Intended for Healthcare Professionals

Modern
Cementing Technique

Name: Modern Cementing Technique
Brand: Zimmer Biomet
Availability: OnlineOnly

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Overview Specifications Related Products Resources Additional Information

For improved clinical outcome.^1-3

Modern Cementing Technique (MCT) is a standardized and proven procedure.^1-3 The objective of MCT in facilitating long term implant stability is to optimize cement quality and the interfaces between both Implant-Cement and Cement-Bone.^4-5

Zimmer Biomet’s comprehensive assortment of bone cement and products for mixing and delivery, pressurization and bone bed preparation makes for one of the most complete portfolios for Modern Cementing Technique in the market today.

Specifications

Implant-Cement Interface

Deliver the cement with a cement gun, and appropriate delivery devices, such as knee nozzles
Apply bone cement to implant first, as early as possible in the sticky phase^4,6*
Prevent implant-cement interface contamination by implementing a “no-touch” policy ⁴

Bone Cement

Use a bone cement with good mechanical and consistent handling properties
Mix and collect the cement under vacuum to reduce cement porosity and to improve mechanical strength^7-9*

Cement-Bone Interface

Perforate cancellous bone if dense or sclerotic¹⁰
Clean with high pressure pulsatile lavage repeatedly until clear fluid is received in the return line^11-13
Deliver the cement with a cement gun and appropriate delivery devices, such as knee nozzles
Deliver bone cement into tibial stem hole to achieve full cementation^14-16

Refobacin^® Bone Cement R

High viscosity, antibiotic-loaded, radiopaque and easy handling.

Optipac® Vacuum Mixing System

The proven closed vacuum mixing system, pre-packed with bone cement

Resources

Collateral

Modern Cementing Technique Brochure - Hip

Modern Cementing Technique Brochure - Knee

Videos

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Modern Cementing Technique – Knee Solutions

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Additional Information

Malchau, H., et al. Prognosis of Total Hip Replacement. The National Hip Arthroplasty Register. 9-11, 1996.
Malchau, H., et al. The Swedish Total Hip Replacement Register. Journal of Bone and Joint Surgery. 84A: 2-20, 2002.
Swedish Hip Arthroplasty Register. Annual Report 1998.
Kavanaugh, A. et al. Factors influencing the Initial Strength of the Tibial Tray-Cement Interface Boned. Bone Joint Journal. 95-B(34):98, 2013.
Refsum, A. M. et al. Cementing Technique for Primary Knee Arthroplasty: A Scoping Review. Acta Orthopaedica. Published online: Aug 27, 2019. doi: 10.1080/17453674.2019.1657333
Report Tensile-adhesion properties of Biomet Bone Cement R on 30 grit blasted CoCr, test number ATS LAB#17-25539, issued. Dec 2017. Data on file at Zimmer Biomet, Internal Laboratory Testing.*
Wang J-S, et al. Bone Cement Porosity in Vacuum Mixing Systems, Bone Cements and Cementing Technique 2001, Walenkamp, Murray (Eds). Springer Verlag.*
Dunne N-J, et al. Influence of the mixing techniques on the physical properties of acrylic bone cement. Biomaterials. 22: 1819-1826, 2001.*
Wilkinson JM, et al. Effect of mixing technique on the Properties of Acrylic Bone-Cement. The Journal of Arthroplasty. 15:663-667, 2000.*
Miskovsky C, et al. The Cemented Unicondylar Knee Arthroplasty. An In Vitro Comparison of Three Cement Techniques. Clinical Orthopaedics. 284: 1992.
Breusch SJ, et al. Pulmonary Embolism in Cemented Total Hip Arthroplasty. The Well-Cemented Total Hip Arthroplasty. Heidelberg, pp. 320-331, 2005.
Anglen JO, et al. The efficacy of various irrigation solutions in removing slime-producing Staphylococcus Journal of Orthopaedic Trauma 8(5):390-6, 1994.
Helmers, S, et al. Efficacy of Irrigation for Removal of Particulate Debris after Cemented Total Knee Arthroplasty. Journal of Arthroplasty. 14(5):549-52.1999
Lombardi AV, et al. Surface Cementation of the Tibial Component in Total Knee Arthroplasty. Scientific Exhibit, 65th Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, Lousiana. February 19-23, 1998.
Sisodial G, et al. Does Cementing Technique of the Tibial Component Influence Initial Fixation to Bone in Total Knee Arthroplasty? Full Versus Surface Cementation. The Bone & Joint Journal. 95-B(20):6, 2013
Bert JM, et al. Is It Necessary to Cement the Tibial Stem in Cemented Total Knee Arthroplasty? Clinical Orthopaedics and Related Research. 356:73-78, 1998.

*Laboratory testing is not necessarily indicative of clinical performance

Refobacin® is a trademark licensed from Merck KGaA.

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This material is intended for health care professionals. Distribution to any other recipient is prohibited.

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Modern Cementing Technique