Modern Cementing Technique

Modern Cementing Technique is a documented and clinically proven procedure.1,2  The objective is to improve mechanical interlock between bone and cement in order to establish a durable interface. The use of distal plug, cement gun, pulsatile lavage and cement pressurizing devices has been shown to significantly improve long-term outcomes.3  Modern Cementing Technique, compared to earlier techniques, has been linked to a 20% reduction for the risk of revision.4

Zimmer Biomet offers a comprehensive portfolio of products and educational courses to support the use of Modern Cementing Technique.

MIXING AND DELIVERY

Mixing and collecting the cement under vacuum reduces both micro and macro pores to a minimum, thereby increasing fatigue life. 5-10

Knee Implant-Cement Interface:

Optimized micro-mechanical interlock can be achieved with early applied sticky bone cement to a non-contaminated implant surface.11

Cement-Bone Interface:

Deliver the doughy bone cement with a cement gun and appropriate delivery devices, such as knee nozzles and pressurize.

 

BONE CEMENT

Polymethyl methacrylate (PMMA) bone cements fill the space between prostheses and bone. The transfer of the forces bone-to-implant and implant-to-bone is the primary task of the bone cement.12

 

BONE BED PREPARATION

Preparation of the bone bed with a high pressure pulse lavage system helps to ensure solid cement fixation.


PRESSURIZATION

Pressurization increases penetration into cancellous bone and reduces cement porosity.13

Modern Cementing Technique Knee / Modern Cementing Technique Hip

Additional Information

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References

  1. Malchau H, et al. Prognosis of Total Hip Replacement. The National Hip Arthroplasty Register: 9-11,1996.
  2. Malchau H, et al. The Swedish Total Hip Replacement Register. The Journal of Bone and Joint Surgery. 84A: 2-20, 2002.
  3. Breusch S. et al. Optimal Cementing Technique - The Evidence: What is Modern Cementing Technique? In: The Well-Cemented Total Hip Arthroplasty. Chapter 6.1. Springer Verlag 2005.
  4. Swedish Hip Arthroplasty Register. Annual Report 1998.
  5. Breusch SJ. Cementing techniques in Total Hip Replacement: factors influencing survival of femoral components. In: Bone Cements and Cementing Technique; Walenkamp GHIM, Murray DW (eds) Berlin, Heidelberg, Springer Verlag 2001
  6. Wang J-S, et al. Porosity of bone cement reduced by mixing and collecting under vacuum. Acta Orthopedica Scandinavica. 64 (2): 143-146, 1993.*
  7. Wang J-S, et al. Bone Cement Porosity in Vacuum Mixing Systems, Bone Cements and Cementing Technique 2001, Walenkamp, Murray (Eds). Springer Verlag.*
  8. Dunne N-J, et al. Influence of the mixing techniques on the physical properties of acrylic bone cement. Biomaterials. 22: 1819-1826, 2001.*
  9. Wilkinson JM, et al. Effect of mixing technique on the Properties of Acrylic Bone-Cement. The Journal of Arthroplasty. 15:663-667, 2000.*
  10. Lewis G. Properties of Acrylic Bone Cement: State of the Art Review. Journal of Biomedical Materials Research.38(2):155-82,1997.*
  11. Kavanaugh A, et al. Factors Influencing the Initial Strength of the Tibial Tray-Cement Interface Bond. Bone Joint J. 95-B(34):98, 2013.*
  12. Kühn, K-D. Properties of Bone Cement: What is Bone Cement? In: The Well-Cemented Total Hip Arthroplasty. Chapter 3.1. Springer Verlag 2005.
  13. Kalteis T, et al. An experimental comparison of different devices for pulsatile high-pressure lavage and their relevance to cement intrusion into cancellous bone. Archives of Orthopaedic and Trauma Surgery. 127(10):873-7.2007.

*Laboratory testing is not necessarily indicative of clinical outcome.

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Distribution to any other recipient is prohibited.
For product information, including indications, contraindications, warnings, precautions, potential adverse effects and patient counseling information, see the package insert and www.zimmerbiomet.com.
Check for country product clearances and reference product specific instructions for use. For product information, including indications, contraindications, warnings, precautions, potential adverse effects, and patient counseling information see the package insert, www.zimmerbiomet.com, or contact your local Zimmer Biomet representative.
Not for distribution in France.
Zimmer Biomet does not practice medicine. This technique was developed in conjunction with health care professionals. This document is intended for surgeons and is not intended for laypersons. Each surgeon should exercise his or her own independent judgment in the diagnosis and treatment of an individual patient, and this information does not purport to replace the comprehensive training surgeons have received. As with all surgical procedures, the technique used in each case will depend on the surgeon’s medical judgment as the best treatment for each patient. Results will vary based on health, weight, activity and other variables. Not all patients are candidates for this product and/or procedure.
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