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What Is a Bone Cement Gun?

A bone cement gun is a surgical device used to deliver bone cement into prepared bone or around an implant. It is commonly used with polymethylmethacrylate, or PMMA, bone cement. The gun helps apply cement in a more controlled way than hand placement alone. It is used by trained orthopedic and spine surgical teams in sterile settings.

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What Is a Bone Cement Gun?

A bone cement gun is a surgical device used to deliver bone cement into prepared bone or around an implant. It is commonly used with polymethylmethacrylate, or PMMA, bone cement. The gun helps apply cement in a more controlled way than hand placement alone. It is used by trained orthopedic and spine surgical teams in sterile settings.

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What Is a Bone Cement Gun Used For?

A bone cement gun is used during procedures where bone cement is needed for fixation or support. It may be used in joint replacement surgery to help secure implants, or in selected spine procedures such as vertebroplasty or kyphoplasty systems designed for cement delivery. The gun helps place cement into prepared areas before the material fully hardens. The use depends on the procedure, cement type, working time, and surgical plan.

How a Bone Cement Gun Works

Bone cement is mixed according to the product instructions until it reaches the proper handling phase. The cement is loaded into the gun cartridge or delivery chamber. The surgeon squeezes or activates the handle to push cement through a nozzle or tube into the target area. Timing matters because PMMA cement changes viscosity and hardens as it cures.

Parts of a Bone Cement Gun

A bone cement gun may include a handle, trigger, cartridge, plunger, nozzle, delivery tube, mixing chamber, seals, and disposable accessories. Some systems are designed to work with vacuum mixing to reduce porosity and fumes. Nozzles may be shaped for hip, knee, spine, or other orthopedic applications. Components must be compatible with the cement and delivery system.

Risks and Handling Precautions

Possible risks include cement leakage, poor implant fixation, thermal injury, embolic events, allergic reaction, fumes, infection, or difficulty removing cement during revision surgery. Cement viscosity, injection pressure, timing, and placement affect safety. The team monitors cement handling, surgical field conditions, and patient status during use. Sudden low blood pressure, oxygen changes, chest symptoms, or neurologic symptoms during cemented procedures require urgent attention.

FAQs About Bone Cement Guns

Is bone cement the same as household cement?

No. Medical bone cement is a specialized implant material, often PMMA, used in orthopedic procedures.

Does a bone cement gun inject cement into bone?

Yes. It can deliver cement into prepared bone cavities, around implants, or through procedure-specific delivery paths.

Does bone cement harden inside the body?

Yes. PMMA bone cement hardens through a curing process after mixing and placement.

Can bone cement leak?

Yes. Leakage can occur, especially in some spine procedures or if cement is injected under unsuitable conditions. Clinicians monitor placement carefully.

References

Polymethylmethacrylate (PMMA) Bone Cement Guidance. U.S. Food and Drug Administration. https://www.fda.gov/medical-devices/guidance-documents-medical-devices-and-radiation-emitting-products/polymethylmethacrylate-pmma-bone-cement-class-ii-special-controls-guidance-document-industry-and-fda. Date Accessed June 18, 2026.

Bone cement. Indian Journal of Orthopaedics (PMC). https://pmc.ncbi.nlm.nih.gov/articles/PMC3880950/. Date Accessed June 18, 2026.

21 CFR 888.3027: Polymethylmethacrylate (PMMA) bone cement. Electronic Code of Federal Regulations. https://www.ecfr.gov/current/title-21/chapter-I/subchapter-H/part-888/subpart-D/section-888.3027. Date Accessed June 18, 2026.

Medical Devices: Reclassification of Polymethylmethacrylate (PMMA) Bone Cement. Federal Register. https://www.federalregister.gov/documents/2002/07/17/02-18036/medical-devices-reclassification-of-polymethylmethacrylate-pmma-bone-cement. Date Accessed June 18, 2026.

Study of the cement implantation syndrome: A review. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC11175870/. Date Accessed June 18, 2026.