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Professional Technical IVT

Cement Mantle

The layer of bone cement surrounding a prosthetic implant in cemented joint replacement.

Full Definition

The cement mantle is the layer of polymethylmethacrylate (PMMA) bone cement that surrounds and secures a prosthetic implant to the host bone in cemented arthroplasty procedures. An optimal cement mantle should be 2-4mm thick, uniform, and free of voids or inclusions to ensure proper load transfer and implant longevity. Inadequate cement mantles with thin spots, cracks, or incomplete coverage can lead to stress concentrations, implant loosening, and eventual failure requiring revision surgery.

Usage

Usage note: Distinguish from cement spacers used in revision procedures.

In Context

  • "The cement mantle appeared intact and well-positioned on all radiographic views." — post-operative imaging report
  • "Optimal cement mantle thickness is crucial for long-term implant survival." — surgical technique guide

Also known as

cement layer PMMA mantle

Contrasted with

press-fit fixation cementless fixation

Don't confuse with

cement spacer antibiotic cement

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