One PALACOS®. Many options.
Flexibility at the highest level.

The PALACOS® product portfolio from Heraeus comprises an extensive range of high-quality bone cements for anchoring endoprosthetic implants. Known as the gold standard in joint arthroplasty1, PALACOS® has been proven in more than 30 million procedures worldwide2.Different viscosities, either with or without added antibiotic, ensure utmost flexibility for diverse applications.

PALACOS R and PALACOS R+G high viscosity bone cement

PALACOS® R is a high-viscosity bone cement and known as the gold standard in joint arthroplasty.1 With raw materials of a consistently high quality and a proven formula, PALACOS® cements have made a positive contribution towards successful surgical interventions for over 50 years. Characteristically green in color, PALACOS® contrasts optically with the surrounding tissue and thus facilitates easier handling during surgery.

PALACOS® R is also available with added gentamicin. The local release of the antibiotic minimizes the risk of infection in the implant with reduced systemic load.3 The initial high dose released matches the period when the risk of infection is the highest and and enables effective antimicrobial activity against the majority of pathogens associated with periprosthetic joint infection, while minimizing mechanical compromise caused by manual addition of antibiotics4-6. Today, PALACOS® R+G** is known for very low revision rates in cemented endoprostheses.7

* 510(k) Number PALACOS® R: K030902
* 510(k) Number PALACOS® R+G: K031673

**PALACOS® R+G is indicated for use in the second stage of a two stage revision for total joint arthroplasty after the initial infection has been cleared.

PALACOS MV and PALACOS MV+G medium viscosity bone cement

PALACOS® MV is a medium-viscosity bone cement. It contains the same raw materials as PALACOS® R and has very good mechanical properties. PALACOS® MV is especially suitable for use with vacuum mixing systems. This cement is also available with added gentamicin for antibiotic prophylaxis, under the name PALACOS® MV+G**.

* 510(k) Number PALACOS® MV: K030904
* 510(k) Number PALACOS® MV+G: K050855

**PALACOS® MV+G is indicated for use in the second stage of a two stage revision for total joint arthroplasty after the initial infection has been cleared.

PALACOS LV and PALACOS LV+G low viscosity bone cement

PALACOS® LV is a low-viscosity bone cement. Thanks to its low viscosity, PALACOS® LV enables precise application even through thin nozzles, making it ideal for small and medium-sized joints such as the shoulder and elbow. PALACOS® LV penetrates better into fine bone structures and provides good anchorage. This cement is also available with added gentamicin for antibiotic prophylaxis, under the name PALACOS® LV+G**.

* 510(k) Number PALACOS® LV: K030903
* 510(k) Number PALACOS® LV+G: K050854

**PALACOS® LV+G is indicated for use in the second stage of a two stage revision for total joint arthroplasty after the initial infection has been cleared.

1 Meinardi et. al. 2016 Palacos compared to Palamed bone cement in total hip replacement: Arandomized controlled trial, RSA migration similar at 10-year follow-up; Acta Orthopaedica 2016; 87 (5): 473–478
2 Heraeus Medical data on file
3 Parvizi et al. Efficacy of antibiotic-impregnated cement in total hip replacement. Acta Orthop 2008; 79: 335-341.
4 Modified from Furnes et. al.: Properties of bone cement: which cement should we choose for Primary THA, in: Breusch S.J.,Malchau H.: The Well-cemented Total Hip Arthroplasty. Springer 2005; 104.
5 Kühn K.D.: PMMA Cements. Springer 2014; 147. 5. Webb, J.C.J., Spencer, R.F. The role of polymethacrylate bone cement in modern orthopaedic surgery. J Bone Joint Surg. 2007, Vol 89-B, No.7: 855.
6 Gristina A. et. al. Infections from biomaterials and implants: a race for the surface. Medical Progress through Technology 1988; 14:205-204: 218.
7 Espehaug et al. The type of cement and failure of THR – data from the Norwegian Arthroplasty Register. J Bone Joint Surg. Br 2002; 84: 832-838.

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