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MediPoint: Partial Knee Replacement - South America Analysis and Market Forecasts

MediPoint: Partial Knee Replacement - South America Analysis and Market Forecasts


Over the past two decades, there has been increasing interest in Partial knee replacement (PKR) as a means of treating unicompartmental knee osteoarthritis. Indications have expanded while previous contraindications such as age, body mass index, patellofemoral osteoarthritis, and anterior cruciate ligament (ACL) deficiency have been lifted. Technological advancements in implant design, fixation methods, and surgical techniques have led to improved survival rates, better patient-reported outcomes, and reduced complications. Interest is growing in robotic-assisted techniques, which are poised to optimize results and reproducibility. Cementless designs also look promising, although given the anatomy of the knee condyles, this might introduce more risks to the overall procedure.

South American Partial knee replacement (PKR) market was estimated at $5+M in 2016 across the three markets (Argentina, Brazil, and Chile) covered in this report. By the end of the forecast period in 2023, it is estimated that the market will grow approximately at a Compound Annual Growth Rate (CAGR) of 7+%.Brazil represented the largest portion of the market in 2016, representing more than 70% of the regional revenue, and is expected to maintain this dominance through the forecast period. Argentina is expected to be the fastest-growing market through 2023.

As countries’ economy grows, the volume of partial knee replacement procedures is expected to increase further, primarily due to the demographics of an aging population and a trend towards early surgical intervention in younger patients. In the forecast years, launching and marketing a comprehensive large joint portfolio with a clear value proposition will remain critical to companies’ success as they jockey for market position. A long-term foothold within the global knee market hinges on how well companies can align themselves with the primary market force buffeting healthcare today: the need to deliver top-notch, cost-effective care.

The incidences of osteoarthritis of the knee and other degenerative knee diseases are increasing simultaneously with the aging population. Partial knee replacement (PKR), or unicondylar knee arthroplasty (UKA), is an alternative to total knee arthroplasty (TKA) used to treat patients whose osteoarthritic condition is isolated to the medial or lateral tibio-femoral compartments. PKR is a less invasive procedure than TKA that replaces only the damaged part of the joint with a prosthesis, resulting in less blood loss and the preservation of healthy ligaments, cartilage, and bone in the knee. The decision to undergo a PKR instead of TKR is based on the disease stage, patient expectations, published results, and surgeon expertise.

Given the heightened competitive pressures and shrinking reimbursement, the average selling price for Partial knee replacement (PKR) implants is expected to decline. However, it is expected that the revenue from increased procedure volume will make up for this loss.

This report focuses on the market outlook for Partial knee replacement (PKR) devices in South America (Argentina, Brazil, and Chile). The analysis identifies the key unmet needs in the PKR market, discusses the major drivers and barriers of adoption, and provides an in-depth understanding of physicians’ perceptions and the future outlook for this market by segment and geography.

Key Questions Answered

  • What is the current and future Partial knee replacement (PKR) market outlook in the developed and emerging markets? What trends are affecting the South American market?
  • Which are the key, high growth markets that PKR manufacturers should expand into?
  • What are the unmet needs with the current generation of Partial knee replacement (PKR) devices? How will emerging technologies fulfill these unmet needs?
  • What are the challenges and complications that have hindered widespread adoption?
  • With developing the next-generation of devices, what aspects of the technology are device manufacturers focused on optimizing? How will new entrants impact the Partial knee replacement (PKR) market?
  • Scope
    • Overview of recent key industry events and analysis of their market impact.
    • Annualized total market revenue, procedure trends, and market outlooks by segment and by region through 2023.
    • Key topics covered include strategic competitor assessment, market characterization, identification of unmet needs, reimbursement considerations, evaluating market access in each region covered in the report, and implications of the emerging technologies in the market.
    • Analysis of the current and future market competition in the global PKR market. Insightful review of industry drivers, barriers, and challenges.
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    1 About the Authors 2
    1.1 Analyst 2
    1.1.1 Tobe Madu, MSc, Analyst, Medical Devices 2
    2 Table of Contents 3
    2.1 List of Tables 5
    2.2 List of Figures 5
    3 Executive Summary 6
    3.1 Key Metrics 6
    3.2 Market Dynamics 7
    3.3 Key Players 8
    3.4 Future Outlook 8
    3.5 What Do Physicians Think? 9
    4 Introduction 11
    4.1 Catalyst 11
    4.2 Related Reports 11
    4.3 Upcoming Related Reports 13
    5 Market Outlook 14
    5.1 Procedure Trends 14
    5.2 Pricing Trends 14
    5.3 Revenue Trends 15
    5.4 Company Share Analysis 15
    6 Market Insights 16
    6.1 South America 16
    6.1.1 Brazil 16
    6.1.2 Argentina and Chile 18
    7 Competitive Assessment 19
    7.1 Overview 19
    7.1.1 Robotic Technologies 19
    7.1.2 Generic Implants to Address Cost Concerns 20
    7.1.3 Advanced Materials 21
    7.1.4 Emerging Countries 22
    7.2 DePuy Synthes 23
    7.2.1 Portfolio Assessment 23
    7.2.2 Deal Analysis 23
    7.2.3 Competitive Positioning 24
    7.3 Stryker 24
    7.3.1 Portfolio Assessment 24
    7.3.2 Deal Analysis 25
    7.3.3 Competitive Positioning 25
    7.4 Smith & Nephew 26
    7.4.1 Portfolio Assessment 26
    7.4.2 Deal Analysis 27
    7.4.3 Competitive Positioning 27
    7.5 Zimmer Biomet 28
    7.5.1 Portfolio Assessment 28
    7.5.2 Deal Analysis 28
    7.5.3 Competitive Positioning 28
    7.6 Other Players 29
    8 Appendix 30
    8.1 Bibliography 30
    8.2 Abbreviations 33
    8.3 Methodology 35
    8.3.1 Overview 35
    8.3.2 Coverage 35
    8.3.3 Secondary Research 35
    8.3.4 Forecasting Methodology 36
    8.3.5 Primary Research Summary 37
    8.4 About MediPoint 38
    8.5 About GlobalData 38
    8.6 Contact Us 38
    8.7 Disclaimer 39
    List of Tables
    Table 1: PKR Market, Key Metrics, 2016-2023 6
    Table 2: South America PKR Procedure Volume Forecast, 2014-2023 14
    Table 3: South America PKR Implant Average Selling Price ($) Forecast, 2014-2023 14
    Table 4: South America PKR Market Revenue Forecast ($M), 2014-2023 15
    Table 5: South America PKR Company Share Analysis, 20161, 2 15
    Table 6: DePuy Synthes - Key Marketed Products Assessment 23
    Table 7: DePuy Synthes - Key Clinical Trials 23
    Table 8: Stryker - Key Marketed Products Assessment 24
    Table 9: Stryker - Key Clinical Trials 25
    Table 10: Smith & Nephew - Key Marketed Products Assessment 26
    Table 11: Zimmer Biomet - Key Marketed Products Assessment 28
    Table 12: Summary of Other Players in the PKR Market, 2016 29
    List of Figures
    Figure 1: South America PKR Market Share Comparison by Country, 2016 and 2023 7

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