Lee A J, Ling R S
Instr Course Lect. 1981;30:407-13.
To obtain good-quality cement, one should follow seven steps: 1. Mix with low frequency. 2. Clean bony cavity to avoid contamination of cement. 3. Pressurize cement before insertion. 4. Insert early, at low viscosity. 5. Pressurize cement after insertion. 6. Fully constrain cement. 7. Use no stress risers. To obtain maximum fixation strength, one should follow four steps: 1. Use gouges to expose trabecular bone. 2. Use brush and lavage to clean bone. 3. Insert cement early at low viscosity. 4. Pressurize cement to force it into open trabeculas. It is fortunate that the steps overlap; they are not mutually exclusive. Both require cleanliness. Both require the use of cement at low viscosity. Both require pressurization of the cement. If the steps are followed it is our belief that the best possible fixation with the best possible cement will be obtained.
为获得高质量骨水泥，应遵循七个步骤：1. 低频搅拌。2. 清理骨腔以避免骨水泥污染。3. 在插入前对骨水泥加压。4. 在低粘度时尽早插入。5. 插入后对骨水泥加压。6. 完全限制骨水泥。7. 不使用应力集中器。为获得最大固定强度，应遵循四个步骤：1. 用骨凿暴露松质骨。2. 用刷子和冲洗法清洁骨面。3. 在低粘度时尽早插入骨水泥。4. 对骨水泥加压使其进入开放的松质骨小梁。幸运的是，这些步骤有重叠之处；它们并非相互排斥。两者都要求清洁。两者都要求使用低粘度的骨水泥。两者都要求对骨水泥加压。如果遵循这些步骤，我们相信将使用尽可能好的骨水泥获得尽可能好的固定效果。
