Tibial bone loss behind a failed knee replacement?
This is the hip & knee revision answer for Ohio State University Wexner Medical Center, OH. Pack the void behind the baseplate.
You open a knee revision at Ohio State University Wexner Medical Center and find a contained hole in the tibia behind the old baseplate, where bone has been eaten away. Cement alone will not support the new component, and leaving the void empty invites early loosening. The defect needs a graft that packs and heals into the patient's own bone.
Tibial bone loss behind a failed knee replacement usually starts with wear debris from the plastic liner. Tiny particles trigger the body to resorb bone around the old baseplate. When you lift the component, you see a contained hole in the tibia. The defect weakens the platform for the new implant. If you leave it empty, bone will not grow back on its own.
Filling a contained tibial defect is quick, but it adds a step. You measure the hole and pack it until the void is full. A small defect may take less than five minutes. A larger one may need two packs of graft and a little more time. Cost depends on defect size and the hospital's contract. It is far less than a segmental reconstruction or a second revision later. You do not need a separate incision or extra hardware for a contained defect.
The next step is to pack the defect, not fill it with cement. Cement does not turn into bone and can crack under load. At Ohio State University Wexner Medical Center, call Elite Surgical for ACTIFUSE, a porous synthetic bone graft. It comes as granules that pack into the void and hold their shape. The 80% porous scaffold lets new bone grow through it. Ask for an in-service or a case coverage rep to be there with you.
Once the defect is packed, the revision has a solid base. New bone slowly replaces the graft as the knee heals over the next several months. The new baseplate sits on stable bone instead of a void. That means less chance of early loosening and a more durable reconstruction. You close with confidence and the patient has a better start to recovery.
Other things people in Ohio State University Wexner Medical Center ask
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.
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.
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Elite Surgical handles hip & knee revision in Ohio State University Wexner Medical Center and the area around it.