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Published by: Medtech Insight
Published: Dec. 1, 2007 - 317 Pages
Table of Contents
- EXECUTIVE SUMMARY
- i. Clinical Overview
- ii. Joint Replacement Products Market
- iii. Fracture Fixation Products Market
- iv. Allografts, Bone Morphogenetic Proteins, and Synthetic Bone Substitutes Products Market
- v. Bone Growth Stimulation Products Market
- vi. Arthroscopy Products Market
- vii. Combined Market Forecast
- viii. Methodology
- Exhibit ES-1: Joint Replacement Products, Combined Market Forecast, 2006-2012
- Exhibit ES-2: Fracture Fixation Products, Market Forecast, 2006-2012
- Exhibit ES-3: Allograft, Bone Morphogenetic Protein, and Synthetic Bone Substitute Products, Combined Market Forecast, 2006-2012
- Exhibit ES-4: Bone Growth Stimulation Products for Fracture Repair and Spinal Fusion, Combined Market Forecast, 2006-2012
- Exhibit ES-5: Arthroscopy Products, Combined Market Forecast, 2006-2012
- Exhibit ES-6: Orthopedic Implant, Reconstruction, and Trauma Products, Combined Market Forecast, 2006-2012
- 1. CLINICAL OVERVIEW OF BONES AND JOINTS
- 1.1 Bone Structure and Function
- 1.1.1 Cellular Framework
- 1.1.1.1 Osteoblasts
- 1.1.1.2 Osteogenesis
- 1.1.1.3 Osteocytes
- 1.1.1.4 Osteoclasts
- 1.1.2 Collagen
- 1.1.3 Bone Marrow
- 1.2 Ligaments and Tendons
- 1.3 Joint Structure and Function
- 1.3.1 Knee
- 1.3.2 Hip
- 1.3.3 Shoulder
- 1.3.4 Spine
- Exhibit 1-1: Anatomy of Bone
- Exhibit 1-2: Structure of Bone
- Exhibit 1-3: Structure of Hydroxyapatite
- Exhibit 1-4: Structure of Collagen
- Exhibit 1-5: Anatomy of the Knee
- Exhibit 1-6: Anatomy of the Hip
- Exhibit 1-7: Anatomy of the Shoulder: The Rotator Cuff
- Exhibit 1-8: Anatomy of the Shoulder: The Glenoid Cavity
- Exhibit 1-9: Anatomy of the Spine
- 2. JOINT REPLACEMENT PRODUCTS MARKET
- 2.1 Hip Implants
- 2.1.1 Implant Procedure Types
- 2.1.1.1 Hip Arthroscopy
- 2.1.1.2 Hip Arthroplasty
- 2.1.1.2.1 Primary Hip Arthroplasty
- 2.1.1.2.2 Revision Hip Arthroplasty
- 2.1.1.2.3 Minimally Invasive Hip Arthroplasty
- 2.1.1.2.4 Hip Arthroplasty Navigation Systems
- 2.1.2 Hip Implant Designs and Materials
- 2.1.2.1 Modular versus Nonmodular
- 2.1.2.2 Cemented versus Cementless
- 2.1.2.3 Bearing Surfaces
- 2.1.2.3.1 Metal-on-Polyethylene
- 2.1.2.3.2 Ceramic-on-Ceramic
- 2.1.2.3.3 Metal-on-Metal
- 2.1.2.3.4 Bipolar Implants
- 2.2.2.3.5 Gender-Specific Hip Implants
- 2.1.3 Products
- 2.1.4 Market Analysis
- 2.1.4.1 Influence of Medicare and Third-Party Payers
- 2.1.4.2 Reimbursement and Pricing Trends
- 2.1.4.3 Gainsharing
- 2.1.4.4 Market Forecast
- 2.1.5 Competitive Analysis
- 2.2 Knee Implants
- 2.2.1 Treatment Options
- 2.2.1.1 Knee Arthroplasty
- 2.2.1.2 Minimally Invasive Procedures
- 2.2.2 Knee Implant Designs and Materials
- 2.2.2.1 Fixed Bearing
- 2.2.2.2 Mobile Bearing
- 2.2.2.3 Medial Pivot
- 2.2.2.4 Partial Knee
- 2.2.2.5 Gender-Specific Knee Implants
- 2.2.3 Products
- 2.2.4 Market Analysis
- 2.2.5 Competitive Analysis
- 2.3 Shoulder Implants
- 2.3.1 Products
- 2.3.2 Market Analysis
- 2.3.3 Competitive Analysis
- 2.4 Small Joint Implants
- 2.4.1 Products
- 2.4.2 Market Analysis
- 2.4.3 Competitive Analysis
- 2.5 Combined Joint Replacement Products Market, Competitive Analysis
- Exhibit 2-1: Total Joint Arthroplasty, Procedure Volumes Forecast, 2006-2012
- Exhibit 2-2: Joint Replacement Products, Combined Market Forecast, 2006-2012
- Exhibit 2-3: Normal Hip and Arthritic Hip
- Exhibit 2-4: Steps Involved in a Total Hip Arthroplasty Procedure
- Exhibit 2-5: Hip Implants, Standard versus Modular Components
- Exhibit 2-6: Hip Implants, Cemented versus Cementless
- Exhibit 2-7: Hip Implant Head/Acetabular Component Combinations and Volumetric Wear Rates
- Exhibit 2-8: Differences in Femoral Head Geometry in Men and Women
- Exhibit 2-9: Selected Hip Implant Products, Primary Stems
- Exhibit 2-10: 2007, Selected Hip Implant Products, Primary Stems
- Exhibit 2-11: Selected Hip Implant Products, Primary Acetabular Components
- Exhibit 2-12: 2007, Selected Hip Implant Products, Primary Acetabular Components
- Exhibit 2-13: Selected Hip Implant Products, Revision Stems
- Exhibit 2-14: 2007, Selected Hip Implant Products, Revision Stems
- Exhibit 2-15: Selected Hip Implant Products, Revision Acetabular Components
- Exhibit 2-16: 2007, Selected Hip Implant Products, Revision Acetabular Components
- Exhibit 2-17: Selected Hip Implant Products, Femoral Heads
- Exhibit 2-18: 2007, Selected Hip Implant Products, Femoral Heads
- Exhibit 2-19: 2004, Reimbursement for Total Joint Arthroplasty Procedures, by Patient Age Group
- Exhibit 2-20: 2004, Reimbursement for Total Joint Arthroplasty Procedures, by Provider Type
- Exhibit 2-21: Gainsharing Example—Hospital, Physician, and Device Company Revenues, Medicare Diagnosis Related Group 209
- Exhibit 2-22: Trends in Physician Reimbursement and Device Company Sales Commissions for Hip Implants, 1992-2003
- Exhibit 2-23: Primary Hip Implants, Market Forecast, 2006-2012
- Exhibit 2-24: Total Hip Arthroplasty Procedures, Historical and Projected, 1995-2012
- Exhibit 2-25: Revision Hip Implants, Market Forecast, 2006-2012
- Exhibit 2-26: 2006, Hip Implants Market, Share by Supplier
- Exhibit 2-27: Basic Knee Function
- Exhibit 2-28: Knee Implants
- Exhibit 2-29: Quadriceps-Sparing Minimally Invasive Knee Procedure
- Exhibit 2-30: Gender-Based Differences in Knee Implant Designs
- Exhibit 2-31: Selected Knee Implants
- Exhibit 2-32: 2007, Selected Knee Implant Products
- Exhibit 2-33: Primary Knee Implants, Market Forecast, 2006-2012
- Exhibit 2-34: Revision Knee Arthroplasty Implants, Market Forecast, 2006-2012
- Exhibit 2-35: 2006, Knee Implants Market, Share by Supplier
- Exhibit 2-36: Shoulder Anatomy, Shoulder Replacement Device
- Exhibit 2-37: 2007, Selected Shoulder Implant Products
- Exhibit 2-38: Shoulder Implants, Market Forecast, 2006-2012
- Exhibit 2-39: 2006, Shoulder Implants Market, Share by Supplier
- Exhibit 2-40: Selected Small Joint Implants
- Exhibit 2-41: 2007, Selected Small Joint Implant Products
- Exhibit 2-42: Small Joint Implants, Market Forecast, 2006-2012
- Exhibit 2-43: 2006, Small Joint Implants Market, Share by Supplier
- Exhibit 2-44: 2006, Joint Replacement Products Market, Share by Supplier
- 3. FRACTURE FIXATION PRODUCTS MARKET
- 3.1 Fracture Etiology
- 3.2 Long Bone Fracture Fixation
- 3.2.1 Humerus
- 3.2.2 Radius and Ulna
- 3.2.3 Femur
- 3.2.4 Tibia/Fibula
- 3.3 Fracture Break Patterns
- 3.4 Growth Plate Fractures
- 3.5 Fracture Healing Mechanisms
- 3.6 Fracture Repair Procedures
- 3.6.1 Dynamic Fixation
- 3.6.2 Static Fixation
- 3.7 External Fixation
- 3.7.1 Device Types
- 3.7.1.1 Soft Goods
- 3.7.1.2 External Frames
- 3.7.2 Products
- 3.7.3 Market Analysis
- 3.8 Internal Fixation
- 3.8.1 Device Types
- 3.8.1.1 Plates and Screws
- 3.8.1.1.1 Products
- 3.8.1.1.2 Market Analysis
- 3.8.1.2 Intramedullary Nails/Rods
- 3.8.1.2.1 Products
- 3.8.1.2.2 Market Analysis
- 3.8.1.3 Hip Screws
- 3.8.1.3.1 Products
- 3.8.1.3.2 Market Analysis
- 3.8.1.4 Miscellaneous Long Bone Internal Fixation Devices
- 3.9 Small Bone Fixation
- 3.9.1 Products
- 3.9.2 Market Analysis
- 3.10 Fracture Fixation Products, Combined Market Forecast
- 3.11 Fracture Fixation Products Market, Competitive Analysis
- Exhibit 3-1: 2006, Incidence of Bone Fractures
- Exhibit 3-2: Classifications of Fractures
- Exhibit 3-3: Long Bone Fractures
- Exhibit 3-4: Fracture Healing Process
- Exhibit 3-5: External Fixation Devices
- Exhibit 3-6: 2007, Selected External Fixation Products
- Exhibit 3-7: External Fixation Products, Market Forecast, 2006-2012
- Exhibit 3-8: Large Bone Fracture Treatment Method of Open Reduction and Internal Fixation (Plates and Screws)
- Exhibit 3-9: Compression Plating Procedure
- Exhibit 3-10: Characteristics of Cancellous and Cortical Bone Screws
- Exhibit 3-11: 2007, Selected Open Reduction and Internal Fixation Plating Products (Plates and Screws)
- Exhibit 3-12: Plate Fixation of a Distal Radius Fracture
- Exhibit 3-13: Large Bone Open Reduction and Internal Fixation Products (Plates and Screws), Market Forecast, 2006-2012
- Exhibit 3-14: Dynamic versus Locking Fixation of Intramedullary Nails
- Exhibit 3-15: Radiographic Image of Statically Locked Intramedullary Nails
- Exhibit 3-16: 2007, Selected Intramedullary Nail Products
- Exhibit 3-17: Intramedullary Nail Products, Market Forecast, 2006-2012
- Exhibit 3-18: Dynamic and Cannulated Hip Screw Mechanisms
- Exhibit 3-19: 2007, Selected Hip Screw Products
- Exhibit 3-20: Hip Screw Products, Market Forecast, 2006-2012
- Exhibit 3-21: Miscellaneous Long Bone Internal Fixation Products, Market Forecast, 2006-2012
- Exhibit 3-22: 2007, Selected Small Bone Fixation Products
- Exhibit 3-23: Small Bone Fracture Fixation Products, Market Forecast, 2006-2012
- Exhibit 3-24: Fracture Fixation Products, Combined Market Forecast, 2006-2012
- Exhibit 3-25: 2006, Fracture Fixation Products Market, Share by Supplier
- 4. ALLOGRAFTS, BONE MORPHOGENETIC PROTEINS, AND SYNTHETIC BONE SUBSTITUTES PRODUCTS MARKET
- 4.1 Osteoconductive and Osteoinductive Materials
- 4.1.1 Allografts
- 4.1.1.1 Regulations Governing Allograft Providers
- 4.1.1.1.1 National Organ Transplant Act
- 4.1.1.1.2 United States Food and Drug Administration Requirements
- 4.1.1.2 Processing Bone
- 4.1.1.3 Recovering Tissue
- 4.1.1.4 Processing Tissue
- 4.1.1.5 Allograft Materials
- 4.1.1.5.1 Support Structures
- 4.1.1.5.2 Osteoconductive Fillers
- 4.1.1.5.3 Osteoinductive Materials
- 4.1.1.6 Allograft Tissue Providers
- 4.1.1.7 Market Analysis
- 4.1.1.8 Competitive Analysis
- 4.1.2 Synthetic Bone Substitutes
- 4.1.2.1 Products
- 4.1.2.2 Market Analysis
- 4.1.2.3 Competitive Analysis
- 4.1.3 Bone Morphogenetic Proteins
- 4.1.3.1 Products
- 4.1.3.2 Market Analysis
- 4.1.4 Combined Market Forecast
- Exhibit 4-1: Comparison of Selected Suppliers of Allograft Bone Tissue and Their Tissue Constructs
- Exhibit 4-2: Allografts Used in Arthroplasty, Market Forecast, 2006-2012
- Exhibit 4-3: Allografts Used in Fracture Repair, Market Forecast, 2006-2012
- Exhibit 4-4: Orthopedic Allografts, Market Forecast, 2006-2012
- Exhibit 4-5: 2006, Orthopedic Allografts Market, Share by Supplier
- Exhibit 4-6: 2007, Selected Synthetic Bone Substitute Products
- Exhibit 4-7: Synthetic Bone Substitute Products, Market Forecast, 2006-2012
- Exhibit 4-8: 2006, Synthetic Bone Substitute Products Market, Share by Supplier
- Exhibit 4-9: 2007, Selected Bone Morphogenetic Protein Products
- Exhibit 4-10: Bone Morphogenetic Protein Products, Market Forecast, 2006-2012
- Exhibit 4-11: Allograft, Bone Morphogenetic Protein, and Synthetic Bone Substitute Products, Combined Market Forecast, 2006-2012
- 5. BONE GROWTH STIMULATION PRODUCTS MARKET
- 5.1 Pulsed Electromagnetic Field Bone Growth Stimulation
- 5.2 Capacitive Coupling Bone Growth Stimulation
- 5.3 Ultrasound Bone Growth Stimulation
- 5.4 Reimbursement
- 5.5 Products
- 5.5.1 Fracture Healing Bone Growth Stimulators
- 5.5.2 Spinal Fusion Bone Growth Stimulators
- 5.6 Market Forecast
- 5.6.1 Fracture Healing Bone Growth Stimulators
- 5.6.2 Spinal Fusion Bone Growth Stimulators
- 5.7 Competitive Analysis
- Exhibit 5-1: 2007, Indications for Bone Growth Stimulation Products
- Exhibit 5-2: 2007, Selected Bone Growth Stimulation Products Used in Fracture Repair
- Exhibit 5-3: 2007, Selected Bone Growth Stimulation Products Used in Spinal Fusion
- Exhibit 5-4: Bone Growth Stimulation Products for Fracture Repair and Spinal Fusion, Combined Market Forecast, 2006-2012
- Exhibit 5-5: 2006, Market for Bone Growth Stimulation Products for Fracture Repair, Share by Supplier
- Exhibit 5-6: 2006, Market for Bone Growth Stimulation Products for Spinal Fusion, Share by Supplier
- Exhibit 5-7: 2006, Combined Market for Bone Growth Stimulation Products for Fracture Repair and Spinal Fusion, Share by Supplier
- 6. ARTHROSCOPY PRODUCTS MARKET
- 6.1 Arthroscopic Treatment Overview
- 6.1.1 Background
- 6.1.2 Innovations
- 6.2 Arthroscopy for Sports Injuries
- 6.3 Products
- 6.4 Arthroscopy Market Analysis
- 6.4.1 Procedure Volumes
- 6.4.1.1 Knee Arthroscopy Procedure Volumes
- 6.4.1.2 Shoulder Arthroscopy Procedure Volumes
- 6.4.2 Market Forecast
- 6.4.2.1 Knee Arthroscopy Market Forecast
- 6.4.2.2 Shoulder Arthroscopy Market Forecast
- 6.4.3 Competitive Analysis
- 6.4.4 Emerging Markets
- Exhibit 6-1: Common Knee Injuries
- Exhibit 6-2: Arthroscopic Access Ports for the Knee
- Exhibit 6-3: 2007, Selected Arthroscopy Products
- Exhibit 6-4: Arthroscopy, Knee and Shoulder Procedure Volumes Forecast, 2006-2012
- Exhibit 6-5: Arthroscopy Products, Combined Market Forecast, 2006-2012
- Exhibit 6-6: Knee Arthroscopy Products, Market Forecast, 2006-2012
- Exhibit 6-7: Shoulder Arthroscopy Products, Market Forecast, 2006-2012
- Exhibit 6-8: Arthroscopy Products, Sales by Device Type, 2006 and 2012
- Exhibit 6-9: Arthroscopy Products, Sales by Procedure Type, 2006 and 2012
- Exhibit 6-10: 2006, Combined Arthroscopy Products Market, Share by Supplier
- 7. COMPANY PROFILES
- 7.1 Acumed LLC
- 7.2 Arthrex, Inc.
- 7.3 Biomet, Inc.
- 7.4 Johnson & Johnson
- 7.5 Medtronic, Inc.
- 7.6 Musculoskeletal Transplant Foundation
- 7.7 Orthofix, Inc.
- 7.8 Smith & Nephew PLC
- 7.9 Stryker Corporation
- 7.10 Synthes, Inc.
- 7.11 Wright Medical Group, Inc.
- 7.12 Zimmer Holdings, Inc.
- APPENDIX: COMPANY LISTING
AbstractIn 2006, U.S. sales of orthopedic implant, reconstruction, and trauma products totaled approximately $12.2 billion. Over the forecast period covered by this report, sales of these products are expected to increase at a compound annual rate of 6.9%, reaching more than $18.1 billion in the year 2012.
This new report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. orthopedic implant, reconstruction, and trauma products market. These products are used to treat a variety of congenital, degenerative, and traumatic disorders of the skeletal system and are used in procedures such as bone fracture repair, spinal fusion, and total joint replacement (including knee, shoulder, small joint, and hip arthroplasty).
Approximately 56 million people in the U.S. fall prey to musculoskeletal injuries annually at a cost of approximately $215 billion. According to the Centers for Disease Control and Prevention, approximately 6 million fractures occur in the U.S. each year, and an estimated 1.5 million people suffer a fracture caused by bone disease.
Many experts predict a future epidemic of hip fractures due to the growing number of elderly in the U.S. and the prevalence of osteoporosis.
Orthopedic products covered in this report include implants that are used in hip, knee, shoulder, and small joint arthroplasty procedures; internal and external fixation devices for fracture management; osteoconductive and osteoinductive materials including allografts, synthetic bone substitutes, and bone morphogenetic protein products; as well as bone growth stimulation and arthroscopy products.
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