U.S. MARKETS FOR JOINT REPLACEMENT AND RECONSTRUCTION PRODUCTS

163 Pages | 50 Exhibits | 2011 Analysis | Forecasts Through 2015 Product Family: Market Reports




OVERVIEW:
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.

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


COMPANIES COVERED:

  1. Biomet, Inc.
  2. ConforMIS, Inc.
  3. DePuy Orthopaedics, Inc./Johnson & Johnson
  4. Exactech, Inc.
  5. Integra LifeSciences Corporation
  6. Smith & Nephew PLC
  7. Stryker Corporation
  8. Tornier, Inc.
  9. Wright Medical Group, Inc.
  10. Zimmer Holdings, Inc.
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