Tibial defect found behind a failed knee implant?
For surgeons performing hip & knee revision in Cincinnati Children’s, OH: a moldable graft that remodels into the patient’s own bone.
During a knee revision, the tibial bone underneath the failed implant is often more damaged than X-rays reveal. Surgeons in Cincinnati Children’s face this every week. A moldable bone graft substitute can fill that contained defect and support the new implant while the body rebuilds the bone.
When you take out a failed knee implant, the tibial bone surface often has a hole or cavity that was hidden on pre-op imaging. This contained defect is bone loss that occurred behind the implant, usually from wear particles or loosening. It needs to be filled, or the revision implant won’t seat stably.
Filling a contained tibial defect typically adds 15 to 30 minutes to the revision. Your choice of graft affects OR time, cost, and patient recovery. Using autograft requires a second surgical site, which means more pain and longer healing. An off-the-shelf synthetic graft avoids that. In Cincinnati Children’s, hospital value committees often compare graft options by how well they remodel into host bone.
Before your next revision case, call Elite Surgical to have ACTIFUSE bone graft substitute on your shelf. Our team covers your case in the OR, inservices your staff, and shares the clinical data that shows ACTIFUSE remodels into bone. Ask for a product demo or a copy of the published evidence for your hospital’s value analysis committee.
After you pack the defect with ACTIFUSE and seat the new implant, the graft scaffold provides immediate structural support. Over weeks, the patient’s own bone grows into the 80% porous network. The defect becomes solid, living bone. The revision holds. Both you and your patient can trust the repair.
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 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.
synthetic bone graft safe infected revision
You need a graft that won't act as a sequestrum. Porous synthetic scaffolds like ACTIFUSE allow vascular ingrowth and antibiotic penetration. They don't provide a hiding place for bacteria the way a structural allograft can. Use it with a staged protocol and appropriate local antibiotics.
Ready to talk?
Elite Surgical handles hip & knee revision in Cincinnati Children’s and the area around it.