Which graft for a contained femoral bone defect in revision hip?
A contained femoral defect needs a graft that holds shape. Hip & knee revision in Ohio State University Wexner Medical Center.
You are reviewing a revision hip at Ohio State University Wexner Medical Center. The femoral bone loss is contained, but the graft you pick has to fill the space and stay where you put it. A runny material will not hold in an open femoral defect, and you need something that handles well during the case.
You have a contained femoral bone defect. That means the outer rim of bone is still intact, like a cup holding the loss. This often happens after a failed hip implant wears down surrounding bone. The graft you pick must stay packed in that space. If it runs or slumps, it will not fill the defect and new bone cannot grow through it. The goal is a scaffold that remodels over time, not a permanent filler.
The cost depends on the size of the femoral defect and the graft format. Small contained defects may need one syringe or a single strip. Larger defects need more volume, and the number of units changes the total. The graft is only one part of a revision hip case, but OR time is already high. Your hospital supply chain group sets the final price per unit, so ask for the per-cc number before you book the case.
This week, ask your materials rep to show you a silicate-substituted calcium phosphate scaffold. Look for one with an 80% porous structure that holds its shape when packed. Check that it remodels into the patient's own bone over time. Do not use a runny paste in an open femoral defect. Ask for published clinical evidence on that format. Match the graft format to the defect shape before the day of surgery. Elite Surgical can bring ACTIFUSE to your next revision case and walk your room staff through handling and packing.
At the end of the case, the femoral defect is packed and stable. Over the next several months, the scaffold remodels into the patient's own bone. The revision hip has solid support. You have a clear implant and graft record for the chart and for follow-up visits.
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.
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 Ohio State University Wexner Medical Center and the area around it.