MIS delivery vs. open packing for a small bone lesion?
Straight talk for University Hospitals Cleveland surgeons, from Elite Surgical — bone grafts for benign lesions.
You're a surgeon at University Hospitals Cleveland. You've found a small, contained bone lesion. The corridor is narrow. You want to fill that void after curettage without making a large hole in the bone. You need a way to deliver graft with less bone removal.
A small, benign bone cyst or lesion needs curettage and then a graft to fill the empty space. Open packing means creating a bigger window in the bone to push the graft in by hand. MIS delivery uses a small cannula. You slide the ACTIFUSE MIS applicator through a narrow corridor. The graft material flows into the defect. This works only if the lesion is contained and easy to reach. For large, multi-chambered, or tricky lesions, open packing is still the safer bet.
MIS delivery adds very little to your OR time. The applicator is simple to use. Open packing can take longer because you have to open the bone wider. Graft material costs are similar either way. The main variable is the lesion itself. If it is small and the corridor is straight, MIS keeps the case efficient. If it is large or angled, open access may save time and ensure a complete fill.
If the lesion is small and the corridor is narrow, try the ACTIFUSE MIS applicator on your next case. Elite Surgical can bring a demo to University Hospitals Cleveland and in-service your OR team on the technique. Do not use MIS for large lesions or ones that curve around corners. Open packing is still the standard for those. Call us to arrange a case observation or to get the applicator in your hands.
Your patient ends up with a filled defect through a tiny access point. Less bone removal, less soft tissue disruption. The graft resorbs as new bone replaces it. No big scar. A smoother procedure and a faster recovery, right here at University Hospitals Cleveland.
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.
bone graft substitute for benign bone cyst after removal
Use a synthetic bone graft substitute that fills the hole and resorbs as new bone replaces it. For a small opening, a MIS applicator can deliver the graft through a narrow path.
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.