The Effect of Cement Gun and Cement Syringe Use on the Tibial Cement Mantle in Total Knee Arthroplasty

Abstract Evidence suggests that a thicker cement mantle improves fixation strength and resistance to tensile and shear forces in the tibial component of total knee arthroplasty. A low proportion of orthopaedic surgeons currently use techniques to improve cement penetration in the tibial plateau. We demonstrate that the use of a pressurized cement gun or cement syringe provides a highly statistically significant difference ( P