Bone graft for revision hip and knee surgery

You open a revision knee and find a contained tibial defect behind the old baseplate. You need something that packs the void and supports the new implant.

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.

You remove a failed knee implant. The tibial bone underneath has a contained defect. You did not see the full bone loss on the X-ray.

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.

You are revising a failed hip. The acetabulum has a large contained defect. You need a graft that fills the void, provides structural support, and remodels into host bone over time.

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.

You are revising a hip. The stem removal left a femoral defect that is irregular and contained. You need a graft that fills the dead space and holds its shape.

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.

Your revision hip has a contained femoral bone defect. You need a graft that fills it and handles well during surgery.

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.

You are planning a revision hip. The hospital wants the bone graft cost per case before you book. You need a real number, not a surprise after the case.

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.

You're revising an infected total knee. There's bone loss behind the tibial component. You're not sure if a synthetic graft is safe to put into a potentially contaminated field.

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.

You are planning a revision knee or hip with bone loss. The graft cost seems high and you do not know if you are paying a fair rate.

Cost depends on defect size, graft volume, and delivery method. Ask for a per-cc price and an estimated total before you book the case.

Your knee revision patient just had a tibial defect packed with bone graft. They want to know when they can walk. You need a safe timeline.

Set weight bearing based on implant stability and the size of the defect. Most contained defects need 6 to 12 weeks of protected weight bearing. Use a graft that remodels predictably so the bone heals before full load.