How to choose a bone graft for a large acetabular defect
Honest answers from Elite Surgical, hip & knee revision in University Hospitals Cleveland, OH.
You are in the OR at University Hospitals Cleveland, revising a failed hip. The acetabulum has a large contained defect, and you need a graft that fills the void, provides support, and remodels into host bone. You want a graft that won’t resorb too fast and leave the cup unsupported.
A large acetabular defect after removing a failed cup means the bone bed is weak and irregular. The graft must fill the dead space completely and provide a scaffold for new bone to grow into. If the graft resorbs too quickly, the new cup can loosen. That is why graft choice matters.
Using a bone graft substitute adds some cost, but it avoids the pain and risk of harvesting your own bone. A moldable graft like ACTIFUSE SHAPE costs more than standard granules, but it can save OR time by conforming to irregular defects without extensive shaping. Insurance typically covers bone graft substitutes in revision cases. The real cost is a loose cup if the graft fails.
Ask your Elite Surgical rep to bring in ACTIFUSE for your next revision. It is an 80% porous, silicate-substituted graft that remodels into the patient’s own bone. For a large defect, consider ACTIFUSE SHAPE, which molds to the cavity and sets firm, providing immediate structural support.
Once the graft is packed and the new cup is in, you have a stable reconstruction. Over months, the graft remodels into living bone. The patient returns to weight-bearing. You know the defect is filled, not just plugged.
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.
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.
how to choose bone graft femoral defect revision hip
Look for a porous scaffold that holds shape when packed and remodels over time. Match the graft format to the defect. A runny material will not stay in an open femoral defect.
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.