
Bone cement
80 grams of cement is normally sufficient for stem fixation.

Cement mixing
The cement is mixed and collected in the cartridge under vacuum. The cartridge is then positioned in the cement gun.

Pulse lavage
Make a final pulse lavage before injecting the cement.
Cement delivery
Use a long nozzle in order to reach the distal femoral plug.
Inject the cement in retrograde fashion, letting the cement gun work its own way out of the femur.
Delivery of cement should never be done when the cement is in low viscosity stage. Normally wait approximately 3 minutes (depending on type of cement used) after start of mixing.
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