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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 7, 851-857.
doi: 10.1302/0301-620X.89B7.19148  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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The role of polymethylmethacrylate bone cement in modern orthopaedic surgery

J. C. J. Webb, BSc(Hons), MBChB(Hons), FRCS(Trauma & Orth), Orthopaedic Specialist Registrar1; and R. F. Spencer, MD, FRCS, FCS(SA)Orth, Consultant Orthopaedic Surgeon2

1 Avon Orthopaedic Centre, Southmead Hospital, Bristol BS10 5NB, UK.
2 Weston General Hospital, Grange Road, Weston-super-Mare, BS23 4TQ, UK.

Correspondence should be sent to Mr J. C. J. Webb; e-mail: jcjwebb{at}doctors.org.uk

Polymethylmethacrylate remains one of the most enduring materials in orthopaedic surgery. It has a central role in the success of total joint replacement and is also used in newer techniques such as percutaneous vertebroplasty and kyphoplasty.

This article describes the current uses and limitations of polymethylmethacrylate in orthopaedic surgery. It focuses on its mechanical and chemical properties and links these to its clinical performance. The behaviour of antibiotic-loaded bone cement are discussed, together with areas of research that are now shedding light upon the behaviour of this unique biomaterial.




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(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General