The cementless total knee arthroplasty market size has grown rapidly in recent years. It will grow from $2.95 billion in 2025 to $3.31 billion in 2026 at a compound annual growth rate (CAGR) of 12.2%. The growth in the historic period can be attributed to growing prevalence of osteoarthritis, rising geriatric population, development of conventional knee arthroplasty techniques, increasing orthopedic surgical procedures, awareness about long-term implant durability.
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.
The growing prevalence of knee osteoarthritis is expected to drive the growth of the cementless total knee arthroplasty market in the coming years. Knee osteoarthritis is a degenerative joint disorder characterized by pain, swelling, and stiffness in the knee joint, which limits an individual’s ability to move comfortably. The increase in knee osteoarthritis is primarily driven by the rising prevalence of obesity, as excess body weight exerts additional stress on knee joints, accelerating cartilage deterioration and joint degeneration. Cementless total knee arthroplasty addresses knee osteoarthritis by replacing damaged joint surfaces with prosthetic components designed to promote natural bone growth, resulting in long-term stability and enhanced joint function. For example, in February 2024, according to Arthritis Australia, an Australia-based non-profit organization, osteoarthritis (OA) is projected to affect 2.35 million Australians in 2025 (Figure 2), accounting for 57% of the total arthritis population and making it the most prevalent form of arthritis in the country. By 2040, the number of Australians living with OA is expected to increase to 3.11 million, representing a 32% rise from 2025. This equates to an additional 762,515 individuals with OA in Australia by 2040 compared to 2025. Therefore, the increasing prevalence of knee osteoarthritis is fueling the growth of the cementless total knee arthroplasty market.
Major companies operating in the cementless total knee arthroplasty market are increasingly emphasizing the development of 3D-printed, patient-specific cementless implants to address the growing demand for biologically integrated prostheses, improved long-term fixation, and superior outcomes among younger, more active patients. These implants are produced using additive manufacturing (3D-printing) technologies to create porous lattice structures that facilitate bone ingrowth and achieve osseointegration, in contrast to conventional cemented knee implants that depend 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, representing the company’s first cementless solution within its patient-specific implant portfolio. The system utilizes restor3d’s proprietary TIDAL Technology, incorporating a high-strength porous lattice engineered for bone ingrowth, fatigue resistance, and optimal load distribution. It comprises femoral, tibial, and patellar components that are custom-designed to match each patient’s anatomy, along with personalized, pre-navigated surgical instruments provided in a sterile, single-use kit to reduce intraoperative variability and enhance surgical efficiency. By integrating patient-specific design with advanced surface engineering, the implant delivers a more natural feel and durable fixation compared with traditional cemented alternatives.
In January 2024, Enovis Corporation, a US-based medical technology company, acquired LimaCorporate S.p.A. for an undisclosed amount. Through this acquisition, Enovis intends to accelerate its growth and expand its orthopedic reconstruction offerings by integrating Lima’s innovative implant solutions, including 3D-printed Trabecular Titanium implants and advanced shoulder revision systems, into its portfolio. This move is expected to enhance clinical outcomes, drive margin growth, and strengthen Enovis’ position in the rapidly expanding extremities market. LimaCorporate S.p.A., based in Italy, specializes in cementless total knee arthroplasty solutions.
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.
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 the cementless total knee arthroplasty market report are Asia-Pacific, South East Asia, Western Europe, Eastern Europe, North America, South America, Middle East, Africa. The countries covered in the cementless total knee arthroplasty market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Taiwan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
Tariffs are impacting the cementless total knee arthroplasty market by increasing the cost of imported implants, surgical instruments, and implant coating materials. Segments such as titanium and cobalt-chromium implants are particularly impacted, with regions like North America and Europe experiencing higher import costs. This has led to increased procedural costs and procurement challenges. However, tariffs have also encouraged domestic manufacturing, technological innovation, and local production of knee arthroplasty implants, which could strengthen regional supply chains over time.
The cementless total knee arthroplasty market research report is one of a series of new reports that provides cementless total knee arthroplasty market statistics, including cementless total knee arthroplasty industry global market size, regional shares, competitors with a cementless total knee arthroplasty market share, detailed cementless total knee arthroplasty market segments, market trends and opportunities, and any further data you may need to thrive in the cementless total knee arthroplasty industry. This cementless total knee arthroplasty market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.
Cementless total knee arthroplasty is a surgical procedure in which a damaged knee joint is replaced with an artificial implant designed to encourage natural bone growth into the implant’s surface, ensuring long-term fixation without the use of bone cement. This method relies on porous or specially coated implant surfaces to achieve biological integration with the patient’s bone and is typically recommended for patients with good bone quality to provide stable and durable joint function.
The primary product types of cementless total knee arthroplasty include fixed-bearing and mobile-bearing implants. Fixed-bearing implants feature a securely attached polyethylene insert that delivers stable and long-lasting joint movement. These implants are manufactured using materials such as titanium, cobalt-chromium, polyethylene, and ceramic. Distribution channels include direct sales, distributors, and resellers, with applications in both primary and revision total knee arthroplasty. Key end users include hospitals, specialty clinics, ambulatory surgery centers, and other healthcare facilities.
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.
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.
This product will be delivered within 1-3 business days.
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.
The growing prevalence of knee osteoarthritis is expected to drive the growth of the cementless total knee arthroplasty market in the coming years. Knee osteoarthritis is a degenerative joint disorder characterized by pain, swelling, and stiffness in the knee joint, which limits an individual’s ability to move comfortably. The increase in knee osteoarthritis is primarily driven by the rising prevalence of obesity, as excess body weight exerts additional stress on knee joints, accelerating cartilage deterioration and joint degeneration. Cementless total knee arthroplasty addresses knee osteoarthritis by replacing damaged joint surfaces with prosthetic components designed to promote natural bone growth, resulting in long-term stability and enhanced joint function. For example, in February 2024, according to Arthritis Australia, an Australia-based non-profit organization, osteoarthritis (OA) is projected to affect 2.35 million Australians in 2025 (Figure 2), accounting for 57% of the total arthritis population and making it the most prevalent form of arthritis in the country. By 2040, the number of Australians living with OA is expected to increase to 3.11 million, representing a 32% rise from 2025. This equates to an additional 762,515 individuals with OA in Australia by 2040 compared to 2025. Therefore, the increasing prevalence of knee osteoarthritis is fueling the growth of the cementless total knee arthroplasty market.
Major companies operating in the cementless total knee arthroplasty market are increasingly emphasizing the development of 3D-printed, patient-specific cementless implants to address the growing demand for biologically integrated prostheses, improved long-term fixation, and superior outcomes among younger, more active patients. These implants are produced using additive manufacturing (3D-printing) technologies to create porous lattice structures that facilitate bone ingrowth and achieve osseointegration, in contrast to conventional cemented knee implants that depend 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, representing the company’s first cementless solution within its patient-specific implant portfolio. The system utilizes restor3d’s proprietary TIDAL Technology, incorporating a high-strength porous lattice engineered for bone ingrowth, fatigue resistance, and optimal load distribution. It comprises femoral, tibial, and patellar components that are custom-designed to match each patient’s anatomy, along with personalized, pre-navigated surgical instruments provided in a sterile, single-use kit to reduce intraoperative variability and enhance surgical efficiency. By integrating patient-specific design with advanced surface engineering, the implant delivers a more natural feel and durable fixation compared with traditional cemented alternatives.
In January 2024, Enovis Corporation, a US-based medical technology company, acquired LimaCorporate S.p.A. for an undisclosed amount. Through this acquisition, Enovis intends to accelerate its growth and expand its orthopedic reconstruction offerings by integrating Lima’s innovative implant solutions, including 3D-printed Trabecular Titanium implants and advanced shoulder revision systems, into its portfolio. This move is expected to enhance clinical outcomes, drive margin growth, and strengthen Enovis’ position in the rapidly expanding extremities market. LimaCorporate S.p.A., based in Italy, specializes in cementless total knee arthroplasty solutions.
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.
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 the cementless total knee arthroplasty market report are Asia-Pacific, South East Asia, Western Europe, Eastern Europe, North America, South America, Middle East, Africa. The countries covered in the cementless total knee arthroplasty market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Taiwan, Russia, South Korea, UK, USA, Canada, Italy, Spain.
Tariffs are impacting the cementless total knee arthroplasty market by increasing the cost of imported implants, surgical instruments, and implant coating materials. Segments such as titanium and cobalt-chromium implants are particularly impacted, with regions like North America and Europe experiencing higher import costs. This has led to increased procedural costs and procurement challenges. However, tariffs have also encouraged domestic manufacturing, technological innovation, and local production of knee arthroplasty implants, which could strengthen regional supply chains over time.
The cementless total knee arthroplasty market research report is one of a series of new reports that provides cementless total knee arthroplasty market statistics, including cementless total knee arthroplasty industry global market size, regional shares, competitors with a cementless total knee arthroplasty market share, detailed cementless total knee arthroplasty market segments, market trends and opportunities, and any further data you may need to thrive in the cementless total knee arthroplasty industry. This cementless total knee arthroplasty market research report delivers a complete perspective of everything you need, with an in-depth analysis of the current and future scenario of the industry.
Cementless total knee arthroplasty is a surgical procedure in which a damaged knee joint is replaced with an artificial implant designed to encourage natural bone growth into the implant’s surface, ensuring long-term fixation without the use of bone cement. This method relies on porous or specially coated implant surfaces to achieve biological integration with the patient’s bone and is typically recommended for patients with good bone quality to provide stable and durable joint function.
The primary product types of cementless total knee arthroplasty include fixed-bearing and mobile-bearing implants. Fixed-bearing implants feature a securely attached polyethylene insert that delivers stable and long-lasting joint movement. These implants are manufactured using materials such as titanium, cobalt-chromium, polyethylene, and ceramic. Distribution channels include direct sales, distributors, and resellers, with applications in both primary and revision total knee arthroplasty. Key end users include hospitals, specialty clinics, ambulatory surgery centers, and other healthcare facilities.
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.
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.
This product will be delivered within 1-3 business days.
Table of Contents
1. Executive Summary
2. Cementless Total Knee Arthroplasty Market Characteristics
3. Cementless Total Knee Arthroplasty Market Supply Chain Analysis
4. Global Cementless Total Knee Arthroplasty Market Trends and Strategies
5. Cementless Total Knee Arthroplasty Market Analysis of End Use Industries
7. Global Cementless Total Knee Arthroplasty Strategic Analysis Framework, Current Market Size, Market Comparisons and Growth Rate Analysis
8. Global Cementless Total Knee Arthroplasty Total Addressable Market (TAM) Analysis for the Market
9. Cementless Total Knee Arthroplasty Market Segmentation
10. Cementless Total Knee Arthroplasty Market Regional and Country Analysis
11. Asia-Pacific Cementless Total Knee Arthroplasty Market
12. China Cementless Total Knee Arthroplasty Market
13. India Cementless Total Knee Arthroplasty Market
14. Japan Cementless Total Knee Arthroplasty Market
15. Australia Cementless Total Knee Arthroplasty Market
16. Indonesia Cementless Total Knee Arthroplasty Market
17. South Korea Cementless Total Knee Arthroplasty Market
18. Taiwan Cementless Total Knee Arthroplasty Market
19. South East Asia Cementless Total Knee Arthroplasty Market
20. Western Europe Cementless Total Knee Arthroplasty Market
21. UK Cementless Total Knee Arthroplasty Market
22. Germany Cementless Total Knee Arthroplasty Market
23. France Cementless Total Knee Arthroplasty Market
24. Italy Cementless Total Knee Arthroplasty Market
25. Spain Cementless Total Knee Arthroplasty Market
26. Eastern Europe Cementless Total Knee Arthroplasty Market
27. Russia Cementless Total Knee Arthroplasty Market
28. North America Cementless Total Knee Arthroplasty Market
29. USA Cementless Total Knee Arthroplasty Market
30. Canada Cementless Total Knee Arthroplasty Market
31. South America Cementless Total Knee Arthroplasty Market
32. Brazil Cementless Total Knee Arthroplasty Market
33. Middle East Cementless Total Knee Arthroplasty Market
34. Africa Cementless Total Knee Arthroplasty Market
36. Cementless Total Knee Arthroplasty Market Competitive Landscape and Company Profiles
37. Cementless Total Knee Arthroplasty Market Other Major and Innovative Companies
40. Cementless Total Knee Arthroplasty Market High Potential Countries, Segments and Strategies
41. Appendix
List of Tables
Executive Summary
Cementless Total Knee Arthroplasty Market Global Report 2026 provides strategists, marketers and senior management with the critical information they need to assess the market.This report focuses cementless total knee arthroplasty market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.
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Description
Where is the largest and fastest growing market for cementless total knee arthroplasty? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward, including technological disruption, regulatory shifts, and changing consumer preferences? The cementless total knee arthroplasty market global report answers all these questions and many more.The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, total addressable market (TAM), market attractiveness score (MAS), competitive landscape, market shares, company scoring matrix, trends and strategies for this market. It traces the market’s historic and forecast market growth by geography.
- The market characteristics section of the report defines and explains the market. This section also examines key products and services offered in the market, evaluates brand-level differentiation, compares product features, and highlights major innovation and product development trends.
- The supply chain analysis section provides an overview of the entire value chain, including key raw materials, resources, and supplier analysis. It also provides a list competitor at each level of the supply chain.
- The updated trends and strategies section analyses the shape of the market as it evolves and highlights emerging technology trends such as digital transformation, automation, sustainability initiatives, and AI-driven innovation. It suggests how companies can leverage these advancements to strengthen their market position and achieve competitive differentiation.
- The regulatory and investment landscape section provides an overview of the key regulatory frameworks, regularity bodies, associations, and government policies influencing the market. It also examines major investment flows, incentives, and funding trends shaping industry growth and innovation.
- The market size section gives the market size ($b) covering both the historic growth of the market, and forecasting its development.
- The forecasts are made after considering the major factors currently impacting the market. These include the technological advancements such as AI and automation, Russia-Ukraine war, trade tariffs (government-imposed import/export duties), elevated inflation and interest rates.
- The total addressable market (TAM) analysis section defines and estimates the market potential compares it with the current market size, and provides strategic insights and growth opportunities based on this evaluation.
- The market attractiveness scoring section evaluates the market based on a quantitative scoring framework that considers growth potential, competitive dynamics, strategic fit, and risk profile. It also provides interpretive insights and strategic implications for decision-makers.
- Market segmentations break down the market into sub markets.
- The regional and country breakdowns section gives an analysis of the market in each geography and the size of the market by geography and compares their historic and forecast growth.
- Expanded geographical coverage includes Taiwan and Southeast Asia, reflecting recent supply chain realignments and manufacturing shifts in the region. This section analyzes how these markets are becoming increasingly important hubs in the global value chain.
- The competitive landscape chapter gives a description of the competitive nature of the market, market shares, and a description of the leading companies. Key financial deals which have shaped the market in recent years are identified.
- The company scoring matrix section evaluates and ranks leading companies based on a multi-parameter framework that includes market share or revenues, product innovation, and brand recognition.
Report Scope
Markets Covered:
1) By Product: Fixed-Bearing; Mobile-Bearing2) 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-Bearing2) By Mobile-Bearing: Rotating Platform Mobile-Bearing; Meniscal Bearing Mobile-Bearing; Dual Mobility Mobile-Bearing
Companies Mentioned: 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.
Countries: Australia; Brazil; China; France; Germany; India; Indonesia; Japan; Taiwan; Russia; South Korea; UK; USA; Canada; Italy; Spain
Regions: Asia-Pacific; South East Asia; Western Europe; Eastern Europe; North America; South America; Middle East; Africa
Time Series: Five years historic and ten years forecast.
Data: Ratios of market size and growth to related markets, GDP proportions, expenditure per capita.
Data Segmentation: Country and regional historic and forecast data, market share of competitors, market segments.
Sourcing and Referencing: Data and analysis throughout the report is sourced using end notes.
Delivery Format: Word, PDF or Interactive Report + Excel Dashboard
Added Benefits:
- Bi-Annual Data Update
- Customisation
- Expert Consultant Support
Companies Mentioned
The companies featured in this Cementless Total Knee Arthroplasty market report include:- 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.
Table Information
| Report Attribute | Details |
|---|---|
| No. of Pages | 250 |
| Published | February 2026 |
| Forecast Period | 2026 - 2030 |
| Estimated Market Value ( USD | $ 3.31 Billion |
| Forecasted Market Value ( USD | $ 5.19 Billion |
| Compound Annual Growth Rate | 11.9% |
| Regions Covered | Global |
| No. of Companies Mentioned | 21 |
