Bone graft cost for calcaneus? Price by volume, not level.
Planning calcaneus fracture repair in University Hospitals Cleveland, OH? Ask for per-cc graft cost, not a spine fusion level price.
You are planning a calcaneus fracture repair at University Hospitals Cleveland. The bone void needs filling, but the quote you got prices graft per spine fusion level. A calcaneus case uses 5cc to 10cc of graft, not levels, so that number does not match your usage. Your hospital buyer wants a per-case cost before the case is booked.
You are not wrong to be confused. A calcaneus fracture repair at University Hospitals Cleveland can leave a bone void after the joint surface is rebuilt. The void needs graft to give new bone a path. But most hospital quotes price graft per spine fusion level. A calcaneus case does not use a level. It uses a volume, usually 5cc to 10cc. That mismatch is the source of the cost confusion. The per-level quote does not fit your case.
Cost depends on the volume of graft used. Most calcaneus repairs need between 5cc and 10cc of bone graft substitute. Synthetic grafts like ACTIFUSE are priced per cc. The delivery system can add cost that per-level quotes hide. Ask for a breakdown that splits graft volume, delivery system, and any waste. A smaller void may use 5cc. A larger, comminuted fracture may need 10cc or more. That is the only way to compare real case cost.
This week, ask your rep for a per-case cost breakdown in cubic centimeters, not fusion levels. Include the delivery system in that quote. Elite Surgical covers University Hospitals Cleveland cases and can give you that number before your next value analysis meeting. Do not let a per-level price drive the decision. It will undercount or overcount what the calcaneus actually needs. If a quote only shows a spine fusion level price, ask for the cc volume behind it. Then compare that to the cost of a revision surgery for a collapsed void.
Once the quote is per cc, you can show your value analysis committee the real cost for a calcaneus case. The graft fills the void so new bone has a path across it. You avoid a second surgery from a collapsed void. The number matches the case on the schedule. Your team can approve the case without guesswork.
Other things people in University Hospitals Cleveland ask
bone graft for large tibial plateau defect
Pick a graft that resists compression and supports the articular surface. A moldable, high-porosity graft like ALTAPORE SHAPE packs into irregular voids and stays put. For smaller subchondral gaps, a flowable graft delivered by syringe gives complete fill without leaving dead space. Always use it with rigid internal fixation; the graft is not load-bearing on its own.
weight bearing after tibial plateau fracture with synthetic bone graft
Weight bearing depends on the fixation, not the graft. The graft provides a scaffold for bone ingrowth but does not add immediate structural support. Follow your standard postoperative protocol for the plate and screws. Most patients stay non-weight-bearing for 8 to 12 weeks, with progression based on X-ray healing. The graft will remodel over that time; early loading does not speed it up.
how to choose bone graft substitute for distal radius fracture
Match the graft form to the void shape. For a small, contained cavity, a flowable graft in a syringe (like ACTIFUSE FLOW) fills every corner without overpacking. For a larger, uncontained defect, a moldable graft (like ACTIFUSE SHAPE) holds its form and does not migrate. If you need antibiotic delivery, ACTIFUSE ABX gives you enhanced handling plus the option to mix in powdered antibiotics. Avoid granules that can scatter into the joint.
synthetic bone graft safe open fracture
Synthetic grafts like ACTIFUSE are inorganic and do not provide a food source for bacteria the way allograft can. They can be used in a contaminated field after thorough debridement and irrigation. Many surgeons place the graft at the index procedure to maintain space and deliver local antibiotics mixed into the graft. If there is gross purulence, stage the grafting for a second look 48 to 72 hours later.
ACTIFUSE FLOW vs ACTIFUSE SHAPE fracture
For narrow, deep voids where you need the graft to flow into crevices, use ACTIFUSE FLOW. Its syringe delivery lets you place it precisely without overpacking. For a wide, shallow defect that needs to hold its shape while you close, ACTIFUSE SHAPE molds to the cavity and stays in place. If the void is both deep and wide, start with FLOW to fill the bottom, then cap it with SHAPE.
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Elite Surgical handles fracture repair in University Hospitals Cleveland and the area around it.