“…The reason for the difference in mechanical strength between the cements that contain small particles and the cement that contain larger particles can possibly be explained by two processes; firstly, small particles tend to agglomerate, as was shown by Liu et al [16] who reported that BaSO 4 is prone to form agglomerates within the polymer matrix, thereby acting both as stress concentrators degrading the mechanical properties of the bone cement, and, by being agglomerates, they are themselves mechanically weak, thus intra agglomerate failure can occur. Secondly, the small size of the powders can result in them covering the individual polymer beads, and that there are a large number of these particles and thus they affect the polymerisation between the co-polymer and the monomer.…”