U.S. MARKETS FOR SMALL JOINT IMPLANTS & HARDWARE FOR THE EXTREMITIES

142 Pages | 62 Exhibits | 2012 Analysis | Forecasts Through 2017

OVERVIEW:
Despite continued economic challenges, the U.S. market for small joint implants and extremities' hardware will experience healthy growth through 2017. Regional markets, such as the U.S., Europe, Asia-Pacific (AP) and the Rest-of-the-World (ROW) will be distinguished by the prevalence of conditions that contribute to small joint disease, the availability of different products, and factors influencing the provision of healthcare.

In the U.S., growth will be influenced by the continued adoption of products that, until recently, had only been available overseas; preference for motion-preserving technologies over fusion; and challenges with respect to reimbursement and coverage. In Europe, where aging populations will contribute to the demand for small joint implants, cost-containment efforts will influence prices and product purchases. Countries in the Asia-Pacific region and elsewhere in the world are characterized by differences with respect to disease prevalence, demographics, and processes for reimbursement, regulatory approval, and product distribution.

This report examines the market for hardware products used to repair fractures of the extremities as well as joint replacement products for the shoulder, elbow, wrist, fingers, ankle and foot, and provides a detailed analysis of the clinical and economic factors driving regional markets.

TABLE OF CONTENTS:
1. EXECUTIVE SUMMARY

1.1 Product Segments 
1.2 Supplier Shares 

Exhibit 1-1: U.S. Market Forecast for Small Joint Implants & Extremity Hardware, 2010-2017 
Exhibit 1-2: U.S. Supplier Shares in 2010 and 2011 

2. OVERVIEW

2.1 Disease Prevalence 
	2.1.1 Economic Factors 

Exhibit 2-1: Factors Contributing to Small Joint Implant Procedures 
Exhibit 2-2: Selected Studies of OA Prevalence in the U.S. 

3. JOINT REPLACEMENT PRODUCTS

3.1 Replacement Products for the Joints of the Fingers and Hand 
	3.1.1 Clinical Results 
	3.1.2 Companies and Products 
3.2 Replacement Products for the Wrist and Distal Radioulnar Joint 
	3.2.1 Clinical Results 
	3.2.2 Companies and Products 
3.3 Elbow Replacement Products 
	3.3.1 Clinical Results 
	3.3.2 Companies and Products 
3.4 Shoulder Replacement Products 
	3.4.1 Clinical Results 
	3.4.2 Companies and Products 
3.5 Replacement Products for the Ankle and Foot 
	3.5.1 Ankle Arthroplasty 
		3.5.1.1 Ankle Replacement Products 
	3.5.2 Foot Arthroplasty 
	3.5.3 Companies and Products 
	
Exhibit 3-1: Small Joint Implants by Type 
Exhibit 3-2: Features of Finger Joint Implants 
Exhibit 3-3: Clinical Studies of Replacement Products in the Fingers and Hand 
Exhibit 3-4: Selected Finger Joint Replacement Products in 2011 
Exhibit 3-5: Advantages and Disadvantages of Wrist and DRUJ Implants 
Exhibit 3-6: Clinical Studies of Wrist and DRUJ Arthroplasty 
Exhibit 3-7: Selected Wrist and DRUJ Replacement Products in 2011 
Exhibit 3-8: Features of Elbow Replacement Products 
Exhibit 3-9: Clinical Studies of Total Elbow Replacement 
Exhibit 3-10: Selected Elbow Replacement Products in 2011 
Exhibit 3-11: Shoulder Replacement Products by Type 
Exhibit 3-12: Selected Studies of Shoulder Replacement 
Exhibit 3-13: Selected Shoulder Replacement Products in 2011 
Exhibit 3-14: Selected Joint Replacement Devices for the Ankle and Foot in 2011 

4. HARDWARE FOR FRACTURES OF THE EXTREMITIES

4.1 Hardware for the Upper Extremities 
	4.1.1 Fingers 
	4.1.2 Wrist & Hand 
	4.1.3 Elbow 
	4.1.4 Shoulder 
4.2 Hardware for the Lower Extremities 
	4.2.1 Products and Suppliers 

Exhibit 4-1: Fixation Products by Type 
Exhibit 4-2: Shoulder Fracture by Type 
Exhibit 4-3: Selected Extremities' Hardware in 2011 

5. U.S. PROCEDURE VOLUMES & MARKET FORECASTS: SMALL JOINTS & EXTREMITIES

5.1 Small Joint Replacements 
	5.1.1 Fingers and Hand 
		5.1.1.1 Procedure Volumes 
		5.1.1.2 Market Analysis 
	5.1.2 Wrist 
		5.1.2.1 Procedure Forecast 
		5.1.2.2 Market Analysis 
	5.1.3 Elbow 
		5.1.3.1 Procedure Forecast 
		5.1.3.2 Market Analysis 
	5.1.4 Shoulder 
		5.1.4.1 Procedure Forecast 
		5.1.4.2 Market Analysis 
	5.1.5 Ankle 
		5.1.5.1 Procedure Forecast 
		5.1.5.2 Market Analysis 
	5.1.6 Other Joints in the Foot 
		5.1.6.1 Procedure Forecast 
		5.1.6.2 Market Analysis 
5.2 Hardware for Fractures of the Extremities 
	5.2.1 Procedure Forecast & Market Analysis 
5.3 Supplier Shares 

Exhibit 5-1: U.S. Small Joint Implant & Extremities Hardware, Procedure Forecast, 2010-2017 
Exhibit 5-2: U.S. Market Forecast for Small Joint Implants & Extremity Hardware, 2010-2017 
Exhibit 5-3: Finger Joint Replacements, U.S. Procedure Forecast, 2010-2017 
Exhibit 5-4: Finger Arthroplasties by Joint, U.S. Procedure Forecast, 2010-2017 
Exhibit 5-5: Finger Joint Replacements, U.S. Market Forecast, 2010-2017 
Exhibit 5-6: MCP Joint Replacement Devices, U.S. Market Forecast, 2010-2017 
Exhibit 5-7: PIP Joint Replacement Devices, U.S. Market Forecast, 2010-2017 
Exhibit 5-8: CMC and Other Finger Joint Replacement Devices, U.S. Market Forecast, 2010-2017 
Exhibit 5-9: Finger Joint Replacement Devices by Material, U.S. Market Forecast, 2010-2017 
Exhibit 5-10: Wrist Replacements, U.S. Procedure Forecast, 2010-2017 
Exhibit 5-11: Wrist Replacements, U.S. Market Forecast, 2010-2017 
Exhibit 5-12: Elbow Replacements, U.S. Procedure Forecast, 2010-2017 
Exhibit 5-13: U.S. Market Forecast for Elbow Replacement Products, 2010-2017 
Exhibit 5-14: U.S. Market Forecast for Total Elbow Replacement Devices by Type, 2010-2017 
Exhibit 5-15: U.S. Procedure Forecast for Shoulder Replacement, 2010-2017 
Exhibit 5-16: U.S. Procedure Forecast for Total Shoulder Replacement, 2010-2017 
Exhibit 5-17: U.S. Procedure Forecast, Partial Shoulder Replacement, 2010-2017 
Exhibit 5-18: U.S. Market Forecast for Shoulder Replacement, 2010-2017 
Exhibit 5-19: U.S. Market Forecast for Total Shoulder Replacement Systems, 2010-2017  
Exhibit 5-20: U.S. Market Forecast for Partial Shoulder Replacement Systems, 2010-2017  
Exhibit 5-21: U.S. Procedure Forecast for Total Ankle Replacements, 2010-2017 
Exhibit 5-22: U.S. Market Forecast for Total Ankle Replacement Devices, 2010-2017   
Exhibit 5-23: U.S. Procedure Forecast for Joint Replacements of the Toes and Foot, 2010-2017  
Exhibit 5-24: U.S. Market Forecast for Joint Replacements of the Toes and Foot, 2010-2017  
Exhibit 5-25: U.S. Market Forecast for Toe and Foot Joint Replacements by Type, 2010-2017  
Exhibit 5-26: Extremity Fracture Cases in the U.S., 2010-2017 
Exhibit 5-27: Upper Extremity Fracture Cases in the U.S., 2010-2017 
Exhibit 5-28: Hardware Procedures for Fractures of the Humeral Shaft in the U.S., 2010-2017  
Exhibit 5-29: Hardware Procedures for Fractures of the Elbow in the U.S., 2010-2017   
Exhibit 5-30: Hardware Procedures for Fractures of the Forearm in the U.S., 2010-2017  
Exhibit 5-31: Hardware Procedures for Fractures of the Wrist in the U.S., 2010-2017   
Exhibit 5-32: Hardware Procedures for Fractures of the Hand & Fingers in the U.S., 2010-2017  
Exhibit 5-33: The U.S. Market Forecast for Hardware Used in Fractures of the Upper Extremities, 2010-2017 
Exhibit 5-34: Lower Extremity Fracture Cases in the U.S., 2010-2017 
Exhibit 5-35: Hardware Procedures for Femoral Fractures in the U.S., 2010-2017 
Exhibit 5-36: Hardware Procedures for Fractures of the Tibia and Fibula in the U.S., 2010-2017  
Exhibit 5-37: Hardware Procedures for Ankle Fractures in the U.S., 2010-2017 
Exhibit 5-38: Hardware Procedures for Fractures of the Foot & Toe in the U.S., 2010-2017  
Exhibit 5-39: The U.S. Market Forecast for Hardware Used in Fractures of the Lower Extremities, 2010-2017 
Exhibit 5-40: The U.S. Market Forecast for Hardware Used in Fractures of the Extremities, 2010-2017 
Exhibit 5-41: U.S. Supplier Shares in 2010 and 2011 

6. COMPANY PROFILES

6.1 Acumed 
6.2 Ascension Orthopedics (Integra LifeSciences) 
6.3 Biomet 
6.4 DJO Surgical (DJO Global) 
6.5 Exactech 
6.6 DePuy Orthopaedics (Johnson & Johnson) 
6.7 Integra LifeSciences 
6.8 OrthoHelix 
6.9 Small Bone Innovations 
6.10 Smith & Nephew 
6.11 Stryker 
6.12 Synthes 
6.13 Tornier 
6.14 Wright Medical Technology 
6.15 Zimmer 


COMPANIES COVERED:

  1. Acumed
  2. Ascension Orthopedics (Integra LifeSciences)
  3. Biomet
  4. DJO Surgical (DJO Global)
  5. Exactech
  6. DePuy Orthopaedics (Johnson & Johnson)
  7. Integra LifeSciences
  8. OrthoHelix
  9. Small Bone Innovations
  10. Smith & Nephew
  11. Stryker
  12. Synthes
  13. Tornier
  14. TriMed
  15. Wright Medical Technology
  16. Zimmer
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