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Most surgeons cement the tibial component in total knee\udreplacement surgery. Mid-term registry data from a number\udof countries, including those from the United Kingdom and\udAustralia, support the excellent survivorship of cemented\udtibial components. In spite of this success, results can\udalways be improved, and cementing technique can play a\udrole. Cementing technique on the tibia is not standardized,\udand surgeons still differ about the best ways to deliver\udcement into the cancellous bone of the upper tibia. Questions\udremain regarding whether to use a gun or a syringe to\udinject the cement into the cancellous bone of the tibial\udplateau . The ideal cement penetration into the tibial plateau is debated, though most reports suggest that 4 mm\udto 10 mm is ideal. Thicker mantles are thought to be\uddangerous due to the risk of bone necrosis, but there is little\udin the literature to support this contention..

CORR Insights®: Loss of Cement-bone Interlock in Retrieved Tibial Components from Total Knee Arthroplasties