Cemented vs. Cementless Knee Replacement: What’s the Difference?

1/13/2026

New Year, New Knee?

When it comes to knee replacement surgery, one important difference is how the new knee is secured to your bone. According to Medical Associates of Navarro County orthopedic surgeon Christopher Blair, D.O., patients may be candidates for either cemented or cementless knee replacement—both proven, safe options.

Cemented Knee Replacement

This traditional approach uses a special medical cement to secure the implant to the bone. It provides immediate stability and has been successfully used for decades. Cemented knee replacement is often a great option for patients with weaker bone quality or those who want a long-established solution.

Cementless Knee Replacement

Cementless knee replacement uses advanced implant technology designed to allow your natural bone to grow into the implant, creating a strong, long-term bond. This option may be ideal for younger or more active patients with good bone strength and offers the potential for lasting durability without cement. Recovery time may increase, but the implant bond may last longer.

Which option is right for you?

“There is no one-size-fits-all answer. Your surgeon will consider your age, bone quality, activity level, and overall health to recommend the best option for your lifestyle and long-term success. The goal is the same with both approaches: less pain, better movement, and a knee that supports your everyday life,” says Dr. Blair.

Talk with your orthopedic surgeon to learn which knee replacement option may be right for you. For more information, contact Medical Associates of Navarro County Orthopedics at 903-641-4870, or visit navarro-docs.com/orthopedics.

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