How to choose a bone graft substitute for a large acetabular defect in revision hip
A practical guide for surgeons at Ohio State University Wexner Medical Center, from Elite Surgical, hip & knee revision in Columbus, OH.
You're in the OR at Ohio State University Wexner Medical Center, revising a failed hip. The acetabulum has a large contained defect. You need a graft that fills the void, supports the cup, and becomes living bone. The clock is ticking and you have to pick now.
A large acetabular defect is a hole in the hip socket left after removing a failed implant. It weakens the bone and makes cup fixation hard. The graft must fill that space completely. It also needs to let new bone grow through it, not just sit there. If the graft resorbs too fast, the cup loses support and the revision fails.
Cost and time depend on the graft you choose. Bulk allograft takes extra prep. Some synthetics add no setup time. The real cost is a second failure. A graft that packs the defect well and remodels predictably saves a return trip to the OR. That matters to your patient and your department.
This week, when planning your next revision, look at the porosity and handling of your graft options. ACTIFUSE has an 80% porous scaffold that packs contained defects and remodels into the patient's own bone. For irregular voids, a moldable form like ACTIFUSE SHAPE adapts to the defect walls. Elite Surgical covers cases at Wexner and can have product in your hands for a trial.
Once the revision heals, the graft site is living bone, not a foreign block. The cup stays fixed. Your patient walks without the fear of another collapse. You move on to the next case with one less variable to worry about.
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.
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.
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.
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.