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US Market Report for ACL/PCL Replacement and Fixation - MedCore

The knee is the most susceptible joint to pressure and injury in the human body, as its bending capacity is a result of complex interactions of rotational and extensional movements. The anterior and posterior cruciate ligaments (ACL/PCL) connect the bones that form the knee, stabilizing joint movements and preventing the femur from sliding against the tibia and vice versa. Injuries to the ACL are quite common. These injuries can be caused by excessive use, physical impact or wear over time. Usually, during ACL/PCL reconstruction, the surgeon drills holes in the tibia in order to hold harvested patellar tendon with fixation devices such as staples and screws, thus reconstructing the ligament. There are several different graft options that can be used for anterior cruciate ligament/posterior cruciate ligament (ACL/PCL) reconstruction procedures. One of the most traditional methods is the use of bone-patellar tendon-bone (BTB) grafts, where the ends of the graft contain bone that is then fixed to the femoral and tibial tunnels. The other option for surgeons is to use soft tissue grafts (either hamstring or quadriceps tendon) that require the soft tissue to be fixed to the tibial and femoral bone. For procedures using BTB grafts, only interference screws are used for anchoring the tendon or ligament of the graft to the bone. In contrast, for procedures that use soft tissue grafts, a variety of other devices are available to fixate the graft to the femoral and tibial tunnels. For every ACL/PCL repair procedure, both the tibia and femur are involved in fixating the new tissue between these two bones. Fixation to the tibia differs from femoral fixation with respect to the devices used and thus the ACL/PCL fixation market is composed of the tibial fixation and femoral fixation segments.


FULL SUITE EXECUTIVE SUMMARY
1.1 U.S. MARKET FOR ORTHOPEDIC SOFT TISSUE REPAIR
1.2 ORTHOPEDIC SOFT TISSUE PROCEDURES
1.3 TENDON GRAFT REINFORCEMENT MARKET
1.4 ROTATOR CUFF REPAIR MARKET
1.5 BICEPS TENODESIS REPAIR MARKET
1.6 ACL/PCL REPLACEMENT MARKET
1.7 ACL/PCL FIXATION MARKET
1.8 CARTILAGE REPAIR MARKET
1.9 MENISCAL REPAIR MARKET
1.10 HIP ARTHROSCOPY MARKET
1.11 COMPETITIVE ANALYSIS
RESEARCH METHODOLOGY
2.1 RESEARCH SCOPE
2.2 IDATA’S 9-STEP METHODOLOGY
Step 1: Project Initiation & Team Selection
Step 2: Prepare Data Systems and Perform Secondary Research
Step 3: Preparation for Interviews & Questionnaire Design
Step 4: Performing Primary Research
Step 5: Research Analysis: Establishing Baseline Estimates
Step 6: Market Forecast and Analysis
Step 7: Identify Strategic Opportunities
Step 8: Final Review and Market Release
Step 9: Customer Feedback and Market Monitoring
ACL/PCL REPLACEMENT MARKET
3.1 INTRODUCTION
3.1.1 Bone-Patellar Tendon-Bone (BTB) Graft, ACL/PCL Surgery
3.1.1.1 Bone-Patellar Tendon-Bone
3.1.1.2 Soft Tissue Grafts
3.1.2 Allografted Tendons
3.2 MARKET OVERVIEW
3.2.1 ACL/PCL Reconstruction Procedures
3.3 MARKET ANALYSIS & FORECAST
3.3.1 ACL/PCL Allograft Tendon Market
3.3.1.1 Bone-to-Bone Allograft Market
3.3.1.2 Soft Tissue Allograft Market
3.4 DRIVERS AND LIMITERS
3.4.1 Market Drivers
3.4.2 Market Limiters
3.5 COMPETITIVE ANALYSIS
ACL/PCL FIXATION DEVICE MARKET
4.1 INTRODUCTION
4.2 MARKET OVERVIEW
4.3 MARKET ANALYSIS AND FORECAST
4.3.1 Total Femoral Fixation Device Market
4.3.2 Femoral Fixation Device Market by Segment
4.3.2.1 Total Femoral Interference Screw Market
4.3.2.2 Femoral Interference Screw Market by Segment
4.3.2.2.1 Femoral PLA Resorbable Interference Screw Market
4.3.2.2.2 Femoral Biocomposite Interference Screw Market
4.3.2.2.3 Femoral PEEK Interference Screw Market
4.3.2.2.4 Femoral Metal Interference Screw Market
4.3.2.3 Total Femoral Cross-Pin Market
4.3.2.5 Femoral Cross-Pin Market by Segment
4.3.2.5.1 Femoral Resorbable Cross-Pin Market
4.3.2.5.3 Femoral Non-Resorbable Cross-Pin Market
4.3.2.6 Femoral Intratunnel Fixation Device Market
4.3.2.7 Total Femoral Cortical Fixation Device Market
4.3.2.8 Femoral Cortical Fixation Device Market by Segment
4.3.2.9 Fixed Loop Femoral Cortical Fixation Device Market
4.3.2.10 Adjustable Loop Femoral Cortical Fixation Device Market
4.3.3 Total Tibial Fixation Device Market
4.3.4 Tibial Fixation Device Market by Segment
4.3.4.1 Total Tibial Interference Screw Market
4.3.4.2 Tibial Interference Screw Market by Segment
4.3.4.2.1 Tibial PLA Resorbable Interference Screw Market
4.3.4.2.2 Tibial Biocomposite Interference Screw Market
4.3.4.2.3 Tibial PEEK Interference Screw Market
4.3.4.2.4 Tibial Metal Interference Screw Market
4.3.4.3 Tibial Intratunnel Fixation Device Market
4.3.4.4 Tibial Washer and Post Market
4.5 DRIVERS AND LIMITERS
4.5.1 Market Drivers
4.5.2 Market Limiters
4.6 COMPETITIVE ANALYSIS
ABBREVIATIONS
List of Chart
Chart 1 1: Total Orthopedic Soft Tissue Repair Market, U.S., 2011 – 2021 1
Chart 1 2: CAGRs by Orthopedic Soft Tissue Procedure, U.S., 2014-2021 2
Chart 1 3: ASP by Segment, Tendon Graft Reinforcement Market, U.S., 2014 3
Chart 1 4: Growth by Segment, Rotator Cuff Repair Market, U.S., 2011 – 2021 4
Chart 1 5: Tenodesis vs. Tenotomy Procedures, U.S., 2011 – 2021 5
Chart 1 6: Market Share by Segment, ACL/PCL Replacement Market, U.S., 2014 – 2021 6
Chart 1 7: Market Value by Segment, ACL/PCL Fixation Market, U.S., 2014 – 2018 7
Chart 1 8: Unit Sales by Segment, Cartilage Repair Market, U.S., 2011 – 2021 8
Chart 1 9: Percent Market Share by Segment, Meniscal Repair Market, U.S., 2014 – 2021 9
Chart 1 10: Unit Sales Growth by Segment, Radiofrequency Probe Market, U.S., 2011 – 2021 10
Chart 1 11: Leading Competitors, Orthopedic Soft Tissue Repair Market, U.S., 2014 11
Chart 3 1: ACL/PCL Allograft Tendon Market, U.S., 2011 – 2021 29
Chart 3 2: Bone-to-Bone Allograft Market, U.S., 2011 – 2021 30
Chart 3 3: Soft Tissue Allograft Market, U.S., 2011 – 2021 31
Chart 3 4: Leading Competitors, ACL/PCL Reconstruction Market, U.S., 2014 35
Chart 4 1: ACL/PCL Fixation Device Market by Segment, U.S., 2011 – 2021 40
Chart 4 2: ACL/PCL Fixation Device Market Breakdown, U.S., 2014 41
Chart 4 3: ACL/PCL Fixation Device Market Breakdown, U.S., 2021 41
Chart 4 4: Total Femoral Fixation Device Market, U.S., 2011 – 2021 43
Chart 4 5: Femoral Fixation Device Market by Segment, U.S., 2011 – 2021 44
Chart 4 6: Total Femoral Interference Screw Market, U.S., 2011 – 2021 45
Chart 4 7: Femoral Interference Screw Market by Segment, U.S., 2011 – 2021 47
Chart 4 8: Femoral PLA Resorbable Interference Screw Market, U.S., 2011 – 2021 48
Chart 4 9: Femoral Biocomposite Interference Screw Market, U.S., 2011 – 2021 49
Chart 4 10: Femoral PEEK Interference Screw Market, U.S., 2011 – 2021 50
Chart 4 11: Femoral Metal Interference Screw Market, U.S., 2011 – 2021 51
Chart 4 12: Total Femoral Cross-Pin Market, U.S., 2011 – 2021 52
Chart 4 13: Femoral Cross-Pin Market by Segment, U.S., 2011 – 2021 53
Chart 4 14: Femoral Resorbable Cross-Pin Market, U.S., 2011 – 2021 54
Chart 4 15: Femoral Non-Resorbable Cross-Pin Market, U.S., 2011 – 2021 55
Chart 4 16: Femoral Intratunnel Fixation Device Market, U.S., 2011 – 2021 56
Chart 4 17: Total Femoral Cortical Fixation Device Market, U.S., 2011 – 2021 57
Chart 4 18: Femoral Cortical Fixation Device Market by Segment, U.S., 2011 – 2021 58
Chart 4 19: Fixed Loop Femoral Cortical Fixation Device Market, U.S., 2011 – 2021 59
Chart 4 20: Adjustable Loop Femoral Cortical Fixation Device Market, U.S., 2011 – 2021 60
Chart 4 21: Total Tibial Fixation Device Market, U.S., 2011 – 2021 62
Chart 4 22: Tibial Fixation Device Market by Segment, U.S., 2011 – 2021 63
Chart 4 23: Total Tibial Interference Screw Market, U.S., 2011 – 2021 64
Chart 4 24: Tibial Interference Screw Market by Segment, U.S., 2011 – 2021 66
Chart 4 25: Tibial PLA Resorbable Interference Screw Market, U.S., 2011 – 2021 67
Chart 4 26: Tibial Biocomposite Interference Screw Market, U.S., 2011 – 2021 68
Chart 4 27: Tibial PEEK Interference Screw Market, U.S., 2011 – 2021 69
Chart 4 28: Tibial Metal Interference Screw Market, U.S., 2011 – 2021 70
Chart 4 29: Tibial Intratunnel Fixation Device Market, U.S., 2011 – 2021 71
Chart 4 30: Tibial Washer and Post Market, U.S., 2011 – 2021 72
Chart 4 31: Leading Competitors, ACL/PCL Fixation Device Market, U.S., 2014 77
List of Figures
Figure 3 1: ACL/PCL Replacement Procedure Numbers by Graft Type, U.S., 2011 – 2021 27
Figure 3 2: ACL/PCL Allograft Tendon Market, U.S., 2011 – 2021 28
Figure 3 3: Bone-to-Bone Allograft Market, U.S., 2011 – 2021 30
Figure 3 4: Soft Tissue Allograft Market, U.S., 2011 – 2021 31
Figure 3 5: Drivers and Limiters, ACL/PCL Reconstruction Market, U.S., 2014 33
Figure 3 6: Leading Competitors, ACL/PCL Reconstruction Market, U.S., 2014 35
Figure 4 1: ACL/PCL Fixation Device Market by Segment, U.S., 2011 – 2021 (US$M) 39
Figure 4 2: Total Femoral Fixation Device Market, U.S., 2011 – 2021 43
Figure 4 3: Femoral Fixation Device Market by Segment, U.S., 2011 – 2021 (US$M) 44
Figure 4 4: Total Femoral Interference Screw Market, U.S., 2011 – 2021 45
Figure 4 5: Femoral Interference Screw Market by Segment, U.S., 2011 – 2021 (US$M) 46
Figure 4 6: Femoral PLA Resorbable Interference Screw Market, U.S., 2011 – 2021 48
Figure 4 7: Femoral Biocomposite Interference Screw Market, U.S., 2011 – 2021 49
Figure 4 8: Femoral PEEK Interference Screw Market, U.S., 2011 – 2021 50
Figure 4 9: Femoral Metal Interference Screw Market, U.S., 2011 – 2021 51
Figure 4 10: Total Femoral Cross-Pin Market, U.S., 2011 – 2021 52
Figure 4 11: Femoral Cross-Pin Market by Segment, U.S., 2011 – 2021 (US$M) 53
Figure 4 12: Femoral Resorbable Cross-Pin Market, U.S., 2011 – 2021 54
Figure 4 13: Femoral Non-Resorbable Cross-Pin Market, U.S., 2011 – 2021 55
Figure 4 14: Femoral Intratunnel Fixation Device Market, U.S., 2011 – 2021 56
Figure 4 15: Total Femoral Cortical Fixation Device Market, U.S., 2011 – 2021 57
Figure 4 16: Femoral Cortical Fixation Device Market by Segment, U.S., 2011 – 2021 58
Figure 4 17: Fixed Loop Femoral Cortical Fixation Device Market, U.S., 2011 – 2021 59
Figure 4 18: Adjustable Loop Femoral Cortical Fixation Device Market, U.S., 2011 – 2021 60
Figure 4 19: Total Tibial Fixation Device Market, U.S., 2011 – 2021 62
Figure 4 20: Tibial Fixation Device Market by Segment, U.S., 2011 – 2021 (US$M) 63
Figure 4 21: Total Tibial Interference Screw Market, U.S., 2011 – 2021 64
Figure 4 22: Tibial Interference Screw Market by Segment, U.S., 2011 – 2021 (US$M) 65
Figure 4 23: Tibial PLA Resorbable Interference Screw Market, U.S., 2011 – 2021 67
Figure 4 24: Tibial Biocomposite Interference Screw Market, U.S., 2011 – 2021 68
Figure 4 25: Tibial PEEK Interference Screw Market, U.S., 2011 – 2021 69
Figure 4 26: Tibial Metal Interference Screw Market, U.S., 2011 – 2021 70
Figure 4 27: Tibial Intratunnel Fixation Device Market, U.S., 2011 – 2021 71
Figure 4 28: Tibial Washer and Post Market, U.S., 2011 – 2021 72
Figure 4 29: Drivers and Limiters, ACL/PCL Fixation Device Market, U.S., 2014 74
Figure 4 30: Leading Competitors by Segment, ACL/PCL Fixation Device Market, U.S., 2014 77

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