Abstract Background In cemented primary total knee arthroplasty (TKA). aseptic loosening remains a major cause for failure. Cementing techniques and characteristics of a chosen cement play a key role for good fixation and implant survival. A pastry bone cement was developed to facilitate the cement preparation and to rule out most of preparation-associated application errors. https://www.markymarkscott.com/product-category/c-straight-smoothing-shampoo/