Countries covered: China
Introduction:
The Chinese orthopedic device market comprises sales of reconstructive joint implants, trauma fixation devices, spinal implants, and bone graft substitutes (BGS,) and will expand at a robust rate through 2015. Market growth will be driven primarily by the aging population-this demographic is the most susceptible to injuries and health conditions that require the use of orthopedic devices. Increasing clinical adoption of orthopedic devices will also drive the Chinese orthopedic device market through 2015. Average selling prices (ASPs) will increase slightly due to the rising penetration of premium-priced devices; however, growth potential will be limited by the high price sensitivity in China. Furthermore, economic disparities contribute to the incapability of most of the population to pay for the high costs required for these procedures. Nevertheless, the Chinese orthopedic device market will grow at a gradually increasing rate over the forecast period.
Questions Answered in This Report:
- The Chinese economy is one of the fastest-growing in the world. As the economic wealth of the average citizen in these countries grows, the affordability of expensive orthopedic surgeries will rise. How will the number of orthopedic device procedures be affected by the growing economy in China? Which of the segments will be the most impacted by the improving economy? How will this affect the market for domestic and imported devices?
- The ASP of reconstructive hip, knee, and shoulder implants will remain relatively low in China from 2009 to 2015. To what extent will economic growth and government investment impact device ASPs? What impact will innovation and the entrance of premium-priced technologies have on the Chinese reconstructive hip, knee, and shoulder implant markets as a whole?
- As of 2010, large global orthopedic device manufacturers garnered the slight majority of trauma device 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 Chinese trauma device market? What impact will the increasing presence of domestic manufacturers have on trauma device ASPs in China?
- Minimally invasive spinal fusions are growing in popularity in China. These procedures are popular because they result in less trauma and blood loss for the patient, resulting in shorter hospital stays and faster recovery times. How fast will the adoption of minimally invasive procedures be in China? How many spinal fusions will use a minimally invasive approach by 2015? How quick will lateral lumbar interbody fusion volumes grow in popularity over the forecast period?
- As the patient population continues to age and life expectancy continues to rise in China, there will be an increase in the number of people suffering from degenerative conditions, thereby augmenting the number of surgeries that require bone graft material. As accessibility to and awareness of BGS materials increase, there will be a shift away from autograft toward BGS materials in surgical procedures. What types of procedural applications will show the strongest adoption of BGS materials? What is driving the adoption of certain BGS materials over others in China?
Scope:
Regions covered: China
Procedure segmentation: Our analysis uses the following breakdown of procedures:
- Reconstructive joint implant procedures
- Hip reconstruction
- Primary total hip arthroplasty (THA)
- Partial
- Revision
- Resurfacing
- Knee reconstruction
- Primary total knee arthroplasty (TKA)
- Unicondylar
- Revision
- Shoulder reconstruction
- Trauma device procedures
- Internal fixation
- Standard locking plates and screws
- Standard nonlocking plates and screws
- Anatomic plates and screws
- Intramedullary (IM) nails
- External fixation
- Spinal implant procedures
- Traditional thoracolumbar implants
- Degenerative
- Deformity
- Tumor
- Trauma
- Stand-alone interbody device (IBD) fusions
- Traditional fixation and IBD fusions
- Traditional fixation only fusions
- Posterolateral fusions
- Minimally invasive fusions
- Traditional cervical implants
- Anterior
- Posterior
- Stand-alone IBD fusions
- Traditional fixation and IBD fusions
- Traditional fixation only fusions
- Laminoplasties
- Interbody devices
- Anterior lumbar interbody fusions
- Posterior lumbar interbody fusions
- Transforaminal lumbar interbody fusions
- Lateral lumbar interbody fusions
- Cervical interbody fusions
- Spinal nonfusion technologies
- Interspinous process decompression devices
- Pedicle screw-based dynamic stabilization devices
- Cervical artificial discs
- Lumbar artificial discs
- Vertebral compression fracture treatments
- Vertebroplasty
- Vertebral augmentation
- Bone graft procedures
- Autografts
- Synthetics
- Demineralized bone matrices
- Growth factors
- Xenografts
- Nonproprietary allografts
- BGS procedures
- Trauma surgeries
- Hip revisions
- Knee revisions
- Primary total hip replacements
- Primary total knee replacements
- Thoracolumbar fusions
- Cervical fusions
- Craniomaxillofacial surgeries
Market segmentation: Our analysis uses the following breakdown of the market:
- Reconstructive joint implant market
- Hip implants
- Primary THA (cementless, cemented, and hybrid)
- Partial
- Revision
- Resurfacing
- Knee implants
- Primary TKA (cemented, cementless, and hybrid)
- Unicondylar
- Revision
- Shoulder implants
- Trauma device market
- Internal fixation devices
- Plates and screws
- Standard locking plates and screws
- Standard nonlocking plates and screws
- Anatomic plates and screws
- IM nails
- IM hip screws
- Other IM nails
- External fixation devices
- Spinal implant market
- Traditional thoracolumbar implants
- Degenerative
- Deformity
- Tumor
- Trauma
- Traditional cervical implants
- Anterior
- Posterior
- Laminoplasty
- Interbody devices
- Anterior lumbar interbody fusion
- Posterior lumbar interbody fusion
- Transforaminal lumbar interbody fusion
- Lateral lumbar interbody fusion
- Cervical interbody fusion
- Spinal nonfusion technologies
- Interspinous process decompression devices
- Pedicle screw-based dynamic stabilization devices
- Cervical artificial discs
- Lumbar artificial discs
- Vertebral compression fracture treatments
- Vertebroplasty
- Vertebral augmentation
- BGS market
- By material
- Synthetics
- Demineralized bone matrices
- Growth factors
- Xenografts
- Nonproprietary allografts
- By application
- Trauma surgeries
- Hip revisions
- Knee revisions
- Primary total hip replacements
- Primary total knee replacements
- Thoracolumbar fusions
- Cervical fusions
- Craniomaxillofacial surgeries
Market forecast features: Based on primary research with industry professionals, we use our proprietary forecasting model to provide an in-depth examination of current and future trends in procedure volumes, unit sales, average selling prices, and market values over a 7-year period (2009-2015).
Competitive analysis: We provide a detailed analysis of the competitive landscape in the market, as well as market shares and qualitative discussions of the leading competitors in each market segment.
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- EXECUTIVE SUMMARY
- METHODOLOGY
- 1.0 ORTHOPEDIC DEVICE OVERVIEW
- 1.1 Reconstructive Joint Implant Overview
- 1.1.1 Selected Joints of the Anatomy
- 1.1.1.1 The Knee Joint
- 1.1.1.2 The Hip Joint
- 1.1.1.3 The Shoulder Joint
- 1.1.2 Reconstructive Implants
- 1.1.2.1 Reconstructive Hip Implants
- 1.1.2.2 Reconstructive Knee Implants
- 1.1.2.3 Reconstructive Shoulder Implants
- 1.2 Trauma Device Overview
- 1.2.1 Overview of Bone and Joint Anatomy
- 1.2.1.1 Bone Formation
- 1.2.1.2 Bone Disorders and Diseases
- Fractures
- Osteoporosis
- Arthritis
- 1.2.2 Treatment Options
- 1.2.2.1 Fracture Management
- 1.2.2.2 Internal Fixation
- 1.2.2.3 External Fixation
- 1.2.2.4 Bone Growth Stimulation
- 1.2.2.5 Joint Arthroplasty
- 1.3 Spinal Implant Overview
- 1.3.1 Anatomy of the Human Spine
- 1.3.1.1 Degenerative Spinal Disorders
- 1.3.1.2 Deformity Spinal Disorders
- 1.3.1.3 Tumor/Trauma Spinal Disorders
- 1.3.1.4 Treatment Options
- 1.3.2 Thoracolumbar Fusion Devices
- 1.3.2.1 Implant Design
- 1.3.2.2 Thoracolumbar Pathology
- 1.3.3 Cervical Fusion Devices
- 1.3.4 Interbody Fusion Devices
- 1.3.4.1 Implant Design
- 1.3.4.2 Implant Material
- 1.3.4.3 Surgical Approach
- 1.3.5 Spinal Nonfusion Technologies
- 1.3.5.1 Dynamic Stabilization Devices
- 1.3.5.2 Artificial Discs
- 1.4 Bone Graft Overview
- 1.4.1 Autografts
- 1.4.2 Nonproprietary Allografts
- 1.4.3 Demineralized Bone Matrices
- 1.4.4 Xenografts
- 1.4.5 Synthetics
- 1.4.6 Growth Factors
- 1.4.7 Orthopedic Stem Cell Products
- 2.0 CHINESE ORTHOPEDIC DEVICE MARKET
- 2.1 Market Overview
- 2.2 Country Overview
- 2.3 Market Analysis
- 2.3.1 Procedures
- 2.3.1.1 Reconstructive Joint Implant Procedures
- 2.3.1.2 Trauma Device Procedures
- 2.3.1.3 Spinal Implant Procedures
- 2.3.1.4 Bone Graft Substitute Procedures
- 2.3.2 Market Forecast
- 2.3.2.1 Reconstructive Joint Implant Market
- 2.3.2.2 Trauma Device Market
- 2.3.2.3 Spinal Implant Market
- 2.3.2.4 Bone Graft Substitute Market
- 2.4 Competitive Analysis
- 2.4.1 Competitive Landscape
- 2.4.2 Market Shares
- 3.0 RECONSTRUCTIVE JOINT IMPLANT MARKET
- 3.1 Market Overview
- 3.2 Market Analysis
- 3.2.1 Procedures
- 3.2.2 Market Forecast
- 3.2.2.1 Reconstructive Hip Implant Market
- Primary Total Hip Arthroplasty Implant Market
- Partial Hip Implant Market
- Revision Hip Implant Market
- Resurfacing Hip Implant Market
- 3.2.2.2 Reconstructive Knee Implant Market
- Primary Total Knee Arthroplasty Implant Market
- Revision Knee Implant Market
- Unicondylar Knee Implant Market
- 3.2.2.3 Reconstructive Shoulder Implant Market
- 3.2.2.4 Reconstructive Joint Implant Price Comparison
- 3.2.3 Market Drivers and Limiters
- 3.2.3.1 Market Drivers
- 3.2.3.2 Market Limiters
- 3.3 Competitive Analysis
- 3.3.1 Competitive Landscape
- 3.3.2 Market Shares
- 3.3.3 Competitor Discussions (in Alphabetical Order)
- 3.3.3.1 Foreign Competitors
- Biomet
- DePuy
- Smith & Nephew
- Stryker
- Zimmer
- Other Foreign Competitors
- 3.3.3.2 Domestic Competitors
- Bonovo Orthopedics
- KangHui Holdings
- Other Domestic Competitors
- 4.0 TRAUMA DEVICE MARKET
- 4.1 Market Overview
- 4.2 Market Analysis
- 4.2.1 Procedures
- 4.2.2 Market Forecast
- 4.2.2.1 Internal Fixation Device Market
- Plate and Screw Market
- Intramedullary Nail Market
- 4.2.2.2 External Fixation Device Market
- 4.2.2.3 Trauma Device Price Comparison
- 4.2.3 Market Drivers and Limiters
- 4.2.3.1 Market Drivers
- 4.2.3.2 Market Limiters
- 4.3 Competitive Analysis
- 4.3.1 Competitive Landscape
- 4.3.2 Market Shares
- 4.3.3 Competitor Discussions (in Alphabetical Order)
- 4.3.3.1 Foreign Competitors
- DePuy
- Smith & Nephew
- Stryker
- Synthes
- Orthofix
- Zimmer
- Other Foreign Competitors
- 4.3.3.2 Domestic Competitors
- KangHui Holdings
- Trauson Medical Instrument
- Weigao Orthopedic Device
- Other Domestic Competitors
- 5.0 SPINAL IMPLANT MARKET
- 5.1 Market Overview
- 5.2 Market Analysis
- 5.2.1 Procedures
- 5.2.1.1 Spinal Fusions
- 5.2.1.2 Spinal Nonfusions
- 5.2.2 Market Forecast
- 5.2.2.1 Spinal Fusion Implant Market
- 5.2.2.2 Spinal Nonfusion Technology Market
- 5.2.2.3 Vertebral Compression Fracture Treatment Market
- 5.2.3 Market Drivers and Limiters
- 5.2.3.1 Market Drivers
- 5.2.3.2 Market Limiters
- 5.3 Competitive Analysis
- 5.3.1 Competitive Landscape
- 5.3.2 Market Shares
- 5.3.3 Competitor Discussions (in Alphabetical order)
- 5.3.3.1 Foreign Competitors
- DePuy Spine
- Medtronic Spinal & Biologics
- Stryker Spine
- Synthes Spine
- Other Foreign Competitors
- 5.3.3.2 Domestic Competitors
- KangHui Holdings
- Other
- 6.0 BONE GRAFT SUBSTITUTE MARKET
- 6.1 Market Overview
- 6.2 Market Analysis
- 6.2.1 Procedures
- 6.2.1.1 Bone Graft Procedures by Material
- 6.2.1.2 Bone Graft Procedures by Application
- 6.2.2 Market Forecast
- 6.2.3 Market Drivers and Limiters
- 6.2.3.1 Market Drivers
- 6.2.3.2 Market Limiters
- 6.3 Competitive Analysis
- 6.3.1 Competitive Landscape
- 6.3.2 Market Shares
- 6.3.3 Competitor Discussions (in Alphabetical Order)
- Biomet
- DePuy
- Medtronic Spinal & Biologics
- Stryker
- Synthes
- Other
- APPENDIX A: MRG ACRONYMS AND INITIALISMS
- APPENDIX B: SUPPLEMENTAL FIGURES
- LIST OF FIGURES AND TABLES
- EXECUTIVE SUMMARY
- Figure 1: Orthopedic Device Market, by Segment, China (US$), 2009-2015
- Figure 2: Reconstructive Joint Implant Market, by Segment, China (US$), 2009-2015
- Figure 3: Trauma Device Market, by Segment, China (US$), 2009-2015
- Figure 4: Spinal Nonfusion Technology Market, China (US$), 2009-2015
- Figure 5: BGS Market, by Material, as a % of Total, China, 2010 and 2015
- Table 1: Companies Mentioned in This Report
- METHODOLOGY
- Table 2: Average Currency Exchange Rates, 2010
- 1.0 ORTHOPEDIC DEVICE OVERVIEW
- Table 3: Common Types of Bone Fractures
- Table 4: Roles of the Spinal Column
- Table 5: Instrumented Spinal Fusion Procedure Classification
- Table 6: Thoracolumbar Fusion Device Classification
- Table 7: Select Thoracolumbar Pedicle Screw Systems, by Company, China, 2009
- Table 8: Select Thoracolumbar Anterior Plating Systems, by Company, China, 2009
- Table 9: Cervical Fusion Device Classification
- Table 10: Select Anterior Cervical Fixation Systems, by Company and Design, China, 2009
- Table 11: Select Posterior Cervical Fixation Systems, by Company and Design, China, 2009
- Table 12: IBD Classification
- Table 13: Select Nonbone IBDs, by Company and Surgical Approach, China, 2009
- Table 14: Characteristics of Bone Graft Materials
- Table 15: Advantages and Disadvantages of Various Bone Graft Materials
- Table 16: Select Synthetic BGS Materials
- 2.0 CHINESE ORTHOPEDIC DEVICE MARKET
- Figure 6: Orthopedic Device Market, China (US$), 2009-2015
- Table 17: Key Health and Economic Indicators, China, 2010
- Table 18: Orthopedic Device Procedures, by Type, China, 2009-2015
- Table 19: Chinese Orthopedic Device Market, by Segment, China (US$ and CNY), 2009-2015
- Table 20: Leading Competitors in the Orthopedic Device Market, as a % of Total, China, 2010
- 3.0 RECONSTRUCTIVE JOINT IMPLANT MARKET
- Figure 7: Reconstructive Joint Implant Market, China (US$), 2009-2015
- Table 21: Reconstructive Joint Implant Procedures, by Segment, China, 2009-2015
- Table 22: Reconstructive Joint Implant Market, by Segment, China (US$ and CNY), 2009-2015
- Table 23: Reconstructive Hip Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 24: Reconstructive Hip Implant Market Growth, by Type, China, 2010-2015
- Table 25: Reconstructive Hip Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 26: Primary THA Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 27: Primary THA Implant Market Growth, by Type, China, 2010-2015
- Table 28: Primary THA Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 29: Reconstructive Knee Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 30: Reconstructive Knee Implant Market Growth, by Type, China, 2010-2015
- Table 31: Reconstructive Knee Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 32: Primary TKA Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 33: Primary TKA Implant Market Growth, by Type, China, 2010-2015
- Table 34: Primary TKA Implant Market, by Type, as a % of Total, China, 2009-2015
- Table 35: Reconstructive Shoulder Implant Market, by Type, China (US$ and CNY), 2009-2015
- Table 36: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, China (US$), 2009-2015
- Table 37: Reconstructive Joint Implant ASPs, by Manufacturer and Device Type, China (CNY), 2009- 2015
- Table 38: Reconstructive Joint Implant ASP Growth, by Manufacturer and Device Type, China, 2010- 2015
- Table 39: Drivers and Limiters of the Reconstructive Joint Implant Market, China
- Table 40: Leading Competitors in the Reconstructive Joint Implant Market, as a % of Total, China, 2010
- 4.0 TRAUMA DEVICE MARKET
- Figure 8: Trauma Device Market, China (US$), 2009-2015
- Table 41: Trauma Device Procedures, by Segment, China, 2009-2015
- Table 42: Internal Fixation Units, by Segment, China, 2009-2015
- Table 43: Trauma Device Market, by Segment, China (US$ and CNY), 2009-2015
- Table 44: Internal Fixation Device Market, by Type, China (US$ and CNY), 2009-2015
- Table 45: Plate and Screw Market, by Type, China (US$ and CNY), 2009-2015
- Table 46: Plate and Screw Market Growth, by Type, China, 2010-2015
- Table 47: Plate and Screw Market, by Type, as a % of Total, China, 2009-2015
- Table 48: IM Nail Market, by Type, China (US$ and CNY), 2009-2015
- Table 49: IM Nail Market Growth, by Type, China, 2010-2015
- Table 50: IM Nail Market, by Type, as a % of Total, China, 2009-2015
- Table 51: External Fixation Device Market, China (US$ and CNY), 2009-2015
- Table 52: Trauma Device ASPs, by Manufacturer and Device Type, China (US$), 2009-2015
- Table 53: Trauma Device ASPs, by Manufacturer and Device Type, China (CNY), 2009-2015
- Table 54: Trauma Device ASP Growth, by Manufacturer and Device Type, China, 2010-2015
- Table 55: Drivers and Limiters of the Trauma Device Market, China
- Table 56: Leading Competitors in the Trauma Device Market, by Segment, as a % of Total, China, 2010
- 5.0 SPINAL IMPLANT MARKET
- Figure 9: Spinal Implant Procedure Growth, by Segment, China, 2010-2015
- Table 57: Spinal Implant Procedures, by Segment, China, 2009-2015
- Table 58: Thoracolumbar Spinal Implant Procedures, by Segment, China, 2009-2015
- Table 59: Cervical Spinal Implant Procedures, by Segment, China, 2009-2015
- Table 60: Thoracolumbar Fusions, by Instrumentation, China, 2009-2015
- Table 61: Thoracolumbar Fusions, by Procedure Type, China, 2009-2015
- Table 62: Thoracolumbar Fusions, by Pathology, China, 2009-2015
- Table 63: Cervical Fusions, by Instrumentation, China, 2009-2015
- Table 64: Traditional Cervical Fusions, by Approach, China, 2009-2015
- Table 65: IBD Fusions, by Region of the Spine, China, 2009-2015
- Table 66: IBD Fusions, by Approach, China, 2009-2015
- Table 67: Spinal Nonfusions, by Segment, China, 2009-2015
- Table 68: Spinal Implant Market, by Segment, China (US$ and CNY), 2009-2015
- Table 69: Spinal Implant and Other Spine Markets, by Segment, China (US$ and CNY), 2009-2015
- Table 70: Traditional Thoracolumbar Implant Market, by Pathology, China (US$), 2009-2015
- Table 71: Traditional Thoracolumbar Implant Market, by Pathology, China (CNY), 2009-2015
- Table 72: Traditional Thoracolumbar Implant Market Growth, by Pathology, China, 2010-2015
- Table 73: Traditional Cervical Implant Market, by Approach, China (US$), 2009-2015
- Table 74: Traditional Cervical Implant Market, by Approach, China (CNY), 2009-2015
- Table 75: Traditional Cervical Implant Market Growth, by Approach, China, 2010-2015
- Table 76: Laminoplasty Device Market, China (US$ and CNY), 2009-2015
- Table 77: IBD Market, by Approach, China (US$), 2009-2015
- Table 78: IBD Market, by Approach, China (CNY), 2009-2015
- Table 79: IBD Market Growth, by Approach, China, 2010-2015
- Table 80: ASP of Spinal Fusion Implants, by Type and Instrumentation, China (CNY), 2010 and 2015
- Table 81: Spinal Nonfusion Technology Market, by Segment, China (US$), 2009-2015
- Table 82: Spinal Nonfusion Technology Market, by Segment, China (CNY), 2009-2015
- Table 83: Dynamic Stabilization Device Market, by Segment, China (US$), 2009-2015
- Table 84: Dynamic Stabilization Device Market, by Segment, China (CNY), 2009-2015
- Table 85: Dynamic Stabilization Device Market Growth, by Segment, China, 2010-2015
- Table 86: Dynamic Stabilization Device Market, as a % of Total, China, 2009-2015
- Table 87: Artificial Disc Market, by Segment, China (US$), 2009-2015
- Table 88: Artificial Disc Market, by Segment, China (CNY), 2009-2015
- Table 89: Artificial Disc Market Growth, by Segment, China, 2010-2015
- Table 90: Artificial Disc Market, by Segment, as a % of Total, China, 2009-2015
- Table 91: Vertebral Compression Fracture Treatment Market, by Segment, China (US$), 2009-2015
- Table 92: Vertebral Compression Fracture Treatment Market, by Segment, China (CNY), 2009-2015
- Table 93: Vertebral Compression Fracture Treatment Market Growth, by Segment, China, 2010-2015
- Table 94: Vertebral Compression Fracture Treatment Market, by Segment, as a % of Total, China, 2009- 2015
- Table 95: Drivers and Limiters of the Spinal Implant Market, China
- Table 96: Leading Competitors in the Spinal Implant Market, as a % of Total, China, 2010
- 6.0 BONE GRAFT SUBSTITUTE MARKET
- Figure 10: BGS Market, China (US $), 2010-2015
- Table 97: Average Volume of Bone Graft Used per Procedure, by Application, China, 2010
- Table 98: Bone Graft Procedures, by Material, China, 2009-2015
- Table 99: BGS Procedures, by Application, China, 2009-2015
- Table 100: BGS Market, by Material, China (US$ and CNY), 2009-2015
- Table 101: BGS ASPs, by Application, China (US$ and CNY), 2009-2015
- Table 102: BGS Market, by Application, China (US$ and CNY), 2009-2015
- Table 103: Drivers and Limiters of the BGS Market, China
- Table 104: Leading Competitors in the BGS Market, China, as a % of Total, 2010
- APPENDIX A: MRG ACRONYMS AND INITIALISMS
- MRG Acronyms and Initialisms
- APPENDIX B: SUPPLEMENTAL FIGURES
- Figure 11: Orthopedic Device Market, by Segment, China (US$), 2009-2015 (Detailed Format)
- Figure 12: Reconstructive Joint Implant Market, by Segment, China (US$), 2009-2015 (Detailed Format)
- Figure 13: Trauma Device Market, by Segment, China (US$), 2009-2015 (Detailed Format)
- Figure 14: Spinal Nonfusion Technology Market, China (US$), 2009-2015 (Detailed Format)
- Figure 15: BGS Market, by Material, as a % of Total, China, 2010 and 2015 (Detailed Format)
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