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Cementless Total Knee Arthroplasty Market Research Report By Implant Design (Monoblock, Modular, Hybrid), By Fixation Mechanism (Porous Coating, Hydroxyapatite Coating, Plasma Spray), By Material (Titanium, Cobalt-Chromium, Polyethylene, Ceramic), By End-User Setting (Hospitals, Ambulatory Surgical Centers, Rehabilitation Centers), By Application (Primary Total Knee Arthroplasty, Revision Total Knee Arthroplasty) and By Regional (North America, Europe, South America, Asia Pacific, Middle East and Africa) - Forecast to 2032


ID: MRFR/HC/25950-HCR | 128 Pages | Author: Garvit Vyas| September 2024

Cementless Total Knee Arthroplasty Market Overview:


As per MRFR analysis, the Cementless Total Knee Arthroplasty Market Size was estimated at 2.35 (USD Billion) in 2022. The Cementless Total Knee Arthroplasty Market is expected to grow from 2.53(USD Billion) in 2023 to 4.8 (USD Billion) by 2032. The Cementless Total Knee Arthroplasty Market CAGR (growth rate) is expected to be around 7.39% during the forecast period (2024 - 2032).


Key Cementless Total Knee Arthroplasty Market Trends Highlighted


The global cementless total knee arthroplasty market is driven by the rising incidence of osteoarthritis, increasing demand for joint replacement surgeries, and growing preference for cementless procedures due to reduced risk of infection and better long-term outcomes.


Technological advancements, such as improved implant designs and materials, are also contributing to the market growth.


Opportunities exist in expanding the market into emerging economies with a growing aging population and healthcare infrastructure.


Additionally, research and development efforts focused on improving implant longevity and reducing revision rates hold promise for future growth.


Recent trends include the adoption of patient-specific implants, the utilization of robotic-assisted surgery for greater precision, and the emergence of hybrid procedures combining cementless and cemented techniques to optimize implant stability.


Cementless Total Knee Arthroplasty Market


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Cementless Total Knee Arthroplasty Market Drivers


Increasing Prevalence of Knee Osteoarthritis


Knee osteoarthritis is a degenerative joint disease of the knee. It is one of the most common forms of arthritis, and it is a major cause of pain and disability. The increasing prevalence of knee osteoarthritis is a key driver of the growth of the Global Cementless Total Knee Arthroplasty Market.


As the population ages, the number of people with knee osteoarthritis is expected to rise. There are several reasons for this, including the increasing prevalence of obesity, which is a major risk factor for knee osteoarthritis.


The growing prevalence of knee osteoarthritis is leading to an increasing demand for knee replacement surgery, including cementless total knee arthroplasty.


Rising Demand for Minimally Invasive Procedures


Minimally invasive surgery is a surgical technique that uses small incisions and specialized instruments to perform surgery. Minimally invasive surgery is less invasive than traditional open surgery, and it has several advantages, including less pain, scarring, and recovery time.


The rising demand for minimally invasive procedures is a major driver of the growth of the Global Cementless Total Knee Arthroplasty Market. Patients are increasingly opting for minimally invasive knee replacement surgery, including cementless total knee arthroplasty.


This is because minimally invasive surgery is less invasive than traditional open surgery, and it has several advantages, including less pain, scarring, and recovery time.


Technological Advancements in Cementless Total Knee Arthroplasty


Technological advancements are constantly being made in the field of cementless total knee arthroplasty. These advancements are leading to the development of new and improved implants and surgical techniques.


The technological advancements in cementless total knee arthroplasty are a major driver of the growth of the Global Cementless Total Knee Arthroplasty Market.


These advancements are leading to improved patient outcomes, including reduced pain, improved mobility, and increased longevity of the implant.


Cementless Total Knee Arthroplasty Market Segment Insights:


Cementless Total Knee Arthroplasty Market Implant Design Insights


The global cementless total knee arthroplasty market is segmented on the basis of Implant Design as Monoblock, Modular, and Hybrid. The Monoblock segment accounted for the largest share in the year 2023, and it is expected to dominate the market for the forecasted period.


This is mainly because the usage of monoblock implants is increasing considerably since they provide better stability, the risk of loosening is reduced, and patient outcomes are also significantly enhanced.


The single solid design of monoblock implants eliminates the need for multiple components and thus the failure of the single component is not a challenge with these implants.


The Modular segment is expected to grow moderately for the forecasted period. The reason is that modular implants offer a flexibility option to orthopedic surgeons while customizing the implants to individual needs.


Though the modular segment also serves as another major option for treating knee replacement patients, its growth rate would be lower than the monoblock segment due to the dominance of the monoblock segment.


However, the availability of advanced modular systems is also increasing that provides better implant fixation and range of motion.


The Hybrid segment, which serves customers of two different layers of the monoblock and modular segments, will grow steadily for the forecasted period. The hybrid model offers a balance of stability while manufacturing the monoblock implants, the customization facility of modular implants.


The demand for patient-specific, personalized solutions is increasing, and this will drive the growth of this segment gradually.


The growth of the market is mainly driven by the increase in the prevalence of knee osteoarthritis, increase in the geriatric population, and due to the advancements made in the design of implants.


Cementless Total Knee Arthroplasty Market Implant Design Insights


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Cementless Total Knee Arthroplasty Market Fixation Mechanism Insights


Porous Coating, Hydroxyapatite Coating, and Plasma Spray are the three main fixation mechanisms that are used in Cementless Total Knee Arthroplasty. Porous Coating is expected to be the leading mechanism, with more than half of the Global Cementless Total Knee Arthroplasty Market revenue by 2024.


The increase in market share is attributed to better bone ingrowth, ensuring exceptional stability. Hydroxyapatite Coating, in turn, will develop rapidly as a result of the osteoconductive properties as well as the increasing demand for the ability to fixation and induce bone healing.


Plasma Spray, in its turn, will have an increased demand due to the long-term fixation and increased durability in hard bone conditions.


Thus, Global Cementless Total Knee Arthroplasty Market segmentation by Fixation Mechanism provides information that is essential for understanding the market, and, therefore, stakeholders must use this information correctly to capture emerging opportunities.


Cementless Total Knee Arthroplasty Market Material Insights


The Global Cementless Total Knee Arthroplasty Market is segmented by Material into Titanium, Cobalt-Chromium, Polyethylene, and Ceramic.


Among these, the Titanium segment is expected to dominate the market in 2023, accounting for a revenue share of around 40%. This dominance is attributed to the excellent biocompatibility, high strength-to-weight ratio, and corrosion resistance of Titanium.


Additionally, the rising demand for personalized implants and the increasing preference for minimally invasive surgical procedures are expected to drive the growth of the Titanium segment in the coming years.


The Cobalt-Chromium segment is also expected to witness significant growth owing to its high strength, wear resistance, and biocompatibility.


Polyethylene, on the other hand, is widely used in bearing surfaces due to its low friction and wear resistance. The Ceramic segment is expected to gain traction in the future due to its superior wear resistance, high strength, and biocompatibility.


Cementless Total Knee Arthroplasty Market End-User Setting Insights


The Global Cementless Total Knee Arthroplasty Market is segmented by End-User Setting into Hospitals, Ambulatory Surgical Centers, and Rehabilitation Centers. Hospitals account for the largest share of the market, followed by Ambulatory Surgical Centers and Rehabilitation Centers.


The growth of the Hospitals segment is attributed to the increasing number of knee replacement surgeries being performed in hospitals. Ambulatory Surgical Centers are expected to witness significant growth due to the increasing preference for outpatient procedures.


Rehabilitation Centers are expected to grow at a steady pace due to the growing demand for post-operative rehabilitation services.


The Global Cementless Total Knee Arthroplasty Market revenue for Hospitals segment is projected to reach USD 1.5 billion by 2024, growing at a CAGR of 7.5%.


The market for Ambulatory Surgical Centers is expected to grow at a CAGR of 8.2%, reaching USD 0.6 billion by 2024. The Rehabilitation Centers segment is expected to grow at a CAGR of 6.5%, reaching USD 0.4 billion by 2024.


Cementless Total Knee Arthroplasty Market Application Insights


The Global Cementless Total Knee Arthroplasty Market Segmentation by Application includes Primary Total Knee Arthroplasty and Revision Total Knee Arthroplasty. Primary Total Knee Arthroplasty is more prevalent, accounting for a larger share of the market revenue.


This is attributed to the increasing incidence of osteoarthritis, which is the leading cause of total knee arthroplasty.


Revision Total Knee Arthroplasty, on the other hand, is performed to address complications or failures of a previous knee replacement surgery.


The rising number of primary knee arthroplasty procedures and the growing demand for revision surgeries are expected to drive the growth of the Cementless Total Knee Arthroplasty Market.


Cementless Total Knee Arthroplasty Market Regional Insights


The regional landscape of the Global Cementless Total Knee Arthroplasty Market presents distinct market dynamics and growth trajectories.


North America holds a significant market share, driven by factors such as the high prevalence of knee osteoarthritis, the increasing geriatric population, and technological advancements.


Europe follows closely, with a robust healthcare infrastructure and rising demand for minimally invasive surgical procedures. The APAC region is projected to witness substantial growth due to increasing healthcare expenditure, growing awareness, and rising disposable income.


South America and MEA exhibit promising growth potential, fueled by improving healthcare access and government initiatives to enhance healthcare infrastructure.


Cementless Total Knee Arthroplasty Market Regional Insights


Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Cementless Total Knee Arthroplasty Market Key Players and Competitive Insights:


Major players in the Cementless Total Knee Arthroplasty Market are continuously introducing advanced products in order to expand their market presence. For instance, in 2023, Zimmer Biomet launched Persona Revision Tibial System, which is intended for use in revision total knee arthroplasty.


The system is designed to facilitate a simplified, modular approach to revision knee arthroplasty. Leading Cementless Total Knee Arthroplasty Market players are also focusing on strategic collaborations and partnerships to enhance their market position.


In 2023, Stryker entered into a distribution agreement with Aesculap Implant Systems, LLC, to distribute Aesculap's mobile-bearing and fixed-bearing cementless knee systems in the United States. Such partnerships enable companies to expand their product portfolio and reach new markets.


One of the leading companies in the Cementless Total Knee Arthroplasty Market is Zimmer Biomet. The company offers a range of cementless knee implants, including the Persona Knee System and the NexGen Knee System.


Zimmer Biomet's cementless knee implants are designed to provide long-term stability and durability. The company also offers a variety of educational and training programs for surgeons who use its products.


Another major player in the Cementless Total Knee Arthroplasty Market is Stryker. The company offers a range of cementless knee implants, including the Triathlon Knee System and the Mako Robotic-Arm Assisted Surgery System.


Stryker's cementless knee implants are designed to provide excellent clinical outcomes. The company also offers a strong portfolio of educational and training programs for surgeons who use its products.


Key Companies in the Cementless Total Knee Arthroplasty Market Include:



  • LimaCorporate S.p.A.

  • Wright Medical

  • Waldemar Link

  • Medtronic

  • Stryker

  • Biomet Orthopedic

  • Aesculap AG

  • Implantcast

  • Orthofix

  • DePuy Synthes

  • Smith Nephew

  • DJO Global

  • Zimmer Biomet

  • Exactech

  • Corin Group


Cementless Total Knee Arthroplasty Market Developments


Technological advancements, the rising prevalence of knee osteoarthritis, and the increasing geriatric population are key growth drivers.


Recent news in the market includes:


In February 2023, Stryker launched the Triathlon Total Knee System with Phoenix C Femoral Component, offering improved stability and longevity.


In March 2023, Zimmer Biomet received FDA approval for its Persona Revision Knee System, designed for complex revision knee surgeries.


These developments indicate the market's commitment to innovation and improving patient outcomes.


Cementless Total Knee Arthroplasty Market Segmentation Insights



  • Cementless Total Knee Arthroplasty Market Implant Design Outlook

  • Monoblock

  • Modular

  • Hybrid

  • Cementless Total Knee Arthroplasty Market Fixation Mechanism Outlook

  • Porous Coating

  • Hydroxyapatite Coating

  • Plasma Spray

  • Cementless Total Knee Arthroplasty Market Material Outlook

  • Titanium

  • Cobalt-Chromium

  • Polyethylene

  • Ceramic

  • Cementless Total Knee Arthroplasty Market End-User Setting Outlook

  • Hospitals

  • Ambulatory Surgical Centers

  • Rehabilitation Centers

  • Cementless Total Knee Arthroplasty Market Application Outlook

  • Primary Total Knee Arthroplasty

  • Revision Total Knee Arthroplasty

  • Cementless Total Knee Arthroplasty Market Regional Outlook

  • North America

  • Europe

  • South America

  • Asia Pacific

  • Middle East and Africa

Report Attribute/Metric Details
Market Size 2022 2.35(USD Billion)
Market Size 2023 2.53(USD Billion)
Market Size 2032 4.8(USD Billion)
Compound Annual Growth Rate (CAGR) 7.39% (2024 - 2032)
Report Coverage Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
Base Year 2023
Market Forecast Period 2024 - 2032
Historical Data 2019 - 2023
Market Forecast Units USD Billion
Key Companies Profiled LimaCorporate S.p.A., Wright Medical, Waldemar Link, Medtronic, Stryker, Biomet Orthopedic, Aesculap AG, Implantcast, Orthofix, DePuy Synthes, Smith Nephew, DJO Global, Zimmer Biomet, Exactech, Corin Group
Segments Covered Implant Design, Fixation Mechanism, Material, End-User Setting, Application, Regional
Key Market Opportunities Osteoarthritis Prevalence Technological Advancements Increasing Patient Population Rising Geriatric Population Growing Demand in Emerging Economies
Key Market Dynamics Aging population Technological advancements Increasing prevalence of osteoarthritis Rising demand for minimally invasive surgeries Growing healthcare expenditure
Countries Covered North America, Europe, APAC, South America, MEA


Frequently Asked Questions (FAQ) :

The Global Cementless Total Knee Arthroplasty Market is anticipated to reach USD 4.8 billion by 2032, growing at a CAGR of 7.39% from 2024 to 2032.

North America is expected to dominate the Global Cementless Total Knee Arthroplasty Market, accounting for a significant market share during the forecast period.

The increasing prevalence of osteoarthritis, rising geriatric population, and technological advancements in knee arthroplasty are primarily driving the market growth.

Cementless Total Knee Arthroplasty is primarily used in the treatment of osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.

The major players operating in the Global Cementless Total Knee Arthroplasty Market include Zimmer Biomet, Stryker, Johnson Johnson, Smith Nephew, and Medtronic.

The Global Cementless Total Knee Arthroplasty Market size was valued at USD 2.53 billion in 2023.

The Global Cementless Total Knee Arthroplasty Market is projected to grow at a CAGR of 7.39% from 2024 to 2032.

Asia Pacific is anticipated to witness the highest growth in the Global Cementless Total Knee Arthroplasty Market during the forecast period.

The market faces challenges such as the high cost of procedures, stringent regulatory approvals, and potential complications associated with surgery.

Rising healthcare expenditure, increasing awareness about knee replacement surgeries, and technological advancements present growth opportunities for the market.

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