Choosing a bone graft for femoral bone loss in revision hip
Straight answers on filling contained femoral defects during revision, from Elite Surgical hip & knee revision in University Hospitals Cleveland, OH.
You’re facing a revision hip replacement. The failed implant created a contained defect in your femur. You need a graft that fills that void, doesn’t run out, and eventually becomes your own bone. At University Hospitals Cleveland, the challenge is picking a material that handles well in the OR and supports long-term bone healing.
When a hip implant fails, it can leave a hole in the femoral bone. This is a contained defect, like a cave with walls intact. A graft must fill that cave completely. If the material is too liquid, it will leak out during packing. You need something that stays put and provides a scaffold for your body to remodel into new bone.
Graft cost depends on defect size and the material chosen. Synthetic grafts are priced per volume, and a typical femoral defect might need 5-10cc. Insurance usually covers the graft as part of the revision surgery. The real cost consideration is not just upfront price, but revision risk if the graft doesn’t work. A graft that remodels fully may prevent future surgeries.
Ask your surgeon about the graft plan before the revision. A porous scaffold that holds shape when packed and remodels over time is ideal for contained femoral defects. Elite Surgical supplies ACTIFUSE, a silicate-substituted calcium phosphate graft used in these cases. Ask your surgical team to contact Elite Surgical for product and in-service.
After surgery, the graft will gradually be replaced by your own bone. Over months, the scaffold remodels, restoring strength to your femur. You can return to daily activities with a stable hip, knowing the defect was filled with a material designed to become part of you.
Other things people in University Hospitals Cleveland ask
bone graft for tibial bone loss revision knee
Pack the contained defect with a porous synthetic bone graft scaffold. It should hold shape and remodel as the revision heals. Do not leave the defect empty or filled with cement alone.
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.
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 University Hospitals Cleveland and the area around it.