This study reports the retrospective radiographic outcome of a series of 63 consecutive total knee arthroplasties using an uncemented hydroxyapatite-coated Duracon cruciate-retaining tibial baseplate (Stryker Howmedica Osteonics Corp, Mahwah, NJ). Sixty-three knees were assessed at a mean follow-up of 65 months. The knees were primarily diagnosed with osteoarthritis with a mean age of 61 years. Radiographic analysis showed 6 knees with tibial baseplate radiolucencies, with all of these resolving or improving over the course of the study. All tibial baseplates were implanted with the concomitant use of autologous bone slurry. There were no reoperations for aseptic loosening, fracture, or patellofemoral problems. This intermediate study demonstrates excellent radiographic outcomes for uncemented hydroxyapatite-coated Duracon cruciate-retaining tibial baseplates and evaluates other factors felt to be important in the success of a cementless implant.