An offset of a bone implant relative to a bone can be adjusted using cured PMMA inserts. One or more PMMA inserts can be used to change the offset distance and/or angle of a implant relative to the bone. During a bone implant surgery, if excessive bone has been removed, PMMA inserts can be inserted into the bone to build up the resection surface of the bone. A trial implant can be placed on the PMMA inserts to trial the offset. When the trial is passed, liquid PMMA cement can be applied to form a chemical bond with the PMMA inserts and forma mechanical bond between the implant and the bone.
