Current cementing techniques used during hip arthroplasty aim to maximize t
he bond at the bone-cement interface in an effort to increase the longevity
of the prosthesis. To accomplish this, one must generate high intramedulla
ry pressures, which are known to be associated with complications such as L
cement implantation syndrome. We record a rare complication following ceme
nt pressurization of a hip hemiarthroplasty that resulted in intravenous po
lymethyl methacrylate (PMMA). This complication however, is not associated
with a significant morbidity or mortality, but it is important to identify
and distinguish from a femoral cortical defect, which can be created during
surgery.