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Orthopedic Instrumentation: Market Research Report

February 2012 | 728 pages | ID: OB2DB5D975DEN
Global Industry Analysts, Inc

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This report analyzes the worldwide markets for Orthopedic Instrumentation in US$ Million by the following Product Segments: Reconstructive Sector (Hip Implants, Knee Implants, & Extremities), Fracture Fixation, Arthroscopy, Spinal Implants, and Other Products.

The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World.

Annual estimates and forecasts are provided for the period 2009 through 2017.

Also, a six-year historic analysis is provided for these markets.

The report profiles 199 companies including many key and niche players such as AAP Implantate AG/aap mebio, Acumed LLC, Arthrex, Inc., B. Braun Melsungen AG, Biomet, Inc., Conmed Corp., DJO Surgical, Exactech, Inc., Innomed, Inc., Japan Medical Dynamic Marketing (MDM), Inc., Johnson & Johnson, DePuy, Inc., Medtronic Sofamor Danek, Inc., Orthofix International N.V., Smith and Nephew Plc, Smith & Nephew, Inc., Stryker Corporation, Stryker Orthopaedics, Synthes Holding AG, Wright Medical Technology, Inc., and Zimmer Holdings, Inc.

Market data and analytics are derived from primary and secondary research.

Company profiles are primarily based upon search engine sources in the public domain.
I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations
Disclaimers
Data Interpretation & Reporting Level
Quantitative Techniques & Analytics
Product Definitions and Scope of Study
Reconstructive Sector
Hip Implants
Knee Implants
Extremities
Fracture Fixation
Arthroscopy
Spinal Products
Other Products

II. EXECUTIVE SUMMARY1. INDUSTRY OVERVIEW

Orthopedic Industry: Countering the Challenges of Recession
Emerging Technologies to Redefine the Future
Factors Influencing Industry Dynamics
Growth Drivers, Trends & Issues
Aging Population Drives Demand
Prevalence of Osteoporosis, Arthritis and other Joint Diseases Fuel Market Growth
Increasing Cases of Musculoskeletal Problems

Table 1. Select Musculoskeletal Conditions - Percentage Breakdown by Age Group (includes corresponding Graph/Chart)

Increasing Life Expectancy Rates
Developing Markets - High Potential
Cost Containment Issues
Revision Procedures Buoy Growth
Minimally Invasive Surgery Attracts Attention
Advanced Materials & Technologies Foster Growth
Advanced Coatings – Enhancing Lifespan of Implants
Demand for Premium Implants Continues
Growing Demand for Total Hip Replacement in Young People
Hip Resurfacing Replacement for Younger Generation

Table 2. Leading Manufacturers in the Global Hip Resurfacing Market (2008 & 2009): Percentage Share Breakdown of Value Sales for Smith and Nephew, Stryker, Wright Medical and DePuy (Johnson and Johnson) (includes corresponding Graph/Chart)

Gender-Specific Orthopedic Devices Gain Momentum
Spinal and Orthobiologics Products Spearhead Growth
Synthetic Substitutes, Growth Factors and Composites
Stem Cell and Gene Therapy
Growing Presence of Mid-Tier Firms & Start-Ups in Spinal Segment
Rising Production Costs & Complexities in Documentation – Major Challenges

2. ORTHOPEDICS MARKET STRUCTURE

Anatomy of the Industry
Designing of Device: Complex Requirements
Futuristic View of Designs

3. REVIEW OF PRODUCT SEGMENTS

Reconstructive Market
Highlights

Table 3. Hip Implant Procedures in US and Europe (2010): Percentage Breakdown by Number of Procedures for Primary Hip, Revision Hip and Endoprosthesis (includes corresponding Graph/Chart)

Countering Rising Hip Implant Prices
Tooth ‘N Trouble
Future of Reconstructive Sector
Hip and Knee Implants Market
Technological Advancements Encourage Young Patients to Opt for Surgeries
Direct-to-Consumer Marketing Efforts Enhance Awareness
Extremities Market
Select Extremity Products of Leading Players
Trauma Market
Select Trauma Products of Leading Players
Arthroscopy Market
Spine Implants & Biologics Market
Orthobiologics Market
Fracture Repair Market

Table 4. Fractures by Age Group (2010): Percentage Share Breakdown of Number of Fractures by Patient Age (includes corresponding Graph/Chart)
Table 5. Global Fracture Repair Market by Segment (2010): Percentage Share Breakdown of Value Sales for Internal Fixation, External Fixation, and Craniomaxillofacial (includes corresponding Graph/Chart)
Table 6. Leading Players in the World Fracture Repair Market (2010): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, Zimmer, DePuy, Biomet, Acumed, Orthofix and Others (includes corresponding Graph/Chart)

Fracture Fixation Devices Market

4. PRODUCT OVERVIEW

A. Reconstructive Sector
  Procedure of Joint Replacement: Past and Present
  Insertion of Implants
  Revision Surgery: A Painful Procedure
  Cost of Implants - Determining Factors
  Hip Prosthesis
  Total Hip Replacement
  Conditions Requiring Total Hip Replacement
  Materials Used
  Cemented Hip Implants
  Cementless Hip Implants
  Complications Following THR
  Partial Hip Replacement
  Revision Hip Procedures
  Types of Hip Implants
  Ceramic-on-Ceramic
  Metal-on-Metal
  Highly Cross-Linked Polyethylene
  Ceramic-on-polyethylene
  Metal-on-polyethylene
  Knee Prosthesis
  Functional Aspects of the Knee
  Implant Design
  Unicondylar Knee Replacements
  Fixed and Mobile Bearing Knees
  Mobile Bearing Total Knee Replacement Prosthesis
  Secondary Joint Prosthesis/Extremeties
  Shoulder Prosthesis
  Ankle Prosthesis
  Elbow Prosthesis
  Finger Prosthesis
B. Fracture Fixation
  Osteoporosis - A Bone Breaking Factor
  Fracture Fixation Procedures
  Internal Fixation
  External Fixation
  Intramedulary Fixation
  Maxillofacial Fixation Products
  Bone Growth Stimulators
  Select Techniques Used in Fracture Fixation
  Bone Graft System
  Osteo-Clage Cerclage Cable System
  Polarus Humeral Fixation System
  Stableloc External Fixator
  Nature of a Fracture
  Trends and Developments in the Fracture Fixation Market
  Novel Technologies Boost External Fixation Device Market
  Increase in Less Invasive Fracture Repair Procedures
  New Technologies Rekindle Market for Trauma Products
  Intramedullary Nails Threatened by LCP Systems
  Locking Compression Plates Might Lose its Superfluous Growth
  C. Arthroscopy
  Arthroscopy: A Keyhole Surgery
  A Broad Perspective
  Arthroscopic Procedure
  Arthroscopy and its Complications
  Knee Arthroscopy
  Hip Arthroscopy
  Shoulder Arthroscopy
  Arthroscopically Assisted Anterior Approach
  Arthroscopy of the Elbow
  Ankle Arthroscopy
  Future Developments
  Multi-Electrode Procedure
  Electrothermal Arthroscopy
  D. Spinal Implants and Instrumentation
  Spinal Fusion - Lending Support to the Troubled Backs
  Spinal Implants Market in the Past: A Historic Perspective

Table 7. Spinal Implant Market Worldwide (2004) - Percentage Breakdown by Number of Surgeries for Degenerative Lumbar, Cervical, Deformities, Thoraco-Lumbar Traumas and Thoraco-Lumbar Tumors (includes corresponding Graph/Chart)
Table 8. Spinal Products Market Worldwide (2004) - Percentage Breakdown by Implant Type for Pedicel Screws, Plates, Rods; Fusion Cages, and Others (includes corresponding Graph/Chart)

  State of Spinal Fusion Cages
  Emerging Technologies and Techniques
  Non- Invasive Surgeries
  Universal Multilevel Fusions
  Motion-Sparing Technology- Leap Forward in Spinal Fusions
  Artificial Nuclei
  Lumbar Artificial Discs Launch Timeline (2000-2005)
  Cervical Artificial Disc Launch Timeline (2007)
  Artificial Disc Competitive Landscape (2004-2007)
  E. Other Products
  Bone Cement
  Mechanical Properties of Bone Cements
  Soft Goods Sector

5. ASSOCIATED AND EMERGING TECHNOLOGIES IN ORTHOPEDICS

Resorbables
Bone Substitutes
Osteoinductive Agents/Bone Graft Factors:
Viscoelastics
Soft Tissue Repair and Replacement
Tissue Engineering

6. COMPETITIVE FOCUS

Competitive Factors Influencing Orthopedics Market
Positive Factors
Pricing and Cost Effectiveness of Products
Consumer Relationships
Safety and Competency of Products
Technological Advancements
Product Innovation
Risk Factors
Delays in Product Development
Time Taken for Regulatory Approvals
Consolidation – Resetting Competition
Mergers and Acquisitions in the Worldwide Orthopedics Industry: 2006-2010
M&A Activity: 2007–2010 in Orthopedic Instrumentation Segment
Reconstructive Sector: Hip Implants, Knee Implants, Extremities
Spinal Products
Arthroscopy (2000-2010)
Competitive Analysis
Product Matrix of Leading Players in Orthopedics Industry

Table 9. Leading Players in the Global Orthopedics Market (2010): Percentage Share Breakdown of Value Sales for Stryker, J&J, Zimmer, Medtronic, Synthes, Smith & Nephew, Biomet, and Others (includes corresponding Graph/Chart)

Reconstructive Sector
Leading Players in Select Orthopedic Implant Markets

Table 10. Leading Players in the Global Reconstructive/ Orthopedic Implant Market (2010): Percentage Share Breakdown of Value Sales for Zimmer, J&J, Stryker, Biomet, Smith & Nephew, and Others (includes corresponding Graph/Chart)
Table 11. Leading Manufacturers in the Global Hip Implant (Reconstructive) Market (2011): Percentage Share Breakdown of Unit Sales for Zimmer, DePuy, Stryker, Biomet and Others (includes corresponding Graph/Chart)
Table 12. Leading Manufacturers in the Global Knee Implant (Reconstructive) Market (2009): Percentage Share Breakdown of Value Sales for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical, Exactech and Others (includes corresponding Graph/Chart)
Table 13. Leading Manufacturers in the Global Spinal Implant (Reconstructive) Market (2009): Percentage Share Breakdown of Value Sales for Zimmer, Stryker, JNJ DePuy, Biomet, Smith & Nephew, Wright Medical, Exactech and Others (includes corresponding Graph/Chart)
Table 14. Leading Manufacturers in the Global Hip and Knee Implants Market (2009): Percentage Share Breakdown of Value Sales for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, and Others (includes corresponding Graph/Chart)

Hip Implants

Table 15. Leading Players in Worldwide Hip Implants Market (2008 & 2012): Percentage Breakdown of Dollar Sales by Company for Zimmer, J&J DePuy, Stryker, Smith & Nephew, Biomet, Wright Medical and Others (includes corresponding Graph/Chart)

Knee Implants

Table 16. Leading Players in Worldwide Knee Implants Market (2008 & 2012): Percentage Breakdown of Dollar Sales by Company for Zimmer, J&J DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical and Others (includes corresponding Graph/Chart)

Extremities

Table 17. Leading Players in the Global Extremities Market (2009 & 2012): Percentage Share Breakdown of Value Sales for DePuy, Tornier, Zimmer, Wright Medical, Biomet, and Others (includes corresponding Graph/Chart)

Fracture Fixation

Table 18. Global Fracture Repair Market (2009): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, Zimmer, DePuy, Biomet, Acumed, Orthofix, and Others (includes corresponding Graph/Chart)

Internal Fixation
External Fixation

Table 19. Leading Players in the Global Trauma & Craniomaxillofacial Market (2009): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, J&J, Zimmer, Biomet, and Others (includes corresponding Graph/Chart)
Table 20. Leading Players in the Global Trauma Market (2008): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, Zimmer, DePuy, and Others (includes corresponding Graph/Chart)
Table 21. Leading Players in the Global CMF Market (2008): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Biomet, KLS Martin, OsteoMed, Medartis, and Others (includes corresponding Graph/Chart)

Arthroscopy

Table 22. Leading Players in the Global Arthroscopy Market (2009): Percentage Share Breakdown of Value Sales for Smith & Nephew, Arthrex, Mitek/J&J, Stryker, Arthrocare, ConMed Linvatec, and Others (includes corresponding Graph/Chart)

Spinal Products

Table 23. Leading Players in the Global Spine Market (2009): Percentage Share Breakdown of Value Sales for Medtronic, DePuy, Synthes, Stryker, NuVasive, Zimmer, Orthofix, Globus, Biomet, and Others (includes corresponding Graph/Chart)
Table 24. Global Spinal Implants Market (2009): Percentage Share Breakdown of Value Sales for Medtronic, J&J, Synthes, Stryker, NuVasive, Globus, Zimmer, and Others (includes corresponding Graph/Chart)
Table 25. Leading Players in the Global Orthobiologics Market (2009): Percentage Share Breakdown of Value Sales for Medtronic, Synthes, J&J, Osteotech, Smith & Nephew, Stryker, and Others (includes corresponding Graph/Chart)

7. END USERS OF ORTHOPEDIC INSTRUMENTS

Competitive Factors from End-Use Perspective
Demographics Crucial Factor Driving Demand
Hospitals: The Largest End-Use Industry
Physicians’ Offices/Clinics
New Technology Adds to the Growth
Home Health Care Market: A Fast Growing Segment

8. DISTRIBUTION STRUCTURE - A SKELETAL VIEW

An Insight into the Distribution Network of Select Players
BioMet, Inc.
Medtronic Sofamor Danek
Synthes
Zimmer Holdings, Inc.

9. TECHNOLOGICAL DEVELOPMENTS

Alternate-Bearing Materials in the Hip Implants Market
Diamond-on-Diamond Technology
Cementless Procedures Gain Ground
Trabecular Metal Technology
Surface Modification Technology
Novel Minimally Invasive Approaches
Zimmer Launches Quad-Sparing Total Knee Replacement
Spire’s Subsidiary Expands Ion Implantation Processing
Zimmer to Launch New Minimally Invasive Hip Procedure
DePuy Introduces New Mini-Incision Technique in Hip Replacement

10. PRODUCT INNOVATIONS/INTRODUCTIONS

Medtronic Unveils KYPHON® Express™ for Vertebral Compression Fracture Treatment
X-spine Receives FDA Clearance for Fixcet ™ Spinal Facet Screw System
Alphatec Spine Introduces Four Novel Products in Biologics, Thoracolumbar and MIS Market
Orthofix International Unveils Spinal Deformity Correction Module
SI-BONE to Unveil iFuse Implant System™
Maxx Medical Unveils Freedom Total Knee® System
DePuy Mitek Rolls Out VERSALOK PEEK Rotator Cuff Anchor
SANUWAVE Health Launches OrthoPACE™ Device in Europe
Medtronic Introduces Kyphon ActivOs 10 Bone Cement with Hydroxyapatite
Ascension Orthopedics Rolls Out Ascension NuGrip CMC Implant
Aesculap Implant Systems Unveils S4 Element™ Pedicle Screw System
DePuy Spine Introduces EXPEDIUM® VBD Instrument
Stryker Unveils iVAS™ Inflatable Vertebral Augmentation System
CareFusion Introduces AVAmax® Vertebral Balloon
Integra LifeSciences Introduces Integra Spine's Paramount PS Fixation System
Ascension Orthopedics Unveils PyroTITAN™ Humeral Resurfacing Arthroplasty System
DiFusion Technologies Receives FDA Approval for Xiphos Posterior Interbody Devices
Titan Spine Unveils Endoskeleton® TC System
Interventional Spine Completes Implant of RENEW™ Interspinous Allograft Technology
Exactech Secures Approval to Market Novation® Hip System in Japan
Stryker Orthopaedics Unveils ADM Mobile Bearing Acetabular and Rejuvenate Modular Primary Hip Systems
Wright Medical Launches ORTHOLOC Polyaxial Locked Plating System
BioMimetic’s Augment Bone Graft Receives Approval from Health Canada
MiMedx Group Rolls Out Paradis Vaso Shield™
Medtronic Launches SOVEREIGN™ Spinal System
Signus Medical Launches DIALOG Sacroiliac Joint Fusion System
MAKO Surgical Introduces Lateral Unicompartmental Knee Surfacing Application
CONMED Unveils Bullseye Anatomic Cruciate Reconstruction System
CONMED Linvatec Introduces Small Biocomposite Interference Screw
Medtronic Rolls Out TSRH® 3Dx™ Spinal System
Medtronic Rolls Out Mastergraft Strip
Custom Spine Introduces Two New Spine Systems
K2M Introduces TERRA NOVA® and SERENGETI®
Covidien Unveils DuraSeal™ Spine Sealant
DePuy Spine Expands Spinal Pathology Solutions Portfolio
US Spine Introduces MIS Locking Facet System
US Spine Introduces Facet Gun MAX
U. S. Spinal Technologies Introduced Phantom Plus™ Interbody Fusion System
Smith & Nephew Rolls Out TRUCATH Spinal Injection System
US Spine Launches Preference 2 Complex Spine System™
CONMED Introduces Linvatec Shoulder Restoration System
Smith & Nephew's Endoscopy Division Introduces BICEPTOR™ Tenodesis System
Integra LifeSciences Introduces Coral™ Extended Tab Spinal Screw Series
Medtronic Introduces Novel Orthopedic Devices
DePuy Spine Introduces HEALOS® Fx Injectable Bone Graft Replacement
Orteq Inks Agreement with FH Orthopaedics to Launch Actifit Meniscal Implant
Smith & Nephew Introduces VISIONAIRE Patient Matched Instrumentation
Ascension Orthopedics Unveils Ascension® Silicone PIP System
SpineSource® Introduces SHELL™ Cervical PEEK Optima® Cage
Integra LifeSciences Holdings Introduces Vu L·POD™ and Vu e·POD™ IBD
Ouroboros Medical Obtains Clearance to Market Spinal Fusion Product
Bonovo Orthopedics to Market Pioneer’s Spinal Fusion Products
HydroCision Introduces SpineJet® Percutaneous Curved Access Set
Tornier Implements Human Implant of Shoulder Arthroplasty Prosthesis
X-spine Systems Obtains FDA Approval for Calix Spinal Implant System
Bonesupport Receives EU Clearance for Cerament Bone Void Filler
DiFUSION Technologies Completes Testing of Silver Ion-based Antimicrobial Technology
Wright Medical Introduces Titanium Knee Implant
Medtronic Introduces NANOSTIM® Synthetic Bone Paste
CONMED Unveils Medical Devices
DePuy Unveils Pinnacle Hip Solutions
Smith & Nephew Introduces VERILAST™ Technology
DePuy Expands Sigma® Knee Product Portfolio
Smith & Nephew Introduces R3™ Acetabular Cup System for Hip Replacement
Smith & Nephew Launches Bioraptor 2. 3 PK Suture Anchor
RTI Introduces of Fresh-Stored OC Allografts
Wright Medical Group Launches Profemur Xm Hip Stem
ConforMIS Launches Patient-Specific Implant
Stryker Introduces Triathlon PKR System in the US
Orthovita Launches New Bone Graft Substitute
DePuy Launches ALPS for Orthopaedic Trauma
DJO Surgical Gains FDA Approval to Market New X-alt
Osteotech Obtains FDA Clearance for Plexur M Biocomposite
ConforMIS Wins CE Mark Approvals for Two Arthritis Products

11. PRODUCT INNOVATIONS/INTRODUCTIONS IN THE RECENT PAST – A PERSPECTIVE BUILDER

Smith & Nephew Unveils New High Definition Surgical Camera System
Modern Plastics Announces New Medical Grade PMMA
Wright Medical Introduces a New Biologic Grafting System
Wright Medical Unveils Hip Solutions Products
Smith & Nephew Introduces Bi-Compartmental Knee System
DePuy Introduces Computer Software for Assisting Surgery
Medtronic Launches CD Horizon® Legacy™ Anterior Spinal System
Depuy Orthopaedics Unveils New Coating for Biological Fixation
DePuy Introduces Delta Xtend™ Reverse Shoulder System
DePuy Launches New System for Hip Fractures
DePuy Introduces New Hip-Bearing System
DePuy Introduces Pinnacle® Acetabular Cup System AltrX™
Biomet Introduces Two New Hip Stem Products
ArthroCare Introduces Opus® TwinLock™ Knotless Fixation System
SBI Introduces Advanced RingFIX™ System and Forefoot Repair Set
SBI Launches New Distal Radius Plating System
Smith & Nephew Endoscopy Introduces New Lateral Hip Distractor
HydroCision Launches SpineJet® EndoResector
Wright Medical Launches Latest Stature-Specific Knee Replacement
Integra LifeSciences Introduces Uni-CP Compression Plate
Wright Medical Introduces the CAROLINA™ Jones Fracture
Wright Medical Launches EVOLVE® PROLINE System
SBi Launches Artelon® STT Spacer
Amedica Gains FDA Approval for Valeo VBR Spinal Implant
Amedica Obtains FDA Marketing Approval for Valeo Pedicle Screw System
Corin Group Obtains FDA for Cormet Resurfacing Hip Device
Altiva Obtains FDA Approval for Altiva® Classic ACP
SBI Obtains FDA Approval for Artelon CMC Spacer Arthro
Smith & Nephew’s Knee Systems Receive FDA Approval
Amedica Gains FDA Clearance for Valeo™ Cervical Plate System
Zimmer Obtains FDA Approval for Zimmer® NexGen® Knee
Invibio Receives Approval to Market Implantable Spinal Implant in Japan
BioMedical Obtains FDA Clearance for OSSpine Spinal Product
Blackstone Medical Introduces New Spinal Fusion Product line
CONMED Linvatec Launches New Powered Surgical Instruments & Arthroscopy Products
Smith & Nephew Introduces New JOURNEY BI-Cruciate Stabilized Knee System
Stryker Launches Triathlon Knee System for Women
Wright Medical Unveils ODYSSEY™ Distal Cut First Instruments for MIS Procedures
FDA Grants Approval for Marketing Smith & Nephew’s BHR System

12. RECENT INDUSTRY ACTIVITY

Johnson & Johnson to Acquire Synthes
Amedica Takes Over US Spine
Medtronic to Take Over Osteotech
NeuroTherm Takes Over Smith & Nephew's Interventional Spine Pain Management Business
Stryker Acquires Ascent Healthcare Solutions
Alphatec Spine Acquires Scient’x Groupe
Arthrex Acquires iBalance Medical
Zimmer to Acquire Beijing Montagne
Olympus Acquires Minor Stake in Small Bone Innovations
Crocker Ventures Takes Over TMJ Implants
Welsh Carson Acquires Stake in K2M
Orthopaedic Synergy Acquires PRAXIM
Memometal Technologies Acquires OrthoGlide® Ankle Technology
Riverside Acquires Eska Implants
Exactech Takes Over VertiFlex's Minimally Invasive Spine Technologies and Products
Exactech Takes Over Brighton Partners
Landec Takes Over Lifecore Biomedical
Seneca Acquires Majority Share in Micro Machine
X-spine Systems Signs License Agreement with Gamma Spine
Hasco Medical and Bell-Horn Sign Agreement
DePuy Takes Over Finsbury
Wenzel Spine Acquires DJO Surgical’s Spine Product Lines
Stryker Takes Over OtisMed
Biomet Acquires Assets of Cartilix
Circle Medical Devices Merges with Texcel Medical
Facet Solutions Purchases Archus Orthopedics' Assets
Cardo Medical Takes Over Assets and Intellectual Property from Vertebron
Orthofix and MBA Group Enter into Agreement
Hanger Orthopedic Acquires Custom Orthopedics and Creative Orthotics & Prosthetics
Integra LifeSciences Acquires IST
Carlyle Group Snaps Up Groupe Marle
SBi Snaps Up Link America
K2M Partners with Smith & Nephew
AdvanSource Signs Agreement with Orthopedic Device Manufacturer
Wright Medical Takes Over INBONE Technologies
Riverside Acquires Summit Medical
UniPhar to Acquire Forth Medical and Northstar
Regeneration Technologies and Tutogen Merge to Form RTI Biologics
Precimed Acquires DePuy Orthopaedics' Chaumont Plant
SBI to Acquire Ankle Replacement Technology
Symmetry Medical Acquires Orthopaedic Instrument Facility of DePuy
Greatbatch Completes Acquisition of Precimed
Exactech Acquires Altiva
Exactech to Acquire France Medica; Starts Direct Distribution in Japan
Tornier and LifeCell Sign Distribution Agreement
Osteotech Enters into Distribution Agreement with Harvest Technologies
Misonix Signs Distribution Deal with Aesculap
Alynx Acquires MiMedx
Alphatec Acquires Rights for Interbody/Vertebral Body Replacement Technology
Exactech Inks License Deal for Cartilage Repair Technology
Biomet Ties Up with Massachusetts General Hospital for Clinical Studies
Stryker Recalls Select Hip Products
Norman Noble Increases Orthopedic Implant Production Operations

13. CORPORATE ACTIVITY IN THE RECENT PAST – A PERSPECTIVE BUILDER

Biomet Merges with LVB Acquisition Merger Sub
Cardinal Health Completes Acquisition of VIASYS Healthcare
Biomet Sports Medicine and Marc Tec Ink Licensing Agreement
Zimmer Inks a Distribution Agreement with Regeneration Technologies
Sandvik Inks Agreement with Medtronic to Acquire Medtronic’s Plant
Medtronic and Weigao to Establish Joint Venture in China
HealthpointCapital Takes over Ideal Medical Products
Covidien’s Subsidiary Takes Over Scandius Biomedical
Integra LifeSciences Takes over IsoTis
DePuy Spine Completes Acquisition of Certain Disc-O-Tech Assets
Wright Medical Acquires BIO-ARCH™ Subtalar Implant
UniPhar Merges Whelehan Surgical and Surgicare Divisions
Orthofix International Completes Acquisition of InSWing™ Technology
Sandvik Acquires Doncasters Medical Technologies
Medtronic Completes Acquisition of Kyphon
Tornier Takes Over DVO Extremity Solutions & Nexa Orthopedics
Medtronic Takes over O-arm Imaging from Breakaway Imaging
Wright Medical Takes over Assets of R&R Medical
Wright Medical Acquires DARCO’s Reconstructive Foot Surgery Business
Zimmer Holdings Acquires Endius
Leis Medical and MedicineLodge Merge to Form iMDs
Zimmer Takes Over ORTHOsoft
NuVasive Takes Over Radius Medical
DJO Completes ReAble Merger
Smith & Nephew Acquires Plus Orthopedics
Orchid Takes Over Three Orthopedic Instrument Companies
Synthes Takes Over N Spine
Avalign Technologies Acquires Nemcomed
Wright Medical and A. M. Surgical in Distribution and License Agreement
Symmetry Medical and MAKO Surgical Enter into an Agreement
Medtronic and Axon Enter into Agreement
Wright Medical Shuts Down Facility in France
Portland Orthopaedics Retakes US Distribution
Tornier and Bioretec in Partnership for Bioresorbable Surgical Devices
Impulse Takes Over Clinical Support Services
Alphatec Holdings Gains License for Vertebroplasty Technology System
Smith & Nephew Signs Global Distribution Agreement with Teknimed
Corin Enters into Marketing and Distribution Deal with Stryker
Biomet and Kensey Signs Marketing and Distribution Agreement
BSN Medical Acquires FLA Orthopedics
SimplexityMD Takes Over OrthoAccel Technologies
Hanger Orthopedic Group Acquires Paris O&P Laboratory
Smith & Nephew Recalls Knee Implants
Alphatec to Merge with Scient’X
Endius and Quantum Form Strategic Alliance
Biomet to Expand Indiana Facility
DJ Orthopedics Acquires Newmed
FDA Clears Zimmer’s Gender Solutions Artificial Knee for Women
Zimmer Acquires Surgical Instrument Technology from MedTech S. A
dj Orthopedics Acquires Aircast
FDA Approves Biomet’s Regenerex™ Acetabular System
DePuy Mitek Takes Over FMS Operations
Medtronic Provides Research Grant to OTA
Orthofix Restructures its International Business Operations
Orthofix Acquires IMeS to Expand European Operations

14. FOCUS ON SELECT GLOBAL PLAYERS

AAP Implantate AG/aap mebio (Germany)
Acumed LLC (US)
Arthrex, Inc. (US)
B. Braun Melsungen AG (Germany)
Biomet, Inc. (US)
Conmed Corp. (US)
DJO Surgical (US)
Exactech, Inc. (US)
Innomed, Inc. (US)
Japan Medical Dynamic Marketing (MDM), Inc. (Japan)
Johnson & Johnson (US)
DePuy Inc. (US)
Medtronic Sofamor Danek, Inc. (US)
Orthofix International N. V. (The Netherlands)
Smith and Nephew Plc (UK)
Smith & Nephew, Inc. (US)
Stryker Corporation (US)
Stryker Orthopaedics (US)
Synthes Holding AG (Switzerland)
Wright Medical Technology, Inc. (US)
Zimmer Holdings, Inc. (US)

15. GLOBAL MARKET PERSPECTIVE

Table 26. World Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 27. World Historic Review for Orthopedic Instrumentation by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 28. World 15-Year Perspective for Orthopedic Instrumentation by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

By Segment

Table 29. World Recent Past, Current & Future Analysis for Reconstructive Sector by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 30. World Historic Review for Reconstructive Sector by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 31. World 15-Year Perspective for Reconstructive Sector by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)
Table 32. World Recent Past, Current & Future Analysis for Reconstructive Sector by Product Segment – Hip Implants, Knee Implants and Extremities Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 33. World Historic Review for Reconstructive Sector by Product Segment - Hip Implants, Knee Implants and Extremities Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 34. World 15-Year Perspective for Reconstructive Sector by Product Segment – Percentage Breakdown of Dollar Sales for Hip Implants, Knee Implants and Extremities Markets for Years 2003, 2011 & 2015 (includes corresponding Graph/Chart)
Table 35. World Recent Past, Current & Future Analysis for Fracture Fixation by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 36. World Historic Review for Fracture Fixation by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 37. World 15-Year Perspective for Fracture Fixation by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)
Table 38. World Recent Past, Current & Future Analysis for Arthroscopy Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 39. World Historic Review for Arthroscopy Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 40. World 15-Year Perspective for Arthroscopy Products by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)
Table 41. World Recent Past, Current & Future Analysis for Spinal Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 42. World Historic Review for Spinal Products by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 43. World 15-Year Perspective for Spinal Products by Geographic Region –Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)
Table 44. World Recent Past, Current & Future Analysis for Other Orthopedic Instrumentation Products by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 45. World Historic Review for Other Orthopedic Instrumentation Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 46. World 15-Year Perspective for Other Products by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

III. MARKET1. THE UNITED STATES

A. Market Analysis
  The Largest Orthopedics Market
  Proposed Tax on Medical Device Industry – Potential Implications
  An Overview of the US Orthopedic Healthcare System

Table 47. US Orthopedics Market (2008): Percentage Share Breakdown of Number of Physician Visits for Back, Knee, Neck, Lower Back, Hip, and Small Bone and Joint (includes corresponding Graph/Chart)
Table 48. Rate of Procedures (Per 10,000 Individuals) for Knee Arthroplasty, Hip Replacement, and Spinal Fusion: Breakdown by Age Group (includes corresponding Graph/Chart)

  Trends & Issues
  Aging Population & Obesity Drive Demand for Orthopedic Procedures

Table 49. Primary Hip and Knee Replacement Procedures in the US (2008): Percentage Breakdown by Age Group (includes corresponding Graph/Chart)
Table 50. Percentage of Population by Age Group in the US (2010) (includes corresponding Graph/Chart)
Table 51. US Population in the Over-45 Years Age Group (2006-2008) (includes corresponding Graph/Chart)

  Technological Developments Promote Growth
  Biomaterials Market – Keeping Pace with Changing Times
  Orthopedic Soft Tissue Allograft Market in the US
  Rising Incidence of Arthritis Aids Growth in Implant Procedures
  Orthopedic Implants Market in the US
  Wear Debris-A Major Concern
  Reimbursement Scenario
  CMS Implements MS-DRG System
  New FY 2010-2011 Provisions
  Main Additions to the MCC and CC Lists for Fiscal-year 2010
  MS-DRG System for Joint Replacements in comparison with DRG System
  MS-DRG System for Spine Segment in comparison with DRG System

Table 52. Comparison of RW and GMLOS for DRG and MS-DRG Systems (2007-2010)

  Reimbursement for Trauma Procedures in the Past

Table 53. Medicare Reimbursement Codes for Leading Trauma Procedures in US (includes corresponding Graph/Chart)
Table 54. Percentage Change in Medicare Reimbursement Rates (2000-2005) (includes corresponding Graph/Chart)

  Reconstructive Market: An Overview
  Large Joint Reconstructive Implants Market – An Overview
  An Insight into the Hip and Knee Replacement Market
  Innovative Products & Procedures Favor Growth
  Hip Resurfacing Implants Market in the US
  Joint Replacement Procedures – Improving Technologies & Materials
  Knee Implants Market
  Knee Implant Pricing Scenario

Table 55. Knee Replacements in the US (1998-2008): Number of Procedures (in Thousands) and Average Duration of Hospitalization for Total, and Revision Knee Replacement Procedures (includes corresponding Graph/Chart)

  Hip Implants Market
  New Materials Emerge as Polyethylene Alternatives
  Historic Note (Knee and Hip Implants)

Table 56. Knee Implants Market in the US (2004): Percentage Breakdown by Dollar Sales for Implant Type - Cemented Femoral, Cemented Tibial, Cementless Femoral, Cementless Tibial and Polyethylene Liner (includes corresponding Graph/Chart)
Table 57. Hip Replacements in the US (1998-2005): Number of Procedures (in Thousands) and Average Duration of Hospitalization for Total, Partial and Revision Procedures (includes corresponding Graph/Chart)

  Shift from Cemented to Press-Fit Procedures
  Cost Containment for Implants
  Fracture Fixation Market

Table 58. Number of Inpatient Fracture Repair Procedures in the US (2008): Percentage Breakdown by Anatomical Site for Femur, Tibia/Fibula, Radius/ Ulna, Humerus, Face, Ankle/Foot, Others (includes corresponding Graph/Chart)

  Shift Towards LCPs Drive Growth
  Domestic Arthroscopy Market to Witness Modest Growth
  Spinal Products Market
  Troubled Backs
  Spinal Procedures in US Witness Substantial Growth

Table 59. Spinal Implant Procedures in the US: 2001- 2008 (includes corresponding Graph/Chart)

  Artificial Disc Replacement
  Extremities Market
  Bone Graft Market
  Competitive Landscape

Table 60. Leading Players in the US Reconstructive Implants Market (2007): Percentage Share Breakdown of Revenues for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical and Others (includes corresponding Graph/Chart)
Table 61. Leading Players in the US Hip Implants Market (2007): Percentage Share Breakdown of Revenues for Zimmer, DePuy, Stryker, Smith & Nephew, Biomet, Wright Medical and Others (includes corresponding Graph/Chart)
Table 62. Leading Players in the US Knee Reconstruction Market (2007): Percentage Share Breakdown of Revenues for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical and Others (includes corresponding Graph/Chart)
Table 63. Leading Players in the US Spinal Implants Market (2006): Percentage Breakdown of Value Sales for Medtronic Sofamor Danek, DePuy Spine, Zimmer Spine, Synthes, Stryker Biomet and Others (includes corresponding Graph/Chart)

B. Market Analytics

Table 64. US Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 65. US Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 66. US 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

2. CANADA

A. Market Analysis
  Orthopedics Market – An Overview
  Increasing Incidence of Arthritis Triggers Demand for Hip & Knee Implants
  Hip & Knee Replacement Stats

Table 67. Number of Joint Replacement Procedures in Canada (2009): Percentage Share Breakdown for Hips and Knees
Table 68. Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Gender
Table 69. Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Age Group (includes corresponding Graph/Chart)
Table 70. Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Province (includes corresponding Graph/Chart)

  Spinal Implant Market in Canada
  Socio-Economic Factors
  Highly Consolidated Market
B. Market Analytics

Table 71. Canadian Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 72. Canadian Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 73. Canadian 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

3. JAPAN

A. Market Analysis
  Outlook
  Driven by Innovations
  Aging Population Propels Sales
  Reimbursement Scenario
  Spinal Implant Market - Opportunities Galore
  Players in Japanese Orthopedic Implants Market
B. Market Analytics

Table 74. Japanese Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 75. Japanese Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 76. Japanese 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

4. EUROPE

A. Market Analysis
  Implants Market – An Overview
  Competitive Scenario in the Reconstructive Market

Table 77. Leading Players in the European Reconstructive Market (2008): Percentage Share Breakdown of Value Sales for Zimmer, J&J/ DePuy, Smith & Nephew, Stryker, Biomet, Wright Medical, and Others (includes corresponding Graph/Chart)

  Modular Systems: Common Form of Knee Implant in Europe
  Spinal Implants Market in Europe
  Impact of Regulations in the Orthopedic Sector
  Medical Devices Directive Revision, 2007
  Competitive Insight into the European Trauma Market

Table 78. Leading Players in the European Trauma Market (2008): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, J&J/DePuy, Zimmer, Biomet, and Others (includes corresponding Graph/Chart)

  Bio-absorbable Technologies Drive Orthopedic Markets
B. Market Analytics

Table 79. European Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Geographic Region – France, Germany, Italy, UK, Spain, & Rest of Europe Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 80. European Historic Review for Orthopedic Instrumentation by Geographic Region – France, Germany, Italy, UK, Spain, & Rest of Europe Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 81. European Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 82. European Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 83. European 15-Year Perspective for Orthopedic Instrumentation by Geographic Region – Percentage Breakdown of Dollar Sales for France, Germany, Italy, UK, Spain, & Rest of Europe Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)
Table 84. European 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

4A. FRANCE

A. Market Analysis
  Outlook
  Demographics Underpinning Growth

Table 85. Percentage of Population by Age Group in France (2010) (includes corresponding Graph/Chart)

B. Market Analytics

Table 86. French Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 87. French Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 88. French 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

4B. GERMANY

A. Market Analysis
  Orthopedic Products in Germany
  Demographic Factors & Injuries Offer Growth Opportunities

Table 89. Percentage of Population by Age Group in Germany (2010) (includes corresponding Graph/Chart)

  Competitive Scenario
B. Market Analytics

Table 90. German Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 91. German Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 92. German 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

4C. ITALY

  Market Analytics

Table 93. Italian Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 94. Italian Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 95. Italian 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

4D. THE UNITED KINGDOM

A. Market Analysis
  Orthopedics Market – An Overview
  Implants Market Rides on Product Innovations
  UK Population Statistics

Table 96. Percentage of Population by Age Group in the UK (2010) (includes corresponding Graph/Chart)

  Total Hip Replacement Statistics
  Shoulder & Small Joint Implants
B. Market Analytics

Table 97. UK Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 98. UK Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 99. UK 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

4E. SPAIN

A. Market Analysis
  Prosthesis Market
  Demographics
B. Market Analytics

Table 100. Spanish Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 101. Spanish Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 102. Spanish 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

4F. REST OF EUROPE

A. Market Analysis
  Orthopedic Implants Market in Eastern Europe – An Overview
  Overview of Select Markets in Europe
  Russia
  Austria
  Czech Republic
  Competition
  Spinal Implants
  Finland
  Switzerland
  Hungary
  Fracture Fixation
  Spinal Products
  Poland
  Fracture Fixation
  Spinal Implants
B. Market Analytics

Table 103. Rest of Europe Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment - Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 104. Rest of Europe Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 105. Rest of Europe 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

5. ASIA-PACIFIC

A. Market Analysis
  Asia – A Promising Market for Orthopedic Device Manufacturers
  Asian Orthopedic Markets: Entry Barriers
  Review of Select Markets
  Australia
  China
  Foreign Players Dominate Orthopedic Instrument Market
  Fracture Fixation
  Spinal Implants
  India
  Joint Implants Market – Set for Rapid Growth
  Medical Tourism Bolsters Orthopedic Implants Market
  South Korea
  Competition
  Singapore
  Taiwan
  Foreign Participation in Taiwanese Orthopedic Market Segments
  Thailand
B. Market Analytics

Table 106. Asia-Pacific Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment - Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 107. Asia-Pacific Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 108. Asia-Pacific 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

6. LATIN AMERICA

A. Market Analysis
  Argentina
  Entry Regulations for Foreign Players
  Brazil
  Spinal Implants
  Ecuador
B. Market Analytics

Table 109. Latin American Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 110. Latin American Historic Review for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 111. Latin American 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

7. REST OF WORLD

A. Market Analysis
  Israel
B. Market Analytics

Table 112. Rest of World Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart)
Table 113. Rest of World Historic Review for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart)
Table 114. Rest of World 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart)

IV. COMPETITIVE LANDSCAPE

Total Companies Profiled: 199 (including Divisions/Subsidiaries - 238)
Region/CountryPlayers
The United States
Canada
Japan
Europe
France
Germany
The United Kingdom
Italy
Spain
Rest of Europe
Asia-Pacific (Excluding Japan)
Latin America
Middle-East
Caribbean


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