I had my right knee replaced by Dr. Duke in 2018. He's the best. He did a "cementless" replacement, which he claims will last longer, although my google knowledge on this subject indicates it's too early (not enough operations performed yet) to make that claim.
In the attached pic, you see long screws, which are not normally there in most procedures because cement is used to attached the unit to the bones.
Here's a good video to watch by two surgeons from the University of Penn, so you know what you're in for.
Painful Total Knee Replacement - Why Does It Still Hurt? - YouTube