Is synthetic bone graft safe in an infected revision?
Honest answers from Elite Surgical, hip & knee revision in Ohio State University Wexner Medical Center, OH.
At Ohio State University Wexner Medical Center, you are revising an infected total knee. Bone loss sits behind the tibial component. You need a graft that will not give bacteria a place to hide.
You worry a synthetic graft could act like a dead piece of bone. That dead piece, called a sequestrum, shields bacteria from antibiotics. Porous synthetic scaffolds like ACTIFUSE are different. Their structure has tiny connected channels. These channels let your blood and antibiotics flow through every part of the graft.
A structural allograft can be a solid block with no blood flow. Bacteria can survive inside it. ACTIFUSE is 80% porous. This open scaffold lets your staged protocol work. The graft remodels into the patient's own bone over several months. It does not stay as a permanent foreign body.
For an infected revision, use a staged protocol. Place the synthetic graft with local antibiotics. Elite Surgical can bring you the published data on ACTIFUSE in contaminated fields. Call us to review the evidence before your next case at Ohio State University Wexner Medical Center.
Once the revision heals, the graft becomes living bone. No dead space remains. Your patient gets a stable joint. The risk of reinfection is lower. You can move on to the next case with confidence.
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 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.
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 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.
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.
Ready to talk?
Elite Surgical handles hip & knee revision in Ohio State University Wexner Medical Center and the area around it.