Brazilian, Indian, and Chinese Markets for Reconstructive Joint Implants 2011
Millennium Research Group
December 14, 2010 SKU: MIL6655575
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Countries covered: China, India, Brazil
Introduction:
The market for reconstructive implants in Brazil, India, and China (BIC) has exhibited steady double-digit growth for many years. Revenue increases in this market will continue to be driven by significant procedural increases in all three countries. Procedure volumes will in turn be driven by a number of factors, including the expanding elderly and obese populations that will spur a rise in osteoarthritis cases, economic growth, physician training in joint reconstruction, and medical tourism. Although the economies are rapidly developing in the BIC region, poverty is still widespread; therefore, some people who lack insurance and pay out-of-pocket for medical care will not be able to afford treatment. Because universal health care coverage exists in Brazil and is under development in China, this trend will be most prominent in India. Furthermore, conservative treatment options, such as yoga and ayurvedic treatments, will continue to be used in many cases before more invasive reconstructive implant surgery is considered. Improving health care infrastructure and the expanding private health care sector will, however, offset some of these limiting factors, allowing for a strong increase in reconstructive joint implant procedures. Unit sales growth will offset pricing pressures caused by sales of low-cost domestic implants and price competition, enabling revenues in the BIC reconstructive joint implant market to expand steadily through 2015.
Questions Answered in This Report:
- Procedure volume growth is significantly higher in the BIC countries compared to the US or Europe and is the primary factor in BIC reconstructive joint implant market expansion. How does the rate of procedure volume growth compare between the BIC countries? Is the pace of growth expected to remain constant over time? What factors are leading to this rapid growth? Which market segments are most impacted by these factors?
- The average selling price (ASP) of hip, knee, and shoulder implants will remain relatively low in the BIC countries from 2009 to 2015. To what extent will economic growth and broadening insurance coverage impact device ASPs? What impact will innovation and the entrance of premium-priced technologies have on the BIC reconstructive hip, knee, and shoulder implant markets as a whole?
- As of 2010, large global orthopedic device manufacturers garnered the majority of BIC reconstructive joint implant revenues; however, domestic manufacturers are increasingly penetrating the market. What strategies are large global orthopedic device manufacturers employing to gain a deeper foothold in the BIC reconstructive joint implant markets? What impact will the increasing presence of domestic manufacturers have on BIC reconstructive joint implant ASPs?
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- EXECUTIVE SUMMARY
- METHODOLOGY
- 1.0 RECONSTRUCTIVE JOINT IMPLANT OVERVIEW
- 1.1 Overview of Bone and Joint Anatomy
- 1.1.1 Bone Formation
- 1.1.2 Bone Disorders and Diseases
- 1.1.2.1 Fractures
- 1.1.2.2 Osteoporosis
- 1.1.2.3 Arthritis
- 1.2 Treatment Options
- 1.2.1 Fracture Management
- 1.2.2 Internal Fixation
- 1.2.3 External Fixation
- 1.2.4 Bone Growth Stimulation
- 1.2.5 Joint Arthroplasty
- 1.3 Selected Joints of the Anatomy
- 1.3.1 The Knee Joint
- 1.3.2 The Hip Joint
- 1.3.3 The Shoulder Joint
- 1.4 Reconstructive Implants
- 1.4.1 Reconstructive Hip Implants
- 1.4.1.1 Primary Hip Implants
- 1.4.1.2 Revision Hip Implants
- 1.4.1.3 Partial Hip Implants
- 1.4.1.4 Resurfacing Hip Implants
- 1.4.2 Reconstructive Knee Implants
- 1.4.2.1 Primary Total Knee Implants
- 1.4.2.2 Revision Knee Implants
- 1.4.2.3 Unicondylar Knee Implants
- 1.4.3 Reconstructive Shoulder Implants
- 1.4.3.1 Total Primary Shoulder Reconstructive Implants
- 1.4.3.2 Reverse Shoulder Reconstructive Implants
- 1.4.3.3 Partial Shoulder Reconstructive Implants
- 1.4.3.4 Resurfacing Shoulder Reconstructive Implants
- 1.4.3.5 Fracture Stem Shoulder Reconstructive Implants
- 1.4.3.6 Revision Shoulder Reconstructive Implants
- 2.0 BRAZILIAN, INDIAN, AND CHINESE RECONSTRUCTIVE JOINT IMPLANT MARKET
- 2.1 Market Overview
- 2.2 Market Analysis
- 2.2.1 Key Report Updates
- 2.2.2 Procedures
- 2.2.2.1 Reconstructive Hip Implant Procedures
- 2.2.2.2 Reconstructive Knee Implant Procedures
- 2.2.2.3 Reconstructive Shoulder Implant Procedures
- 2.2.3 Market Forecast
- 2.2.4 Market Drivers and Limiters
- 2.2.4.1 Market Drivers
- 2.2.4.2 Market Limiters
- 2.3 Competitive Analysis
- 2.3.1 Competitive Landscape
- 2.3.2 Market Shares
- 2.3.3 Competitor Discussions (in Alphabetical Order)
- 2.3.3.1 International Competitors
- B. Braun Aesculap
- Biomet
- DePuy
- Smith & Nephew
- Stryker
- Zimmer
- Other
- 2.3.3.2 Local Competitors
- Brazilian Competitors
- Baumer
- Biomecanica
- MDT
- Ortosintese
- Other
- Indian Competitors
- INOR Orthopaedics
- Other
- Chinese Competitors
- Bonovo Orthopedics
- KangHui Holdings
- Other
- 3.0 BRAZILIAN RECONSTRUCTIVE JOINT IMPLANT MARKET
- 3.1 Market Overview
- 3.2 Country Overview
- 3.3 Market Analysis
- 3.3.1 Procedures
- 3.3.2 Market Forecast
- 3.3.2.1 Reconstructive Hip Implant Market
- Primary Total Hip Arthroplasty Implant Market
- Partial Hip Implant Market
- Revision Hip Implant Market
- Resurfacing Hip Implant Market
- 3.3.2.2 Reconstructive Knee Implant Market
- Primary Total Knee Arthroplasty Implant Market
- Revision Knee Implant Market
- Unicondylar Knee Implant Market
- 3.3.2.3 Reconstructive Shoulder Implant Market
- 3.3.2.4 Reconstructive Joint Implant Price Comparison
- 3.3.3 Market Drivers and Limiters
- 3.4 Competitive Analysis
- 3.4.1 Competitive Landscape
- 3.4.2 Market Shares
- 4.0 INDIAN RECONSTRUCTIVE JOINT IMPLANT MARKET
- 4.1 Market Overview
- 4.2 Country Overview
- 4.3 Market Analysis
- 4.3.1 Procedures
- 4.3.2 Market Forecast
- 4.3.2.1 Reconstructive Hip Implant Market
- Primary Total Hip Arthroplasty Implant Market
- Partial Hip Implant Market
- Revision Hip Implant Market
- Hip Resurfacing Implant Market
- 4.3.2.2 Reconstructive Knee Implant Market
- Primary Total Knee Arthroplasty Implant Market
- Revision Knee Implant Market
- Unicondylar Knee Implant Market
- 4.3.2.3 Reconstructive Shoulder Implant Market
- 4.3.2.4 Reconstructive Joint Implant Price Comparison
- 4.3.3 Market Drivers and Limiters
- 4.4 Competitive Analysis
- 4.4.1 Competitive Landscape
- 4.4.2 Market Shares
- 5.0 CHINESE RECONSTRUCTIVE JOINT IMPLANT MARKET
- 5.1 Market Overview
- 5.2 Country Overview
- 5.3 Market Analysis
- 5.3.1 Procedures
- 5.3.2 Market Forecast
- 5.3.2.1 Reconstructive Hip Implant Market
- Primary Total Hip Arthroplasty Implant Market
- Partial Hip Implant Market
- Revision Hip Implant Market
- Resurfacing Hip Implant Market
- 5.3.2.2 Reconstructive Knee Implant Market
- Primary Total Knee Arthroplasty Implant Market
- Revision Knee Implant Market
- Unicondylar Knee Implant Market
- 5.3.2.3 Reconstructive Shoulder Implant Market
- 5.3.2.4 Reconstructive Joint Implant Price Comparison
- 5.3.3 Market Drivers and Limiters
- 5.4 Competitive Analysis
- 5.4.1 Competitive Landscape
- 5.4.2 Market Shares
- APPENDIX A: MRG ACRONYMS AND INITIALISMS
- APPENDIX B: SUPPLEMENTAL FIGURES
- LIST OF FIGURES AND TABLES
- EXECUTIVE SUMMARY
- Figure 1: Reconstructive Joint Implant Market, by Country, BIC (US$), 2009-2015
- Figure 2: Reconstructive Joint Implant Market, by Segment, Brazil (US$), 2009-2015
- Figure 3: Reconstructive Joint Implant Market Growth, by Segment, India, 2010-2015
- Figure 4: Reconstructive Joint Implant Market, by Segment, China (US$), 2009-2015
- Table 1: Companies Mentioned in This Report
- METHODOLOGY
- Table 2: Average Currency Exchange Rates, 2010
- 1.0 RECONSTRUCTIVE JOINT IMPLANT OVERVIEW
- Table 3: Common Types of Bone Fractures
- 2.0 BRAZILIAN, INDIAN, AND CHINESE RECONSTRUCTIVE JOINT IMPLANT MARKET
- Figure 5: Reconstructive Joint Implant Market, by Country, BIC (US$), 2009-2015
- Table 4: Key Report Updates, 2011
- Table 5: Reconstructive Joint Implant Procedures, by Country, BIC, 2009-2015
- Table 6: Reconstructive Joint Implant Procedure Growth, by Country, BIC, 2009-2015
- Table 7: Reconstructive Joint Implant Market, by Country, BIC (US$), 2009-2015
- Table 8: Drivers and Limiters of the Reconstructive Joint Implant Market, BIC
- Figure 6: Leading Competitors in the Reconstructive Joint Implant Market, as a % of Total, BIC, 2010
- Table 9: Leading Competitors in the Reconstructive Joint Implant Market, by Country, as a % of Total, BIC, 2010
- 3.0 BRAZILIAN RECONSTRUCTIVE JOINT IMPLANT MARKET
- Figure 7: Reconstructive Joint Implant Market, Brazil (US$), 2009-2015
- Table 10: Key Health and Economic Indicators, Brazil, 2010
- Table 11: Reconstructive Joint Implant Procedures, by Segment, Brazil, 2009-2015
- Table 12: Reconstructive Joint Implant Market, by Segment, Brazil (US$ and R$), 2009-2015
- Table 13: Reconstructive Hip Implant Market, by Type, Brazil (US$ and R$), 2009-2015
- Table 14: Reconstructive Hip Implant Market Growth, by Type, Brazil, 2010-2015
- Table 15: Reconstructive Hip Implant Market, by Type, as a % of Total, Brazil, 2009-2015
- Table 16: Primary THA Implant Market, by Type, Brazil (US$ and R$), 2009-2015
- Table 17: Primary THA Implant Market Growth, by Type, Brazil, 2010-2015
- Table 18: Primary THA Implant Market, by Type, as a % of Total, Brazil, 2009-2015
- Table 19: Reconstructive Knee Implant Market, by Type, Brazil (US$ and R$), 2009-2015
- Table 20: Reconstructive Knee Implant Market Growth, by Type, Brazil, 2010-2015
- Table 21: Reconstructive Knee Implant Market, by Type, as a % of Total, Brazil, 2009-2015
- Table 22: Primary TKA Implant Market, by Type, Brazil (US$ and R$), 2009-2015
- Table 23: Primary TKA Implant Market Growth, by Type, Brazil, 2010-2015
- Table 24: Primary TKA Implant Market, by Type, as a % of Total, Brazil, 2009-2015
- Table 25: Reconstructive Shoulder Implant Market, by Type, Brazil (US$ and R$), 2009-2015
- Table 26: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, Brazil (US$), 2009-2015
- Table 27: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, Brazil (R$), 2009-2015
- Table 28: Reconstructive Joint Implant ASP Growth, by Manufacturer and Device Type, Brazil, 2010- 2015
- Table 29: Drivers of the Reconstructive Joint Implant Market, Brazil
- Table 30: Limiters of the Reconstructive Joint Implant Market, Brazil
- Table 31: Leading Competitors in the Reconstructive Joint Implant Market, by Segment, as a % of Total, Brazil, 2010
- 4.0 INDIAN RECONSTRUCTIVE JOINT IMPLANT MARKET
- Figure 8: Reconstructive Joint Implant Market, India (US$), 2009-2015
- Table 32: Key Health and Economic Indicators, India, 2010
- Table 33: Reconstructive Joint Implant Procedures, by Segment, India, 2009-2015
- Table 34: Reconstructive Joint Implant Market, by Segment, India (US$ and INR), 2009-2015
- Table 35: Reconstructive Hip Implant Market, by Type, India (US$ and INR), 2009-2015
- Table 36: Reconstructive Hip Implant Market Growth, by Type, India, 2010-2015
- Table 37: Reconstructive Hip Implant Market, by Type, as a % of Total, India, 2009-2015
- Table 38: Primary THA Implant Market, by Type, India (US$ and INR), 2009-2015
- Table 39: Primary THA Implant Market Growth, by Type, India, 2010-2015
- Table 40: Primary THA Implant Market, by Type, as a % of Total, India, 2009-2015
- Table 41: Reconstructive Knee Implant Market, by Type, India (US$ and INR), 2009-2015
- Table 42: Reconstructive Knee Implant Market Growth, by Type, India, 2010-2015
- Table 43: Reconstructive Knee Implant Market, by Type, as a % of Total, India, 2009-2015
- Table 44: Primary TKA Implant Market, by Type, India (US$ and INR), 2009-2015
- Table 45: Primary TKA Implant Market Growth, by Type, India, 2010-2015
- Table 46: Primary TKA Implant Market, by Type, as a % of Total, India, 2009-2015
- Table 47: Reconstructive Shoulder Implant Market, India (US$ and INR), 2009-2015
- Table 48: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, India (US$), 2009-2015
- Table 49: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, India (INR), 2009-2015
- Table 50: Reconstructive Joint Implant ASP Growth, by Manufacturer and Device Type, India, 2010- 2015
- Table 51: Drivers of the Reconstructive Joint Implant Market, India
- Table 52: Limiters of the Reconstructive Joint Implant Market, India
- Table 53: Leading Competitors in the Reconstructive Joint Implant Market, by Segment, as a % of Total, India, 2010
- 5.0 CHINESE RECONSTRUCTIVE JOINT IMPLANT MARKET
- Figure 9: Reconstructive Joint Implant Market, China (US$), 2009-2015
- Table 54: Key Health and Economic Indicators, China, 2010
- Table 55: Reconstructive Joint Implant Procedures, by Segment, China, 2009-2015
- Table 56: Reconstructive Joint Implant Market, by Segment, China (US$ and CNY), 2009-2015
- Table 57: Reconstructive Hip Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 58: Reconstructive Hip Implant Market Growth, by Type, China, 2010-2015
- Table 59: Reconstructive Hip Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 60: Primary THA Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 61: Primary THA Implant Market Growth, by Type, China, 2010-2015
- Table 62: Primary THA Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 63: Reconstructive Knee Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 64: Reconstructive Knee Implant Market Growth, by Type, China, 2010-2015
- Table 65: Reconstructive Knee Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 66: Primary TKA Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 67: Primary TKA Implant Market Growth, by Type, China, 2010-2015
- Table 68: Primary TKA Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 69: Reconstructive Shoulder Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 70: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, China (US$), 2009-2015
- Table 71: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, China (CNY), 2009- 2015
- Table 72: Reconstructive Joint Implant ASP Growth, by Manufacturer and Device Type, China, 2010- 2015
- Table 73: Drivers of the Reconstructive Joint Implant Market, China
- Table 74: Limiters of the Reconstructive Joint Implant Market, China
- Table 75: Leading Competitors in the Reconstructive Joint Implant Market, as a % of Total, China, 2010
- APPENDIX A: MRG ACRONYMS AND INITIALISMS
- MRG Acronyms and Initialisms
- APPENDIX B: SUPPLEMENTAL FIGURES
- Figure 10: Reconstructive Joint Implant Market, by Country, BIC (US$), 2009-2015 (Detailed Format)
- Figure 11: Reconstructive Joint Implant Market, by Segment, Brazil (US$), 2009-2015 (Detailed Format)
- Figure 12: Reconstructive Joint Implant Market Growth, by Segment, India, 2010-2015 (Detailed Format)
- Figure 13: Reconstructive Joint Implant Market, by Segment, China (US$), 2009-2015 (Detailed Format)
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