“…Intensive research is currently being conducted to improve the thermal, mechanical and biological properties of bone cements [ 16 ]. The research includes doping the cement mass with small amounts of components such as carbon fibers [ 41 ], zirconia fibers [ 42 ], graphite fibers [ 43 ], graphene oxide [ 44 , 45 , 46 , 47 ], bioactive glasses [ 48 ], nanosilver [ 49 ], polydioxanone (PDO) [ 48 ], cellulose [ 48 , 50 , 51 ], mesoporous silica nanoparticles [ 52 , 53 ], aramid [ 54 , 55 ], polyethylene [ 56 ], titanium [ 57 , 58 ], ultra-high molecular weight polyethylene [ 59 ], tricalcium phosphate (TCP) [ 16 , 60 ] or hydroxyapatite (HA) [ 61 , 62 ]. The effect of aging processes associated with the absorption of physiological fluids and the accompanying hydrolysis of polymethylmethacrylate (PMMA) occurring in the outermost layers of the cement are also important, as well as the effect of deviation from the manufacturer’s recommended cement mix ratio [ 63 , 64 , 65 , 66 , 67 ].…”