In at least one embodiment of the present invention, a device for mixing and dispensing a bone cement mixture is provided. The device comprises a housing having a chamber configured to contain a first and second bone cement. A plunger including a plunger rod having a piston at a first end and a plunger handle at a second end is configured to actuate within the chamber. A mixing element is disposed adjacent the piston and is configured to rotate within the chamber to mix the first and second bone cement components to form the bone cement mixture. The plunger is configured to rotate the mixing element to mix the bone cement mixture. The plunger is also configured to advance through the chamber. As the plunger is advanced through the chamber, the piston is configured to receive the mixing element and dispense the bone cement mixture from the device.