Bone cyst removed? What fills the hole without a hip graft?
For University Hospitals Cleveland surgeons: graft fills the cavity after bone cysts & benign lesions removal, no hip harvest.
You curetted a benign bone cyst at University Hospitals Cleveland and now you're looking at a cavity too large to close empty. Harvesting iliac crest bone means a second cut, more pain, and a longer recovery. A synthetic graft that fills the void and resorbs as new bone forms would solve the problem.
After you remove a benign bone cyst, the defect can be too large for bone to fill on its own. If you leave it empty, the bone may take months to heal and can fracture under normal weight. In University Hospitals Cleveland, this shows up in femur, humerus, and tibia cases. The void needs a scaffold that holds its shape while new bone grows into it. That scaffold is a synthetic bone graft substitute, not a cement.
The graft volume depends on the defect size. A small cyst may need 5 cc. A large one may need 20 cc or more. Filling the void takes less than 30 minutes in the OR. You avoid the extra time, second incision, and iliac crest pain that come with autograft harvest. The per-case cost scales with the volume used. At University Hospitals Cleveland, value analysis teams often compare that cost against the added day of recovery from a hip harvest.
Do not default to iliac crest harvest out of habit. Ask your OR materials team if ACTIFUSE or ALTAPORE is on the shelf at University Hospitals Cleveland. Elite Surgical can bring the graft to your next case, in-service the scrub team, and put the published clinical data in front of your value analysis committee. This week, call to schedule a case review and a product trial. The sooner it is on contract, the sooner you can stop planning second incisions for routine bone cysts.
Your patient goes to recovery with the cavity filled, not empty. The graft resorbs as new bone forms over the next few months. No second incision, no iliac crest pain, no extra night in the hospital. Follow-up imaging shows the defect filling in. Your patient returns to weight bearing on the schedule you set, not one delayed by a harvest site.
Other things people in University Hospitals Cleveland ask
when does a benign bone cyst need surgery
Treat if the lesion is large, painful, or weakening the bone. Small inactive lesions can often be watched. If you operate, pack the void after curettage.
weight bearing after bone cyst bone graft
Timing depends on the bone and defect size. Most lower-limb defects need protected weight bearing until new bone shows on X-ray. Upper-limb defects may return to use sooner.
MIS bone graft delivery for benign bone lesion
Use an MIS applicator to deliver graft through a small cannula. This works for small contained defects. If the lesion is large or hard to reach, open packing may be safer.
ACTIFUSE FLOW vs ACTIFUSE MIS bone cyst
Use ACTIFUSE FLOW when you want precise syringe control in a wider opening. Use ACTIFUSE MIS when the opening is narrow and you need to reach a small corridor. The graft itself is the same, the delivery changes.
Ready to talk?
Elite Surgical handles bone cysts & benign lesions in University Hospitals Cleveland and the area around it.