Cementless Total Knee Arthroplasty Market Size 2024-2028

The cementless total knee arthroplasty market is estimated to grow by USD 4.60 billion, at a CAGR of 30.08% between 2023 and 2028. The market's expansion is influenced by several factors, notably the increasing prevalence of arthritis diagnoses and the growing incidence of sports injuries. These health trends drive demand for advanced medical solutions and rehabilitation services. Concurrently, governments are bolstering healthcare infrastructure and support systems, aiming to meet the rising healthcare demands of their populations. This proactive stance enhances accessibility to treatments and therapeutic interventions, fostering market growth. Innovations in medical technologies and rehabilitation therapies cater to diverse patient needs, improving outcomes and quality of life. As these factors converge, they create a conducive environment for market expansion, emphasizing the importance of responsive healthcare systems and innovative approaches in addressing the evolving healthcare landscape effectively.

What will be the size of the Market During the Forecast Period?

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Market Dynamics and Customer Landscape

The market is advancing with innovations in fixation materials and surgical methods aimed at enhancing osseointegration and promoting bone growth. This approach addresses challenges associated with traditional bone cement by focusing on implant stability and reducing complications. The market responds to increasing demands driven by a rising elderly population and prevalence of obesity, which contribute to higher incidences of sports-related injuries and tendon diseases necessitating knee replacement surgeries. Clinical studies emphasize long-term outcomes and efficacy in managing knee pain and disability, reducing the overall burden of disease. As advancements continue in prosthesis design and surgical procedures, cementless TKA remains pivotal in improving patient outcomes and quality of life, catering to the evolving needs of orthopedic healthcare globally. Our researchers analyzed the data with 2023 as the base year, along with the key drivers, trends, and challenges. A holistic analysis of drivers will help companies refine their marketing strategies to gain a competitive advantage.

Key Market Driver

The rise in the number of sports injuries is notably driving market growth. Inflammation, pain, and stiffness in the joints are symptoms of the condition known as arthritis. Any joint in the body may be impacted by arthritis. According to the Centers for Disease Control and Prevention (CDC), the prevalence of arthritis in the United States is expected to increase in the future. The number of adults diagnosed with arthritis in the country is estimated to increase from 54.4 million between 2013 and 2015 to 78.4 million in 2020. According to the National Institutes of Health (NIH), the prevalence of symptomatic knee osteoarthritis in the United States is about 10% in men. and 13% in women in adults over 60 years of age.

An aging population and an increase in orthopedic diseases such as arthritis are leading to a large number of replacement surgeries. As the number of people diagnosed with arthritis increases each year, the need for these increases worldwide. This increases the demand for cementless TKA. Such factors are expected to drive the growth of the global cementless knee arthroplasty (TKA) market during the forecast period.

Significant Market Trends

Increasing demand for 3D-printed knee implants is the key trend in the market. 3D printing is increasingly used to produce standard-sized, patient-specific for people with typical bone and joint anatomy, and custom 3D-printed for people with bone or joint deformities. The additive manufacturing of 3D printing allows doctors to produce these customs with any complex shape or geometric feature. The ability to quickly produce customized surgical implants solves a major problem in orthopedics, where traditional implants are often insufficient for many patients, especially in complex cases. They can restore normal anatomy, joint line position, and joint function, which can lead to more normal kinematics.

In addition, one of the biggest advantages of these is the theoretical complete coverage of the resected bone, which reduces over- or under-stretching and size compromises. In addition, other benefits of these include more normal regeneration of the femur, better coverage of the tibial plateau, and a reduced need for blood transfusions. Because of such advantages, many end users such as hospitals and orthopedic clinics are increasingly using 3D printing.

Major Market Challenge

The high cost of cementless TKA is the major challenge impeding market growth. Medical bills and the high cost involved in postoperative care followed by these as they are the most important challenges for global market. In the United States, the average cost of a TKA is about USD50,000. Although US Medicare covers a significant portion of patient care costs, such services are not available to the majority of the world's population. In countries like India and Thailand, where the cost of TKA is significantly lower than in the US and European countries, most people cannot afford these operations due to their low income. Health insurance is also very limited in most developing countries in Asia, Africa and South America. In addition, cementless TKA is more complex than cemented arthroplasty. Thus, the price of cementless TKA is significantly higher. This limits the global use of this technique among patients.

Customer Landscape

The market research report includes the adoption lifecycle of the market, covering from the innovator’s stage to the laggard’s stage. It focuses on adoption rates in different regions based on penetration. Furthermore, the report also includes key purchase criteria and drivers of price sensitivity to help companies evaluate and develop their growth strategies.

Global Market Customer Landscape

Who are the Major Market Companies?

Companies are implementing various strategies, such as strategic alliances, partnerships, mergers and acquisitions, geographical expansion, and product/service launches, to enhance their presence in the market.

B. Braun SE - The company offers products and services for patients, especially for infusion therapy, nutrition therapy, and pain therapy. Its products include infusion and nutrition solutions, as well as specific medications.

The market report also includes detailed analyses of the competitive landscape of the market and information about 15 market companies, including:

• Aesculap Implants Systems LLC
• Allegra Orthopaedics Ltd.
• Beijing Chunlizhengda Medical Instruments Co. Ltd.
• C2F Implants
• Conformis Inc.
• Corin Group Plc
• DJO Global Inc.
• Euromed Implants GmbH
• Exactech Inc.
• GROUP FH ORTHO
• Johnson and Johnson
• Medacta Group SA
• MicroPort Scientific Corp.
• Smith and Nephew plc

Qualitative and quantitative analysis of companies has been conducted to help clients understand the wider business environment as well as the strengths and weaknesses of key market players. Data is qualitatively analyzed to categorize companies as pure play, category-focused, industry-focused, and diversified; it is quantitatively analyzed to categorize companies as dominant, leading, strong, tentative, and weak.

What is the Fastest-Growing Segment in the Market?

The market share growth of the fixed-bearing segment will be significant during the forecast period. In a fixed-bearing knee implant, the plastic spacer that facilitates the movement of implant components is permanently fixed to the tibial component of the total knee replacement implant. The fixed-bearing platform is used as a standard for many of these because of its simple design and low cost compared with mobile-bearing/rotating-platform implants. Its simple design reduces the surgical complexity caused due to movement within a fixed axis. These above mentioned factors will facilitate the market growth during the forecast period.

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The fixed-bearing segment was valued at USD 428.80 million in 2018. Researchers have developed highly cross-linked polyethylene for implants. It reduces the chances of oxidation and surface wear, making fixed-bearing implants as reliable as mobile-bearing TKA implants. The fixed-bearing TKA implant design is widely used by generic knee implant companies, which manufacture implants for price-sensitive consumers in developing countries. The potential opportunities from emerging economies will increase market growth during the forecast period.

Which are the Key Regions for the Market?

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North America is estimated to contribute 40% to the growth of the global market during the forecast period. Technavio’s analysts have elaborately explained the regional trends and drivers that shape the market during the forecast period. The market in North America is primarily driven by the US, followed by Canada. The two countries have publicly funded healthcare systems, where the government Medicare covers the majority of the cost of medical treatment, surgeries, and orthopedic implants. Thus, the number of patients undergoing TKA is relatively high in the US and Canada compared with other countries in the region. The increased awareness about implant surgeries among healthcare professionals and patients and the greater penetration of advanced medical facilities support the market growth in these countries.

Segment Overview

The market research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in "USD Billion" for the period 2024 to 2028, as well as historical data from 2018 to 2022 for the following segments.

• Product Outlook  
  • Fixed-bearing
  • Mobile-bearing

• End-user Outlook  
  • Hospitals
  • Orthopedic clinics
  • Ambulatory surgical centers

• Region Outlook  
  • North America
    • The U.S.
    • Canada
  • Europe
    • The U.K.
    • Germany
    • France
    • Rest of Europe
  • Asia
    • China
    • India
    • Singapore
  • Rest of World (ROW)
    • Brazil
    • Argentina
    • Rest of the Middle East & Africa

You may also interested in below market reports:

• Knee Replacement Market - Knee Replacement Market Analysis North America, Europe, Asia, Rest of World (ROW) - US, Canada, Germany, France, China - Size and Forecast 
• Endoprosthesis Market - Endoprosthesis Market by Product, End-user and Geography - Forecast and Analysis
• Orthopedic Prosthetics Market - Orthopedic Prosthetics Market by Product, Technology, and Geography - Forecast and Analysis

Market Analyst Overview

The market is propelled by advancements in cementless fixation techniques, offering enhanced osseointegration and durability compared to traditional methods. Surgeons benefit from a variety of materials including ceramics and alloys, catering to diverse patient needs and preferences for mobile bearings or fixed bearings like Persona OsseoTi and DePuy Synthes ATTUNE. Regulatory bodies like the FDA and CE Mark ensure FDA clearance and compliance within a stringent regulatory framework, crucial for safety and efficacy in medical devices. Market growth is influenced by increasing cases of osteoarthritis, patient awareness, and demographic shifts favoring surgical solutions. Despite cost constraints and complexities in insurance coverage and reimbursement policies, ongoing innovation continues to drive the market forward, addressing healthcare provider and patient demands for reliable and efficient knee replacement options.

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What are the Key Data Covered in this Market Report?

• CAGR of the market during the forecast period
• Detailed information on factors that will drive the market growth and forecasting of the market between 2024 and 2028
• Precise estimation of the size of the market size and its contribution to the parent market
• Accurate predictions about upcoming market trends and analysis and changes in consumer behavior
• Growth of the market industry across Europe, North America, APAC, South America, and Middle East and Africa
• Thorough market growth analysis of the market’s competitive landscape and detailed information about companies
• Comprehensive market analysis and report on the factors that will challenge the market research and growth of market companies

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