Lindén (1989) compares fatigue resistance of three bone cement brands (CMW, Simplex P, Zimmer LVC) prepared by hand mixing, mechanical mixing, and mechanical mixing under 0.15-bar vacuum, using four-point bending cyclic loading to determine which technique yields the most durable cement.
When cementing a joint replacement, mixing technique is not interchangeable — vacuum mixing measurably increases cement fatigue life across brands, supporting routine use of vacuum mixing systems to reduce the risk of early aseptic loosening.
Cement brand also independently affects fatigue resistance, so material selection matters even when optimal technique is used.
Lindén (1989) compares fatigue resistance of three bone cement brands (CMW, Simplex P, Zimmer LVC) prepared by hand mixing, mechanical mixing, and mechanical mixing under 0.15-bar vacuum, using four-point bending cyclic loading to determine which technique yields the most durable cement.
When cementing a joint replacement, mixing technique is not interchangeable — vacuum mixing measurably increases cement fatigue life across brands, supporting routine use of vacuum mixing systems to reduce the risk of early aseptic loosening.
Cement brand also independently affects fatigue resistance, so material selection matters even when optimal technique is used.