NEW YORK, April 6 Reportlinker.com announces that a new market research report is available in its catalogue:
U.S. Market for Orthopedic Large Joint Reconstructive Devices 2010
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In 2009, the combined orthopedic large joint replacement and bone cement market was valued at over $7 billion. Hip and knee arthroplasty has seen consistent double- digit revenue growth since the early 2000s. However, growth slowed during the recession that began in 2008, but nearly resumed its previous pace by the end of 2009. Although large joint arthroplasty is not the fastest growing orthopedic market, it has proven to be remarkably resilient due to the continued demand for hip and knee implants. This report covers these devices, as well as the total market for associated bone cement used for arthroplasty implantation.
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The market includes:
- The knee reconstruction market
- The hip reconstruction market
- The bone cement market
Within the orthopedic large joint replacement and bone cement market, companies such as Biomet, DePuy Orthopaedics, Smith & Nephew, Stryker Orthopedics and Zimmer lead the market, among others. This report provides a comprehensive and detailed analysis of market revenues by device type, market forecasts through 2016, unit sales, average selling prices, market drivers and limiters and a detailed competitive analysis, including manufacturer market shares and product portfolios.
U.S. Market for
Orthopedic Large Joint Reconstructive Devices
TABLE OF CONTENTS ........I
LIST OF FIGURES ...VI
LIST OF CHARTS ....IX
EXECUTIVE SUMMARY .... 1
1.1 TOTAL ORTHOPEDIC LARGE JOINT RECONSTRUCTIVE DEVICE MARKET . 1
1.2 COMBINED KNEE IMPLANT MARKET ....... 2
1.3 INTERPOSITIONAL DEVICE MARKET . 2
1.4 TOTAL HIP REPLACEMENT MARKET BY FIXATION TYPE ....... 3
1.5 COMBINED HIP REPLACEMENT MARKET . 4
1.6 POLYETHYLENE BEARING TOTAL HIP REPLACEMENT MARKET .... 5
1.7 HIP RESURFACING MARKET ............. 6
1.8 BONE CEMENT MARKET 7
1.9 LEADING COMPETITORS 8
RESEARCH METHODOLOGY ............. 9
2.1 RESEARCH SCOPE .......... 9
2.2 IDATA'S 9-STEP METHODOLOGY ..... 9
Step 1: Project Initiation & Team Selection ...... 10
Step 2: Prepare Data Systems and Perform Secondary Research 11
Step 3: Preparation for Interviews & Questionnaire Design ....... 12
Step 4: Performing Primary Research .... 13
Step 5: Research Analysis: Establishing Baseline Estimates ....... 15
Step 6: Market Forecast and Analysis .... 15
Step 7: Identify Strategic Opportunities . 17
Step 8: Final Review and Market Release ......... 18
Step 9: Customer Feedback and Market Monitoring ............ 19
U.S. MARKET FOR ORTHOPEDIC LARGE JOINT RECONSTRUCTIVE
DEVICES ........... 20
3.1 INTRODUCTION . 20
3.1.1 Anatomy and Pathology ............ 20
3.1.2 Treatment .... 22
3.1.3 Treatment Complications .......... 23
3.2 OVERVIEW 24
3.2.1 General Product Classifications ....... 24
3.2.2 Patient-Specific Products and Consumer Awareness ..... 26
3.2.3 Press-Fitted versus Cemented Implantation 26
3.2.4 Simultaneous Bilateral Implantation 26
3.2.5 Minimally Invasive Surgery ...... 27
3.2.6 Computer-Assisted Navigation Systems ....... 27
3.2.7 Emerging Technologies ............ 28
3.3MARKET ANALYSIS AND FORECAST ...... 29
3.3.1 Procedures .. 29
3.3.1.1 Total Procedures .................29
3.3.1.2 Simultaneous Bilateral Implantation ......30
3.3.2 Market Segments .... 31
3.4MARKET DRIVERS AND LIMITERS .. 33
3.4.1 Market Drivers ....... 33
3.4.2 Market Limiters ...... 34
3.5 COMPETITIVE ANALYSIS ................ 36
3.5.1 Overview ..... 36
3.5.2 Leading Competitors ................. 37
3.5.3 Other Notable Competitors ....... 39
3.5.4 Market Concentration ............... 43
3.6MERGERS AND ACQUISITIONS ........ 45
3.7 LITIGATION AND LEGAL ISSUES ..... 46
KNEE RECONSTRUCTION MARKET ...... 48
4.1 INTRODUCTION . 48
4.1.1 Anatomy ...... 48
4.1.2 Pathology .... 48
4.2 OVERVIEW 49
4.2.1 Implant Types ......... 49
4.2.1.1 Total Knee Replacement ......49
4.2.1.2 Partial Knee Replacement ...49
4.2.1.3 Patellofemoral Replacement 49
4.2.1.4 Interpositional Knee Implants .....50
4.2.1.5 Knee Revision ...50
4.2.2 Fixation Method ..... 51
4.2.3 Bearing Surface ..... 51
4.2.4 Fixed verses Mobile Bearings ... 52
4.3MARKET ANALYSIS AND FORECAST ...... 53
4.3.1 Combined Knee Implant Market ....... 53
4.3.2 Combined Total Knee Replacement Market 55
4.3.3 Total Knee Replacement Market by Cementation Type .. 57
4.3.3.1 Cementless Implant Market .57
4.3.3.2 All-Cemented Implant Market .....59
4.3.3.3 Hybrid Cemented Implant Market ..........61
4.3.4 Total Market by Cruciate-Retaining or Sacrificing Construction ..... 63
4.3.4.1 Cruciate-Retaining Device Market .........63
4.3.4.2 Cruciate-Sacrificing Device Market .......65
4.3.5 Total Knee Replacement Market by Bearing Type ......... 67
4.3.5.1 Fixed Bearing Total Knee Replacement Market ........67
4.3.5.2 Mobile Bearing Total Knee Replacement Market .....69
4.3.6 Unicondylar Knee Implant Market ... 71
4.3.7 Interpositional Knee Implant Market 73
4.3.8 Patellofemoral Replacement Market 75
4.3.9 Revision Knee Implant Market .. 77
4.4MARKET DRIVERS AND LIMITERS .. 79
4.4.1 Market Drivers ....... 79
4.4.2 Market Limiters ...... 80
4.5 COMPETITIVE ANALYSIS ................ 82
4.5.1 Leading Competitors ................. 82
4.5.2 Other Notable Competitors ....... 85
HIP RECONSTRUCTION MARKET .. 88
5.1 INTRODUCTION . 88
5.1.1.1 Anatomy .88
5.1.1.2 Pathology ..........88
5.1.1.3 Treatment ..........88
5.2 OVERVIEW 89
5.2.1 Implant Types ......... 89
5.2.1.1 Total Hip Joint Replacement .......89
5.2.1.2 Partial Hip Joint Replacement ....89
5.2.1.3 Resurfacing Hip Joint Replacement .......90
5.2.1.4 Revision Hip Joint Replacement ..90
5.2.2 Fixation Method ..... 90
5.2.3 Implant Material .... 91
5.2.4 Bearing Surface Technology ..... 91
5.2.4.1 Polyethylene Bearings .........91
5.2.4.2 Highly Cross-Linked Polyethylene Bearings .............91
5.2.4.3 Metal Bearings ..91
5.2.4.4 Ceramic Bearings ................92
5.3MARKET ANALYSIS AND FORECAST ...... 93
5.3.1 Combined Hip Implant Market . 93
5.3.2 Total Hip Joint Replacement Market 96
5.3.2.1 Combined Total Hip Replacement Market ................96
5.3.2.2 Total Hip Replacement Market by Individual Components ..........97
5.3.3 Total Hip Replacement Market by Cementation Type .. 100
5.3.3.1 Cemented Hip Implant Market ..100
5.3.3.2 Cementless Hip Implant Market 102
5.3.4 Total Hip Replacement Market by Bearing Type ......... 104
5.3.4.1 Standard Polyethylene Bearing Market 106
5.3.4.2 Highly Cross-Linked Polyethylene Bearing Market 108
5.3.4.3 Metal Bearing Market ........110
5.3.4.4 Ceramic Bearing Market ...112
5.3.5 Combined Partial Hip Implant Market ...... 114
5.3.6 Partial Hip Implant Market by Construction Type ....... 116
5.3.6.1 Bipolar Partial Hip Implant Market .....116
5.3.6.2 Unipolar Partial Hip Implant Market ..118
5.3.7 Resurfacing Hip Implant Market .... 120
5.3.8 Revision Hip Implant Market .. 122
5.4MARKET DRIVERS AND LIMITERS 124
5.4.1 Market Drivers ..... 124
5.4.2 Market Limiters .... 124
5.5 COMPETITIVE ANALYSIS .............. 126
5.5.1 Leading Competitors ............... 126
5.5.2 Other Notable Competitors ..... 128
BONE CEMENT MARKET ................ 131
6.1 INTRODUCTION .......... 131
6.2 OVERVIEW ...... 132
6.3MARKET ANALYSIS AND FORECAST .... 133
6.3.1 Combined Bone Cement Market ..... 133
6.3.1.1 Premixed Antibiotic Bone Cement Market ..............135
6.3.1.2 Traditional Bone Cement Market .........137
6.4MARKET DRIVERS AND LIMITERS 141
6.4.1 Market Drivers ..... 141
6.4.2 Market Limiters .... 142
6.5 COMPETITIVE ANALYSIS .............. 143
ABBREVIATIONS .. 146
LIST OF FIGURES
EXECUTIVE SUMMARY ........ 1
RESEARCH METHODOLOGY 9
U.S. MARKET FOR ORTHOPEDIC LARGE JOINT RECONSTRUCTIVE
DEVICES ....... 20
Figure 3-1: Combined Orthopedic Large Joint Reconstructive Device Market,
U.S., 2006 - 2016 .............. 29
Figure 3-2: Combined Orthopedic Large Joint Reconstruction Market by
Segment, U.S., 2006 - 2016 ....... 31
Figure 3-3: Drivers and Limiters, Combined Orthopedic Large Joint
Reconstruction Market, U.S., 2009 ........ 35
Figure 3-4: Leading Competitors, Combined Orthopedic Large Joint
Reconstruction Market, U.S., 2009 ........ 41
Figure 3-5: Market Concentration, Orthopedic Large Joint Reconstruction
Market, U.S., 2009 ............ 43
KNEE RECONSTRUCTION MARKET ..... 48
Figure 4-1: Combined Knee Implant Market, U.S., 2006 - 2016 ....... 53
Figure 4-2: Total Knee Replacement Market, U.S., 2006 - 2016 ....... 55
Figure 4-3: Cementless Total Knee Implant Market, U.S., 2006 - 2016 ............... 57
Figure 4-4: Cemented Total Knee Implant Market, U.S., 2006 - 2016 ................. 59
Figure 4-5: Hybrid Total Knee Replacement Market, U.S., 2006 - 2016 .............. 61
Figure 4-6: Cruciate-Retaining Total Knee Replacement Market, U.S.,
2006 - 2016 .... 63
Figure 4-7: Cruciate-Sacrificing Total Knee Replacement Market, U.S.,
2006 - 2016 .... 65
Figure 4-8: Fixed Bearing Total Knee Replacement Market, U.S., 2006 - 2016 ... 67
Figure 4-9: Mobile Bearing Total Knee Replacement Market, U.S.,
2006 - 2016 .... 69
Figure 4-10: Unicondylar Knee Implant Market, U.S., 2006 - 2016 .. 71
Figure 4-11: Interpositional Knee Implant Market, U.S., 2006 - 2016 ................. 73
Figure 4-12: Pateollofemoral Replacement Market, U.S., 2006 - 2016 ................ 75
Figure 4-13: Revision Knee Implant Market, U.S., 2006 - 2016 ....... 77
Figure 4-14: Drivers and Limiters, Knee Reconstruction Market, U.S., 2009 ....... 81
Figure 4-15: Leading Competitors, Knee Reconstruction Market, U.S., 2009 ....... 86
HIP RECONSTRUCTION MARKET ......... 88
Figure 5-1: Combined Hip Implant Market, U.S., 2006 - 2016 ......... 94
Figure 5-2: Combined Hip Implant Market by Segment, U.S., 2006 - 2016 ......... 94
Figure 5-3: Combined Total Hip Replacement Market, U.S., 2006 - 2016 ........... 96
Figure 5-4: Total Hip Replacement Market by Component, U.S., 2009 ................ 97
Figure 5-5: Cemented Hip Implant Market, U.S., 2006 - 2016 ........ 100
Figure 5-6: Cementless Hip Implant Market, U.S., 2006 - 2016 ..... 102
Figure 5-7: Hip Implant Market Penetration by Segment, U.S., 2006 - 2016...... 104
Figure 5-8: Standard Polyethylene Bearing Total Hip Implant Market, U.S.,
2006 - 2016 .. 106
Figure 5-9: Highly Cross-Linked Polyethylene Bearing Total Hip Implant
Market, U.S., 2006 - 2016 ....... 108
Figure 5-10: Metal Bearing Total Hip Implant Market, U.S., 2006 - 2016 ......... 110
Figure 5-11: Ceramic Bearing Total Hip Implant Market, U.S., 2006 - 2016 ..... 112
Figure 5-12: Combined Partial Hip Implant Market, U.S., 2006 - 2016 ............. 114
Figure 5-13: Bipolar Partial Hip Implant Market, U.S., 2006 - 2016 ................. 116
Figure 5-14: Unipolar Partial Hip Implant Market, U.S., 2006 - 2016 ............... 118
Figure 5-15: Hip Resurfacing Implant Market, U.S., 2006 - 2016 ... 120
Figure 5-16: Revision Hip Implant Market, U.S., 2006 - 2016 ....... 122
Figure 5-17: Drivers and Limiters, Hip Reconstruction Market, 2009 ................ 125
Figure 5-18 Leading Competitors, Hip Reconstruction Market, U.S., 2009 ........ 129
BONE CEMENT MARKET .. 131
Figure 6-1: Combined Bone Cement Market, U.S., 2006 - 2016 ..... 133
Figure 6-2: Premixed Antibiotic Bone Cement Market, U.S., 2006 - 2016 ......... 135
Figure 6-3: Traditional Bone Cement Market, U.S., 2006 - 2016 .... 137
Figure 6-4: Arthroplasty Procedures Involving Bone Cement, U.S.,
2006 - 2016 .. 139
Figure 6-5: Drivers and Limiters, Bone Cement Market, U.S., 2009 .................. 142
Figure 6-6: Leading Competitors, Bone Cement Market, U.S., 2009 .................. 144
ABBREVIATIONS .............. 146
LIST OF CHART S
EXECUTIVE SUMMARY ........ 1
Chart 1-1: Total Orthopedic Large Joint Reconstructive Device Market, U.S.,
2006 - 2016 ...... 1
Chart 1-2: Knee Implant Market by Segment, U.S., 2009 2
Chart 1-3: Annual Revenue Growth Rates, Interpositional Device and
Unicondylar Implant Markets, U.S., 2006 - 2016 ....... 2
Chart 1-4: Total Hip Replacement Market by Fixation Type, U.S., 2006 - 2016 .... 3
Chart 1-5: Total Hip Replacement Market by Average Selling Price of Bearing
Type, U.S., 2009 .................. 4
Chart 1-6: Unit Volume of Polyethylene Liners, Total Hip Replacement Market,
U.S., 2006 - 2016 ................ 5
Chart 1-7: Hip Resurfacing Market, U.S., 2006 - 2016 .... 6
Chart 1-8: Bone Cement Usage by Indication, U.S., 2006 - 2016 ....... 7
Chart 1-9: Leading Competitors, Large Joint Replacement Market, U.S., 2009 ...... 8
RESEARCH METHODOLOGY 9
U.S. MARKET FOR ORTHOPEDIC LARGE JOINT RECONSTRUCTIVE
DEVICES ....... 20
Chart 3-1: Simultaneous Bilateral Implantation, Orthopedic Large Joint
Reconstruction Market, U.S., 2009 ........ 30
Chart 3-2: Combined Orthopedic Large Joint Reconstruction Market by Segment,
U.S., 2006 - 2016 .............. 32
Chart 3-3: Leading Competitors, Combined Orthopedic Large Joint
Reconstructive Market, U.S., 2009 ........ 42
Chart 3-4: Market Concentration, Orthopedic Large Joint Reconstruction Market,
U.S., 2009 ...... 44
KNEE RECONSTRUCTION MARKET ..... 48
Chart 4-1: Combined Knee Implant Market, U.S., 2006 - 2016 ........ 54
Chart 4-2: Total Knee Replacement Market, U.S., 2006 - 2016 ........ 56
Chart 4-3: Cementless Total Knee Implant Market, U.S., 2006 - 2016................. 58
Chart 4-4: Cemented Total Knee Implant Market, U.S., 2006 - 2016 60
Chart 4-5: Hybrid Total Knee Replacement Market, U.S., 2006 - 2016................ 62
Chart 4-6: Cruciate-Retaining Total Knee Replacement Market, U.S.,
2006 - 2016 .... 64
Chart 4-7: Cruciate-Sacrificing Total Knee Replacement Market, U.S.,
2006 - 2016 .... 66
Chart 4-8: Fixed Bearing Total Knee Replacement Market, U.S., 2006 - 2016..... 68
Chart 4-9: Mobile Bearing Total Knee Replacement Market, U.S., 2006 - 2016... 70
Chart 4-10: Unicondylar Knee Implant Market, U.S., 2006 - 2016 ... 72
Chart 4-11: Interpositional Knee Implant Market, U.S., 2006 - 2016 74
Chart 4-12: Pateollofemoral Replacement Market, U.S., 2006 - 2016 .................. 76
Chart 4-13: Revision Knee Implant Market, U.S., 2006 - 2016 ......... 78
Chart 4-14: Leading Competitors, Knee Reconstruction Market, U.S., 2009 ........ 87
HIP RECONSTRUCTION MARKET ......... 88
Chart 5-1: Combined Hip Implant Market, U.S., 2006 - 2016 95
Chart 5-2: Total Hip Implant Market by Component, U.S., 2009 ...... 98
Chart 5-3: Combined Total Implant Market, U.S., 2006 - 2016 ........ 99
Chart 5-4: Cemented Hip Implant Market, U.S., 2006 - 2016 ......... 101
Chart 5-5: Cementless Hip Implant Market, U.S., 2006 - 2016 ....... 103
Chart 5-6: Hip Implant Market Penetration by Segment, U.S., 2006 - 2016 ....... 105
Chart 5-7: Standard Polyethylene Bearing Total Hip Implant Market, U.S.,
2006 - 2016 .. 107
Chart 5-8: Highly Cross-Linked Polyethylene Bearing Total Hip Implant Market,
U.S., 2006 - 2016 ............ 109
Chart 5-9: Metal Bearing Total Hip Implant Market, U.S., 2006 - 2016............. 111
Chart 5-10: Ceramic Bearing Total Hip Implant Market, U.S., 2006 - 2016....... 113
Chart 5-11: Combined Partial Hip Implant Market, U.S., 2006 - 2016 ............... 115
Chart 5-12: Bipolar Partial Hip Implant Market, U.S., 2006 - 2016 117
Chart 5-13: Unipolar Partial Hip Implant Market, U.S., 2006 - 2016 ................. 119
Chart 5-14: Hip Resurfacing Implant Market, U.S., 2006 - 2016 .... 121
Chart 5-15: Revision Hip Implant Market, U.S., 2006 - 2016 ......... 123
Chart 5-16: Leading Competitors, Hip Reconstruction Market, U.S., 2009......... 130
BONE CEMENT MARKET .. 131
Chart 6-1: Combined Bone Cement Market, U.S., 2006 - 2016 ....... 134
Chart 6-2: Premixed Antibiotic Bone Cement Market, U.S., 2006 - 2016 .......... 136
Chart 6-3: Traditional Bone Cement Market, U.S., 2006 - 2016 ..... 138
Chart 6-4: Percentage of Bone Cement Used per Indication, U.S., 2006 - 2016 . 140
Chart 6-5: Leading Competitors, Combined Bone Cement Market, U.S., 2009 ... 145
ABBREVIATIONS .............. 146
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