Tibial defect found during knee revision?
You're removing a failed knee implant. You find a tibial defect. Now what? A local resource from Elite Surgical, serving University Hospitals Cleveland, OH.
You pull the failed knee component and the tibial bone underneath has a contained void you did not expect. The pre-op X-ray did not show the full extent of the bone loss. Now you need to fill that defect before seating the new implant in a University Hospitals Cleveland OR.
When a knee replacement fails, the tibial bone behind it can wear away. Osteolysis, infection, or implant loosening leaves a hole in the bone. On a CT scan, you see the defect. In surgery, it is often larger than the image suggested. This is a contained defect — the bone walls still hold shape, but the center is soft or missing. You need to fill it with a graft that will rebuild strong, living bone while supporting the revision implant.
Filling with autograft means a second surgical site for a patient already undergoing revision. That adds pain, OR time, and risk. Allografts or bone void fillers may not fully remodel, leaving dead scaffold. The graft scope depends on defect size — from a small metaphyseal void to a large defect spanning the tibial plateau. Healing takes months, but the goal is a graft that resorbs into living bone, not just a filler.
Before closing, pack the contained defect with a moldable bone graft substitute like ACTIFUSE. Its 80% interconnected porosity lets blood and cells flow in quickly. The silicate-substituted chemistry signals the body to remodel it into living bone. No second surgical site, no autograft harvest. If you want clinical data to compare outcomes, call Elite Surgical. We can bring published evidence to your University Hospitals Cleveland OR or to your value analysis committee.
The revision implant sits on a solid foundation. Over months, the graft resorbs completely and the tibial bone is stronger than before. The patient recovers with one surgical site, not two. And you know the bone supporting the new knee is the patient’s own.
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 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.
synthetic bone graft safe infected revision
You need a graft that won't act as a sequestrum. Porous synthetic scaffolds like ACTIFUSE allow vascular ingrowth and antibiotic penetration. They don't provide a hiding place for bacteria the way a structural allograft can. Use it with a staged protocol and appropriate local antibiotics.
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Elite Surgical handles hip & knee revision in University Hospitals Cleveland and the area around it.