Cementless Total Knee Arthroplasty Market Report 2026

Cementless Total Knee Arthroplasty Market Overview

• Cementless Total Knee Arthroplasty market size has reached to $2.95 billion in 2025 • Expected to grow to $5.19 billion in 2030 at a compound annual growth rate (CAGR) of 11.9% • Growth Driver: Increasing Prevalence Of Knee Osteoarthritis Is Fueling The Market Growth Due To Aging Populations And Rising Joint Degeneration Risk • Market Trend: Recent Product Innovations Strengthening Growth In The Cementless Total Knee Arthroplasty • North America was the largest region in 2025 and Asia-Pacific is the fastest growing region.

What Is Covered Under Cementless Total Knee Arthroplasty Market?

Cementless total knee arthroplasty is a surgical procedure that replaces a damaged knee joint with an artificial implant designed to encourage natural bone growth into the implant’s surface for long-term fixation, without using bone cement. This technique relies on specially coated or porous implant surfaces to achieve biological integration with the patient’s bone. It is often chosen for patients with good bone quality to promote durable and stable joint function. The main product types of cementless total knee arthroplasty include fixed-bearing and mobile-bearing. Fixed-bearing is a knee implant design with a firmly attached polyethylene insert that provides stable and durable joint movement. It uses various materials, such as titanium, cobalt-chromium, polyethylene, and ceramic. These products are distributed through direct sales, distributors, and resellers and are applied in primary and revision total knee arthroplasty. They are used by several end users, including hospitals, specialty clinics, ambulatory surgery centers, and others.

What Is The Cementless Total Knee Arthroplasty Market Growth Forecast?

The cementless total knee arthroplasty market size is expected to see rapid growth in the next few years. It will grow to $5.19 billion in 2030 at a compound annual growth rate (CAGR) of 11.9%. The growth in the forecast period can be attributed to innovations in cementless implant coatings, rising preference for minimally invasive surgeries, expansion of orthopedic infrastructure, adoption of patient-specific implants, integration of robotic-assisted knee arthroplasty. Major trends in the forecast period include increasing adoption of cementless knee implants, rising demand for minimally invasive knee surgeries, advancements in porous and coated implant surfaces, expansion of orthopedic surgery centers, growing focus on patient-specific knee implants.

Global Cementless Total Knee Arthroplasty Market Segmentation

1) By Product: Fixed-Bearing, Mobile-Bearing 2) By Material: Titanium, Cobalt-Chromium, Polyethylene, Ceramic 3) By Distribution Channels: Direct Sales, Distributors And Resellers 4) By Application: Primary Total Knee Arthroplasty, Revision Total Knee Arthroplasty 5) By End User: Hospitals, Specialty Clinics, Ambulatory Surgery Centers, Other End Users Subsegments: 1) By Fixed-Bearing: Posterior Stabilized Fixed-Bearing, Cruciate Retaining Fixed-Bearing, Medial Pivot Fixed-Bearing 2) By Mobile-Bearing: Rotating Platform Mobile-Bearing, Meniscal Bearing Mobile-Bearing, Dual Mobility Mobile-Bearing

What Is The Driver Of The Cementless Total Knee Arthroplasty Market?

The increasing prevalence of knee osteoarthritis is expected to propel the growth of the cementless total knee arthroplasty market going forward. Knee osteoarthritis is a degenerative joint condition that causes pain, swelling, and stiffness in the knee joint, affecting a person's ability to move freely. The rise in knee osteoarthritis is largely driven by the increasing prevalence of obesity, as excess body weight places additional stress on knee joints, accelerating cartilage wear and joint degeneration. Cementless total knee arthroplasty helps knee osteoarthritis by replacing the damaged joint surfaces with prosthetic components that encourage natural bone growth for long-term stability and improved joint function. For instance, in February 2024, according to the Arthritis Australia, an Australia-based non-profit organization, in 2025, osteoarthritis (OA) is projected to affect 2.35 million Australians (Figure 2), accounting for 57% of the total arthritis population and making it the most common form of arthritis in the country. By 2040, the number of Australians with OA is expected to rise to 3.11 million, representing a 32% increase from 2025. This corresponds to an additional 762,515 people living with OA in Australia by 2040 compared to 2025. Therefore, the increasing prevalence of knee osteoarthritis is driving the growth of the cementless total knee arthroplasty industry.

Key Players In The Global Cementless Total Knee Arthroplasty Market

Major companies operating in the cementless total knee arthroplasty market are Johnson & Johnson, Stryker Corporation, Zimmer Biomet Holdings Inc., Smith & Nephew Plc, Enovis Corporation, CONMED Corporation, Globus Medical Inc., MicroPort Scientific Corporation, Medacta Group SA, B. Braun Melsungen SE, TTK Healthcare Limited, Waldemar Link GmbH & Co. KG, United Orthopedic Corporation, Symbios Orthopédie SA, Gruppo Bioimpianti S.p.A., Permedica Orthopaedics S.p.A., Uteshiya Medicare Private Limited, LINK Orthopaedics GmbH, Plus Orthopaedics India Pvt. Ltd., XLO India Pvt. Ltd.

Global Cementless Total Knee Arthroplasty Market Trends and Insights

Major companies operating in the cementless total knee arthroplasty market are increasingly focusing on developing 3D-printed, patient-specific cementless implants to meet the rising demand for biologically integrating prostheses, improved long-term fixation, and better outcomes in younger, more active patients. These implants are manufactured using additive-manufacturing (3D-printing) technology to create a porous lattice structure that encourages bone in-growth, thereby achieving osseointegration, unlike traditional cemented knee implants, which rely on bone cement for immediate fixation. For instance, in April 2025, restor3D Inc., a US-based medical technology company, received U.S. Food and Drug Administration (FDA) 510(k) clearance for its iTotal Identity CR 3DP Porous Total Knee Replacement System, marking the company’s first cementless offering in its patient-specific implant portfolio. The system leverages restor3d’s proprietary TIDAL Technology, featuring a high-strength porous lattice optimized for bone ingrowth, fatigue resistance, and load distribution. It includes femoral, tibial, and patellar components that are custom-designed to each patient’s anatomy, along with personalized, pre-navigated surgical instruments delivered in a sterile single-use kit minimizing intraoperative guesswork and improving surgical efficiency. By combining patient-matched design with advanced surface engineering, this implant offers a more natural feel and durable fixation compared to traditional cemented options.

What Are Latest Mergers And Acquisitions In The Cementless Total Knee Arthroplasty Market?

In January 2024, Enovis Corporation, a US-based medical technology company, acquired LimaCorporate S.p.A. for an undisclosed amount. With this acquisition, Enovis aims to accelerate its growth and expand its orthopedic reconstruction capabilities by integrating Lima’s innovative implant solutions, including 3D-printed Trabecular Titanium implants and advanced shoulder revision systems, into its portfolio, thereby enhancing clinical outcomes, driving margin expansion, and solidifying its position in the fast-growing extremities market. LimaCorporate S.p.A. is an Italy-based medical equipment manufacturer specializing in cementless total knee arthroplasty solutions.

Regional Outlook

North America was the largest region in the cementless total knee arthroplasty market in 2025. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in this market report are Asia-Pacific, South East Asia, Western Europe, Eastern Europe, North America, South America, Middle East, Africa. The countries covered in this market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Taiwan, Russia, South Korea, UK, USA, Canada, Italy, Spain

What Defines the Cementless Total Knee Arthroplasty Market?

The cementless total knee arthroplasty market consists of sales of femoral components, tibial components, patellar components, and 3D-printed cementless implants. Values in this market are ‘factory gate’ values, that is the value of goods sold by the manufacturers or creators of the goods, whether to other entities (including downstream manufacturers, wholesalers, distributors and retailers) or directly to end customers. The value of goods in this market includes related services sold by the creators of the goods.

How is Market Value Defined and Measured?

The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD unless otherwise specified). The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.