Studies of cement use in total knee arthroplasty (TKA) have historically addressed mechanical properties and application strategies. Recently, cement technique has been studied as a means to reduce cost. Dr. Incavo’s newly published study, Cement Use in Total Knee Arthroplasty: 40 versus 80 grams, investigates the radiographic outcome and cost of TKAs performed with 40 versus 80 grams of cement. Results indicated that there was no difference in radiographic cement mantle appearance between primary knees performed with 40 or 80 grams of cement. Cement usage represents a target for cost saving and opportunity to increase the value of primary TKA. Based on the current incidence of TKA in the United States, cost savings could exceed 33 million dollars annually.