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Orthopedic Implants

Published by: Freedonia Group Inc

Published: Jul. 1, 2008 - 233 Pages


Table of Contents


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

Abstract

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.

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