Filling a small bone lesion without a big opening?
MIS graft delivery versus open packing for benign lesions. A straight answer for surgeons at Ohio State University Wexner Medical Center, OH.
You're in an OR at Ohio State University Wexner Medical Center. You've curetted a small benign bone cyst through a narrow corridor. Now you face a choice: open the bone further for standard packing, or keep the opening small and deliver graft through a cannula. You want the defect filled, but you don't want to create more trauma than the lesion itself.
A small, contained bone lesion often sits deep, reached through a limited window. Open packing means widening that window to thumb a graft in. That adds surgical time, more bone removal, and a longer healing envelope for the patient. An MIS applicator lets you flow a moldable graft through a small cannula, filling the void without enlarging the access. The graft resorbs as new bone takes its place.
Cost and time depend on the defect. A simple MIS delivery with a product like ACTIFUSE adds little to tray cost and usually saves OR minutes. If the lesion is larger than expected or the corridor angles make cannula delivery unreliable, open packing becomes the safer bet. The real cost difference sits in recovery: less bone disruption often means less post-op pain and a faster return to activity for your patient.
This week, when you schedule a small lesion case, ask your rep to bring the ACTIFUSE MIS applicator for a dry run. Elite Surgical can in-service your team right at Ohio State University Wexner Medical Center, walking everyone through the kit before the patient is draped. Use it for contained defects under 10 cc where the cannula path is straight. Do not force MIS delivery into a multi-lobulated cavity you cannot fully visualize.
After the graft sets, the scaffold does its work. The patient heals with a smaller incision, less bone lost to access, and a fill that remodels into host bone over months. You closed the case without turning a small lesion into a big procedure.
Other things people in Ohio State University Wexner Medical Center ask
when does a benign bone cyst need surgery
Treat if the lesion is large, painful, or weakening the bone. Small inactive lesions can often be watched. If you operate, pack the void after curettage.
weight bearing after bone cyst bone graft
Timing depends on the bone and defect size. Most lower-limb defects need protected weight bearing until new bone shows on X-ray. Upper-limb defects may return to use sooner.
bone graft substitute for benign bone cyst after removal
Use a synthetic bone graft substitute that fills the hole and resorbs as new bone replaces it. For a small opening, a MIS applicator can deliver the graft through a narrow path.
ACTIFUSE FLOW vs ACTIFUSE MIS bone cyst
Use ACTIFUSE FLOW when you want precise syringe control in a wider opening. Use ACTIFUSE MIS when the opening is narrow and you need to reach a small corridor. The graft itself is the same, the delivery changes.
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Elite Surgical handles bone cysts & benign lesions in Ohio State University Wexner Medical Center and the area around it.