Global Cementless Total Knee Arthroplasty Market Size By Procedure Type (Total Knee Replacement, Partial Knee Replacement), By Implant Type (Fixed Bearing, Mobile Bearing), By End-User (Hospitals, Orthopedic Clinics), By Geographic Scope And Forecast

Cementless Total Knee Arthroplasty Market Size And Forecast

Cementless Total Knee Arthroplasty Market size was valued to be USD 11265.65 Million in the year 2023 and it is expected to reach USD 16318.96 Million in 2031, at a CAGR of 5.23% from 2024 to 2031.

• Cementless total knee arthroplasty (TKA) is a surgical procedure performed to replace the worn-out portions of the knee joint with artificial implants. Bone cement is not used to secure the implants in place.
• A roughened or textured surface is incorporated into cementless implants to promote bone ingrowth. This enables bone to develop into the implant, achieving a secure fixation. In some instances, pegs or wedges may also be employed to provide initial stability until bone growth occurs around the implant.
• Cementless implants, due to their reliance on bone ingrowth for fixation, may theoretically achieve greater longevity compared to cemented implants. Over time, cement can degrade and loosen, potentially leading to implant loosening.
• Additionally, cementless implants may be associated with a reduced risk of periprosthetic fractures, which are fractures occurring in the bone surrounding the knee replacement. This is because some stress transfer is allowed between the implant and bone with a cementless implant, potentially stimulating bone growth and maintaining bone strength.
• For younger patients with good bone quality who are active and have a long life expectancy, cementless TKA may be a viable option.

Cementless Total Knee Arthroplasty Market Dynamics

The key market dynamics that are shaping the Cementless Total Knee Arthroplasty Market include

Key Market Drivers

• Rising Prevalence of Knee Osteoarthritis and Related ConditionsAn increase in the global population diagnosed with knee osteoarthritis and rheumatoid arthritis is observed. This translates to a greater demand for knee replacement procedures, with cementless TKAs potentially being favored due to their perceived benefits.
• Advancements in Implant Design, Materials, and Surgical Techniques Innovations in implant design, including the utilization of materials like alloys and ceramics, and improvements in surgical techniques are being made. This leads to cementless TKAs becoming more reliable and successful, fostering greater adoption within the market.
• Growing Geriatric Population The global population is aging, with a corresponding rise in the number of individuals susceptible to knee osteoarthritis. This demographic shift results in a demand for knee replacement surgeries, potentially including cementless TKA procedures.
• Potential for Longer Implant Longevity Bone ingrowth is relied upon for fixation with cementless implants, which theoretically translates to a longer implant lifespan compared to cemented options where the cement can deteriorate over time. This extended longevity is a significant advantage for the market.
• Reduced Risk of Periprosthetic Fractures A lower risk of periprosthetic fractures, which are fractures occurring around the replaced knee joint, might be offered by cementless implants. This benefit, if substantiated by further research, could propel the market forward.

Key Challenges

• Prolonged Healing Time Cementless TKAs necessitate bone ingrowth into the implant, potentially resulting in a longer healing time than cemented TKAs. This may be a disadvantage for patients seeking a quicker recovery.
• Restricted Patient Eligibility Not all patients qualify for cementless TKAs. Patients with poor bone quality, such as those with osteoporosis, may be excluded due to concerns regarding implant stability within their bones.
• Demand for High Surgical Precision Cementless TKA procedures require a greater degree of surgical precision compared to cemented TKAs. This necessitates the involvement of surgeons with specialized skills and experience, potentially limiting widespread adoption.
• Uncertain Reimbursement Policies Reimbursement policies for cementless TKAs by insurance companies can be unclear or restrictive. This can create a financial obstacle for patients considering this procedure.
• Limited Long-Term Data Collection While promising, cementless TKAs are a relatively new approach compared to cemented options. There is a relative lack of long-term data collected on their performance, which can make surgeons and patients cautious about adopting this technology.

Key Trends

• Growing Demand Due to Aging Population and Rising Arthritis Rates An aging global population with a corresponding increase in knee osteoarthritis and rheumatoid arthritis diagnoses is fueling demand for knee replacements. This trend is expected to positively influence the cementless TKA market due to potential advantages like longer implant longevity.
• Focus on Minimally Invasive Techniques The medical field is witnessing a growing emphasis on minimally invasive surgical procedures. This trend translates to the development of new surgical techniques and instrumentation specifically designed for cementless TKAs, potentially improving patient outcomes and market adoption.
• Advancements in 3D Printing and Personalized Implants Technological advancements in 3D printing are enabling the creation of patient-specific implants for cementless TKAs. This personalization can improve implant fit and potentially lead to better long-term outcomes, propelling the market forward.
• Increasing Focus on Cost-Effectiveness The healthcare industry is placing a growing emphasis on cost-effective solutions. While the upfront cost of cementless TKAs may be higher, their potential for longer implant longevity could translate to lower overall healthcare costs in the long run, making them an attractive option.
• Growing Body of Clinical Evidence As the use of cementless TKAs becomes more widespread, a growing body of clinical evidence is being collected on their effectiveness and long-term outcomes. This data can help to address concerns and encourage greater surgeon and patient confidence in this approach.

Cementless Total Knee Arthroplasty Market Regional Analysis

Here is a more detailed regional analysis of the Cementless Total Knee Arthroplasty Market

North America

• North America is currently the leading region in the global Cementless Total Knee Arthroplasty Market, holding a significant share and exhibiting strong growth potential.
• A significant portion of the North American population suffers from knee osteoarthritis, a primary driver for knee replacement surgeries.
• Government-funded healthcare systems, like Medicare in the US and Canada, cover a substantial portion of the cost of medical procedures and orthopedic implants, including cementless TKAs. This financial support facilitates patient access to these procedures.
• The relatively high disposable income in North America allows patients to consider advanced surgical options like cementless TKAs, even if they have a higher upfront cost compared to traditional cemented procedures.
• North America is a hub for medical device innovation, with a focus on developing advanced implant designs, materials like highly cross-linked polyethylene, and improved surgical techniques specifically tailored for cementless TKAs. These advancements contribute to improved success rates and potentially longer implant lifespans, making cementless TKAs a more attractive option for surgeons and patients.
• Growing awareness exists among healthcare professionals and the general public in North America about the potential benefits of cementless TKAs, particularly for younger, active patients. This awareness fosters a more open discussion about this surgical option.

Asia Pacific

• The Asia Pacific (APAC) region is poised to become the fastest-growing market for cementless total knee arthroplasty (TKA) in the coming years. This growth is expected to be driven by several key factors.
• A rapid population aging is being experienced in the APAC region, similar to the global trend. This translates to a significant rise in the number of individuals reaching the age where knee osteoarthritis becomes more common. This surge in potential patients requiring knee replacement procedures is a major driver for the cementless TKA market.
• As economies in the APAC region develop, disposable income levels are rising. Additionally, increasing healthcare expenditure by governments and private entities is being observed. This creates a more favorable environment for patients to access advanced medical procedures like cementless TKAs.
• Growing awareness and acceptance among both healthcare professionals and the public in the APAC region is occurring regarding the potential benefits of cementless TKAs, particularly for younger, active patients. This growing awareness leads to a greater acceptance of this surgical approach.
• Advancements in medical technology are being witnessed in the APAC region, with some countries emerging as hubs for manufacturing orthopedic implants. This can lead to increased availability and potentially lower costs of cementless TKA implants, further propelling market growth.

Cementless Total Knee Arthroplasty Market Segmentation Analysis

The Cementless Total Knee Arthroplasty Market is Segmented on the basis of Procedure Type, Implant Type, End-User, and Geography.

Cementless Total Knee Arthroplasty Market, By Procedure Type

• Total Knee Replacement
• Partial Knee Replacement
• Revision of Knee Replacement

Based on Procedure Type, the market is divided into Total Knee Replacement, Partial Knee Replacement, and Revision of Knee Replacement. Total knee replacement is expected to dominate the market as it has the largest number of cases. Typically, older people with knee joint disease require total knee arthroplasty. Robot-assisted surgeries have gained popularity worldwide due to their high success rate using advanced technology, making them an attractive option for potential consumers.

Over time, revision knee replacement has seen a significant increase in cases. This is due to the growing number of people undergoing knee revision surgery. The increasing use of revision implants has led to substantial revenue for the market. Additionally, the availability of high disposable income among younger patients has emerged as a significant opportunity for the market’s growth. The partial knee arthroplasty segment has experienced significant growth, thanks to support from key players in the market.

Cementless Total Knee Arthroplasty Market, By Implant Type

• Fixed Bearing
• Mobile Bearing
• Others

Based on Implant Type, the market is segmented into Fixed Bearing, Mobile Bearing, and Others. Mobile bearing implant type is expected to witness the largest share in the market. This type of implant has shown good results with reduced operative time, which saves time and does not require cement drying. Cementless total knee arthroplasty is specifically performed for geriatric patients between the ages of 28 and 55 who have an increased problem of arthritis and require knee implants and surgeries. The primary goal of this procedure is to improve knee function.

Cementless Total Knee Arthroplasty Market, By End-User

• Hospitals
• Orthopedic Clinics
• Ambulatory Surgery Centers

Based on End-User, the market is divided into Hospitals, Orthopedic Clinics, and Ambulatory Surgery Centers. Among these, the hospital segment is the largest due to the high number of surgeries conducted in this sector. Knee replacement surgery requires specialized equipment and ancillary procedures, which are readily available in hospitals. Hence, hospitals have become the largest segment in this field. The advanced facilities and infrastructure provided by hospitals have contributed significantly to the sales growth of this segment. The high number of orthopedic surgeries conducted in hospitals is one of the main reasons behind this growth. Additionally, regular visits by patients with orthopedic issues and injuries have also contributed to the growth of this segment.

Key Players

The “Global Cementless Total Knee Arthroplasty Market” study report will provide valuable insight with an emphasis on the global market. The major players in the market are Aesculap Inc (B Braun Company), Zimmer Biomet, MicroPort Scientific, DePuy Synthes, Medacta, Stryker, Smith & Nephew, CONMED, Exactech, and ConforMis.

Our market analysis offers detailed information on major players wherein our analysts provide insight into the financial statements of all the major players, product portfolio, product benchmarking, and SWOT analysis. The competitive landscape section also includes market share analysis, key development strategies, recent developments, and market ranking analysis of the above-mentioned players globally.

Cementless Total Knee Arthroplasty Market Recent Developments

• In March 2022, Johnson & Johnson (DePuy Synthes) added two innovations to the ATTUNE knee portfolio such as the Attune cementless fixed-bearing knee with affixing 3DP technology and the attune medical stabilized system.
• In January 2022, Smith & Nephew announced acquired Engage Surgical owner of the only cementless unicompartmental (partial) knee system commercially available in the US. The partial knee implant is optimized for robotics and will work along with Smith & Nephew’s CORI surgical system in the future.

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