Orthopedic surgery bone cement PALACOS® LV+G

Product overview
PALACOS® LV+G is a low-viscosity polymethylmethacrylate (PMMA) bone cement containing the antibiotic gentamicin and coloured green (colorant E141). Compared with high- and medium-viscosity PALACOS® cements, PALACOS® LV+G has a lower initial viscosity and slower hardening, which facilitates hand or mechanical mixing and application in clinical procedures.

Key features

• Low-viscosity PMMA bone cement
• Radiopaque formulation for intraoperative imaging
• Contains gentamicin to reduce bacterial colonisation risk in cement and surrounding tissue
• Green coloration (colorant E141) for visual identification

Indications

• Anchoring of endoprostheses in primary and revision arthroplasty of hip, knee, ankle, shoulder and elbow
• Bone reconstruction using the induced membrane (Masquelet) technique after tumor resection and/or trauma

Additional information
PALACOS® LV+G’s lower initial viscosity makes mixing easier and its slower polymerisation time allows prolonged handling compared with medium- and high-viscosity PALACOS® variants. The incorporated gentamicin provides local antibiotic activity to protect the cured cement and adjacent tissues. Refer to local instructions for use and regional regulatory information.

References

• Kuehn KD. PMMA Cements - Are we aware what we are using? Springer Verlag 2014; 106–107 (in vitro).
• Kuehn KD, Hoentzsch D. Augmentation mit PMMA-Zement. Der Unfallchirurg 2015; 118(9): 737–748 (in vitro).
• Wahlig H. Über die Freisetzungskinetik von Antibiotika aus Knochenzementen--Ergebnisse vergleichender Untersuchungen in vitro und in vivo. Aktuelle Probl Chir Orthop 1987; 31: 221–226.

Technical specifications

• Product name: PALACOS® LV+G
• Type: Low-viscosity PMMA bone cement with antibiotic
• Antibiotic: Gentamicin incorporated
• Radiopacity: Radiopaque formulation
• Colorant: E141 (green)
• Handling: Lower initial viscosity; easier mixing; slower hardening versus medium/high-viscosity PALACOS®
• Clinical uses: Prosthesis anchoring (primary & revision arthroplasty) and bone reconstruction via induced membrane technique