The global cementless total knee arthroplasty market is expected to be driven by increasing popularity of the procedure due to benefits such as enhanced osseointegration providing biological fixation, better surgical efficiency, and decreased systemic complications related to cement impaction and wear from cement debris. As increasingly younger and higher demand patients seek knee arthroplasty, there is growing optimism with respect to cementless implants, and enhanced implant survivorship and functional outcomes are expected. Advancements in and use of new technology are also expected to boost market growth. Uncemented knee implants have garnered much interest due to advanced design processes and manufacturing technologies like the incorporation of an extra coating layer that enhances biological adherence and strengthening, and implant component pattern. North America, Europe and Asia Pacific are expected to be key markets.
Leading companies are engaged in developing modern total knee replacement solutions. For example, in 2021, Smith+Nephew announced the introduction of its LEGION CONCELOC Cementless Total Knee System (TKS) and first completed surgical procedures. CONCELOC Advanced Porous Titanium was a patented, proprietary, 3D printed porous structure technology first used in Smith+Nephew’s leading REDAPT Revision Hip System, introduced in 2016. CONCELOC was created in a virtual environment and manufactured through 3D printing additive manufacturing to optimize its porous structure to promote bony ingrowth. Such advancements are expected to boost the global cementless total knee arthroplasty market. In 2022, Smith+Nephew announced the acquisition of Engage Surgical; the acquisition strongly supported Smith+Nephew's strategy for growth by transforming its business through innovation and acquisition, while also offering differentiation for its customers. The Engage Surgical Partial Knee System was a novel, modern cementless knee implant to serve a resurgent segment driven by the possibility for better long-term fixation through biologic integration, shorter operating times, and shift to Ambulatory Surgery Centers (ASCs).
In 2022, Johnson & Johnson MedTech announced that DePuy Synthes (The Orthopaedics Company of Johnson & Johnson), added two new innovations to its ATTUNE™ Knee portfolio - the ATTUNE™ Cementless Fixed Bearing Knee with AFFIXIUM™ 3DP Technology and the ATTUNE™ Medial Stabilized Knee System. The novel innovations built upon the kinematic features and proprietary technologies of the original ATTUNE Knee, including the ATTUNE GRADIUS™ Curve and GLIDERIGHT™ Articulation.
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In 2022, Researchers at Hospital for Special Surgery (HSS) carried out a study to compare outcomes of a modern cementless knee implant to the standard knee implant that requires bone cement for fixation. Cementless knee replacement, an alternative to conventional cemented knee replacement surgery, has been garnering significant interest in the field of orthopaedic surgery. It was suggested that cementless implant reduced OR time by 25%, saving an average of 27 minutes. Further, with cementless knee replacement, the components were press fit into place for 'biologic fixation,' which meant the bone would grow into the implant. With initial biologic fixation, implant loosening over time would be less likely and a total knee replacement could last significantly longer.
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