filler.
bone graft substitute cost revision hip
Ask for per-cc or pack pricing, not a flat case price. Cost depends on the size of the acetabular or femoral defect. Compare synthetic graft cost to autograft, which includes OR time and a second incision.
Ready to talk?
Elite Surgical handles hip & knee revision in Cincinnati Children’s and the area around it.