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US Market for Knee Replacement Devices - MedCore

Knee replacement was first performed in 1968. As joints do not regenerate readily, total replacement is an eventuality when discomfort and decrease in mobility become serious enough issues for prospective patients. The three major segments of the knee replacement market are total joint replacement, partial joint replacement and knee revision.

Total Knee Replacement

Total knee replacement involves replacing the entire joint—both the tibial and femoral sides. As with other areas of reconstructive surgery, total knee replacements are more popular than partial joint replacements.

Partial Knee Replacement

Unicondylar joint replacement provides an alternative to total knee replacement when only part of the knee is affected by wear or disease. This allows for less tissue displacement and a smaller incision. However, the disadvantage to partial replacement is that a total joint replacement may become an eventual necessity. That is to say, the conditions that lead to wear for one side of the joint may continue to affect the healthier side.

Patellofemoral Replacement

Patellofemoral replacement is infrequently used to replace the cartilage surface of the patella. These devices are used for a limited group of patients, as the majority of doctors in the U.S. prefer to use total joint implants rather than partial implants that may need to be revised to total joint replacements at a later date.

Interpositional Knee Implants

Interpositional knee implants are a form of partial knee implant and are somewhat analogous to resurfacing devices in other reconstructive areas. These devices are disc shaped and are used to replace worn cartilage. The devices were sold by Zimmer under the UniSpacer™ brand, ConforMIS under the iForma™ brand and Advanced Bio-Surfaces under the OrthoGlide™ brand; however, in 2011 most of these brands were no longer sold. The procedure time was an hour or less, which is less time than a traditional partial knee implant, and the purpose of these devices was to delay the need for a partial or total joint procedure. However, problems associated with the products dislocating in the knee compartment led to poor patient outcomes and eventually led to the discontinuation of many of these devices by 2011.

Knee Revision

Knee revision procedures involve replacing worn implanted joints with new hardware. To be precise, it is not the implant itself that is worn but the quality of its adhesion to the patient’s existing bone. Conservative estimates of implant longevity are around 15 to 20 years, with many implants lasting longer than this period. The rate of revision is expected to climb as the number of primary implanted devices increases.


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
KNEE 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 Total Knee Replacement
3.1.4.2 Partial Knee Replacement
3.1.4.3 Patellofemoral Replacement
3.1.4.4 Interpositional Knee Implants
3.1.4.5 Knee Revision
3.1.5 Fixation Method
3.1.6 Bearing Surface
3.1.7 Fixed versus Mobile Bearings
3.1.8 Cruciate Retaining versus Posterior Stabilized
3.1.9 Custom Patient Instrumentation
3.2 MARKET OVERVIEW
3.3 MARKET ANALYSIS AND FORECAST
3.3.1 Total Knee Replacement Device Market
3.3.1.1 Total Knee Replacement Device Market by Cementation Type
3.3.1.1.1 Cemented Total Knee Replacement Market
3.3.1.1.2 Cementless Total Knee Replacement Market
3.3.1.1.3 Hybrid Cemented Total Knee Replacement Market
3.3.1.2 Total Knee Replacement Device Market by Construction Type
3.3.1.2.1 Cruciate-Retaining Total Knee Replacement Market
3.3.1.2.2 Cruciate-Sacrificing Total Knee Replacement Market
3.3.1.3 Total Knee Replacement Device Market by Bearing Type
3.3.1.3.1 Fixed Bearing Total Knee Replacement Market
3.3.1.3.2 Mobile Bearing Total Knee Replacement Market
3.3.2 Partial Knee Replacement Device Market
3.3.2.1 Unicondylar Partial Knee Replacement Market
3.3.2.2 Patellofemoral Partial Knee Replacement Market
3.3.3 Knee Replacement Revision Market
3.3.3.1 Revision of All Components
3.3.3.2 Revision of Tibial Component
3.3.3.3 Revision of Femoral Component
3.3.3.4 Revision of Patellar Component
3.3.4 Knee Cutting Block 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: Knee Replacement Device Market by Segment, U.S., 2012 – 2022 27
Chart 3 2: Knee Replacement Device Market Breakdown, U.S., 2015 28
Chart 3 3: Knee Replacement Device Market Breakdown, U.S., 2022 28
Chart 3 4: Total Knee Replacement Device Market, U.S., 2012 – 2022 30
Chart 3 5: Total Knee Replacement Device Market by Cementation Type, U.S., 2012 – 2022 32
Chart 3 6: Cemented Total Knee Replacement Market, U.S., 2012 – 2022 34
Chart 3 7: Cementless Total Knee Replacement Market, U.S., 2012 – 2022 36
Chart 3 8: Hybrid Cemented Total Knee Replacement Market, U.S., 2012 – 2022 38
Chart 3 9: Primary Knee Reconstruction Device Market by Construction Type, U.S., 2012 – 2022 40
Chart 3 10: Cruciate-Retaining Total Knee Replacement Market, U.S., 2012 – 2022 42
Chart 3 11: Cruciate-Sacrificing Total Knee Replacement Market, U.S., 2012 – 2022 44
Chart 3 12: Total Knee Replacement Device Market by Bearing Type, U.S., 2012 – 2022 46
Chart 3 13: Fixed Bearing Total Knee Replacement Market, U.S., 2012 – 2022 48
Chart 3 14: Mobile Bearing Total Knee Replacement Market, U.S., 2012 – 2022 50
Chart 3 15: Partial Knee Replacement Device Market, U.S., 2012 – 2022 52
Chart 3 16: Unicondylar Partial Knee Replacement Market, U.S., 2012 – 2022 54
Chart 3 17: Patellofemoral Partial Knee Replacement Market, U.S., 2012 – 2022 56
Chart 3 18: Knee Replacement Revision Implant Market, U.S., 2012 – 2022 58
Chart 3 19: All Components Knee Replacement Revision Market, U.S., 2012 – 2022 59
Chart 3 20: Tibial Component Knee Replacement Revision Market, U.S., 2012 – 2022 60
Chart 3 21: Femoral Component Knee Replacement Revision Market, U.S., 2012 – 2022 61
Chart 3 22: Patellar Component Knee Replacement Revision Market, U.S., 2012 – 2022 62
Chart 3 23: Knee Cutting Block Market, U.S., 2012 – 2022 64
Chart 3 24: Leading Competitors, Knee Replacement Device Market, 2015 72
List of Figures
Figure 1 1: Procedural Codes, U.S., 2014 7
Figure 3 1: Knee Replacement Device Market by Segment, U.S., 2012 – 2022 (US$M) 26
Figure 3 2: Total Knee Replacement Device Market, U.S., 2012 – 2022 29
Figure 3 3: Total Knee Replacement Device Market by Cementation Type, U.S., 2012 – 2022 (US$M)
Figure 3 4: Cemented Total Knee Replacement Market, U.S., 2012 – 2022 33
Figure 3 5: Cementless Total Knee Replacement Market, U.S., 2012 – 2022 35
Figure 3 6: Hybrid Cemented Total Knee Replacement Market, U.S., 2012 – 2022 37
Figure 3 7: Total Knee Replacement Device Market by Construction Type, U.S., 2012 – 2022 (US$M)
Figure 3 8: Cruciate-Retaining Total Knee Replacement Market, U.S., 2012 – 2022 41
Figure 3 9: Cruciate-Sacrificing Total Knee Replacement Market, U.S., 2012 – 2022 43
Figure 3 10: Total Knee Replacement Device Market by Bearing Type, U.S., 2012 – 2022 (US$M) 45
Figure 3 11: Fixed Bearing Total Knee Replacement Market, U.S., 2012 – 2022 47
Figure 3 12: Mobile Bearing Total Knee Replacement Market, U.S., 2012 – 2022 49
Figure 3 13: Partial Knee Replacement Device Market, U.S., 2012 – 2022 51
Figure 3 14: Unicondylar Partial Knee Replacement Market, U.S., 2012 – 2022 53
Figure 3 15: Patellofemoral Partial Knee Replacement Market, U.S., 2012 – 2022 55
Figure 3 16: Knee Replacement Revision Market, U.S., 2012 – 2022 57
Figure 3 17: All Components Knee Replacement Revision Market, U.S., 2012 – 2022 59
Figure 3 18: Tibial Component Knee Replacement Revision Market, U.S., 2012 – 2022 60
Figure 3 19: Femoral Component Knee Replacement Revision Market, U.S., 2012 – 2022 61
Figure 3 20: Patellar Component Knee Replacement Revision Market, U.S., 2012 – 2022 62
Figure 3 21: Knee Cutting Block Market, U.S., 2012 – 2022 63
Figure 3 22: Drivers and Limiters, Knee Replacement Device Market, U.S., 2015 68
Figure 3 23: Leading Competitors, Knee Replacement Device Market, 2015 72

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