GLOBAL SMALL JOINT IMPLANT MARKETS

229 Pages | 124 Exhibits | 2009 Analysis | Forecasts Through 2015 Product Family: Market Reports




OVERVIEW:
The global market for small joint implants will experience healthy growth through 2015. 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 adoption of products that have 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. AP and ROW countries feature differences in disease prevalence, demographics, and processes for reimbursement, regulatory approval, and product distribution.

This report examines the market for replacement, fixation, and fusion implants 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 Regional Analysis
	1.1.1 The United States 
	1.1.2 Europe 
	1.1.3 AP & ROW 
1.2 Product Analysis 
	1.2.1 Fingers and Hand
	1.2.2 Wrist 
	1.2.3 Elbow 
	1.2.4 Shoulder 
	1.2.5 Ankle and Foot 
	1.2.6 Other Small Joint Implants
	
Exhibit 1-1: Small Joint Implant Revenues by Region, 2007-2015 
Exhibit 1-2: U.S. Small Joint Implant Market Forecast, 2007-2015 
Exhibit 1-3: European Market Forecast for Small Joint Implants, 2007-2015 
Exhibit 1-4: AP & ROW Small Joint Implant Market Forecast, 2007-2015 
Exhibit 1-5: Global Small Joint Implant Revenues by Product, 2007-2015 

2. OVERVIEW

2.1 U.S. 
	2.1.1 Disease Prevalence 
	2.1.2 Economic Factors 
2.2 Europe 
	2.2.1 Disease Prevalence 
	2.2.2 Economic Factors 
2.3 AP & ROW 
	2.3.1 Disease Prevalence 
	2.3.2 Economic Factors 
	
Exhibit 2-1: Regional Differences in Factors - Small Joint Implant Procedures 
Exhibit 2-2: Selected Studies of OA Prevalence in the U.S. 
Exhibit 2-3: Selected Studies of OA Prevalence and Incidence in Europe 
Exhibit 2-4: Selected Studies of OA Prevalence & Incidence in AP & ROW 

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 2008 
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 2008 
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 2008 
Exhibit 3-11: Shoulder Replacement Products by Type 
Exhibit 3-12: Selected Studies of Shoulder Replacement 
Exhibit 3-13: Selected Shoulder Replacement Products in 2008 
Exhibit 3-14: Selected Joint Replacement Devices for the Ankle and Foot in 2008

4. INTERNAL FIXATION FOR FUSION & SMALL JOINT STABILIZATION

4.1 Internal Fixation Products for Small Joints of the Upper Extremities 
	4.1.1 Fingers 
	4.1.2 Wrist & Hand
	4.1.3 Elbow 
	4.1.4 Shoulder 
4.2 Internal Fixation Products for Small Joints of the Lower Extremities 
	4.2.1 Products and Suppliers 
Exhibit 4-1: Internal Fixation Products by Type 
Exhibit 4-2: Shoulder Fracture by Type
Exhibit 4-3: Selected Fixation Products

5. SMALL JOINT PROCEDURE VOLUMES AND MARKET FORECASTS 

5.1 U.S. Procedure Volumes and Market Forecasts 
	5.1.1 Small Joint Replacements 
		5.1.1.1 Fingers and Hand
			5.1.1.1.1 Procedure Volumes 
			5.1.1.1.2 Market Analysis 
		5.1.1.2 Wrist 
			5.1.1.2.1 Procedure Forecast 
			5.1.1.2.2 Market Analysis 
		5.1.1.3 Elbow 
			5.1.1.3.1 Procedure Forecast 
			5.1.1.3.2 Market Analysis 
		5.1.1.4 Shoulder 
			5.1.1.4.1 Procedure Forecast 
			5.1.1.4.2 Market Analysis 
		5.1.1.5 Ankle 
			5.1.1.5.1 Procedure Forecast 
			5.1.1.5.2 Market Analysis 
		5.1.1.6 Other Joints in the Foot 
			5.1.1.6.1 Procedure Forecast 
			5.1.1.6.2 Market Analysis 
	5.1.2 Internal Fixation for Arthrodesis and Small Joint Repair 
		5.1.2.1 Procedure Forecast 
		5.1.2.2 Market Analysis 
	5.1.3 Company Analysis 
5.2 International Regions - Procedure Volumes and Market Forecasts 
	5.2.1 Europe 
		5.2.1.1 Fingers and Hand
			5.2.1.1.1 Procedure Forecast 
			5.2.1.1.2 Market Analysis 
		5.2.1.2 Wrist 
			5.2.1.2.1 Procedure Forecast 
			5.2.1.2.2 Market Analysis 
		5.2.1.3 Elbow 
			5.2.1.3.1 Procedure Forecast 
			5.2.1.3.2 Market Analysis 
		5.2.1.4 Shoulder 
			5.2.1.4.1 Procedure Forecast 
			5.2.1.4.2 Market Analysis 
		5.2.1.5 Ankle 
			5.2.1.5.1 Procedure Forecast 
			5.2.1.5.2 Market Analysis 
		5.2.1.6 Other Joints in the Foot 
			5.2.1.6.1 Procedure Forecast 
			5.2.1.6.2 Market Analysis 
		5.2.1.7 Internal Fixation for Arthrodesis and Small Joint Repair 
			5.2.1.7.1 Procedure Forecast 
			5.2.1.7.2 Market Analysis 
	5.2.2 AP & ROW 
		5.2.2.1 Finger and Hand 
			5.2.2.1.1 Procedure Forecast 
			5.2.2.1.2 Market Analysis 
		5.2.2.2 Wrist 
		5.2.2.3 Elbow 
			5.2.2.3.1 Procedure Forecast 
			5.2.2.3.2 Market Analysis 
		5.2.2.4 Shoulder 
			5.2.2.4.1 Procedure Forecast 
			5.2.2.4.2 Market Forecast 
		5.2.2.5 Ankle 
		5.2.2.6 Other Joints in the Foot 
			5.2.2.6.1 Procedure Forecast 
			5.2.2.6.2 Market Analysis 
		5.2.2.7 Internal Fixation for Arthrodesis and Small Joint Repair 
			5.2.2.7.1 Procedure Forecast 
			5.2.2.7.2 Market Analysis 
		5.2.2.8 Company Analysis 
		
Exhibit 5-1: Small Joint Implant Revenues by Region, 2007-2015 
Exhibit 5-2: Small Joint Implant Revenues by Product Segment, 2007-2015 
Exhibit 5-3: U.S. Small Joint Implant Procedure Forecast, 2007-2015 
Exhibit 5-4: U.S. Market Forecast for Small Joint Implants, 2007-2015 
Exhibit 5-5: Finger Joint Replacements, U.S. Procedure Forecast, 2007-2015 
Exhibit 5-6: Finger Arthroplasties by Joint, U.S. Procedure Forecast, 2007-2015
Exhibit 5-7: Finger Joint Replacements, U.S. Market Forecast, 2007-2015 
Exhibit 5-8: MCP Joint Replacement Devices, U.S. Market Forecast, 2007-2015 
Exhibit 5-9: PIP Joint Replacement Devices, U.S. Market Forecast, 2007-2015 
Exhibit 5-10: CMC & Other Joint Replacements, U.S. Market Forecast,2007-2015 
Exhibit 5-11: Finger Joints by Material, U.S. Market Forecast, 2007-2015 
Exhibit 5-12: Wrist Replacements, U.S. Procedure Forecast, 2007-2015 
Exhibit 5-13: Wrist Replacements, U.S. Market Forecast, 2007-2015 
Exhibit 5-14: Elbow Replacements, U.S. Procedure Forecast, 2007-2015 
Exhibit 5-15: U.S. Market Forecast for Elbow Replacement Products, 2007-2015 
Exhibit 5-16: U.S. Market Forecast, Total Elbows by Type, 2007-2015 
Exhibit 5-17: U.S. Market Forecast for Partial Elbow Replacements, 2007-2015 
Exhibit 5-18: U.S. Procedure Forecast for Shoulder Replacement, 2007-2015 
Exhibit 5-19: U.S. Procedure Forecast, Total Shoulder Replacement, 2007-2015 
Exhibit 5-20: U.S. Procedure Forecast, Partial Shoulder Replacement, 2007-2015 
Exhibit 5-21: U.S. Market Forecast for Shoulder Replacement, 2007-2015
Exhibit 5-22: U.S. Market Forecast, Total Shoulder Replacements, 2007-2015 
Exhibit 5-23: U.S. Market Forecast, Partial Shoulder Replacements, 2007-2015 
Exhibit 5-24: U.S. Procedure Forecast for Total Ankle Replacements, 2007-2015 
Exhibit 5-25: U.S. Market Forecast, Total Ankle Replacements, 2007-2015 
Exhibit 5-26: U.S. Procedure Forecast, Joint Replacements, Toes&Foot,2007-2015 
Exhibit 5-27: U.S. Market Forecast, Joint Replacements,Toes & Foot, 2007-2015
Exhibit 5-28: U.S. Market Forecast, Toe & Foot by Type, 2007-2015 
Exhibit 5-29: Wrist Fusions, U.S. Procedure Forecast, 2007-2015 
Exhibit 5-30: Fusions/Int. Fixation, Fingers & Hand, U.S. Procedures, 2007-2015 
Exhibit 5-31: Fusions/Internal Fixation for the Elbow, U.S. Procedures,2007-2015 
Exhibit 5-32: Internal Fixation, Proximal Humerus, U.S. Procedures, 2007-2015 
Exhibit 5-33: Internal Fixation, Ankle & Foot, U.S. Procedure Forecast,2007-2015 
Exhibit 5-34: U.S. Mkt Forecast, Int. Fixation, Arthrodesis & Repair, 2007-2015 
Exhibit 5-35: Supplier Shares in 2008
Exhibit 5-36: Small Joint Implants, European Procedure Forecast, 2007-2015 
Exhibit 5-37: Small Joint Implants, European Market Forecast, 2007-2015 
Exhibit 5-38: Finger Joint Replacements, European Procedures, 2007-2015 
Exhibit 5-39: Finger Arthroplasties by Joint, European Procedures, 2007-2015 
Exhibit 5-40: Finger Joint Replacements, European Market Forecast, 2007-2015 
Exhibit 5-41: MCP Replacement Devices, European Market Forecast, 2007-2015
Exhibit 5-42: PIP Replacement Devices, European Market Forecast, 2007-2015 
Exhibit 5-43: CMC and Other, European Market Forecast, 2007-2015 
Exhibit 5-44: Finger Joints by Material, European Market Forecast, 2007-2015
Exhibit 5-45: Wrist Replacements, European Procedure Forecast, 2007-2015 
Exhibit 5-46: Wrist Replacements, European Market Forecast, 2007-2015
Exhibit 5-47: Elbow Replacements, European Procedure Forecast, 2007-2015 
Exhibit 5-48: European Market Forecast, Elbow Replacements, 2007-2015 
Exhibit 5-49: European Market Forecast, Total Elbows by Type, 2007-2015 
Exhibit 5-50: European Procedure Forecast for Shoulder Replacement, 2007-2015 5-73
Exhibit 5-51: European Procedure Forecast, Total Shoulders, 2007-2015
Exhibit 5-52: European Procedure Forecast, Partial Shoulders, 2007-2015 
Exhibit 5-53: European Market Forecast for Shoulder Replacement, 2007-2015 
Exhibit 5-54: European Market Forecast, Total Shoulders, 2007-2015 
Exhibit 5-55: European Market Forecast, Partial Shoulders, 2007-2015 
Exhibit 5-56: European Procedure Forecast, Total Ankles, 2007-2015 
Exhibit 5-57: European Market Forecast, Total Ankles, 2007-2015 
Exhibit 5-58: European Procedure Forecast, Toes and Foot, 2007-2015
Exhibit 5-59: European Market Forecast, Toes and Foot, 2007-2015 
Exhibit 5-60: European Market Forecast, Toes and Foot by Type, 2007-2015 
Exhibit 5-61: Wrist Fusions, European Procedure Forecast, 2007-2015 
Exhibit 5-62: Fusions/Int. Fixation,Fingers&Hand,Europe Procedures,2007-2015 
Exhibit 5-63: Fusions/Internal Fixation, Elbow, European Procedures, 2007-2015 
Exhibit 5-64: Int. Fixation, Proximal Humerus, European Procedures, 2007-2015 
Exhibit 5-65: Internal Fixation, Ankle & Foot, European Procedures, 2007-2015 
Exhibit 5-66: Europe Mkt Forecast, Int. Fixation, Arthrodesis&Repair,2007-2015 
Exhibit 5-67: AP & ROW Small Joint Implants, Procedure Forecast, 2007-2015 
Exhibit 5-68: AP & ROW Small Joint Implants, Market Forecast, 2007-2015 
Exhibit 5-69: Finger Joint Replacements, AP & ROW Procedures, 2007-2015 
Exhibit 5-70: Finger Arthroplasties by Joint, AP & ROW Procedures, 2007-2015 
Exhibit 5-71: Finger Joint Replacements, AP&ROW Market Forecast, 2007-2015 
Exhibit 5-72: MCP Replacement Devices,AP&ROW Market Forecast,2007-2015 
Exhibit 5-73: PIP Replacement Devices, AP&ROW Market Forecast, 2007-2015 
Exhibit 5-74: CMC and Other Devices, AP&ROW Market Forecast, 2007-2015 
Exhibit 5-75: Finger Joints by Material, AP & ROW Market Forecast, 2007-2015 
Exhibit 5-76: Wrist Replacements, AP & ROW Procedure Forecast, 2007-2015 
Exhibit 5-77: Wrist Replacements, AP & ROW Market Forecast, 2007-2015 
Exhibit 5-78: Elbow Replacements, AP & ROW Procedure Forecast, 2007-2015
Exhibit 5-79: AP & ROW Market Forecast, Elbow Replacements, 2007-2015
Exhibit 5-80: AP & ROW Market Forecast, Total Elbows by Type, 2007-2015 
Exhibit 5-81: AP & ROW Procedures, Shoulder Replacements, 2007-2015 
Exhibit 5-82: AP & ROW Procedures, Total Shoulder Replacements, 2007-2015 
Exhibit 5-83: AP & ROW Procedure Forecast,for Partial Shoulders, 2007-2015 
Exhibit 5-84: AP & ROW Market Forecast, Shoulder Replacements, 2007-2015 
Exhibit 5-85: AP & ROW Market Forecast, Total Shoulders, 2007-2015 
Exhibit 5-86: AP & ROW Market Forecast, Partial Shoulders, 2007-2015 
Exhibit 5-87: AP & ROW Procedure & Market Forecast,Total Ankles,2007-2015 
Exhibit 5-88: AP & ROW Procedure Forecast, Joints of Toes & Foot, 2007-2015 
Exhibit 5-89: AP & ROW Market Forecast, Joints of Toes & Foot, 2007-2015 
Exhibit 5-90: AP & ROW Market Forecast, Toe&Foot Joints by Type, 2007-2015 
Exhibit 5-91: Wrist Fusions, AP & ROW Procedure Forecast, 2007-2015 
Exhibit 5-92: Fusions/Internal Fixation Procedures, Fingers & Hand, 2007-2015 
Exhibit 5-93: Fusions/Int. Fixation, Elbow, AP & ROW Procedures, 2007-2015 
Exhibit 5-94: Int. Fixation,Proximal Humerus,AP&ROW Procedures,2007-2015 
Exhibit 5-95: Int. Fixation, Ankle&Foot, AP & ROW Procedures, 2007-2015 
Exhibit 5-96: Int. Fixation, AP & ROW Market Forecast, 2007-2015 
Exhibit 5-97: Supplier Shares in Europe and AP & ROW, 2008 

6. COMPANY PROFILES

Exhibit 6-1: Selected Suppliers of Small Joint Implants in 2008


COMPANIES COVERED:

  1. Acumed
  2. Ascension Orthopedics
  3. Biomet
  4. DJO Surgical/DJO Global
  5. Exactech
  6. DePuy Orthopaedics/Johnson & Johnson
  7. Integra Lifesciences
  8. Small Bone Innovations
  9. Stryker
  10. Synthes
  11. Tornier
  12. TriMed
  13. Wright Medical
  14. Zimmer
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