Cementless Total Knee Systems (TKS) Market Analysis

Cementless Total Knee Systems Market Analysis

To get key market trends

  Download Free Sample

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.