Cementless Total Knee Systems (TKS) Market Size, Share, Growth – By Fixation Method, By Component, By End Use & Global Forecast, 2025 to 2034

Cementless Total Knee Systems Market Size

The global cementless total knee systems market size was valued at USD 4.9 billion in 2024 and is expected to exhibit growth at a CAGR of 6.4% from 2025 to 2034 period. The increase in market growth may be related to the more common osteoarthritis and rheumatoid arthritis reported along with the increasing older population. There is an increasing acceptance of cementless knee systems as there are more favorable recovery outcomes and greater longevity.

Recent developments in cementless total knee systems, such as 3D-printed porous coatings and implants tailored to the individual patient, have led to exceptional enhancements in implant osseointegration. These innovations improve the stability and strength of the implant by providing better integration with the existing bone. In addition, the emergence of new materials, such as advanced titanium alloys, serves to reduce wear and tear, thereby prolonging the life of the knee system.
 

Owing to this, the use of cementless implants is more successful overall and is more preferred for knee replacements. These technological advancements, such as improved bone integration, decreases in revision rates, and increases in implant longevity and ease of implantation, are driving higher adoption rates, fueling market growth.
 

The market encompasses knee implants that do not use bone cement for fixation. Instead of mechanically securing, these systems depend on biological attachment and coating that allows the implant to bind with the bone and thus do not require cement. Compared to the cemented systems, this knee replacement method offers better performance over the long term and reduces the rate of loosening.

Cementless Total Knee Systems Market Trends

The market trend currently evolving and starting to have an impact on its future direction is the emerging market itself. The previously mentioned technology was predicted as a significant growing trend in the world market due to an increasing number of patients with knee joint disorders and the patients’ preference for minimally invasive surgery with short recovery and rehabilitation times.
 

• The trend in the medical field shifts towards more minimally invasive techniques, fostering demand for these systems due to their improved patient outcomes. There has also been an increased focus on patient-specific implant designs due to the technological advancements in 3D printing, which allow for the implants to be designed with the intention of enhanced function as well as prevention of implant failure.
   
• In addition, the increase in the use of robotics in surgeries is expected to greatly improve the accuracy of cementless knee replacements. The ability to perform accurate cuts and less invasive procedures is anticipated to contribute increasingly to the preference for cementless systems.
   
• Moreover, the use of high-performance polyethylene and titanium alloys is improving the durability and stability of these systems, reducing the likelihood of failure and implant loosening. This technology is removing the barriers of adoption, with surgeons as well as patients favoring it more and more.
   

Cementless Total Knee Systems Market Analysis

Based on fixation, the market is segmented as primary fixation and hybrid fixation. The primary fixation segment is expected to drive business growth and expand at a CAGR of 6.5%, reaching over USD 5.4 billion by 2034.

• Polyaxial screw principles are especially popular because they provide ease of use and high retention strength. This method does not require pre-operative imaging, and the insertion tool is quite simple, comprising a handle, a sleeve, and a drill bit.
   
• The above factors contribute to the primary emphasis placed on using a single mechanism of migration within one system, which helps avoid training for staff at multiple facilities. Rather, from the perspective of robotics, only one drill is used to minimize wasted space and segmentation of the drill guide.
   

Based on component, the cementless total knee systems market is segmented as tibial component and femoral component. The tibial component segment is expected to drive business growth and expand at a CAGR of 6.6%, reaching over USD 5.6 billion by 2034.
 

• In total knee systems that are cementless, the tibial component is one of the most used because it is designed to accommodate a lot of weight while performing various movements. The long-term stability of the implant is also heavily reliant on the tibia bone as it is the main bearing bone in the knee joint. There has also been improved effectiveness with the innovations in modular components.
   
• Additionally, there has also been more adoption of the tibial component in cementless systems due to its role in preventing implant loosening. The specific fit of the tibial component to the bone, especially with the help of porous coatings, improves bone absorption and bonding, which enhances the stability and durability of the implant. The design and construction of the tibial component have also seen great improvements, especially with how it directly affects knee function. There is also a greater selection of materials, surface treatments, and increased focus on biomechanics.
   

Based on end use, the cementless total knee systems market is classified into hospitals, orthopedic centers, and other end users. The hospital segment dominated the market with a revenue share of 48.4% in 2024.

• The growth of this segment is due to multiple joint reconstruction surgeries occurring.
   
• Moreover, as total knee replacement surgery requires specialized care, patients prefer hospitals, which are set up to provide preoperative and postoperative services, operating rooms, and trained orthopedic surgeons.
   
• Additionally, hospitals start to venture into more advanced orthopedic surgery technologies, such as cementless total knee systems. They have the money to purchase newer surgical equipment, including tools for robotic-assisted surgery and custom-made knee implants.
   

U.S. cementless total knee systems market accounted for USD 1.8 billion in 2024 and is anticipated to grow at a CAGR of 5.8% between 2025 to 2034 period.
 

• Both the elderly population and the frequency of knee replacements are prominent in the U.S., making it one of the major contributors in the market for cementless TKS worldwide. In the U.S., cementless knee implants are also in high demand because they provide unparalleled initial stability over traditional methods.
   
• In addition to this, cementless TKS are easily incorporated into the market because of the established healthcare systems with state-of-the-art hospitals and orthopedic care. The innovation with robotic surgery and customized implants used in the U.S. makes the entire procedure significantly more precise, allowing for improved patient care.
   

U.K. cementless total knee systems market is projected to grow remarkably in the coming years.
 

• In the UK, cementless total knee implants have seen an increasing acceptance within the NHS and in areas that specialize in knee replacement due to osteoarthritis. This is high in demand given the UK population, which is aging at a faster rate than the rest of the population, as they tend to suffer the most from knee joint problems.
   
• Furthermore, younger patients that lead an active lifestyle are more prone to seeking cementless knees because they want to evade the chances of implant loosening. The healthcare industry in the UK has not stopped incorporating modern surgical equipment, which will further increase the demand for cementless implant knee systems.
   

China holds a dominant position in the Asia Pacific cementless total knee systems market.
 

• Rising urbanization coupled with the aging population in China is increasing the demand for cementless total knee systems since a lot more people are developing joint issues. As the country experiences additional population growth, there will be a higher number of elderly that deal with osteoarthritis and degenerative knee conditions. This, in return, will create a greater need for knee replacement surgery. Owing to the strengthening of medical technology in the country, cementless implants are becoming cheaper and cheaper.
   
• Moreover, China’s market for cementless total knee systems is becoming more competitive as local suppliers begin to collaborate with international ones in order to enhance the standard of knee implants.
   

Cementless Total Knee Systems Market Share

Cementless total knee systems manufacturers such as Zimmer Biomet, Stryker, and DePuy Synthes are consistently enhancing their product lines through mergers, acquisitions, and new partnerships. They are also focusing on emerging markets where the demand for joint replacement surgeries is on the rise. Recent market trends such as the adoption of 3D-printed implants and hybrid fixation techniques are assisting manufacturers to remain competitive within the industry, and these advancements will help accelerate the usage of cementless systems.
 

Cementless Total Knee Systems Market Companies

Prominent players operating in the cementless total knee systems industry include:

• Aesculap
• Conformis
• Corin Group
• Dentsply Sirona
• DePuy Synthes
• Enovis
• Episurf Medical
• Exactech
• Medacta International
• MicroPort Orthopedics
• Smith & Nephew
• Stryker
• United Orthopedic
• Waldemar Link
• Zimmer Biomet
   

USPs for the top players:

• Esteemed for their advanced porous coating technologies that promote natural bone integration.
   
• Expertly balances innovative designs with durable, lightweight materials for improved patient outcomes.
   
• Global recognition and trusted partnerships with orthopedic surgeons ensure widespread adoption of their solutions.
   

Cementless Total Knee Systems Industry News:

• In November 2022, Zimmer Biomet received FDA 510(k) clearance for its Persona OsseoTi Keel Tibia, a new addition to their Persona Knee System for cementless knee replacement. This product incorporates the company's OsseoTi Porous Metal Technology, designed to mimic the structure of human bone for better biological fixation.
   
• In October 2024, Corin announced the first clinical use of its Unity Knee MC Tibial Insert, marking a significant milestone in the field of knee replacement. This new insert is designed to improve patient outcomes with enhanced functionality and stability. The Unity Knee MC Tibial Insert is part of Corin's innovative product line that aims to address the increasing demand for high-performance knee replacement solutions.
   

The cementless total knee systems market research report includes an in-depth coverage of the industry with estimates and forecast in terms of revenue in USD Million and from 2021 – 2034 for the following segments:

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Market, By Fixation Method

• Primary fixation
• Hybrid fixation

Market, By Component

• Tibial component
• Femoral component

Market, By End Use

• Hospitals
• Orthopedic centers
• Other end users

The above information is provided for the following regions and countries:

• North America
  • U.S.
  • Canada
• Europe
  • Germany
  • UK
  • France
  • Spain
  • Italy
  • Netherlands
• Asia Pacific
  • China
  • Japan
  • India
  • Australia
  • South Korea
• Latin America
  • Brazil
  • Mexico
  • Argentina
• Middle East and Africa
  • South Africa
  • Saudi Arabia
  • UAE