August 5, 2008
Key Challenges and Issues Facing the US Orthopedic Implants Market
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US Orthopedic Implants Market
US market to rise 9.8% per year to $23 billion in 2012
Orthopedic implant demand is forecast to rise 9.8 percent annually to $23 billion in 2012. The four major product segments -- reconstructive joint replacements, spinal implants, orthobiologics and trauma implants -- will all provide strong growth opportunities. The market for reconstructive joint replacements will gain upward momentum from an aging population and the widespread prevalence of physically active lifestyles, thereby expanding the number of persons suffering from injured and deteriorating joints.
Knees, hips remain leading joints for replacement
Knees and hips are highly vulnerable to degeneration caused by arthritic conditions, and will continue to account for the majority of reconstructive joint replacements. Continuing advances in materials and design will improve the safety and performance features of knee and hip implants and encourage their expanding use in severe arthritis treatment. Among other reconstructive joint replacements, total and partial shoulder systems will post the strongest demand and realize the best growth prospects based on advantages over alternative therapies in the reduction of pain and restoration of mobility.
Advances in product technologies and related surgical techniques, coupled with an increasing prevalence of chronic back conditions, will create strong growth opportunities for spinal implants. Implants used in spinal fusion and motion preservation surgeries, especially procedures for the repair of vertebrae and replacement of degenerative discs, will account for the largest market share and the best growth opportunities. Due to outcome advantages over alternative drug and physical therapies, surgery is emerging as the preferred treatment option for many spinal cord injuries and abnormalities. This trend reflects the increasing availability of high value-added devices such as fusion cages and artificial discs.
INTRODUCTION I. EXECUTIVE SUMMARY II. MARKET ENVIRONMENT General Macroeconomic Trends Demographic Patterns Health Care Trends Health Insurance Acute Conditions Chronic Conditions National Health Expenditures Medical Providers Acute Care Hospitals Outpatient Facilities Skilled Nursing Homes Physicians Patient Activity Acute Care Hospital Admissions Surgical Procedures Outpatient Visits Medical Product Markets Orthopedic Implant Market Overview Regulation Orthopedic Conditions Mobility Impairments Arthritis Osteopenia & Osteoporosis Paget's Disease Orthopedic Implant Procedures Orthopedic Implant Procedure Revenues Historical Demand Patterns US Trade International Markets III. PRODUCTS General Product Overview Reconstructive Joint Replacements Knee Replacement Implants Types of Knee Replacements Cemented Versus Cementless Implants Alternative Therapies Producers Product Development Hip Replacement Implants Types of Hip Replacements Alternative Therapies Producers Shoulder Implants Shoulder Anatomy Types of Shoulder Replacements Producers Other Reconstructive Joint Replacements Elbow Replacements Ankle Implants All Other Reconstructive Joint Replacements Spinal Implants Spinal Conditions & Procedures Thoracolumbar Implants Intervertebral Spacers Non-Bone Intervertebral Spacers Machined Allograft Spacers Cervical Implants Types of Cervical Implants Producers Other Spinal Implants Motion Preservation Implants Electrical Stimulation Devices Orthobiologics Hyaluronic Acid Bone Substitutes Types & Applications Producers Bone Growth Factors Bone Cement Tissue Implants Trauma Implants Internal Trauma Fixation Devices Types of Internal Fixation Devices Competing Products Producers Craniomaxillofacial Fixation Devices Types of Craniomaxillofacial Implants Producers Implantable Trauma Stimulators IV. MARKETS General Hospitals Market Overview Market Trends Outpatient Facilities Physicians' Offices Other Markets V. INDUSTRY STRUCTURE General Market Share Competitive Strategies Mergers & Acquisitions Licensing & Related Agreements Research & Development Marketing & Distribution Manufacturing Activities Company Profiles Abbott Laboratories Altiva Corporation, see Exactech Biomet Incorporated Blackstone Medical, see Orthofix International Cook Group Incorporated DePuy Incorporated, see Johnson & Johnson DJO Incorporated Exactech Incorporated Genzyme Corporation Johnson & Johnson Kyphon Incorporated, see Medtronic Medtronic Incorporated Orthofix International NV Orthovita Incorporated Osteotech Incorporated Pioneer Surgical Technology Incorporated RTI Biologics Incorporated Smith & Nephew plc Stryker Corporation Synthes Incorporated Tutogen Medical Incorporated, see RTI Biologics Wright Medical Group Incorporated Zimmer Holdings Incorporated LIST OF TABLES SECTION I -- EXECUTIVE SUMMARY Summary Table SECTION II -- MARKET ENVIRONMENT 1 Macroeconomic Indicators 2 Population by Age Group 3 Health Insurance Coverage of the US Population, 1997-2007 4 Acute Conditions by Type 5 Chronic Conditions by Type 6 National Health Expenditures by Type & Source 7 Medical Providers by Type 8 Patient Activity by Type 9 Medical Product Demand by Group 10 Orthopedic Conditions by Type 11 Orthopedic Implant Procedures by Type 12 Orthopedic Implant Procedure Revenues 13 Orthopedic Implant Market, 1997-2007 14 US Trade in Orthopedic Implants 15 World Orthopedic Implant Demand by Region SECTION III -- PRODUCTS 1 Orthopedic Implant Demand by Product Group 2 Reconstructive Joint Replacement Demand by Product Group 3 Reconstructive Knee Replacement Demand by Type 4 Reconstructive Hip Replacement Demand by Type 5 Reconstructive Shoulder Replacement Demand by Type 6 Other Reconstructive Joint Replacement Demand by Type 7 Spinal Implant Demand by Product Group 8 Thoracolumbar Implant Demand by Application 9 Intervertebral Spacer Demand by Type 10 Cervical Implant Demand by Application 11 Other Spinal Implant Demand by Product Group 12 Orthobiologic Demand by Product Group 13 Hyaluronic Acid Demand 14 Bone Substitute Demand 15 Bone Growth Factor Demand 16 Bone Cement Demand 17 Tissue Implant Demand 18 Trauma Implant Demand by Product Group 19 Internal Trauma Fixation Device Demand by Application 20 Craniomaxillofacial Fixation Device Demand 21 Implantable Trauma Stimulator Demand SECTION IV -- MARKETS 1 Orthopedic Implant Demand by Market 2 Hospital Orthopedic Implant Demand by Product Group 3 Outpatient Market Orthopedic Implant Demand 4 Physicians' Office Orthopedic Implant Demand 5 Other Markets Orthopedic Implant Demand SECTION V -- INDUSTRY STRUCTURE 1 US Orthopedic Implant Sales by Company, 2007 2 Selected Acquisitions & Divestitures 3 Selected Cooperative Agreements LIST OF CHARTS SECTION II -- MARKET ENVIRONMENT 1 Orthopedic Conditions by Type, 2007 2 Orthopedic Implant Procedures by Type, 2007 SECTION III -- PRODUCTS 1 Orthopedic Implant Demand by Product Group, 2007 2 Reconstructive Joint Replacement Demand by Product Group, 2007 3 Spinal Implant Demand by Product Group, 2007 4 Orthobiologic Demand by Product Group, 2007 5 Trauma Implant Demand by Product Group, 2007 SECTION V -- INDUSTRY STRUCTURE 1 Orthopedic Implant Market Share, 2007
Orthobiologic products to post the strongest gains
Orthobiologics will post the best gains among all orthopedic implants. Growth factors, grafts and synthetic materials for the replacement and fortification of diseased and damaged bone are among orthobiologics expected to fare especially well in the marketplace, benefitting from new product introductions and expanding applications in the support of spinal and trauma procedures. Viscosupplementation substances, bone cement, and artificial tissue implants are also well-positioned to capture strong growth in demand.
Ongoing formulation improvements will keep bone cement a leading material used in reconstructive joint replacements and spinal implants. Viscosupplementation substances, primarily hyaluronic acid preparations, will exhibit strong growth opportunities as an alternative to reconstructive implants in the treatment of knees afflicted with mild to moderate forms of osteoarthritis. Bioengineered tissue implants will be leading materials for the repair and reconstruction of injured knees, elbows and shoulders, especially in sports medicine applications.
An anticipated increase in the number of fracture injuries attributable to demographic and lifestyle trends will stimulate demand for trauma fixation implants. The best growth prospects will emerge in anatomically shaped plating systems for complex fractures near joints and intramedullary nails for long bone fractures. Resorbable plates and screws for craniomaxillofacial procedures will also post strong gains in demand as they eliminate the need for secondary, removal surgery.
Orthopedic Implants is a new Freedonia industry study priced at $4500. It presents historical demand data (1997, 2002 and 2007) plus forecasts for 2012 and 2017 by product type and market.This study also assesses key US market environment factors, evaluates company market shares and profiles major industry competitors.
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US Orthopedic Implants Market
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