What is Bone Cement Implantation Syndrome?Bone Cement Implantation Syndrome (BCIS) is a poorly-understood but serious side effect in patients undergoing hip surgery with bone cement. It can rapidly cause pulmonary embolism or death. It can also cause ongoing problems with low oxygen in the bloodstream (hypoxia) and confusion.

Need a Texas Bone Cement Lawyer? Collen A. Clark is a true advocate for his clients and is passionate about helping Texans that have been injured or wronged. If you or a loved one was injured by bone cement implantation syndrome, you should contact our lawyers immediately. You may be entitled to compensation by filing a lawsuit in Texas.

What is Bone Cement Implantation Syndrome?

Bone Cement Implantation Syndrome (BCIS) is a rare but life-threatening condition that most often occurs during hip arthroplasty. BCIS usually occurs within a few minutes after bone cement is injected into a patient’s body. For unknown reasons, the bone releases fat and marrow into the bloodstream. The fat and marrow travel in the bloodstream until they reach the lungs, heart, or other organs, where the clog arteries. This can lead to life-threatening complications, including cardiac arrest.


No one knows exactly what causes BCIS, but the condition is more common in older patients, especially those who have other health problems. During hip surgery (hemiarthroplasty), it is possible that injecting bone cement pushes marrow contents under high pressure from the femoral canal into the bloodstream. It is also possible that bone cement under high pressure releases methyl methacrylate cement monomers into circulation.


Surgeons may be able to prevent BCIS by meticulously cleaning the femoral canal before introducing bone cement, venting the femoral canal to keep pressure low, and slowly inserting the femoral component, according to doctors interviewed by Medscape.


  • Sudden decrease in blood pressure (hypotension)
  • Abnormal heart rhythm
  • Increased pulmonary vascular resistance (PVR)
  • Hypoxia (low oxygen in the bloodstream)
  • Loss of consciousness
  • Confusion


  • Pulmonary embolism: When marrow and fat enter the bloodstream from the lower part of the body, they can travel to the lungs and obstruct arteries.
  • Cardiac arrest or heart failure: Condition when the heart suddenly and unexpectedly stops beating.
  • Death: In June 2014, the British Medical Journal published a study estimating that 1 in 3,000 people treated with bone cement in hip surgery suffers a severe adverse event. They reported 41 deaths from 2005-2012.


Need a Bone Cement Lawyer in Texas?

Collen A. Clark is a true advocate for his clients and is passionate about helping Texans that have been injured or wronged.

Collen’s amazing success in the courtroom and well known dedication to his clients has earned him the recognition of his peers as one of The Top Trial Lawyers in Texas.”

The Clark Firm has assembled a team of trial lawyers with more than 100 years experience, participation in over 600 jury trials and $260 million in verdicts and/or settlements. Please use the form below to contact our Texas bone cement lawyers for a free lawsuit review.