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U.S. Markets for Joint Replacement and Reconstruction Products
Report #A313 - June 2011
163 Pages – 50 Exhibits – 10 Company Profiles

Demographics, the aging of the population, and accompanying rates of arthritis are primary factors driving the United States (U.S.) market for joint replacement/reconstruction implants. In the U.S., 52.1 million adults (or 1 in 5) have physician-diagnosed arthritis; this number is expected to increase to an estimated 67.0 million adults in the year 2030. According to the Centers for Disease Control and Prevention, arthritis is the most common cause of disability in the U.S., with nearly 19 million adults reporting activity limitations due to the condition each year.

In 2010, sales of joint replacement/reconstruction products in the U.S. totaled approximately $6,732.7 million; over the forecast period covered by this report, this market is expected to increase in value at a compound annual rate of 5.6%, with sales reaching an estimated $8,831.8 million in the year 2015.

This dynamic new report from Medtech Insight includes analyses of products, markets, competitors, and opportunities in the area of joint replacement/ reconstruction in the U.S. The market segments that are covered by this report include knee, hip, shoulder, and small joint implants. Ancillary information provided includes a clinical overview of bones and joints and profiles of the leading suppliers of orthopedic implants to the U.S.

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 Report# Publication
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U.S. Markets for Joint Replacement and Reconstruction Products

A313

June 2011

$3,750
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Methodology

Reports are produced exclusively by Medtech Insight, through extensive primary and secondary research among the clinicians, researchers, and competitors in the marketplace, and draw upon the industry expertise of a network of industry insiders. Medtech Insight exhaustively corroborates the data as a baseline for completing forward-looking analysis and providing insight into product, technology and market evolution.

 

TABLE OF CONTENTS

 

EXECUTIVE SUMMARY

i.       Clinical Overview

ii.       Joint Replacement and Reconstruction Products

iii.      Joint Replacements, Procedure Volumes Forecast

iv.      Joint Replacements, Combined Market Analysis

v.      Methodology

 

Exhibit ES-1:    Total Joint Arthroplasty, Procedure Volumes Forecast, 2010-2015

Exhibit ES-2:    Joint Replacement/Reconstruction Products, Combined Market Forecast, 2010-2015

 

1. CLINICAL OVERVIEW OF BONES AND JOINTS

1.1 Bone Structure and Function

1.1.1 Cellular Framework

1.1.1.1 Osteoblasts

1.1.1.2 Osteogenesis

1.1.1.3 Osteocytes

1.1.1.4 Osteoclasts

1.1.2 Collagen

1.1.3 Bone Marrow

1.2 Ligaments and Tendons

1.3 Joint Structure and Function

1.3.1 Knee

1.3.2 Hip

1.3.3 Extremities/Small Bones

1.3.3.1 Shoulder

1.3.3.2 Elbow

1.3.3.3 Hand and Wrist

1.3.3.4 Foot and Ankle

 

Exhibit 1-1:      Classification of Bone According to Anatomy

Exhibit 1-2:      Structure of Bone

Exhibit 1-3:      Structure of Hydroxyapatite

Exhibit 1-4:      Structure of Collagen

Exhibit 1-5:      Anatomy of the Knee

Exhibit 1-6:      Anatomy of the Hip

Exhibit 1-7:      Anatomy of the Shoulder:  The Rotator Cuff

Exhibit 1-8:      Anatomy of the Shoulder:  The Glenoid Cavity

Exhibit 1-9:      Anatomy of the Elbow

 

2. JOINT REPLACEMENT AND RECONSTRUCTION PRODUCTS MARKET

2.1. Hip Arthroplasty/Arthroscopy

2.1.1 Primary Hip Arthroplasty/Total Hip Replacement

2.1.2 Revision Hip Arthroplasty

2.1.3 Hemiarthroplasty

2.1.4 Minimally Invasive Hip Arthroplasty

2.1.4.1 Anterior Hip Replacement Surgery

2.1.5 Hip Resurfacing

2.1.6 Navigation Systems

2.1.7 Hip Arthroscopy

2.2 Hip Implants

2.2.1 Modular versus Nonmodular

2.2.2 Cemented versus Press-Fit

2.2.3 Bearing Surfaces

2.2.3.1 Metal-on-Polyethylene

2.2.3.2 Ceramic-on-Ceramic

2.2.3.3 Metal-on-Metal

2.2.4 Bipolar Implants

2.2.5 Gender-Specific Hip Implants

2.2.6 Products

2.2.7 Market Analysis

2.2.8 Competitive Analysis

2.3 Knee Implants

2.3.1 Treatment Options

2.3.1.1 Knee Arthroplasty

2.3.2 Navigation Systems

2.3.3 Minimally Invasive Surgery

2.3.4 Robotic Knee Surgery

2.3.5 Implant Designs

2.3.5.1 Fixed Bearing

2.3.5.2 Mobile Bearing

2.3.5.3 Medial Pivot

2.3.5.4 Unicompartmental

2.3.5.5 Gender-Specific

2.3.5.6 Patient-Specific/Customized

2.3.6 Products

2.3.7 Market Analysis

2.3.8 Competitive Analysis

2.4 Shoulder Implants

2.4.1 Types of Shoulder Joint Replacement/Resurfacing Procedures

2.4.1.1 Shoulder Arthroplasty

2.4.1.2 Shoulder Hemiarthroplasty

2.4.1.3 Shoulder Resurfacing/Partial Shoulder Replacement

2.4.1.4 Reverse Shoulder Arthroplasty

2.4.2 Products

2.4.3 Market Analysis

2.4.4 Competitive Analysis

2.5 Small Joint Implants

2.5.1 Products

2.5.2 Market Analysis

2.5.3 Competitive Analysis

2.6 Joint Replacements, Procedure Volumes Forecast

2.7 Joint Replacements, Combined Market Analysis

2.7.1 Market Forecast

2.7.2 Affordable Care Act

2.7.3 Medicare and Third-Party Payers

2.7.4 Orthopedic Surgeon Consulting Fees

2.7.5 Payment Bundling

 

Exhibit 2-1:      A Normal Hip Compared with an Arthritic Hip

Exhibit 2-2:      Steps Involved in Total Hip Arthroplasty

Exhibit 2-3:      Hip Implants, Single-Piece versus Modular Components

Exhibit 2-4:      Hip Implants, Cemented versus Cementless

Exhibit 2-5:      Hip Implant Head/Acetabular Component Combinations and Volumetric Wear Rates

Exhibit 2-6:      Differences in Femoral Head Geometry in Men and Women

Exhibit 2-7:      Selected Primary Hip Stems

Exhibit 2-8:      2011, Selected Hip Implant Products, Primary Stems

Exhibit 2-9:      Selected Primary Acetabular Components

Exhibit 2-10:    2011, Selected Primary Acetabular Component Products

Exhibit 2-11:    Selected Revision Hip Stems

Exhibit 2-12:    2011, Selected Revision Hip Implants

Exhibit 2-13:    Selected Revision Acetabular Components

Exhibit 2-14:    2011, Selected Revision Acetabular Component Products

Exhibit 2-15:    Selected Femoral Heads

Exhibit 2-16:    2011, Selected Femoral Head Products

Exhibit 2-17:    2011, Selected Hip Resurfacing Products

Exhibit 2-18:    Primary Hip Implants, Market Forecast, 2010-2015

Exhibit 2-19:    Revision Hip Implants, Market Forecast, 2010-2015

Exhibit 2-20:    2010, Hip Implants Market, Share by Supplier

Exhibit 2-21:    Basic Knee Function

Exhibit 2-22:    Knee Implant Components

Exhibit 2-23:    Gender-Based Differences in Knee Implant Designs

Exhibit 2-24:    Selected Knee Implants

Exhibit 2-25:    2011, Selected Knee Implant Products

Exhibit 2-26:    Primary Knee Implants, Market Forecast, 2010-2015

Exhibit 2-27:    Revision Knee Implants, Market Forecast, 2010-2015

Exhibit 2-28:    2010, Knee Implants Market, Share by Supplier

Exhibit 2-29:    Shoulder Anatomy, Shoulder Implant Components

Exhibit 2-30:    2011, Selected Shoulder Implant Products

Exhibit 2-31:    Shoulder Implants, Market Forecast, 2010-2015

Exhibit 2-32:    2010, Shoulder Implants Market, Share by Supplier

Exhibit 2-33:    Indications for Arthroplasty of the Hand and Wrist

Exhibit 2-34:    Selected Small Joint Implants

Exhibit 2-35:    2011, Selected Small Joint Implant Products

Exhibit 2-36:    Small Joint Implants, Market Forecast, 2010-2015

Exhibit 2-37:    2010, Small Joint Implants Market, Share by Supplier

Exhibit 2-38:    Total Joint Arthroplasty, Procedure Volumes Forecast, 2010-2015

Exhibit 2-39:    Joint Replacement/Reconstruction Products, Combined Market Forecast, 2010-2015

3. COMPANY PROFILES

3.1       Biomet, Inc.

3.2       ConforMIS, Inc.

3.3       DePuy Orthopaedics, Inc./Johnson & Johnson

3.4       Exactech, Inc.

3.5       Integra LifeSciences Corporation

3.6       Smith & Nephew PLC

3.7       Stryker Corporation

3.8       Tornier, Inc.

3.9       Wright Medical Group, Inc.

3.10     Zimmer Holdings, Inc.

 

APPENDIX:  COMPANY LISTING

 

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