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
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.
- 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
- 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 strength7-9*
- Perforate cancellous bone if dense or sclerotic10
- Clean with high pressure pulsatile lavage repeatedly until clear fluid is received in the return line11-13
- 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 cementation14-16
Modern Cementing Technique – Knee Solutions
- 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
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