Abstract
Bone cement is not just an adhesive, but a filler filling the gaps. It should be used with the correct recognition that it is a material with a micro-interlock mechanism which cannot be removed when it enters a small gap and hardens. Key to TKA cementing is the timing of cement application to the implant; by doing this in the waiting phase, a strong fixation force between implant and cement can be obtained. In addition, if bone marrow pretreatment is sufficiently performed and cement is pressure-packed into the bone in an early phase, a cement mantle of 3–5 mm can be secured. As a result, the fixing force between bone and cement is improved, which helps prevent loosening. Fat or blood at the cement interface will significantly reduce the cement’s fixing force and lead to early loosening. It is most important to prevent contamination by fat and blood at the bone–cement–implant interface. Debonding is often the result of improper cementing procedures resulting in cement contamina tion.
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Kodama, T. (2022). The Principles of Total Knee Arthroplasty Cementing Technique – A Japanese Perspective. In: Hansen, E., Kühn, KD. (eds) Essentials of Cemented Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63113-3_44
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DOI: https://doi.org/10.1007/978-3-662-63113-3_44
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