Bone graft substitute for large acetabular defect in revision hip?
What to use and what to avoid — from the hip and knee revision team at Elite Surgical in Cincinnati Children’s, OH.
You’re in the OR at Cincinnati Children’s, staring at a large contained acetabular defect during a hip revision. The failed cup left a void that needs filling. You need a graft that packs in tight, supports the new cup, and turns into real bone as the patient heals. The right choice can mean the difference between a stable implant and early loosening.
When you open up a failed hip, a large contained defect means the socket walls are intact but the floor is gone. You see a hollowed-out acetabulum. You need a bone graft substitute that won’t wash away during irrigation, resists compression, and remodels into host bone over time. A graft that resorbs too quickly leaves the cup loose and the patient at risk.
For a large acetabular defect, you’ll likely use 5 to 15 cc of graft. Synthetic grafts like silicate-substituted calcium phosphate cost less per cc than allograft and eliminate the morbidity of harvesting iliac crest bone. Your Cincinnati Children’s hospital buyer can get a price quote for the volume you need, and the product arrives sterile and ready to implant.
This week, call Elite Surgical in Cincinnati Children’s and ask for an in-service on ACTIFUSE. Their reps will bring samples to your OR and show your team how the 80% porous scaffold packs contained defects and resists washout. If the defect is irregular, ask about ACTIFUSE SHAPE, a moldable putty that adapts to any contour. Don’t settle for a graft that resorbs in weeks—your patient’s bone needs a scaffold that lasts months.
With the right graft, the defect fills completely. Over the next few months, the patient’s own bone cells migrate into the scaffold, turning it into living bone. Follow-up X-rays show a stable cup with no gaps or lucencies. The Cincinnati Children’s patient walks without pain and returns to daily life with a durable hip.
Other things people in Cincinnati Children’s 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.
Ready to talk?
Elite Surgical handles hip & knee revision in Cincinnati Children’s and the area around it.