For the past 50 years, polymethylmethacrylate (PMMA) bone cements have been widely used as the anchoring/grouting agent in total joint replacements of the hip, knee, ankle, elbow, and shoulder. Good quality cement is essential for long-term implant survival and the role of the perioperative nurse in preparing that cement is vitally important. Strict adherence to good cement mixing and application techniques is a key factor in reducing the rate of loosening and also in increasing the long-term survival of the prosthesis
The purpose of this continuing education activity is to provide a review of key concepts regarding composition, properties, and types of bone cements and factors that affect bone cement polymerization. The evolution of mixing and application techniques also will be described. The activity concludes with a discussion of potential hazards posed by bone cement and safety considerations for patients and members of the surgical team.