When to use bone graft substitute vs allograft

What to use when, from a medical equipment supplier serving Ohio State University Wexner Medical Center, OH.

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You have a fusion case scheduled at Ohio State University Wexner Medical Center. Allograft is familiar, but you keep weighing disease transmission risk and how the tissue was processed. You want a clear rule for when a synthetic bone graft substitute like ACTIFUSE makes more sense than allograft. That question deserves a straight answer.

The choice comes down to what the graft has to do. Allograft is donated human bone. It gives structural support and fills large gaps, but every lot varies and it still carries a tiny disease transmission risk. A synthetic bone graft substitute is made in a controlled lab. It has consistent chemistry and no human tissue risk, but it does not provide the same structural strength as cortical allograft.

Cost depends on the size of the defect and the product form. Synthetic graft substitutes usually run lower per milliliter than structural allograft and far lower than BMP-2. If the case needs structural support, adding allograft raises the cost. Your materials management team can give you exact per-case pricing, but the pattern is consistent: routine fusion enhancement with synthetic is the lower cost option.

This week, sort your upcoming fusion cases into two groups. If the graft must hold a large void or provide mechanical support, use structural allograft. If you need biological fusion enhancement in a contained defect, use a synthetic silicate-substituted calcium phosphate like ACTIFUSE. Do not default to allograft for every case just because it is familiar. Elite Surgical can bring samples and the published data to your next value analysis committee meeting.

Once you set that simple rule, you stop second-guessing graft choice. Your fusion cases get consistent synthetic material with no disease transmission worry when appropriate. Structural allograft stays reserved for the few cases that truly need it. Your team has a clear protocol, and Ohio State University Wexner Medical Center gets predictable outcomes and costs.

Authorized distributor of Baxter ACTIFUSE
93% fusion across 694 patients, independent review
FDA cleared and used in US spine surgery since 2007

Other things people in Ohio State University Wexner Medical Center ask

bone graft substitute not integrating

Poor integration often comes from low porosity or inadequate bioactivity in the graft material. Switch to a silicate-substituted calcium phosphate with 80%+ porosity like ACTIFUSE or ALTAPORE. The enhanced porosity allows better bone ingrowth and vascularization.

autograft vs synthetic bone graft substitute

Modern synthetic bone graft substitutes like ACTIFUSE and ALTAPORE show fusion rates comparable to autograft without donor site morbidity. Synthetics eliminate harvest time and reduce patient pain. Consider synthetic for single-level fusions, combine with autograft for complex cases.

consistent bone graft substitute results

Consistent results need consistent material quality and technique. Use bone graft substitutes with proven fusion rates like ALTAPORE's 86.3% rate. Ensure proper hydration, avoid overpacking, and maintain sterile handling. Elite Surgical provides technique guides for optimal results.

how to choose bone graft substitute spine fusion

Look for porosity above 75%, silicate substitution for bioactivity, and clinical fusion rate data. Check delivery options for your approach - syringe for MIS, moldable for open procedures. Elite Surgical offers multiple ACTIFUSE and ALTAPORE formats for different surgical needs.

bone graft substitute syringe clogging

Clogging usually means the particle size is wrong for the delivery system or the material is too thick. ACTIFUSE FLOW is specifically designed for syringe delivery with consistent particle size. ACTIFUSE MIS offers minimally invasive delivery without clogging issues.

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