Trauma & Reconstruction · Cyprus

Bone-Graft Surgery

Filling of osseous defects with a xenohybrid biomimetic graft (SmartBone® ORTHO). Lead indications: hand and wrist trauma, post-oncology reconstruction, high tibial osteotomy, revision arthroplasty. No human donor tissue. Covered by GESY when performed by a participating surgeon at a GESY-contracted hospital.

Quick Answers

Does SmartBone® ORTHO contain human donor tissue?

No. SmartBone® ORTHO is a xenohybrid graft.

Is SmartBone® ORTHO CE-certified and MDR-compliant?

Yes. SmartBone® ORTHO carries the CE mark as a Class III medical device under the EU Medical Device Regulation (EU 2017/745).

Is bone-graft surgery covered by GESY in Cyprus?

Yes. Bone-graft surgery using SmartBone® ORTHO is fully covered by GESY when performed by a participating surgeon at a GESY-contracted hospital.

What forms does SmartBone® ORTHO come in?

Block, wedge, rod, and granules, selected by the surgeon based on defect geometry. Block and wedge forms can be trimmed with a saw or rongeur and accept drilling for screw fixation without fracturing.

What is Bone-Graft Surgery?

Also known as: Xenohybrid bone graft (SmartBone® ORTHO), Bone substitute, Bone void filler, Synthetic-augmented bovine bone graft

SmartBone® ORTHO is a xenohybrid biomimetic bone graft engineered to combine the trabecular architecture of native bone with the toughness and biocompatibility of synthetic polymer reinforcement. The graft is built on a decellularised, deproteinised bovine mineral matrix coated with poly(L-lactide-co-ε-caprolactone) (PLCL) and supplemented with RGD-containing collagen fragments. The structure is osteoconductive, accepts cell ingrowth and vascularisation, and is gradually replaced by host bone over months while the polymer degrades.

The graft is used for hand and wrist trauma reconstruction, post-oncology bone reconstruction, high tibial osteotomy, revision arthroplasty (acetabular and femoral bone stock restoration), long-bone non-union and pseudoarthrosis, and spinal fusion. Because SmartBone® ORTHO contains no human donor tissue and uses processed bovine matrix, the procedure avoids the donor-site morbidity of autograft and the supply and immunogenicity concerns of allograft. OrganoGEN is the exclusive Cyprus distributor of SmartBone® ORTHO for IBI Industrie Biomediche Insubri SA, Mezzovico-Vira, Switzerland.

📋 Procedure at a Glance

Graft
SmartBone® ORTHO (IBI Industrie Biomediche Insubri SA, Switzerland)
Composition
Decellularised bovine matrix + PLCL polymer + RGD-collagen fragments
Tissue source
Processed bovine matrix (no human donor, no autograft)
Forms
Block, wedge, rod, granules
GESY
Covered

Am I a candidate?

Good candidates

  • Distal radial fractures with bone loss after reduction
  • Tibial plateau fractures with depression or comminuted bone defect
  • High tibial osteotomy (opening-wedge), particularly with osteotomy gap >10 mm
  • Bone-tumor curettage cavities (benign or malignant, paediatric or adult)
  • Acetabular or femoral bone stock loss in revision arthroplasty
  • Long-bone non-union or pseudoarthrosis requiring osteoconductive scaffold
  • Long-bone segmental defects requiring void filling
  • Spinal fusion adjunct (cervical or lumbar)
  • Patients seeking to avoid autograft donor-site morbidity

Patients in whom another option may be preferred

  • Active local or systemic infection
  • Severely compromised vascularity at the recipient site
  • Patient-specific contraindications to bovine-derived materials
  • Skeletally immature patients in load-bearing primary defects (per surgeon judgement)

GESY coverage & out-of-pocket cost

For Cyprus residents enrolled in GESY, bone-graft surgery using SmartBone® ORTHO is fully covered when performed by a participating surgeon at a GESY-contracted hospital. The cost of the graft is included in the hospital reimbursement, and patients are not billed separately for the implant.

For self-pay or international patients, OrganoGEN provides hospital quotations on request. Request a quote.

Devices used in this procedure

SmartBone® Synthetic Bone GraftBone Reconstruction · Synthetic Graftchevron_right

Where to have Bone-Graft Surgery in Cyprus

OrganoGEN supplies GESY-contracted hospitals across the island. Contact us for the current list of participating surgeons in:

Talk to a surgeon in Cyprus

OrganoGEN can connect you with a participating GESY-contracted surgeon for a consultation.

Request Referral

Frequently asked questions

Does SmartBone® ORTHO contain human donor tissue?
No. SmartBone® ORTHO is a xenohybrid graft. The mineral matrix is processed (decellularised and deproteinised) bovine bone, reinforced with bioresorbable poly(L-lactide-co-ε-caprolactone) (PLCL) polymer and RGD-containing collagen fragments. There is no human donor tissue and no autograft donor-site morbidity.
Is SmartBone® ORTHO CE-certified and MDR-compliant?
Yes. SmartBone® ORTHO carries the CE mark as a Class III medical device under the EU Medical Device Regulation (EU 2017/745). IBI Industrie Biomediche Insubri SA maintains separate CE certifications for the orthopaedic line (SmartBone® ORTHO) and the dental line (SmartBone®).
Is bone-graft surgery covered by GESY in Cyprus?
Yes. Bone-graft surgery using SmartBone® ORTHO is fully covered by GESY when performed by a participating surgeon at a GESY-contracted hospital. The graft cost is included in the hospital reimbursement and patients are not billed separately.
What forms does SmartBone® ORTHO come in?
Block, wedge, rod, and granules, selected by the surgeon based on defect geometry. Block and wedge forms can be trimmed with a saw or rongeur and accept drilling for screw fixation without fracturing.
What is the published clinical evidence?
The largest published orthopedic series is 19 patients with distal radial fractures followed for 2 years, with no graft resorption and good-to-excellent DASH and Mayo wrist scores (Ferracini 2020, PubMed 32933036). Other peer-reviewed series include tibial plateau fractures (Ferracini 2019) and paediatric post-oncology reconstruction in 12 patients with bone density reaching native values within 6 to 12 months (Piana 2026, PMID 41899253). Acetabular reconstruction is supported by biomechanical simulation (Grottoli 2019, PubMed 31766685).
How is SmartBone® ORTHO different from a regular bone substitute?
SmartBone® ORTHO is a xenohybrid, not a pure synthetic. It uses processed bovine cancellous bone for trabecular architecture and biological osteoconductivity, then reinforces it with PLCL polymer and collagen fragments to add toughness, blood affinity, and cell-attachment cues. The combination accepts internal fixation directly and is gradually remodelled to host bone without the donor-site morbidity of autograft or the supply concerns of human allograft.
Where can I have this procedure done in Cyprus?
OrganoGEN supplies SmartBone® ORTHO to GESY-contracted hospitals across Cyprus. Contact us for the current list of participating surgeons in Limassol, Nicosia, Larnaca, Paphos, and Famagusta.

Information is educational and not a substitute for individual surgical advice. Patient outcomes vary; please consult a qualified surgeon to discuss whether this procedure is right for you.

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Bone-Graft Surgery
Trauma & Reconstruction · Cyprus

Bone-Graft Surgery

Also known as: Xenohybrid bone graft (SmartBone® ORTHO), Bone substitute, Bone void filler, Synthetic-augmented bovine bone graft

Filling of osseous defects with a xenohybrid biomimetic graft (SmartBone® ORTHO). Lead indications: hand and wrist trauma, post-oncology reconstruction, high tibial osteotomy, revision arthroplasty. No human donor tissue. Covered by GESY when performed by a participating surgeon at a GESY-contracted hospital.

scienceXenohybridfavoriteNo human donorverifiedGESY

Quick Answers

GraftSmartBone® ORTHO (IBI Industrie Biomediche Insubri SA, Switzerland)
CompositionDecellularised bovine matrix + PLCL polymer + RGD-collagen fragments
Tissue sourceProcessed bovine matrix (no human donor, no autograft)
FormsBlock, wedge, rod, granules
GESYCovered
Overview

About this procedure

SmartBone® ORTHO is a xenohybrid biomimetic bone graft engineered to combine the trabecular architecture of native bone with the toughness and biocompatibility of synthetic polymer reinforcement. The graft is built on a decellularised, deproteinised bovine mineral matrix coated with poly(L-lactide-co-ε-caprolactone) (PLCL) and supplemented with RGD-containing collagen fragments. The structure is osteoconductive, accepts cell ingrowth and vascularisation, and is gradually replaced by host bone over months while the polymer degrades.

The graft is used for hand and wrist trauma reconstruction, post-oncology bone reconstruction, high tibial osteotomy, revision arthroplasty (acetabular and femoral bone stock restoration), long-bone non-union and pseudoarthrosis, and spinal fusion. Because SmartBone® ORTHO contains no human donor tissue and uses processed bovine matrix, the procedure avoids the donor-site morbidity of autograft and the supply and immunogenicity concerns of allograft. OrganoGEN is the exclusive Cyprus distributor of SmartBone® ORTHO for IBI Industrie Biomediche Insubri SA, Mezzovico-Vira, Switzerland.

Eligibility

Are you a candidate?

  • check_circleLikely yes: Distal radial fractures with bone loss after reduction
  • check_circleLikely yes: Tibial plateau fractures with depression or comminuted bone defect
  • check_circleLikely yes: High tibial osteotomy (opening-wedge), particularly with osteotomy gap >10 mm
  • check_circleLikely yes: Bone-tumor curettage cavities (benign or malignant, paediatric or adult)
  • check_circleLikely yes: Acetabular or femoral bone stock loss in revision arthroplasty
  • check_circleLikely yes: Long-bone non-union or pseudoarthrosis requiring osteoconductive scaffold
  • check_circleLikely yes: Long-bone segmental defects requiring void filling
  • check_circleLikely yes: Spinal fusion adjunct (cervical or lumbar)
  • check_circleLikely yes: Patients seeking to avoid autograft donor-site morbidity
  • cancelNot suitable: Active local or systemic infection
  • cancelNot suitable: Severely compromised vascularity at the recipient site
  • cancelNot suitable: Patient-specific contraindications to bovine-derived materials
  • cancelNot suitable: Skeletally immature patients in load-bearing primary defects (per surgeon judgement)
GESY & Cost

GESY coverage & out-of-pocket cost

For Cyprus residents enrolled in GESY, bone-graft surgery using SmartBone® ORTHO is fully covered when performed by a participating surgeon at a GESY-contracted hospital. The cost of the graft is included in the hospital reimbursement, and patients are not billed separately for the implant.

For self-pay or international patients, OrganoGEN provides hospital quotations on request. Request a quote.

Devices used

Devices used in this procedure

Where it's offered in Cyprus

Find a clinic

FAQ

Patient questions

Does SmartBone® ORTHO contain human donor tissue?
No. SmartBone® ORTHO is a xenohybrid graft. The mineral matrix is processed (decellularised and deproteinised) bovine bone, reinforced with bioresorbable poly(L-lactide-co-ε-caprolactone) (PLCL) polymer and RGD-containing collagen fragments. There is no human donor tissue and no autograft donor-site morbidity.
Is SmartBone® ORTHO CE-certified and MDR-compliant?
Yes. SmartBone® ORTHO carries the CE mark as a Class III medical device under the EU Medical Device Regulation (EU 2017/745). IBI Industrie Biomediche Insubri SA maintains separate CE certifications for the orthopaedic line (SmartBone® ORTHO) and the dental line (SmartBone®).
Is bone-graft surgery covered by GESY in Cyprus?
Yes. Bone-graft surgery using SmartBone® ORTHO is fully covered by GESY when performed by a participating surgeon at a GESY-contracted hospital. The graft cost is included in the hospital reimbursement and patients are not billed separately.
What forms does SmartBone® ORTHO come in?
Block, wedge, rod, and granules, selected by the surgeon based on defect geometry. Block and wedge forms can be trimmed with a saw or rongeur and accept drilling for screw fixation without fracturing.
What is the published clinical evidence?
The largest published orthopedic series is 19 patients with distal radial fractures followed for 2 years, with no graft resorption and good-to-excellent DASH and Mayo wrist scores (Ferracini 2020, PubMed 32933036). Other peer-reviewed series include tibial plateau fractures (Ferracini 2019) and paediatric post-oncology reconstruction in 12 patients with bone density reaching native values within 6 to 12 months (Piana 2026, PMID 41899253). Acetabular reconstruction is supported by biomechanical simulation (Grottoli 2019, PubMed 31766685).
How is SmartBone® ORTHO different from a regular bone substitute?
SmartBone® ORTHO is a xenohybrid, not a pure synthetic. It uses processed bovine cancellous bone for trabecular architecture and biological osteoconductivity, then reinforces it with PLCL polymer and collagen fragments to add toughness, blood affinity, and cell-attachment cues. The combination accepts internal fixation directly and is gradually remodelled to host bone without the donor-site morbidity of autograft or the supply concerns of human allograft.
Where can I have this procedure done in Cyprus?
OrganoGEN supplies SmartBone® ORTHO to GESY-contracted hospitals across Cyprus. Contact us for the current list of participating surgeons in Limassol, Nicosia, Larnaca, Paphos, and Famagusta.