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Updated: Jan 22, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
The cost of implanting a cemented versus cementless total knee arthroplasty
C M Lawrie1, M Schwabe1, A Pierce2
1Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Aims:
The aim of this study was to compare the actual cost of a cemented and cementless total knee arthroplasty (TKA) procedure.
Materials And Methods:
The cost of operative time, implants, cement, and cementing accessories were included in the overall cost of the TKA procedure. Operative time was determined from a previously published study comparing cemented and cementless implants of the same design. The cost of operative time, implants, cement, and cementing accessories was determined from market and institutional data.
Results:
Mean operative time for cemented TKA was 11.6 minutes longer for cemented TKA than cementless TKA (93.7 minutes (sd 16.7) vs 82.1 minutes (sd 16.6); p = 0.001). Using a conservative published standard of $36 per minute for operating theatre time cost, the total time cost was $418 higher for cementing TKA. The cost of cement and accessories ranged from $170 to $625. Overall, the calculated cost of cemented TKA is $588 to $1043, depending on technique. The general increased charge for cementless TKA implants over cemented TKA implants was $366.
Conclusion:
The overall procedural cost of implanting a cementless TKA is less than implanting a cemented TKA. Cost alone should not be a barrier to using cementless TKA. Cite this article: Bone Joint J 2019;101-B(7 Supple C):61-63.
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