Cementless Total Knee Arthroplasty Market Size, Share, and Trends 2025 to 2034

Cementless Total Knee Arthroplasty Market Size and Forecast 2025 to 2034

The global cementless total knee arthroplasty market size was estimated at USD 3.62 billion in 2024 and is anticipated to reach around USD 25.55 billion by 2034, expanding at a CAGR of 21.58% from 2025 to 2034.

Cementless Total Knee Arthroplasty Market Key Takeaways

• North America dominated the global cementless total knee arthroplasty market with the largest market share of 41% in 2024.
• Asia Pacific is projected to expand at the fastest CAGR during the forecast period.
• By product type, the  fixed bearing segment contributed the highest market share in 2024.
• By end user, the ambulatory surgery center segment captured the biggest market share in 2024.

U.S. Cementless Total Knee Arthroplasty Market Size and Growth 2025 to 2034

The U.S. cementless total knee arthroplasty market size was evaluated at USD 1.04 billion in 2024 and is predicted to be worth around USD 7.39 billion by 2034, rising at a CAGR of 21.66% from 2025 to 2034. 

On the basis of geography various region with increased demands and techniques developed by the market players. Involves North America with developed orthopaedics surgeries with new technologies and features developed with increased government interest with increased policies of reimbursement for adopting the treatment with increased benefits and increased research and development for implantation of knee.

North America region hit highest revenue share of 41% in 2024. Europe also with the highest growth of the market with enhance technologies and developments. Other regions such as Asia Pacific, Latin America, Middle East and Africa also contributes to increase the market of cementless total knee arthroplasty market during the forecast period. 

Market Overview

Knee surgery with enhanced demands from the health care sector with increased patients of arthritis with increased pain in knee and having osteoporosis enable to do the everyday work. During surgery of the knee the part which is painful or damaged is taken out and placed with prosthetic components. Traditionally cement was used with the components for fixing the bone and advance developed technology recent introduced they do not use cement for fixing the knee implant called as press- fit knee. Which is having rough surface with pores which enhances the bone to grow without any cement some screws are used for fixing the knee implant if required.

Total knee arthroplasty developed technology is with enhance efficacy, increased reliability, predictable procedures are involved which increased the demand from the market with modern developments in orthopaedics sector with decreased pain and with good results with reduced time for procedure of surgery which saves the time and involves no drying of the cement. Enhance the functioning of the knee is the main aim for the cementless total knee arthroplasty. It is specially performed for the geriatric patients from the age of 28 to below 55 with increased arthritis problem and increased implantation and knee surgeries.

Impact of Covid-19 has largely affected the market of cementless total knee arthroplasty market with decreased demand and reduced patients visiting the hospitals due to wide spread of corona virus. Where the market growth rate low down due to lack down imposed by the governments. Which ceased the manufacturing, transport and many more. The post pandemic situation enhances the market of cementless total knee arthroplasty with reduced time for surgery, bone stock, no complications involved about cement fixing, ease of revision enhance the market of cementless total knee arthroplasty during the forecast period. 

Cementless Total Knee Arthroplasty Market Growth Factors

The rapid advance developed technologies in the osteoporosis with increased innovations and features with increased demands from the market with enhance benefits with increasing number of patients with rheumatoid arthritis disorder they are unable to perform the task or work with increased number of surgeries available for knee implantation.

Increasing number of sports with increased participation from the younger age group with developed skill for playing the games for nation. With increased interest in the game with specialization in particular sport. May harm their body during playing can get injury. Which may lead to fracture, ligament injury may later develop in to osteoporosis with increased developments in knee implantation with new innovations which last the surgery for the longer time. Increasing patients in arthritis which belong from geriatric group for recovery of the pain. It may lead to severe pain after a period of time.

Increased research and development with the trial which gave good results regarding the cementless total knee arthroplasty with increased functions of the osteoporosis and enhance the joining of the knee. Cementless technique is used in patients with strong bones. Cementless technique involves less period of time require for operation, no hesitation regarding the fixing of cement, with bone stock, ease of revision.  Increased government support with increased investment for developing the knee arthroplasty devices with new technologies. The key market players involved in introducing with increased research and development, increased investment for manufacturing cementless total knee arthroplasty with increased demands drives the market size during the forecast period.

The Covid-19 negative impact on the market due to wide spread of virus across various regions and increasing infection with easy transmission of the virus from person to person. Which led to lock down imposed by the government and shutdown of the industries and slow down the new research and development and decrease the market growth. The post pandemic situatiion with increased developments and rise in patient hospitalization rate with enhance arthritis among the patients drives the market growth.

Market Scope

Market Dynamics

Key Market Drivers

• Increasing number of geriatric patients with arthritis - Rising number of patients with rheumatoid arthritis with increased pain which includes surgery or implantation procedure with increased number of injuries due to increased participation of younger generation in the sports and specialization in particular sports with increased focus with academic and professional life. Increased interest in sports may led to injuries during playing the games which may led to harmful injury such as fractures, ligament problem and many more which can be fixed by the newly developed cementless total knee arthroplasty technology.
• Increasing benefits regarding the cement less total knee arthroplasty market- Increasing awareness about the newly developed technologies in implant of knee and new procedures involves with new techniques operation of knee implant done in less time, with increased efficacy, implant of surgery lasts for longer time than cement total knee arthroplasty, reduced complication as that of involved in cement total knee arthroplasty. ease of revision drives the market growth during the forecast period.
• Increased reliability, effectivity, predictable involved in the procedures involved in cementless total knee implantation with modern methods developed in knee orthopaedics surgery with reduced pain in knee with enhance output with good performance have established the market with adopting new technologies with rising arthritis patients with increased functions of the knee with significant growth in the market during forecast period growing with more attractive features involved in surgery.

Key Market Challenges 

• Expensive cementless total knee arthroplasty surgery - The advance newly developed technologies recently with few evidences regarding the efficacy of the surgery involved and the performance of the procedure. The newly developed features in the surgery with cementless knee surgery with increased cost of the surgery can decrease the market growth. Which led to less adoption of the new surgery with increased total cost with medication involved. Some people cannot afford the treatment due to low income. Which may hamper the market average value during the forecast period.
• Lack of skill - The new advance surgeries developed with increased functions of the knee and pain relieving requires professional experienced medical experts for performing the procedures. Lack of knowledge regarding the new technology of cementless total knee surgery may deduce the market of cementless total knee arthroplasty.
• Availability of the other surgery- Numerous surgeries are available for knee implantation and relieving the pain and increase functioning of the knee with other surgeries previously developed. May hamper the growth of the cementless total knee arthroplasty market with increased availability of the surgeries during the forecast of the cementless total knee arthroplasty market.

Key Market Opportunities

• Developing countries- Emerging developed countries with new technologies developed with enhance performance and surgeries performing with less period of time, ease of revision, reduced complication in surgery, lasting of cementless surgery for longer time with enhance benefits increases the market growth during the forecast period with increased revenue share of cementless total knee arthroplasty.
• Government support- Cementless total knee arthroplasty with increased developments and increased government initiative for developing more techniques with increased investment and policies developed by the government for treatment such as reimbursement so that individuals can take the benefit of the new surgeries development for fast relief from the osteoporosis.
• The Key market players- The key market players involved in introducing the new technologies in knee implantation and surgeries involved in orthopaedics with increase in continuous research and development and increased investment for manufacturing and producing the equipment necessary to perform the procedure.

Product Type Insights

On the basis of product type in cementless total knee arthroplasty. Enhanced market growth share in cementless total knee arthroplasty in fixed bearing with significant rise with increased demands majorly utilized by generic knee implant sellers. Manufactures considering the cost, efficacy and easily affordable by the consumers in the emerging developed countries, increased range of motion, aim on geriatric population (younger age group).

Increased features of mobile bearing involve reduced complications, decreased loosening of the components, no polyethylene wear, increased compatibility helps to boost the cementless total knee arthroplasty market rate with increased revenue share. Which offers to drive the market value during the forecast period.

End User Insights

On the basis of end user in cementless total knee arthroplasty. Ambulatory surgery center with largest share with increased demand from the health sectors with wide rising of the arthritis patients in the younger age group geriatric patients with new innovations in arthroplasty and implantation of knee drives the market growth during the forecast period. Increased number of sports with increased participation of the individuals. Which may lead to injury such as fractures, ligament with increased relief and improved functioning of the knee with the cementless total knee arthroplasty with reduced time of operation and ease of revision.

Cementless arthroplasty is the new technology with less evidence about the technology and its efficiency but as per the trials and the market demands with decreased complication involved in cementless total knee arthroplasty and expansion of the market growth during the forecast period.

Cementless Total Knee Arthroplasty Market Companies

• Zimmer Biomet
• Smith & Nephew plc
• Stryker Corporation
• Group FH Ortho
• DePuy Synthes
• Johnson & Johnson
• Corin Group plc
• B. Braun Melsungen AG
• Waldemar Link GmbH and Co. KG
• United Orthopedic Corporation 
• Microport Scientific Corp.

Recent Developments

• In the year 2021 January, The Johnson & Johnson company introduced medical equipment’s company with new launch of DePuy Synthes got 510k clearance for Robotic-Assisted Solution. Designed for utilization in Total knee surgery for wellbeing of the pain with improved technologies.
• In the year 2018 April, Zimmer Biomet got FDA clearance in Persona Trabecular Metal in cementless total knee arthroplasty.
• In the year 2017 March, Stryker introduced the Mako System for total knee arthroplasty at orthopedic institute in American Academy.

Segments Covered in the Report

By Product

• Mobile Bearing
• Fixed Bearing

By End User

• Hospitals
• Speciality clinics
• Ambulatory surgery centres
• Others

By Geography

• North America
• Europe
• Asia-Pacific
• Latin America
• Middle East & Africa (MEA)