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ORTHOPEDIC INSTRUMENTATION - A GLOBAL STRATEGIC BUSINESS REPORT   

Research Abstract

This report analyzes the worldwide markets for Orthopedic Instrumentation in US$ Million by the following Product Segments: Reconstructive Sector (Hip Implants, Knee Implants, & Extremities), Fracture Fixation, Arthroscopy, Spinal Implants, and Other Products. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2009 through 2017. Also, a six-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based upon search engine sources in the public domain. The report profiles 199 companies including many key and niche players such as -

AAP Implantate AG/AAP mebio
Acumed LLC
Arthrex, Inc.
B. Braun Melsungen AG
Biomet, Inc.
Conmed Corp.

Click here to request a full list of companies covered in the report...

Code: MCP-3223
Price: $4950
Companies: 199
Pages: 684
Date: March 2012
Market Data Tables: 114
 



TABLE OF CONTENTS


  ORTHOPEDIC INSTRUMENTATION (Complete Report) Pages : 684   | $4950

   Study Reliability and Reporting Limitations.....I-1  
   Disclaimers.....I-2
Data Interpretation & Reporting Level.....I-2
  
   Quantitatives Techniques & Analytics.....I-3
Product Definitions and Scope of Study.....I-3
Reconstructive Sector.....I-3
Hip Implants.....I-3
  
   Knee Implants.....I-4
Extremities.....I-4
Fracture Fixation.....I-4
Arthroscopy.....I-4
Spinal Products.....I-4
  
   Other Products.....I-5  
   Orthopedic Industry: Countering the Challenges of Recession.....II-1
Emerging Technologies to Redefine the Future.....II-1
1$100
   Factors Influencing Industry Dynamics.....II-21$100
   Growth Drivers, Trends & Issues.....II-3
Aging Population Drives Demand.....II-3
Prevalence of Osteoporosis, Arthritis and other Joint Diseases Fuel Market
  Growth.....II-3
Increasing Cases of Musculoskeletal Problems.....II-3
1$100
   Table 1: Select Musculoskeletal Conditions - Percentage Breakdown by Age Group (includes corresponding Graph/Chart).....II-41$350
   Increasing Life Expectancy Rates.....II-5
Developing Markets - High Potential.....II-5
Cost Containment Issues.....II-5
Revision Procedures Buoy Growth.....II-5
1$100
   Minimally Invasive Surgery Attracts Attention.....II-6
Advanced Materials & Technologies Foster Growth.....II-6
1$100
   Advanced Coatings – Enhancing Lifespan of Implants.....II-7
Demand for Premium Implants Continues.....II-7
Growing Demand for Total Hip Replacement in Young People.....II-7
1$100
   Hip Resurfacing Replacement for Younger Generation.....II-8 1$100
   Table 2: Leading Manufacturers in the Global Hip Resurfacing Market (2008 & 2009): Percentage Share Breakdown of Value Sales for Smith and Nephew, Stryker, Wright Medical and DePuy (Johnson and Johnson) (includes corresponding Graph/Chart).....II-9
Gender-Specific Orthopedic Devices Gain Momentum.....II-9
Spinal and Orthobiologics Products Spearhead Growth.....II-9
1$350
   Synthetic Substitutes, Growth Factors and Composites.....II-10
Stem Cell and Gene Therapy.....II-10
Growing Presence of Mid-Tier Firms & Start-Ups in Spinal Segment.....II-10
Rising Production Costs & Complexities in Documentation – Major Challenges.....II-10
2$125
   Anatomy of the Industry.....II-12
Designing of Device: Complex Requirements.....II-12
1$100
   Futuristic View of Designs.....II-131$100
   Reconstructive Market.....II-14
Highlights.....II-14
1$100
   Table 3: Hip Implant Procedures in US and Europe (2010): Percentage Breakdown by Number of Procedures for Primary Hip, Revision Hip and Endoprosthesis (includes corresponding Graph/Chart).....II-15
Countering Rising Hip Implant Prices.....II-15
1$350
   Tooth ‘N Trouble.....II-16
Future of Reconstructive Sector.....II-16
Hip and Knee Implants Market.....II-16
1$100
   Technological Advancements Encourage Young Patients to Opt for Surgeries.....II-17
Direct-to-Consumer Marketing Efforts Enhance Awareness.....II-17
Extremities Market.....II-17
1$100
   Select Extremity Products of Leading Players.....II-18
Trauma Market.....II-18
Select Trauma Products of Leading Players.....II-18
1$100
   Arthroscopy Market.....II-19
Spine Implants & Biologics Market.....II-19
1$100
   Orthobiologics Market.....II-20
Fracture Repair Market.....II-20
Table 4: Fractures by Age Group (2010): Percentage Share Breakdown of Number of Fractures by Patient Age (includes corresponding Graph/Chart).....II-20
1$350
   Table 5: Global Fracture Repair Market by Segment (2010): Percentage Share Breakdown of Value Sales for Internal Fixation, External Fixation, and Craniomaxillofacial (includes corresponding Graph/Chart).....II-21

Table 6: Leading Players in the World Fracture Repair Market (2010): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, Zimmer, DePuy, Biomet, Acumed, Orthofix and Others (includes corresponding Graph/Chart).....II-21
Fracture Fixation Devices Market.....II-21
1$350
   A. Reconstructive Sector.....II-22
Procedure of Joint Replacement: Past and Present.....II-22
1$100
   Insertion of Implants.....II-23
Revision Surgery: A Painful Procedure.....II-23
Cost of Implants - Determining Factors.....II-23
1$100
   Hip Prosthesis.....II-24
Total Hip Replacement.....II-24
Conditions Requiring Total Hip Replacement.....II-24
Materials Used.....II-24
Cemented Hip Implants.....II-24
1$100
   Cementless Hip Implants.....II-25
Complications Following THR.....II-25
Partial Hip Replacement.....II-25
Revision Hip Procedures.....II-25
1$100
   Types of Hip Implants.....II-26
Ceramic-on-Ceramic.....II-26
Metal-on-Metal.....II-26
Highly Cross-Linked Polyethylene.....II-26
Ceramic-on-polyethylene.....II-26
Metal-on-polyethylene.....II-26
1$100
   Knee Prosthesis.....II-27
Functional Aspects of the Knee.....II-27
Implant Design.....II-27
1$100
   Unicondylar Knee Replacements.....II-28
Fixed and Mobile Bearing Knees.....II-28
Mobile Bearing Total Knee Replacement Prosthesis.....II-28
1$100
   Secondary Joint Prosthesis/Extremeties.....II-29
Shoulder Prosthesis.....II-29
Ankle Prosthesis.....II-29
Elbow Prosthesis.....II-29
Finger Prosthesis.....II-29
B. Fracture Fixation.....II-29
Osteoporosis - A Bone Breaking Factor.....II-29
1$100
   Fracture Fixation Procedures.....II-30
Internal Fixation.....II-30
External Fixation.....II-30
1$100
   Intramedulary Fixation.....II-31
Maxillofacial Fixation Products.....II-31
Bone Growth Stimulators.....II-31
Select Techniques Used in Fracture Fixation.....II-31
Bone Graft System.....II-31
Osteo-Clage Cerclage Cable System.....II-31
Polarus Humeral Fixation System.....II-31
1$100
   Stableloc External Fixator.....II-32
Nature of a Fracture.....II-32
Trends and Developments in the Fracture Fixation Market.....II-32
Novel Technologies Boost External Fixation Device Market.....II-32
Increase in Less Invasive Fracture Repair Procedures.....II-32
1$100
   New Technologies Rekindle Market for Trauma Products.....II-33
Intramedullary Nails Threatened by LCP Systems.....II-33
1$100
   Locking Compression Plates Might Lose its Superfluous Growth.....II-34
C. Arthroscopy.....II-34
Arthroscopy: A Keyhole Surgery.....II-34
1$100
   A Broad Perspective.....II-35
Arthroscopic Procedure.....II-35
Arthroscopy and its Complications.....II-35
1$100
   Knee Arthroscopy.....II-36
Hip Arthroscopy.....II-36
1$100
   Shoulder Arthroscopy.....II-37
Arthroscopically Assisted Anterior Approach.....II-37
Arthroscopy of the Elbow.....II-37
Ankle Arthroscopy.....II-37
Future Developments.....II-37
Multi-Electrode Procedure.....II-37
Electrothermal Arthroscopy.....II-37
1$100
   D. Spinal Implants and Instrumentation.....II-38
Spinal Fusion - Lending Support to the Troubled Backs.....II-38
1$100
   Spinal Implants Market in the Past: A Historic Perspective.....II-39
Table 7: Spinal Implant Market Worldwide (2004) - Percentage Breakdown by Number of Surgeries for Degenerative Lumbar, Cervical, Deformities, Thoraco-Lumbar Traumas and Thoraco-Lumbar Tumors (includes corresponding Graph/Chart).....II-39

Table 8: Spinal Products Market Worldwide (2004) - Percentage Breakdown by Implant Type for Pedicel Screws, Plates, Rods; Fusion Cages, and Others (includes corresponding Graph/Chart).....II-39
1$350
   State of Spinal Fusion Cages.....II-40
Emerging Technologies and Techniques.....II-40
Non- Invasive Surgeries.....II-40
Universal Multilevel Fusions.....II-40
Motion-Sparing Technology- Leap Forward in Spinal Fusions.....II-40
1$100
   Artificial Nuclei.....II-41
Lumbar Artificial Discs Launch Timeline (2000-2005).....II-41
Cervical Artificial Disc Launch Timeline (2007).....II-41
Artificial Disc Competitive Landscape (2004-2007).....II-41
1$100
   E. Other Products.....II-42
Bone Cement.....II-42
Mechanical Properties of Bone Cements.....II-42
Soft Goods Sector.....II-42
1$100
   Resorbables.....II-43
Bone Substitutes.....II-43
1$100
   Osteoinductive Agents/Bone Graft Factors:.....II-441$100
   Viscoelastics.....II-451$100
   Soft Tissue Repair and Replacement.....II-46
Tissue Engineering.....II-46
2$125
   Competitive Factors Influencing Orthopedics Market.....II-48
Positive Factors.....II-48
Pricing and Cost Effectiveness of Products.....II-48
Consumer Relationships.....II-48
Safety and Competency of Products.....II-48
Technological Advancements.....II-48
1$100
   Product Innovation.....II-49
Risk Factors.....II-49
Delays in Product Development.....II-49
Time Taken for Regulatory Approvals.....II-49
1$100
   Consolidation – Resetting Competition.....II-50
Mergers and Acquisitions in the Worldwide Orthopedics Industry: 2006-2010.....II-50
2$125
   M&A Activity: 2007–2010 in Orthopedic Instrumentation Segment.....II-52
Reconstructive Sector: Hip Implants, Knee Implants, Extremities.....II-52
Spinal Products.....II-52
1$100
   Arthroscopy (2000-2010).....II-53
Competitive Analysis.....II-53
Product Matrix of Leading Players in Orthopedics Industry.....II-53
1$100
   Table 9: Leading Players in the Global Orthopedics Market (2010): Percentage Share Breakdown of Value Sales for Stryker, J&J, Zimmer, Medtronic, Synthes, Smith & Nephew, Biomet, and Others (includes corresponding Graph/Chart).....II-54
Reconstructive Sector.....II-54
Leading Players in Select Orthopedic Implant Markets.....II-54
1$350
   Table 10: Leading Players in the Global Reconstructive/ Orthopedic Implant Market (2010): Percentage Share Breakdown of Value Sales for Zimmer, J&J, Stryker, Biomet, Smith & Nephew, and Others (includes corresponding Graph/Chart).....II-55

Table 11: Leading Manufacturers in the Global Hip Implant (Reconstructive) Market (2011): Percentage Share Breakdown of Unit Sales for Zimmer, DePuy, Stryker, Biomet and Others (includes corresponding Graph/Chart).....II-55
1$350
   Table 12: Leading Manufacturers in the Global Knee Implant (Reconstructive) Market (2009): Percentage Share Breakdown of Value Sales for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical, Exactech and Others (includes corresponding Graph/Chart).....II-56

Table 13: Leading Manufacturers in the Global Spinal Implant (Reconstructive) Market (2009): Percentage Share Breakdown of Value Sales for Zimmer, Stryker, JNJ DePuy, Biomet, Smith & Nephew, Wright Medical, Exactech and Others (includes corresponding Graph/Chart).....II-56
1$350
   Table 14: Leading Manufacturers in the Global Hip and Knee Implants Market (2009): Percentage Share Breakdown of Value Sales for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, and Others (includes corresponding Graph/Chart).....II-571$350
   Hip Implants.....II-58
Table 15: Leading Players in Worldwide Hip Implants Market (2008 & 2012): Percentage Breakdown of Dollar Sales by Company for Zimmer, J&J DePuy, Stryker, Smith & Nephew, Biomet, Wright Medical and Others (includes corresponding Graph/Chart).....II-58
1$350
   Knee Implants.....II-59
Table 16: Leading Players in Worldwide Knee Implants Market (2008 & 2012): Percentage Breakdown of Dollar Sales by Company for Zimmer, J&J DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical and Others (includes corresponding Graph/Chart).....II-59
1$350
   Extremities.....II-60
Table 17: Leading Players in the Global Extremities Market (2009 & 2012): Percentage Share Breakdown of Value Sales for DePuy, Tornier, Zimmer, Wright Medical, Biomet, and Others (includes corresponding Graph/Chart).....II-60
1$350
   Fracture Fixation.....II-61
Table 18: Global Fracture Repair Market (2009): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, Zimmer, DePuy, Biomet, Acumed, Orthofix, and Others (includes corresponding Graph/Chart).....II-61
Internal Fixation.....II-61
External Fixation.....II-61
1$350
   Table 19: Leading Players in the Global Trauma & Craniomaxillofacial Market (2009): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, J&J, Zimmer, Biomet, and Others (includes corresponding Graph/Chart).....II-62

Table 20: Leading Players in the Global Trauma Market (2008): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, Zimmer, DePuy, and Others (includes corresponding Graph/Chart).....II-62

Table 21: Leading Players in the Global CMF Market (2008): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Biomet, KLS Martin, OsteoMed, Medartis, and Others (includes corresponding Graph/Chart).....II-62
1$350
   Arthroscopy.....II-63
Table 22: Leading Players in the Global Arthroscopy Market (2009): Percentage Share Breakdown of Value Sales for Smith & Nephew, Arthrex, Mitek/J&J, Stryker, Arthrocare, ConMed Linvatec, and Others (includes corresponding Graph/Chart).....II-63
Spinal Products.....II-63
1$350
   Table 23: Leading Players in the Global Spine Market (2009): Percentage Share Breakdown of Value Sales for Medtronic, DePuy, Synthes, Stryker, NuVasive, Zimmer, Orthofix, Globus, Biomet, and Others (includes corresponding Graph/Chart).....II-64

Table 24: Global Spinal Implants Market (2009): Percentage Share Breakdown of Value Sales for Medtronic, J&J, Synthes, Stryker, NuVasive, Globus, Zimmer, and Others (includes corresponding Graph/Chart).....II-64
1$350
   Table 25: Leading Players in the Global Orthobiologics Market (2009): Percentage Share Breakdown of Value Sales for Medtronic, Synthes, J&J, Osteotech, Smith & Nephew, Stryker, and Others (includes corresponding Graph/Chart).....II-651$350
   Competitive Factors from End-Use Perspective.....II-66
Demographics Crucial Factor Driving Demand.....II-66
Hospitals: The Largest End-Use Industry.....II-66
1$100
   Physicians’ Offices/Clinics.....II-67
New Technology Adds to the Growth.....II-67
Home Health Care Market: A Fast Growing Segment.....II-67
1$100
   An Insight into the Distribution Network of Select Players.....II-68
BioMet, Inc......II-68
Medtronic Sofamor Danek.....II-68
1$100
   Synthes.....II-69
Zimmer Holdings, Inc......II-69
1$100
   Alternate-Bearing Materials in the Hip Implants Market.....II-70
Diamond-on-Diamond Technology.....II-70
Cementless Procedures Gain Ground.....II-70
1$100
   Trabecular Metal Technology.....II-71
Surface Modification Technology.....II-71
Novel Minimally Invasive Approaches.....II-71
Zimmer Launches Quad-Sparing Total Knee Replacement.....II-71
Spire’s Subsidiary Expands Ion Implantation Processing.....II-71
1$100
   Zimmer to Launch New Minimally Invasive Hip Procedure.....II-72
DePuy Introduces New Mini-Incision Technique in Hip Replacement.....II-72
1$100
   Medtronic Unveils KYPHON® Express™ for Vertebral Compression Fracture
  Treatment.....II-73
X-spine Receives FDA Clearance for Fixcet ™ Spinal Facet Screw System.....II-73
Alphatec Spine Introduces Four Novel Products in Biologics, Thoracolumbar and MIS
  Market.....II-73
1$100
   Orthofix International Unveils Spinal Deformity Correction Module.....II-74
SI-BONE to Unveil iFuse Implant System™.....II-74
Maxx Medical Unveils Freedom Total Knee® System.....II-74
DePuy Mitek Rolls Out VERSALOK PEEK Rotator Cuff Anchor.....II-74
1$100
   SANUWAVE Health Launches OrthoPACE™ Device in Europe.....II-75
Medtronic Introduces Kyphon ActivOs 10 Bone Cement with Hydroxyapatite.....II-75
Ascension Orthopedics Rolls Out Ascension NuGrip CMC Implant.....II-75
Aesculap Implant Systems Unveils S4 Element™ Pedicle Screw System.....II-75
1$100
   DePuy Spine Introduces EXPEDIUM® VBD Instrument.....II-76
Stryker Unveils iVAS™ Inflatable Vertebral Augmentation System.....II-76
1$100
   CareFusion Introduces AVAmax® Vertebral Balloon.....II-77
Integra LifeSciences Introduces Integra Spine's Paramount PS Fixation System.....II-77
Ascension Orthopedics Unveils PyroTITAN™ Humeral Resurfacing Arthroplasty
  System.....II-77
DiFusion Technologies Receives FDA Approval for Xiphos Posterior Interbody
  Devices.....II-77
1$100
   Titan Spine Unveils Endoskeleton® TC System.....II-78
Interventional Spine Completes Implant of RENEW™ Interspinous Allograft
  Technology.....II-78
Exactech Secures Approval to Market Novation® Hip System in Japan.....II-78
Stryker Orthopaedics Unveils ADM Mobile Bearing Acetabular and Rejuvenate Modular
  Primary Hip Systems.....II-78
1$100
   Wright Medical Launches ORTHOLOC Polyaxial Locked Plating System.....II-79
BioMimetic’s Augment Bone Graft Receives Approval from Health Canada.....II-79
MiMedx Group Rolls Out Paradis Vaso Shield™.....II-79
1$100
   Medtronic Launches SOVEREIGN™ Spinal System.....II-80
Signus Medical Launches DIALOG Sacroiliac Joint Fusion System.....II-80
MAKO Surgical Introduces Lateral Unicompartmental Knee Surfacing Application.....II-80
CONMED Unveils Bullseye Anatomic Cruciate Reconstruction System.....II-80
CONMED Linvatec Introduces Small Biocomposite Interference Screw.....II-80
1$100
   Medtronic Rolls Out TSRH® 3Dx™ Spinal System.....II-81
Medtronic Rolls Out Mastergraft Strip.....II-81
Custom Spine Introduces Two New Spine Systems.....II-81
K2M Introduces TERRA NOVA® and SERENGETI®.....II-81
Covidien Unveils DuraSeal™ Spine Sealant.....II-81
1$100
   DePuy Spine Expands Spinal Pathology Solutions Portfolio.....II-82
US Spine Introduces MIS Locking Facet System.....II-82
US Spine Introduces Facet Gun MAX.....II-82
U.S. Spinal Technologies Introduced Phantom Plus™ Interbody Fusion System.....II-82
Smith & Nephew Rolls Out TRUCATH Spinal Injection System.....II-82
US Spine Launches Preference 2 Complex Spine System™.....II-82
1$100
   CONMED Introduces Linvatec Shoulder Restoration System.....II-83
Smith & Nephew's Endoscopy Division Introduces BICEPTOR™ Tenodesis System.....II-83
1$100
   Integra LifeSciences Introduces Coral™ Extended Tab Spinal Screw Series.....II-84
Medtronic Introduces Novel Orthopedic Devices.....II-84
DePuy Spine Introduces HEALOS® Fx Injectable Bone Graft Replacement.....II-84
1$100
   Orteq Inks Agreement with FH Orthopaedics to Launch Actifit Meniscal Implant.....II-85
Smith & Nephew Introduces VISIONAIRE Patient Matched Instrumentation.....II-85
Ascension Orthopedics Unveils Ascension® Silicone PIP System.....II-85
1$100
   SpineSource® Introduces SHELL™ Cervical PEEK Optima® Cage.....II-86
Integra LifeSciences Holdings Introduces Vu L•POD™ and Vu e•POD™ IBD.....II-86
Ouroboros Medical Obtains Clearance to Market Spinal Fusion Product.....II-86
Bonovo Orthopedics to Market Pioneer’s Spinal Fusion Products.....II-86
1$100
   HydroCision Introduces SpineJet® Percutaneous Curved Access Set.....II-87
Tornier Implements Human Implant of Shoulder Arthroplasty Prosthesis.....II-87
X-spine Systems Obtains FDA Approval for Calix Spinal Implant System.....II-87
Bonesupport Receives EU Clearance for Cerament Bone Void Filler.....II-87
1$100
   DiFUSION Technologies Completes Testing of Silver Ion-based Antimicrobial
  Technology.....II-88
Wright Medical Introduces Titanium Knee Implant.....II-88
Medtronic Introduces NANOSTIM® Synthetic Bone Paste.....II-88
1$100
   CONMED Unveils Medical Devices.....II-89
DePuy Unveils Pinnacle Hip Solutions.....II-89
1$100
   Smith & Nephew Introduces VERILAST™ Technology.....II-90
DePuy Expands Sigma® Knee Product Portfolio.....II-90
Smith & Nephew Introduces R3™ Acetabular Cup System for Hip Replacement.....II-90
Smith & Nephew Launches Bioraptor 2.3 PK Suture Anchor.....II-90
1$100
   RTI Introduces of Fresh-Stored OC Allografts.....II-91
Wright Medical Group Launches Profemur Xm Hip Stem.....II-91
ConforMIS Launches Patient-Specific Implant.....II-91
Stryker Introduces Triathlon PKR System in the US.....II-91
Orthovita Launches New Bone Graft Substitute.....II-91
DePuy Launches ALPS for Orthopaedic Trauma.....II-91
1$100
   DJO Surgical Gains FDA Approval to Market New X-alt.....II-92
Osteotech Obtains FDA Clearance for Plexur M Biocomposite.....II-92
ConforMIS Wins CE Mark Approvals for Two Arthritis Products.....II-92
1$100
   Smith & Nephew Unveils New High Definition Surgical Camera System.....II-93
Modern Plastics Announces New Medical Grade PMMA.....II-93
Wright Medical Introduces a New Biologic Grafting System.....II-93
Wright Medical Unveils Hip Solutions Products.....II-93
Smith & Nephew Introduces Bi-Compartmental Knee System.....II-93
1$100
   DePuy Introduces Computer Software for Assisting Surgery.....II-94
Medtronic Launches CD Horizon® Legacy™ Anterior Spinal System.....II-94
Depuy Orthopaedics Unveils New Coating for Biological Fixation.....II-94
DePuy Introduces Delta Xtend™ Reverse Shoulder System.....II-94
DePuy Launches New System for Hip Fractures.....II-94
1$100
   DePuy Introduces New Hip-Bearing System.....II-95
DePuy Introduces Pinnacle® Acetabular Cup System AltrX™.....II-95
Biomet Introduces Two New Hip Stem Products.....II-95
ArthroCare Introduces Opus® TwinLock™ Knotless Fixation System.....II-95
1$100
   SBI Introduces Advanced RingFIX™ System and Forefoot Repair Set.....II-96
SBI Launches New Distal Radius Plating System.....II-96
Smith & Nephew Endoscopy Introduces New Lateral Hip Distractor.....II-96
HydroCision Launches SpineJet® EndoResector.....II-96
1$100
   Wright Medical Launches Latest Stature- Specific Knee Replacement.....II-97
Integra LifeSciences Introduces Uni-CP Compression Plate.....II-97
Wright Medical Introduces the CAROLINA™ Jones Fracture.....II-97
Wright Medical Launches EVOLVE® PROLINE System.....II-97
1$100
   SBi Launches Artelon® STT Spacer.....II-98
Amedica Gains FDA Approval for Valeo VBR Spinal Implant.....II-98
Amedica Obtains FDA Marketing Approval for Valeo Pedicle Screw System.....II-98
Corin Group Obtains FDA for Cormet Resurfacing Hip Device.....II-98
1$100
   Altiva Obtains FDA Approval for Altiva® Classic ACP.....II-99
SBI Obtains FDA Approval for Artelon CMC Spacer Arthro.....II-99
Smith & Nephew’s Knee Systems Receive FDA Approval.....II-99
Amedica Gains FDA Clearance for Valeo™ Cervical Plate System.....II-99
Zimmer Obtains FDA Approval for Zimmer® NexGen® Knee.....II-99
1$100
   Invibio Receives Approval to Market Implantable Spinal Implant in Japan.....II-100
BioMedical Obtains FDA Clearance for OSSpine Spinal Product.....II-100
Blackstone Medical Introduces New Spinal Fusion Product line.....II-100
1$100
   CONMED Linvatec Launches New Powered Surgical Instruments & Arthroscopy
  Products.....II-101
Smith & Nephew Introduces New JOURNEY BI-Cruciate Stabilized Knee System.....II-101
Stryker Launches Triathlon Knee System for Women.....II-101
1$100
   Wright Medical Unveils ODYSSEY™ Distal Cut First Instruments for MIS
  Procedures.....II-102
FDA Grants Approval for Marketing Smith & Nephew’s BHR System.....II-102
1$100
   Johnson & Johnson to Acquire Synthes.....II-103
Amedica Takes Over US Spine.....II-103
Medtronic to Take Over Osteotech.....II-103
1$100
   NeuroTherm Takes Over Smith & Nephew's Interventional Spine Pain Management
  Business.....II-104
Stryker Acquires Ascent Healthcare Solutions.....II-104
Alphatec Spine Acquires Scient’x Groupe.....II-104
1$100
   Arthrex Acquires iBalance Medical.....II-105
Zimmer to Acquire Beijing Montagne.....II-105
Olympus Acquires Minor Stake in Small Bone Innovations.....II-105
Crocker Ventures Takes Over TMJ Implants.....II-105
1$100
   Welsh Carson Acquires Stake in K2M.....II-106
Orthopaedic Synergy Acquires PRAXIM.....II-106
Memometal Technologies Acquires OrthoGlide® Ankle Technology.....II-106
1$100
   Riverside Acquires Eska Implants.....II-107
Exactech Takes Over VertiFlex's Minimally Invasive Spine Technologies and
  Products.....II-107
Exactech Takes Over Brighton Partners.....II-107
1$100
   Landec Takes Over Lifecore Biomedical.....II-108
Seneca Acquires Majority Share in Micro Machine.....II-108
X-spine Systems Signs License Agreement with Gamma Spine.....II-108
Hasco Medical and Bell-Horn Sign Agreement.....II-108
1$100
   DePuy Takes Over Finsbury.....II-109
Wenzel Spine Acquires DJO Surgical’s Spine Product Lines.....II-109
Stryker Takes Over OtisMed.....II-109
Biomet Acquires Assets of Cartilix.....II-109
1$100
   Circle Medical Devices Merges with Texcel Medical.....II-110
Facet Solutions Purchases Archus Orthopedics' Assets.....II-110
Cardo Medical Takes Over Assets and Intellectual Property from Vertebron.....II-110
1$100
   Orthofix and MBA Group Enter into Agreement.....II-111
Hanger Orthopedic Acquires Custom Orthopedics and Creative Orthotics &
  Prosthetics.....II-111
Integra LifeSciences Acquires IST.....II-111
Carlyle Group Snaps Up Groupe Marle.....II-111
SBi Snaps Up Link America.....II-111
1$100
   K2M Partners with Smith & Nephew.....II-112
AdvanSource Signs Agreement with Orthopedic Device Manufacturer.....II-112
Wright Medical Takes Over INBONE Technologies.....II-112
1$100
   Riverside Acquires Summit Medical.....II-113
UniPhar to Acquire Forth Medical and Northstar.....II-113
Regeneration Technologies and Tutogen Merge to Form RTI Biologics.....II-113
Precimed Acquires DePuy Orthopaedics' Chaumont Plant.....II-113
1$100
   SBI to Acquire Ankle Replacement Technology.....II-114
Symmetry Medical Acquires Orthopaedic Instrument Facility of DePuy.....II-114
Greatbatch Completes Acquisition of Precimed.....II-114
Exactech Acquires Altiva.....II-114
Exactech to Acquire France Medica; Starts Direct Distribution in Japan.....II-114
1$100
   Tornier and LifeCell Sign Distribution Agreement.....II-115
Osteotech Enters into Distribution Agreement with Harvest Technologies.....II-115
Misonix Signs Distribution Deal with Aesculap.....II-115
1$100
   Alynx Acquires MiMedx.....II-116
Alphatec Acquires Rights for Interbody/Vertebral Body Replacement Technology.....II-116
Exactech Inks License Deal for Cartilage Repair Technology.....II-116
Biomet Ties Up with Massachusetts General Hospital for Clinical Studies.....II-116
1$100
   Stryker Recalls Select Hip Products.....II-117
Norman Noble Increases Orthopedic Implant Production Operations.....II-117
1$100
   Biomet Merges with LVB Acquisition Merger Sub.....II-118
Cardinal Health Completes Acquisition of VIASYS Healthcare.....II-118
Biomet Sports Medicine and Marc Tec Ink Licensing Agreement.....II-118
1$100
   Zimmer Inks a Distribution Agreement with Regeneration Technologies.....II-119
Sandvik Inks Agreement with Medtronic to Acquire Medtronic’s Plant.....II-119
Medtronic and Weigao to Establish Joint Venture in China .....II-119
HealthpointCapital Takes over Ideal Medical Products.....II-119
1$100
   Covidien’s Subsidiary Takes Over Scandius Biomedical.....II-120
Integra LifeSciences Takes over IsoTis.....II-120
DePuy Spine Completes Acquisition of Certain Disc-O-Tech Assets.....II-120
1$100
   Wright Medical Acquires BIO-ARCH™ Subtalar Implant.....II-121
UniPhar Merges Whelehan Surgical and Surgicare Divisions.....II-121
Orthofix International Completes Acquisition of InSWing™ Technology.....II-121
Sandvik Acquires Doncasters Medical Technologies.....II-121
1$100
   Medtronic Completes Acquisition of Kyphon.....II-122
Tornier Takes Over DVO Extremity Solutions & Nexa Orthopedics.....II-122
Medtronic Takes over O-arm Imaging from Breakaway Imaging.....II-122
Wright Medical Takes over Assets of R&R Medical.....II-122
1$100
   Wright Medical Acquires DARCO’s Reconstructive Foot Surgery Business.....II-123
Zimmer Holdings Acquires Endius.....II-123
Leis Medical and MedicineLodge Merge to Form iMDs.....II-123
1$100
   Zimmer Takes Over ORTHOsoft.....II-124
NuVasive Takes Over Radius Medical.....II-124
DJO Completes ReAble Merger.....II-124
Smith & Nephew Acquires Plus Orthopedics.....II-124
1$100
   Orchid Takes Over Three Orthopedic Instrument Companies.....II-125
Synthes Takes Over N Spine.....II-125
Avalign Technologies Acquires Nemcomed.....II-125
1$100
   Wright Medical and A.M. Surgical in Distribution and License Agreement.....II-126
Symmetry Medical and MAKO Surgical Enter into an Agreement.....II-126
Medtronic and Axon Enter into Agreement.....II-126
Wright Medical Shuts Down Facility in France.....II-126
1$100
   Portland Orthopaedics Retakes US Distribution.....II-127
Tornier and Bioretec in Partnership for Bioresorbable Surgical Devices.....II-127
Impulse Takes Over Clinical Support Services.....II-127
Alphatec Holdings Gains License for Vertebroplasty Technology System.....II-127
1$100
   Smith & Nephew Signs Global Distribution Agreement with Teknimed.....II-128
Corin Enters into Marketing and Distribution Deal with Stryker.....II-128
Biomet and Kensey Signs Marketing and Distribution Agreement.....II-128
BSN Medical Acquires FLA Orthopedics.....II-128
SimplexityMD Takes Over OrthoAccel Technologies.....II-128
Hanger Orthopedic Group Acquires Paris O&P Laboratory.....II-128
Smith & Nephew Recalls Knee Implants.....II-128
1$100
   Alphatec to Merge with Scient’X.....II-129
Endius and Quantum Form Strategic Alliance.....II-129
Biomet to Expand Indiana Facility.....II-129
DJ Orthopedics Acquires Newmed.....II-129
1$100
   FDA Clears Zimmer’s Gender Solutions Artificial Knee for Women.....II-130
Zimmer Acquires Surgical Instrument Technology from MedTech S.A.....II-130
dj Orthopedics Acquires Aircast.....II-130
FDA Approves Biomet’s Regenerex™ Acetabular System.....II-130
DePuy Mitek Takes Over FMS Operations.....II-130
1$100
   Medtronic Provides Research Grant to OTA.....II-131
Orthofix Restructures its International Business Operations.....II-131
Orthofix Acquires IMeS to Expand European Operations.....II-131
1$100
   AAP Implantate AG/aap mebio (Germany).....II-132
Acumed LLC (US).....II-132
Arthrex, Inc. (US).....II-132
B. Braun Melsungen AG (Germany).....II-132
1$100
   Biomet, Inc. (US).....II-1331$100
   Conmed Corp. (US).....II-134
DJO Surgical (US).....II-134
1$100
   Exactech, Inc. (US).....II-135
Innomed, Inc. (US).....II-135
1$100
   Japan Medical Dynamic Marketing (MDM), Inc. (Japan).....II-136
Johnson & Johnson (US).....II-136
DePuy Inc. (US).....II-136
1$100
   Medtronic Sofamor Danek, Inc. (US).....II-137
Orthofix International N.V. (The Netherlands).....II-137
1$100
   Smith and Nephew Plc (UK).....II-138
Smith & Nephew, Inc. (US).....II-138
Stryker Corporation (US).....II-138
1$100
   Stryker Orthopaedics (US).....II-139
Synthes Holding AG (Switzerland).....II-139
1$100
   Wright Medical Technology, Inc. (US).....II-140
Zimmer Holdings, Inc. (US).....II-140
2$125
   Table 26: World Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....II-1421$350
   Table 27: World Historic Review for Orthopedic Instrumentation by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....II-1431$350
   Table 28: World 15-Year Perspective for Orthopedic Instrumentation by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....II-1441$350
   By Segment.....II-145
Table 29: World Recent Past, Current & Future Analysis for Reconstructive Sector by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....II-145
1$350
   Table 30: World Historic Review for Reconstructive Sector by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....II-1461$350
   Table 31: World 15-Year Perspective for Reconstructive Sector by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....II-1471$350
   Table 32: World Recent Past, Current & Future Analysis for Reconstructive Sector by Product Segment – Hip Implants, Knee Implants and Extremities Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....II-1481$350
   Table 33: World Historic Review for Reconstructive Sector by Product Segment - Hip Implants, Knee Implants and Extremities Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....II-1491$350
   Table 34: World 15-Year Perspective for Reconstructive Sector by Product Segment – Percentage Breakdown of Dollar Sales for Hip Implants, Knee Implants and Extremities Markets for Years 2003, 2011 & 2015 (includes corresponding Graph/Chart).....II-1501$350
   Table 35: World Recent Past, Current & Future Analysis for Fracture Fixation by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....II-1511$350
   Table 36: World Historic Review for Fracture Fixation by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....II-1521$350
   Table 37: World 15-Year Perspective for Fracture Fixation by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....II-1531$350
   Table 38: World Recent Past, Current & Future Analysis for Arthroscopy Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....II-1541$350
   Table 39: World Historic Review for Arthroscopy Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....II-1551$350
   Table 40: World 15-Year Perspective for Arthroscopy Products by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....II-1561$350
   Table 41: World Recent Past, Current & Future Analysis for Spinal Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....II-1571$350
   Table 42: World Historic Review for Spinal Products by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....II-1581$350
   Table 43: World 15-Year Perspective for Spinal Products by Geographic Region –Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....II-1591$350
   Table 44: World Recent Past, Current & Future Analysis for Other Orthopedic Instrumentation Products by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....II-1601$350
   Table 45: World Historic Review for Other Orthopedic Instrumentation Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....II-1611$350
   Table 46: World 15-Year Perspective for Other Products by Geographic Region – Percentage Breakdown of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....II-1621$350
   A. Market Analysis.....III-1
The Largest Orthopedics Market.....III-1
Proposed Tax on Medical Device Industry – Potential Implications.....III-1
1$75
   An Overview of the US Orthopedic Healthcare System.....III-2
Table 47: US Orthopedics Market (2008): Percentage Share Breakdown of Number of Physician Visits for Back, Knee, Neck, Lower Back, Hip, and Small Bone and oint (includes corresponding Graph/Chart).....III-2
1$200
   Table 48: Rate of Procedures (Per 10,000 Individuals) for Knee Arthroplasty, Hip Replacement, and Spinal Fusion: Breakdown by Age Group (includes corresponding Graph/Chart).....III-3
Trends & Issues.....III-3
Aging Population & Obesity Drive Demand for Orthopedic Procedures.....III-3
1$200
   Table 49: Primary Hip and Knee Replacement Procedures in the US (2008): Percentage Breakdown by Age Group (includes corresponding Graph/Chart).....III-4

Table 50: Percentage of Population by Age Group in the US (2010) (includes corresponding Graph/Chart).....III-4

Table 51: US Population in the Over-45 Years Age Group (2006-2008) (includes corresponding Graph/Chart).....III-4
1$200
   Technological Developments Promote Growth.....III-5
Biomaterials Market – Keeping Pace with Changing Times.....III-5
Orthopedic Soft Tissue Allograft Market in the US.....III-5
1$75
   Rising Incidence of Arthritis Aids Growth in Implant Procedures.....III-6
Orthopedic Implants Market in the US.....III-6
1$75
   Wear Debris-A Major Concern.....III-7
Reimbursement Scenario.....III-7
CMS Implements MS-DRG System.....III-7
1$75
   New FY 2010-2011 Provisions.....III-81$75
   Main Additions to the MCC and CC Lists for Fiscal-year 2010.....III-9
MS-DRG System for Joint Replacements in comparison with DRG System.....III-9
1$75
   MS-DRG System for Spine Segment in comparison with DRG System.....III-10 1$75
   Table 52: Comparison of RW and GMLOS for RG and MS-DRG Systems (2007-2010).....III-111$200
   Reimbursement for Trauma Procedures in the Past.....III-12
Table 53: Medicare Reimbursement Codes for Leading Trauma Procedures in US (includes corresponding Graph/Chart).....III-12
1$200
   Table 54: Percentage Change in Medicare Reimbursement Rates (2000-2005) (includes corresponding Graph/Chart).....III-13
Reconstructive Market: An Overview.....III-13
Large Joint Reconstructive Implants Market – An Overview.....III-13
1$200
   An Insight into the Hip and Knee Replacement Market.....III-14
Innovative Products & Procedures Favor Growth.....III-14
1$75
   Hip Resurfacing Implants Market in the US.....III-151$75
   Joint Replacement Procedures – Improving Technologies & Materials.....III-16
Knee Implants Market.....III-16
Knee Implant Pricing Scenario.....III-16
1$75
   Table 55: Knee Replacements in the US (1998-2008): Number of Procedures (in Thousands) and Average Duration of Hospitalization for Total, and Revision Knee Replacement Procedures.....III-17
Hip Implants Market.....III-17
New Materials Emerge as Polyethylene Alternatives.....III-17
1$200
   Historic Note (Knee and Hip Implants).....III-18
Table 56: Knee Implants Market in the US (2004): Percentage Breakdown by Dollar Sales for Implant Type – Cemented Femoral, Cemented Tibial, Cementless Femoral, Cementless Tibial and Polyethylene Liner (includes corresponding Graph/Chart).....III-18
1$200
   Table 57: Hip Replacements in the US (1998-2005): Number of Procedures (in Thousands) and Average Duration of Hospitalization for Total, Partial and Revision Procedures (includes corresponding Graph/Chart).....III-19
Shift from Cemented to Press-Fit Procedures.....III-19
Cost Containment for Implants.....III-19
Fracture Fixation Market.....III-19
1$200
   Table 58: Number of Inpatient Fracture Repair Procedures in the US (2008): Percentage Breakdown by Anatomical Site for Femur, Tibia/Fibula, Radius/Ulna, Humerus, Face, Ankle/Foot, Others (includes corresponding Graph/Chart).....III-20
Shift Towards LCPs Drive Growth.....III-20
Domestic Arthroscopy Market to Witness Modest Growth.....III-20
1$200
   Spinal Products Market.....III-211$75
   Troubled Backs.....III-22
Spinal Procedures in US Witness Substantial Growth.....III-22
1$75
   Table 59: Spinal Implant Procedures in the US: 2001- 2008 (includes corresponding Graph/Chart).....III-23
Artificial Disc Replacement.....III-23
1$200
   Extremities Market.....III-24
Bone Graft Market.....III-24
1$75
   Competitive Landscape.....III-25
Table 60: Leading Players in the US Reconstructive Implants Market (2007): Percentage Share Breakdown of Revenues for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical and Others (includes corresponding Graph/Chart).....III-25
1$200
   Table 61: Leading Players in the US Hip Implants Market (2007): Percentage Share Breakdown of Revenues for Zimmer, DePuy, Stryker, Smith & Nephew, Biomet, Wright Medical and Others (includes corresponding Graph/Chart).....III-26

Table 62: Leading Players in the US Knee Reconstruction Market (2007): Percentage Share Breakdown of Revenues for Zimmer, DePuy, Stryker, Biomet, Smith & Nephew, Wright Medical and Others (includes corresponding Graph/Chart).....III-26

Table 63: Leading Players in the US Spinal Implants Market (2006): Percentage Breakdown of Value Sales for Medtronic Sofamor Danek, DePuy Spine, Zimmer Spine, Synthes, Stryker Biomet and Others (includes corresponding Graph/Chart).....III-26
1$200
   B. Market Analytics.....III-27
Table 64: US Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-27
1$200
   Table 65: US Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-281$200
   Table 66: US 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-291$200
   A. Market Analysis.....III-30
Orthopedics Market – An Overview.....III-30
1$75
   Increasing Incidence of Arthritis Triggers Demand for Hip & Knee Implants.....III-31
Hip & Knee Replacement Stats.....III-31
Table 67: Number of Joint Replacement Procedures in Canada (2009): Percentage Share Breakdown for Hips and Knees (includes corresponding Graph/Chart).....III-31

Table 68: Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Gender (includes corresponding Graph/Chart).....III-31
1$200
   Table 69: Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Age Group (includes corresponding Graph/Chart).....III-321$200
   Table 70: Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Province (includes corresponding Graph/Chart).....III-33
Spinal Implant Market in Canada.....III-33
1$200
   Socio-Economic Factors.....III-34
Highly Consolidated Market.....III-34
1$75
   B. Market Analytics.....III-35
Table 71: Canadian Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-35
1$200
   Table 72: Canadian Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-361$200
   Table 73: Canadian 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-371$200
   A. Market Analysis.....III-38
Outlook.....III-38
Driven by Innovations.....III-38
Aging Population Propels Sales.....III-38
Reimbursement Scenario.....III-38
1$75
   Spinal Implant Market - Opportunities Galore.....III-39
Players in Japanese Orthopedic Implants Market.....III-39
1$75
   B. Market Analytics.....III-40
Table 74: Japanese Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-40
1$200
   Table 75: Japanese Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-411$200
   Table 76: Japanese 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-421$200
   A. Market Analysis.....III-43
Implants Market – An Overview.....III-43
1$75
   Competitive Scenario in the Reconstructive Market.....III-44
Table 77: Leading Players in the European Reconstructive Market (2008): Percentage Share Breakdown of Value Sales for Zimmer, J&J/ DePuy, Smith & Nephew, Stryker, Biomet, Wright Medical, and Others (includes corresponding Graph/Chart).....III-44
Modular Systems: Common Form of Knee Implant in Europe.....III-44
Spinal Implants Market in Europe.....III-44
1$200
   Impact of Regulations in the Orthopedic Sector.....III-45
Medical Devices Directive Revision, 2007.....III-45
Competitive Insight into the European Trauma Market.....III-45
Table 78: Leading Players in the European Trauma Market (2008): Percentage Share Breakdown of Value Sales for Synthes, Stryker, Smith & Nephew, J&J/DePuy, Zimmer, Biomet, and Others (includes corresponding Graph/Chart).....III-45
1$200
   Bio-absorbable Technologies Drive Orthopedic Markets.....III-461$75
   B. Market Analytics.....III-47
Table 79: European Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Geographic Region – France, Germany, Italy, UK, Spain, & Rest of Europe Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-47
1$200
   Table 80: European Historic Review for Orthopedic Instrumentation by Geographic Region – France, Germany, Italy, UK, Spain, & Rest of Europe Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-481$200
   Table 81: European Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-491$200
   Table 82: European Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-501$200
   Table 83: European 15-Year Perspective for Orthopedic Instrumentation by Geographic Region – Percentage Breakdown of Dollar Sales for France, Germany, Italy, UK, Spain, & Rest of Europe Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-511$200
   Table 84: European 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-521$200
   A. Market Analysis.....III-53
Outlook.....III-53
Demographics Underpinning Growth.....III-53
Table 85: Percentage of Population by Age Group in France (2010) (includes corresponding Graph/Chart).....III-53
1$200
   B. Market Analytics.....III-54
Table 86: French Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-54
1$200
   Table 87: French Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-551$200
   Table 88: French 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-561$200
   A. Market Analysis.....III-57
Orthopedic Products in Germany.....III-57
Demographic Factors & Injuries Offer Growth Opportunities.....III-57
Table 89: Percentage of Population by Age Group in Germany (2010) (includes corresponding Graph/Chart).....III-57
1$200
   Competitive Scenario.....III-581$75
   B. Market Analytics.....III-59
Table 90: German Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-59
1$200
   Table 91: German Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-601$200
   Table 92: German 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-611$200
   Market Analytics.....III-62
Table 93: Italian Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-62
1$200
   Table 94: Italian Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-631$200
   Table 95: Italian 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-641$200
   A. Market Analysis.....III-65
Orthopedics Market – An Overview.....III-65
Implants Market Rides on Product Innovations.....III-65
UK Population Statistics.....III-65
1$75
   Table 96: Percentage of Population by Age Group in the UK (2010) (includes corresponding Graph/Chart).....III-66
Total Hip Replacement Statistics.....III-66
Shoulder & Small Joint Implants.....III-66
1$200
   B. Market Analytics.....III-67
Table 97: UK Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-67
1$200
   Table 98: UK Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-681$200
   Table 99: UK 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-691$200
   A. Market Analysis.....III-70
Prosthesis Market.....III-70
Demographics.....III-70
1$75
   B. Market Analytics.....III-71
Table 100: Spanish Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-71
1$200
   Table 101: Spanish Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-721$200
   Table 102: Spanish 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-731$200
   A. Market Analysis.....III-74
Orthopedic Implants Market in Eastern Europe – An Overview.....III-74
Overview of Select Markets in Europe.....III-74
Russia.....III-74
Austria.....III-74
Czech Republic.....III-74
1$75
   Competition.....III-75
Spinal Implants.....III-75
Finland.....III-75
Switzerland.....III-75
1$75
   Hungary.....III-76
Fracture Fixation.....III-76
Spinal Products.....III-76
Poland.....III-76
Fracture Fixation.....III-76
1$75
   Spinal Implants.....III-771$75
   B. Market Analytics.....III-78
Table 103: Rest of Europe Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment - Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-78
1$200
   Table 104: Rest of Europe Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-791$200
   Table 105: Rest of Europe 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-801$200
   A. Market Analysis.....III-81
Asia – A Promising Market for Orthopedic Device Manufacturers.....III-81
Asian Orthopedic Markets: Entry Barriers.....III-81
1$75
   Review of Select Markets.....III-82
Australia.....III-82
China.....III-82
Foreign Players Dominate Orthopedic Instrument Market.....III-82
Fracture Fixation.....III-82
1$75
   Spinal Implants.....III-83
India.....III-83
Joint Implants Market – Set for Rapid Growth.....III-83
1$75
   Medical Tourism Bolsters Orthopedic Implants Market.....III-84
South Korea.....III-84
Competition.....III-84
1$75
   Singapore.....III-85
Taiwan.....III-85
Foreign Participation in Taiwanese Orthopedic Market Segments.....III-85
Thailand.....III-85
1$75
   B. Market Analytics.....III-86
Table 106: Asia-Pacific Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment - Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-86
1$200
   Table 107: Asia-Pacific Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-871$200
   Table 108: Asia-Pacific 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-881$200
   A. Market Analysis.....III-89
Argentina.....III-89
Entry Regulations for Foreign Players.....III-89
Brazil.....III-89
Spinal Implants.....III-89
Ecuador.....III-89
1$75
   B. Market Analytics.....III-90
Table 109: Latin American Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-90
1$200
   Table 110: Latin American Historic Review for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-911$200
   Table 111: Latin American 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-921$200
   A. Market Analysis.....III-93
Israel.....III-93
1$75
   B. Market Analytics.....III-94
Table 112: Rest of World Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2009 through 2017 (includes corresponding Graph/Chart).....III-94
1$200
   Table 113: Rest of World Historic Review for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2003 through 2008 (includes corresponding Graph/Chart).....III-951$200
   Table 114: Rest of World 15-Year Perspective for Orthopedic Instrumentation by Product Segment – Percentage Breakdown of Dollar Sales for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets for Years 2003, 2011 & 2017 (includes corresponding Graph/Chart).....III-961$200
  
Total Companies Profiled: 199 (including Divisions/Subsidiaries - 238)

Region/Country Players

The United States 146 Canada 2 Japan 1 Europe 72 France 12 Germany 24 The United Kingdom 11 Italy 3 Spain 4 Rest of Europe 18 Asia-Pacific (Excluding Japan) 12 Latin America 3 Middle-East 1 Caribbean 1
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