Cost of bone graft substitute for calcaneus fracture repair?
Fracture repair in IU Health, IN: price the graft by cc, not by spine fusion level.
You're planning a calcaneus fracture repair inside IU Health, and the hospital needs a cost estimate per case. You search for bone graft substitute pricing and only see numbers quoted per spine fusion level. A heel bone void does not fit that model. You need a quote built around the 5cc to 10cc of graft that a calcaneus defect usually requires.
A calcaneus fracture often leaves a bone void after the fragments are reduced and fixed. The surgeon packs that void with bone graft substitute so new bone has a path to heal across the gap. Most published graft prices are shown per spine fusion level, because spine cases drive the market. A heel bone defect is not a disc space. It is a void measured in cubic centimeters, usually 5cc to 10cc.
There is no single price for a calcaneus graft. The total depends on void size, the exact cc volume used, and the IU Health supply contract. A typical calcaneus defect runs 5cc to 10cc. Synthetic grafts like ACTIFUSE are priced per cc, not per spine level, so a useful quote multiplies the cc volume and adds the delivery system. Ask for that per-case math instead of a per-level number. That number comes from your IU Health contract.
Ask your rep for a per-case cost breakdown for the calcaneus void. It should list the cc volume, the delivery system, and the total for one case. Do not accept a spine fusion level price as your heel estimate. Elite Surgical can walk your IU Health value committee through the per-cc math and the published clinical evidence for ACTIFUSE. Then compare that number to the cost of a second surgery if the void is left unfilled or collapses.
Once the quote is rebuilt around cc volume, you have one clean number for the calcaneus case. The IU Health hospital gets a per-case cost that matches the surgery. The surgeon knows the void is filled with a synthetic graft that supports healing. No one is guessing from a spine fusion chart. That is the number the value committee can act on.
Other things people in IU Health ask
bone graft for large tibial plateau defect
Pick a graft that resists compression and supports the articular surface. A moldable, high-porosity graft like ALTAPORE SHAPE packs into irregular voids and stays put. For smaller subchondral gaps, a flowable graft delivered by syringe gives complete fill without leaving dead space. Always use it with rigid internal fixation; the graft is not load-bearing on its own.
weight bearing after tibial plateau fracture with synthetic bone graft
Weight bearing depends on the fixation, not the graft. The graft provides a scaffold for bone ingrowth but does not add immediate structural support. Follow your standard postoperative protocol for the plate and screws. Most patients stay non-weight-bearing for 8 to 12 weeks, with progression based on X-ray healing. The graft will remodel over that time; early loading does not speed it up.
how to choose bone graft substitute for distal radius fracture
Match the graft form to the void shape. For a small, contained cavity, a flowable graft in a syringe (like ACTIFUSE FLOW) fills every corner without overpacking. For a larger, uncontained defect, a moldable graft (like ACTIFUSE SHAPE) holds its form and does not migrate. If you need antibiotic delivery, ACTIFUSE ABX gives you enhanced handling plus the option to mix in powdered antibiotics. Avoid granules that can scatter into the joint.
synthetic bone graft safe open fracture
Synthetic grafts like ACTIFUSE are inorganic and do not provide a food source for bacteria the way allograft can. They can be used in a contaminated field after thorough debridement and irrigation. Many surgeons place the graft at the index procedure to maintain space and deliver local antibiotics mixed into the graft. If there is gross purulence, stage the grafting for a second look 48 to 72 hours later.
ACTIFUSE FLOW vs ACTIFUSE SHAPE fracture
For narrow, deep voids where you need the graft to flow into crevices, use ACTIFUSE FLOW. Its syringe delivery lets you place it precisely without overpacking. For a wide, shallow defect that needs to hold its shape while you close, ACTIFUSE SHAPE molds to the cavity and stays in place. If the void is both deep and wide, start with FLOW to fill the bottom, then cap it with SHAPE.
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Elite Surgical handles fracture repair in IU Health and the area around it.