Femoral bone loss in your revision hip? How to pick the graft that stays in place.
Real answers for hip revision graft choices in IU Health, IN, from Elite Surgical.
You need a revision hip surgery because your implant has loosened, and the X-ray shows bone loss in your femur. That missing bone has to be filled during surgery, and the material choice matters more than you think. If you’re searching for options near IU Health, you’re already asking the right question.
In a hip revision, the old femoral implant is removed, and the surgeon sees bone loss. Often the bone around the old stem has resorbed, leaving a hole. If the hole is contained—still walled in by surrounding bone—it needs a graft that fills the space and stays packed. Loose granules or pastes can wash out or migrate. A porous scaffold that holds its shape when tamped down gives the new stem a solid bed to rest on. That stability is crucial for a revision that lasts.
Graft cost is tied to how much volume you need and which material the surgeon picks. Porous scaffolds like ACTIFUSE are billed through the hospital, not directly to you. Most revision hip surgeries are covered by insurance, and your out-of-pocket will depend on your deductible and plan. The material itself might run a few hundred dollars, which is small compared to the full surgery. Your surgeon’s billing office can give you the exact breakdown before the procedure.
This week, call your surgeon’s office and ask what bone graft they plan to use for the femoral defect. If they haven’t heard of a silicate-substituted calcium phosphate scaffold like ACTIFUSE, Elite Surgical Technologies can arrange to have it available for your surgery at IU Health. We work directly with surgical teams to provide the graft and in-surgery support. You can also call us to find out which IU Health surgeons already use it.
After surgery, your X-ray shows the defect packed solid with graft material. Over the next six to twelve months, your own bone cells grow into the scaffold and slowly replace it. The implant stem stays firmly locked in place. You get back to walking, sitting, and climbing stairs without that nagging fear of loosening. The graft is no longer foreign material. It is your bone.
Other things people in IU Health 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.
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Elite Surgical handles hip & knee revision in IU Health and the area around it.