Osteoporosis is a common condition in the world with systemic skeletal disease that is associated with diminished bone mineral density and altered bone micro-architecture. The structural and material composition of bone can no longer adapt to the mechanical and physical demands of the skeleton. This results in fragility fractures as a consequence of reduced bone strength. Fractures may occur in the axial skeleton, as well as in the wrist, shoulder, hip joint, knee circumference and pelvic ring. Joint replacement surgeries are frequently used in the treatment of both these fractures and osteoarthritis of the aging person. As the population ages, more patients with osteoporosis will require orthopedic procedures, including fractures and arthroplasty. However, complications are more frequent in operations due to decreased bone strength; best examples are intraoperative fractures, premature component migration and relaxation, osteolysis, and post-operative periprosthetic fractures. Therefore, for patients with low bone quality, knee prosthesis, hip prosthesis, vertebral fractures and other fractures, better cementing techniques can give more successful and longlasting results.