Spine-level graft pricing for calcaneus? Here's the real cost per case.
A direct cost breakdown for surgeons and VA committees at Bon Secours Mercy Health, OH.
You're planning a calcaneus repair with a bone void at Bon Secours Mercy Health. The hospital needs a per-case cost estimate. You see prices quoted per spine fusion level, but that doesn't tell you what 5cc to 10cc of graft will really cost for your patient.
Spine pricing uses levels because each level gets a fixed volume. A calcaneus defect is different. It needs 5cc to 10cc of graft packed into a void. You cannot divide a spine-level cost and get an accurate number. You need a per-cc price.
Synthetic bone graft substitutes like ACTIFUSE are priced per cubic centimeter, not per level. For a typical calcaneus fracture, the graft cost can range widely based on volume and the delivery system. Ask your rep for a line-item breakdown that shows the per-cc graft cost, the delivery kit, and the total per case. That lets you compare it against the hospital's cost for a readmission or a second surgery if the void collapses or does not fill.
This week, contact your Elite Surgical rep and request a per-case cost model specifically for a 5cc to 10cc calcaneus void. Include the delivery system in the quote. If the void is left unfilled, the patient risks subtalar arthritis, collapse, and a nonunion that often needs a fusion later. A second surgery costs far more than the graft.
When you have a clear per-cc price, you can show your value analysis committee exactly how the graft fits the budget. No guessing. No mismatched spine quotes. Just a straightforward number that covers the void and helps the patient heal the first time.
Other things people in Bon Secours Mercy Health 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 Bon Secours Mercy Health and the area around it.