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US Market for Hip Replacement Devices - MedCore

Primary Hip Joint Replacement

The annual number of primary hip replacement surgery is rapidly growing in the U.S. due to the continued rise of the obese population. A primary total hip replacement (THR) replaces the entire hip joint. THR implants typically have three components: a stem, a head and an acetabular cup. The stem anchors the implant in the femur and the portion of the stem that emerges from the femur and attaches to the head is known as the neck. The head is ball-shaped and replaces the natural head of the femur. It articulates with the cup, which sits in the acetabular fossa. THR implants are either sold as one-piece (monobloc) or modular designs. In a modular implant, the head, neck and stem can be separated, replaced or adjusted for greater versatility in matching the system to a patient’s body. The greater majority of THR implants sold are of the monobloc variety. This is driven by a desire for expediency during the surgical procedure. However, the advantage of a modular design is also its downside because the device adds complexity and time to surgical procedures. The second reason for surgeon preference for one-piece implants is because of concern for a greater risk of infection because of the increased number of surfaces in modular systems compared with one-piece systems.

Partial Hip Joint Replacement

Partial implants replace only the femoral or acetabular side of the joint. This form of procedure is known as hemiarthroplasty. These devices are colloquially known as hemis within the industry and are often modular components of total implant systems. Partial implants are divided into devices that have either unipolar or bipolar heads. In unipolar implants, the head is fixed rigidly to the neck of the implant, and in bipolar systems, the head is hollow and articulates on the neck shaft of the prosthesis even as it articulates with the pre-existing cartilage on the acetabulum. Although the design is more complex, a bipolar arrangement produces less stress on the cartilage lining. Partial implants are also useful for the treatment of hip fractures. In some cases, the devices may be simpler and more effective to use than trauma-fixation hardware.

Resurfacing Hip Joint Replacement

Resurfacing is an alternative form of implantation to total joint replacement. Rather than removing the entire femoral head, a cap with a short stem is placed onto the bone. This allows for greater preservation of bone stock over a THR and also has the advantage of being easier to revise when the resurfacing implant becomes worn. Recent studies have suggested that initial revision rates between hip resurfacing and total joint replacement is not dissimilar, which is a dissuading factor against resurfacing when surgeons and patients choose between the two procedures.

Revision Hip Joint Replacement

Revision implants become necessary when original implants of any type become worn over time or through pathology. A conservative estimate of the viability of any implant is approximately 15 years. Revision devices are not significantly different than the original primary total replacements, but the stems are longer to aid fixation within the femur. Revision surgery is more involved than primary surgery and is complicated by the older average age of patients involved or in cases where infection leads to the failure of the implant. The standard of care for hip revision surgery is to use a two-stage approach, where the worn implant is removed and replaced with a molded bone cement spacer that is preloaded with antibiotics. This is kept in the patient to maintain tissue tension until all traces of infection are cleared. Afterwards, the spacer is removed and a new device is implanted.


EXECUTIVE SUMMARY FOR COMPLETE ORTHOPEDIC LARGE JOINT REPLACEMENT SUITE
1.1 U.S. ORTHOPEDIC LARGE JOINT REPLACEMENT DEVICE MARKET
1.2 KNEE REPLACEMENT DEVICE MARKET
1.3 KNEE CUTTING BLOCK MARKET
1.4 PRIMARY HIP REPLACEMENT DEVICE MARKET
1.5 BONE CEMENT MARKET
1.6 COMPETITIVE ANALYSIS
1.7 LIST OF PROCEDURAL CODES
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
HIP REPLACEMENT DEVICE MARKET
3.1 INTRODUCTION
3.1.1 Anatomy
3.1.2 Pathology
3.1.3 Treatment
3.1.4 Implant Types
3.1.4.1 Primary Hip Joint Replacement
3.1.4.2 Partial Hip Joint Replacement
3.1.4.3 Resurfacing Hip Joint Replacement
3.1.4.4 Revision Hip Joint Replacement
3.1.5 Fixation Method
3.1.6 Implant Material
3.1.7 Bearing Surface Technology
3.1.7.1 Polyethylene Bearings
3.1.7.2 Highly Cross-Linked Polyethylene Bearings
3.1.7.3 Metal Bearings
3.1.7.4 Ceramic Bearings
3.2 MARKET OVERVIEW
3.3 MARKET ANALYSIS AND FORECAST
3.3.1 Total Hip Replacement Device Market
3.3.1.1 Total Hip Replacement Device Market by Cementation Type
3.3.1.1.1 Cemented Total Hip Replacement Market
3.3.1.1.2 Cementless Total Hip Replacement Market
3.3.1.1.3 Hybrid Cemented Total Hip Replacement Market
3.3.1.2 Total Hip Replacement Device Market by Bearing Type
3.3.1.2.1 Metal on Highly Cross-Linked Polyethylene Total Hip Replacement Market
3.3.1.2.2 Metal on Metal Total Hip Replacement Market
3.3.1.2.3 Ceramic on Highly Cross-Linked Polyethylene Total Hip Replacement Market
3.3.1.2.4 Ceramic-on-Ceramic Total Hip Replacement Market
3.3.2 Partial Hip Replacement Device Market
3.3.2.1 Bipolar Partial Hip Replacement Market
3.3.2.2 Unipolar Partial Knee Implant Market
3.3.3 Resurfacing Hip Replacement Market
3.3.4 Hip Replacement Revision Market
3.3.4.1 Complete Hip Replacement Revision Market
3.3.4.2 Acetabular Component Hip Replacement Revision Market
3.3.4.3 Femoral Stem Hip Replacement Revision Market
3.4 DRIVERS AND LIMITERS
3.4.1 Market Drivers
3.4.2 Market Limiters
3.5 COMPETITIVE ANALYSIS
ABBREVIATIONS
List of Charts
Chart 1 1: Orthopedic Large Joint Replacement Device Market, U.S., 2012 – 2022 1
Chart 1 2: Knee Revision Procedures, U.S., Select Years 2
Chart 1 3: Units Sold, Knee Cutting Block Market, U.S., 2015 – 2020 3
Chart 1 4: Market Growth by Bearing Type, Primary Hip Replacement Market, U.S. 2015 – 2020 4
Chart 1 5: Bone Cement Market Breakdown, U.S., 2015 – 2020 5
Chart 1 6: Leading Competitors, Orthopedic Large Joint Replacement Device Market, U.S., 2015 6
Chart 3 1: Hip Replacement Device Market by Segment, U.S., 2012 – 2022 27
Chart 3 2: Hip Replacement Device Market Breakdown, U.S., 2015 28
Chart 3 3: Hip Replacement Device Market Breakdown, U.S., 2022 28
Chart 3 4: Total Hip Replacement Device Market, U.S., 2012 – 2022 30
Chart 3 5: Total Hip Replacement Device Market by Cementation Type, U.S., 2012 – 2022 32
Chart 3 6: Cemented Total Hip Replacement Market, U.S., 2012 – 2022 34
Chart 3 7: Cementless Total Hip Replacement Market, U.S., 2012 – 2022 36
Chart 3 8: Hybrid Cemented Total Hip Replacement Market, U.S., 2012 – 2022 38
Chart 3 9: Total Hip Replacement Device Market by Bearing Type, U.S., 2012 – 2022 41
Chart 3 10: Metal on Highly Cross-Linked Polyethylene Total Hip Replacement Market, U.S., 2012 – 2022 43
Chart 3 11: Metal on Metal Total Hip Replacement Market, U.S., 2012 – 2022 45
Chart 3 12: Ceramic on Highly Cross-Linked Polyethylene Total Hip Replacement Market, U.S., 2012 – 2022 47
Chart 3 13: Ceramic on Ceramic Total Hip Replacement Market, U.S., 2012 – 2022 49
Chart 3 14: Partial Hip Replacement Device Market, U.S., 2012 – 2022 51
Chart 3 15: Bipolar Partial Hip Replacement Market, U.S., 2012 – 2022 53
Chart 3 16: Unipolar Partial Hip Replacement Market, U.S., 2012 – 2022 55
Chart 3 17: Resurfacing Hip Replacement Market, U.S., 2012 – 2022 57
Chart 3 18: Hip Replacement Revision Market, U.S., 2012 – 2022 59
Chart 3 19: Complete Hip Replacement Revision Market, U.S., 2012 – 2022 60
Chart 3 20: Acetabular Component Hip Replacement Revision Market, U.S., 2012 – 2022 61
Chart 3 21: Femoral Stem Hip Replacement Revision Market, U.S., 2012 – 2022 62
Chart 3 22: Leading Competitors, Hip Replacement Device Market, 2015 69
List of Figures
Figure 1 1: Procedural Codes, U.S., 2014 7
Figure 3 1: Hip Replacement Device Market by Segment, U.S., 2012 – 2022 (US$M) 26
Figure 3 2: Total Hip Replacement Device Market, U.S., 2012 – 2022 30
Figure 3 3: Total Hip Replacement Device Market by Cementation Type, U.S., 2012 – 2022 (US$M) 32
Figure 3 4: Cemented Total Hip Replacement Market, U.S., 2012 – 2022 33
Figure 3 5: Cementless Total Hip Replacement Market, U.S., 2012 – 2022 35
Figure 3 6: Hybrid Cemented Total Hip Replacement Market, U.S., 2012 – 2022 37
Figure 3 7: Total Hip Replacement Device Market by Bearing Type, U.S., 2012 – 2022 (US$M) 40
Figure 3 8: Metal on Highly Cross-Linked Polyethylene Total Hip Replacement Market, U.S., 2012 – 2022 42
Figure 3 9: Metal on Metal Total Hip Replacement Market, U.S., 2012 – 2022 44
Figure 3 10: Ceramic on Highly Cross-Linked Polyethylene Total Hip Replacement Market, U.S., 2012 – 2022 46
Figure 3 11: Ceramic on Ceramic Total Hip Replacement Market, U.S., 2012 – 2022 48
Figure 3 12: Partial Hip Replacement Device Market, U.S., 2012 – 2022 50
Figure 3 13: Bipolar Partial Hip Replacement Market, U.S., 2012 – 2022 52
Figure 3 14: Unipolar Partial Hip Replacement Market, U.S., 2012 – 2022 54
Figure 3 15: Resurfacing Hip Replacement Market, U.S., 2012 – 2022 56
Figure 3 16: Hip Replacement Revision Market, U.S., 2012 – 2022 58
Figure 3 17: Complete Hip Replacement Revision Market, U.S., 2012 – 2022 60
Figure 3 18: Acetabular Component Hip Replacement Revision Market, U.S., 2012 – 2022 61
Figure 3 19: Femoral Stem Hip Replacement Revision Market, U.S., 2012 – 2022 62
Figure 3 20: Drivers and Limiters, Hip Replacement Device Market, U.S., 2015 65
Figure 3 21: Leading Competitors, Hip Replacement Device Market, 2015 68

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