Choosing a graft for femoral bone loss in hip revision? Here's what to consider.
Straightforward guidance from Elite Surgical, serving the hip & knee revision community at Ohio State University Wexner Medical Center, OH.
You are in the OR at Ohio State University Wexner Medical Center. The stem removal left a femoral defect. The bone loss is irregular and contained. You need a graft that fills the dead space, holds its shape, and doesn't leave permanent filler behind.
Femoral bone loss after stem removal creates a void. That void needs a scaffold that new bone can grow into. A graft that just fills the space won't help over time. You need a material that remodels. Look for a moldable synthetic graft. It should pack into the canal without extra instruments. The goal is to turn that void back into living bone, not leave a cement plug.
Cost depends on defect size and graft volume. A small contained defect may need one or two syringes. A larger defect requires more material. Synthetic grafts avoid the cost and morbidity of autograft harvest. They also remove the disease transmission risk of allograft. Your hospital's value analysis committee will look at per-case cost and readmission rates. A graft that remodels fully can reduce long-term complications.
This week, request an in-service on a silicate-substituted calcium phosphate graft. Ask your Elite Surgical representative to bring the published clinical data. The evidence shows how ACTIFUSE converts to host bone over time. It's an 80% porous scaffold that mimics cancellous bone structure. Pack it into the femoral defect, close the wound, and let the graft do the remodeling work.
Once handled, the defect is no longer a void. It becomes living bone that can support the revision stem. The patient heals with their own tissue in place. No permanent filler. No dead space. Just a stable, remodeled femur ready for the new implant.
Other things people in Ohio State University Wexner Medical Center 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.
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.
how to choose bone graft femoral defect revision hip
Look for a porous scaffold that holds shape when packed and remodels over time. Match the graft format to the defect. A runny material will not stay in an open femoral defect.
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Elite Surgical handles hip & knee revision in Ohio State University Wexner Medical Center and the area around it.