Cementless Total Knee Systems (TKS) Market Size – 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. The market growth is attributed to the rising cases of osteoarthritis and rheumatoid arthritis, coupled with an aging population. Cementless knee systems are becoming increasingly popular because of their improved post-surgery recovery rates and enhanced durability.  
 

Recent advancements in cementless total knee systems, such as 3D-printed porous coatings and patient-specific implants, have significantly improved implant osseointegration. These innovations ensure better bone-to-implant integration, resulting in enhanced stability and durability. Furthermore, new materials, like advanced titanium alloys, are being used to reduce wear and tear, increasing the longevity of the knee system. These factors contribute to the overall success of cementless implants, making them a preferred choice for knee replacements. With reduced revision rates, these technological advancements are driving higher adoption rates, fueling market growth.
 

Moreover, the market growth is also attributed to the growing prevalence of osteoarthritis, especially among the elderly. As the aging population expands, the demand for total knee replacements rises, making cementless systems increasingly important. Additionally, these systems offer patients benefits like reduced risk of infection and enhanced recovery compared to cemented counterparts. Many younger, more active patients also opt for cementless knee systems, as they offer better long-term performance. This demand is expected to continue increasing in the coming years, driving market growth and expanding the adoption of cementless technologies globally.
 

The cementless total knee systems market refers to the market for knee implants that do not require bone cement for fixation. These systems rely on biological fixation, where the implant integrates with the bone through a porous surface or coating. This type of knee replacement offers advantages like reduced risk of loosening and better long-term performance compared to cemented systems.   
 

Cementless Total Knee Systems Market Trends

The market is witnessing significant trends that are shaping its future trajectory. One of the primary trends is the growing preference for minimally invasive surgeries, which enable faster recovery times and lower complication rates.
 

• As healthcare professionals continue to emphasize less invasive options, cementless systems are gaining popularity due to their ability to improve patient outcomes. Additionally, there has been an increasing focus on personalized implant solutions, driven by advancements in 3D printing technology. These innovations allow for custom-fit implants, offering improved function and reducing the risk of implant failure. Furthermore, the rise in robotic-assisted surgeries is expected to significantly enhance the precision of cementless knee replacements. The ability to perform precise, minimally invasive procedures is expected to continue driving the adoption of cementless systems.
   
• Moreover, improvements in implant materials, such as high-performance polyethylene and titanium alloys, are improving the durability and stability of these systems, reducing the likelihood of failure and implant loosening. With these advancements, cementless knee systems are becoming more accessible and increasingly preferred by both surgeons and patients.
   

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.
 

• Primary fixation holds the majority of the market share in cementless total knee systems due to its ability to provide better initial stability. In this method, the implant is designed to fit precisely to the bone without requiring bone cement. This allows for direct bone-to-implant contact, promoting faster osseointegration.
   
• Moreover, the increased use of minimally invasive surgical instruments and techniques has bolstered the adoption of primary fixation methods. The absence of bone cement means that the procedure is less invasive, leading to quicker recovery times for patients. This combination of stability, long-term performance, and faster recovery continues to drive the market demand for primary fixation in cementless total knee systems.
   

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.
 

• The tibial component holds a major share in the market due to its critical role in supporting the weight of the body during movement. The tibia, or shinbone, bears the majority of the load in the knee joint, making it essential for the long-term stability of the implant. Innovations in tibial component design, such as modular components, have further enhanced their effectiveness.
   
• Furthermore, the tibial component in cementless systems has seen increased adoption because of its role in reducing implant loosening. The precise fit between the tibial component and the bone, aided by porous coatings, promotes better bone growth and integration, which improves the stability and longevity of the implant. As the tibial component directly impacts knee function, its design has seen continuous improvement, with more attention given to material selection, surface treatments, and biomechanics.
   

Based on end use, the 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 hospital segment commands a large share of the cementless total knee systems market due to the high volume of joint reconstruction surgeries performed in these settings. Hospitals typically have the necessary infrastructure, including advanced surgical theaters, trained orthopedic surgeons, and comprehensive post-operative care, which makes them the preferred choice for total knee replacement surgeries.  
   
• Additionally, hospitals are at the forefront of adopting cutting-edge technologies in orthopedic surgery, including cementless total knee systems. They benefit from the financial capabilities to invest in the latest surgical tools, which include robotic-assisted surgery systems and personalized knee implants.
   

U.S. 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.
 

• The U.S. is a major contributor to the global cementless total knee systems market, driven by a large elderly population and an increasing number of knee replacement surgeries. The demand for cementless systems is high due to their ability to provide better initial stability and long-term durability. Additionally, the U.S. healthcare system focus on improving surgical outcomes and minimizing recovery times boosts the market for cementless knee implants.
   
• Moreover, the high level of healthcare infrastructure, including advanced hospitals and orthopedic clinics, allows for the widespread adoption of cementless knee implants. The U.S. also benefits from technological advancements, such as the incorporation of robotic surgery and custom implants. These innovations make the procedures more precise, leading to better patient outcomes.
   

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

• The UK healthcare system, through the National Health Service (NHS), has seen growing adoption of cementless total knee implants, especially for patients requiring knee replacements due to osteoarthritis. The increasing aging population in the UK is a significant driver for this demand, as the elderly are more prone to knee joint deterioration.
   
• Additionally, cementless knee systems are gaining traction because they are more suitable for younger, active patients who wish to avoid the risk of implant loosening. The UK healthcare sector continues to invest in advanced surgical tools, driving further market expansion for cementless knee implants.
   

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

• In China, the demand for cementless total knee systems is on the rise due to the rapid urbanization and an aging population, which has led to an increase in joint health issues. As the Chinese population ages, osteoarthritis and other degenerative knee diseases have become more prevalent, driving the need for knee replacement surgeries. The country’s growing healthcare infrastructure and improvements in medical technology have made cementless knee implants more accessible.
   
• Furthermore, as local manufacturers increasingly partner with international companies to improve the quality of knee implants, the market for cementless total knee systems in China is becoming more competitive. Rising awareness of the benefits of cementless implants, coupled with improvements in medical training and technology, will ensure that China remains a significant market for knee replacement surgeries in the coming years.
   

Cementless Total Knee Systems Market Share

Key players in the market are actively expanding their product portfolios through strategic collaborations, mergers, and acquisitions. Companies like Zimmer Biomet, Stryker, and DePuy Synthes are continuously innovating, with a focus on introducing advanced materials and improving fixation techniques. These companies are also expanding their presence in emerging markets, where the demand for joint replacement surgeries is growing. Recent developments, including the introduction of 3D-printed implants and hybrid fixation methods, are helping manufacturers stay competitive in the market. These industry advancements are expected to further accelerate the adoption of cementless systems.
 

Cementless Total Knee Systems Market Companies

Prominent players operating in the cementless total knee systems (TKS) 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
   

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