Tibial bone loss behind a failed knee replacement?
What to ask your surgeon about bone grafting, from Elite Surgical hip & knee revision in Cincinnati Children’s, OH.
You had a knee replacement, but now it hurts. X-rays show the bone under the metal baseplate has worn away. That empty space must be packed with a material that holds shape and turns into real bone. In Cincinnati Children’s, Elite Surgical provides a synthetic scaffold that does exactly that.
When a knee replacement loosens, the tibial bone can slowly erode. You end up with a contained defect behind the implant. This bone loss makes the joint unstable. A simple cement fill is not enough. The void needs a scaffold that osteoinductive cells can colonize and remodel into your own bone over time.
Adding a bone graft to a revision knee adds to the surgical cost. The price of the graft material varies. Synthetic grafts like ACTIFUSE can be more cost-effective than allograft or autograft when you account for donor site pain and supply limits. Your surgeon and hospital can give you a full estimate based on your specific defect.
Before your revision, ask your surgeon about the graft plan. If you need a tibial bone void filler, Elite Surgical can provide ACTIFUSE for your case. Contact us to connect your surgeon with a representative who covers Cincinnati Children’s. We in-service the OR team so the graft is ready when your knee is opened.
With the defect packed and the new implant set, your bone will grow through the scaffold. Over months, the graft is replaced by your own living bone. The revision knee becomes stable, and you can walk without that loose, grinding feeling.
Other things people in Cincinnati Children’s ask
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.
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 Cincinnati Children’s and the area around it.