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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 2007 through 2015. Also, a seven-year historic analysis is provided for these markets. 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., DJO Surgical, Exactech, Inc., Innomed, Inc., Japan Medical Dynamic Marketing (MDM), Inc., Johnson & Johnson, DePuy, Inc., Medtronic Sofamor Danek, Inc., Orthofix International N.V., Smith and Nephew Plc, Smith & Nephew, Inc., Stryker Corporation, Stryker Orthopaedics, Synthes Holding AG, Wright Medical Technology, Inc., and Zimmer Holdings, Inc. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources

Code : MCP-3223
Price : $4950
Companies : 199
Pages : 723
Date : January 2011
Market Data Tables : 115

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 TABLE OF CONTENTS

  ORTHOPEDIC INSTRUMENTATION (Complete Report) Pages : 723   | $4950
 
  1. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS.....15 $295  
   Study Reliability and Reporting Limitations.....1  
   Disclaimers.....2  
   Data Interpretation & Reporting Level.....3
Quantitative Techniques & Analytics.....3
Product Definitions and Scope of Study.....3
  
   Reconstructive Sector.....4
Hip Implants.....4
Knee Implants.....4
Extremities.....4
Fracture Fixation.....4
  
   Arthroscopy.....5
Spinal Products.....5
Other Products.....5
  
  2. INDUSTRY OVERVIEW.....612 $1450  
   Orthopedic Industry: Countering the Challenges of Recession.....6
Emerging Technologies to Redefine the Future.....6
1$100
   Factors Influencing Industry Dynamics.....71$100
   Current & Future Analysis.....8
Growth Drivers, Trends & Issues.....8
Aging Population Drives Demand.....8
1$100
   Prevalence of Osteoporosis, Arthritis and other Joint Diseases Fuel Market
  Growth.....9
Increasing Cases of Musculoskeletal Problems.....9
1$100
   Table 1: Select Musculoskeletal Conditions - Percentage Breakdown by Age Group (includes corresponding Graph/Chart).....10
Increasing Life Expectancy Rates.....10
Developing Markets - High Potential.....10
1$350
   Cost Containment Issues.....11
Revision Procedures Buoy Growth.....11
Minimally Invasive Surgery Attracts Attention.....11
1$100
   Advanced Materials & Technologies Foster Growth.....121$100
   Advanced Coatings – Enhancing Lifespan of Implants.....13
Demand for Premium Implants Continues.....13
Growing Demand for Total Hip Replacement in Young People.....13
1$100
   Hip Resurfacing Replacement for Younger Generation.....14
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).....14
1$350
   Gender-Specific Orthopedic Devices Gain Momentum.....15
Spinal and Orthobiologics Products Spearhead Growth.....15
Synthetic Substitutes, Growth Factors and Composites.....15
1$100
   Stem Cell and Gene Therapy.....16
Growing Presence of Mid-Tier Firms & Start-Ups in Spinal Segment.....16
Focus Shifts to External R&D Operations.....16
Rising Production Costs & Complexities in Documentation – Major Challenges.....16
2$200
  3. ORTHOPEDICS MARKET STRUCTURE.....183 $395  
   Anatomy of the Industry.....18 1$100
   Table 3: Orthopedic Instrumentation Market Worldwide by Segment (2004, 2009 & 2014): Percentage Breakdown by Dollar Sales for Reconstructive Sector, Fracture Fixation, Arthroscopy, Spinal Products, and Other Products (includes corresponding Graph/Chart).....19
Designing of Device: Complex Requirements.....19
1$350
   Futuristic View of Designs.....20
1$100
  4. REVIEW OF PRODUCT SEGMENTS.....219 $1450  
   Reconstructive Market.....21
Highlights.....21
1$100
   Table 4: Hip Implant Procedures in US and Europe (2008): Percentage Breakdown by Number of Procedures for Primary Hip, Revision Hip and Endoprosthesis (includes corresponding Graph/Chart).....22
Countering Rising Hip Implant Prices.....22
1$350
   Tooth ‘N Trouble.....23
Future of Reconstructive Sector.....23
Hip and Knee Implants Market.....23
1$100
   Technological Advancements Encourage Young Patients to Opt for Surgeries.....24
Direct-to-Consumer Marketing Efforts Enhance Awareness.....24
1$100
   Extremities Market.....25
Select Extremity Products of Leading Players.....25
Trauma Market.....25
1$100
   Select Trauma Products of Leading Players.....26
Arthroscopy Market.....26
1$100
   Spine Implants & Biologics Market.....271$100
   Orthobiologics Market.....28
Fracture Repair Market.....28
Table 5: Fractures by Age Group (2009): Percentage Share Breakdown of Number of Fractures by Patient Age (includes corresponding Graph/Chart).....28
1$350
   Table 6: Global Fracture Repair Market by Segment (2010): Percentage Share Breakdown of Value Sales for Internal Fixation, External Fixation, and Craniomaxillofacial (includes corresponding Graph/Chart).....29

Table 7: Leading Players in the World 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).....29
Fracture Fixation Devices Market.....29
1$350
  5. PRODUCT OVERVIEW.....3023 $1450  
   A. Reconstructive Sector.....30
Procedure of Joint Replacement: Past and Present.....30
1$100
   Insertion of Implants.....31
Revision Surgery: A Painful Procedure.....31
Cost of Implants - Determining Factors.....31
1$100
   Hip Prosthesis.....32
Total Hip Replacement.....32
Conditions Requiring Total Hip Replacement.....32
Materials Used.....32
1$100
   Cemented Hip Implants.....33
Cementless Hip Implants.....33
Complications Following THR.....33
Partial Hip Replacement.....33
Revision Hip Procedures.....33
1$100
   Types of Hip Implants.....34
Ceramic-on-Ceramic.....34
Metal-on-Metal.....34
Highly Cross-Linked Polyethylene.....34
1$100
   Ceramic-on-polyethylene.....35
Metal-on-polyethylene.....35
Knee Prosthesis.....35
Functional Aspects of the Knee.....35
Implant Design.....35
1$100
   Unicondylar Knee Replacements.....36
Fixed and Mobile Bearing Knees.....36
1$100
   Mobile Bearing Total Knee Replacement Prosthesis.....37
Secondary Joint Prosthesis/Extremeties.....37
Shoulder Prosthesis.....37
Ankle Prosthesis.....37
Elbow Prosthesis.....37
1$100
   Finger Prosthesis.....38
B. Fracture Fixation.....38
Osteoporosis - A Bone Breaking Factor.....38
Fracture Fixation Procedures.....38
Internal Fixation.....38
1$100
   External Fixation.....39
Intramedulary Fixation.....39
Maxillofacial Fixation Products.....39
1$100
   Bone Growth Stimulators.....40
Select Techniques Used in Fracture Fixation.....40
Bone Graft System.....40
Osteo-Clage Cerclage Cable System.....40
Polarus Humeral Fixation System.....40
Stableloc External Fixator.....40
Nature of a Fracture.....40
1$100
   Trends and Developments in the Fracture Fixation Market.....41
Novel Technologies Boost External Fixation Device Market.....41
Increase in Less Invasive Fracture Repair Procedures.....41
1$100
   New Technologies Rekindle Market for Trauma Products.....42
Intramedullary Nails Threatened by LCP Systems.....42
Locking Compression Plates Might Lose its Superfluous Growth.....42
1$100
   C. Arthroscopy.....43
Arthroscopy: A Keyhole Surgery.....43
A Broad Perspective.....43
1$100
   Arthroscopic Procedure.....44
Arthroscopy and its Complications.....44
Knee Arthroscopy.....44
1$100
   Hip Arthroscopy.....45
Shoulder Arthroscopy.....45
1$100
   Arthroscopically Assisted Anterior Approach.....46
Arthroscopy of the Elbow.....46
Ankle Arthroscopy.....46
Future Developments.....46
Multi-Electrode Procedure.....46
Electrothermal Arthroscopy.....46
1$100
   D. Spinal Implants and Instrumentation.....47
Spinal Fusion - Lending Support to the Troubled Backs.....47
1$100
   Spinal Implants Market in the Past: A Historic Perspective.....48
Table 8: 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).....48
1$350
   Table 9: Spinal Products Market Worldwide (2004) - Percentage Breakdown by Implant Type for Pedicel Screws, Plates, Rods; Fusion Cages, and Others (includes corresponding Graph/Chart).....49
State of Spinal Fusion Cages.....49
Emerging Technologies and Techniques.....49
Non- Invasive Surgeries.....49
1$350
   Universal Multilevel Fusions.....50
Motion-Sparing Technology- Leap Forward in Spinal Fusions.....50
Artificial Nuclei.....50
Lumbar Artificial Discs Launch Timeline (2000-2005).....50
1$100
   Cervical Artificial Disc Launch Timeline (2007).....51
Artificial Disc Competitive Landscape (2004-2007).....51
E. Other Products.....51
Bone Cement.....51
1$100
   Mechanical Properties of Bone Cements.....52
Soft Goods Sector.....52
1$100
  6. ASSOCIATED AND EMERGING TECHNOLOGIES IN ORTHOPEDICS.....535 $395  
   Resorbables.....53
Bone Substitutes.....53
1$100
   Osteoinductive Agents/Bone Graft Factors:.....541$100
   Viscoelastics.....551$100
   Soft Tissue Repair and Replacement.....561$100
   Tissue Engineering.....57
1$100
  7. COMPETITIVE FOCUS.....5818 $3950  
   Competitive Factors Influencing Orthopedics Market.....58
Positive Factors.....58
Pricing and Cost Effectiveness of Products.....58
Consumer Relationships.....58
Safety and Competency of Products.....58
Technological Advancements.....58
1$100
   Product Innovation.....59
Risk Factors.....59
Delays in Product Development.....59
Time Taken for Regulatory Approvals.....59
1$100
   Consolidation – Resetting Competition.....60
Mergers and Acquisitions in the Worldwide Orthopedics Industry: 2006-2010.....60
2$200
   M&A Activity: 2007–2010 in Orthopedic Instrumentation Segment.....62
Reconstructive Sector: Hip Implants, Knee Implants, Extremities.....62
Spinal Products.....62
1$100
   Arthroscopy (2000-2010).....63
Competitive Analysis.....63
Product Matrix of Leading Players in Orthopedics Industry.....63
1$100
   Table 10: Leading Players in the Global Orthopedics Market (2009): Percentage Share Breakdown of Value Sales for Stryker, J&J, Zimmer, Medtronic, Synthes, Smith & Nephew, Biomet, and Others (includes corresponding Graph/Chart).....64
Reconstructive Sector.....64
Leading Players in Select Orthopedic Implant Markets.....64
1$350
   Table 11: Leading Players in the Global Reconstructive/Orthopedic Implant Market (2009): Percentage Share Breakdown of Value Sales for Zimmer, J&J, Stryker, Biomet, Smith & Nephew, and Others (includes corresponding Graph/Chart).....65

Table 12: 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).....65
1$350
   Table 13: 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).....66

Table 14: 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).....66
1$350
   Table 15: 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).....671$350
   Hip Implants.....68
Table 16: 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).....68
1$350
   Knee Implants.....69
Table 17: 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).....69
1$350
   Extremities.....70
Table 18: 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).....70
1$350
   Fracture Fixation.....71
Table 19: 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).....71
Internal Fixation.....71
External Fixation.....71
1$350
   Table 20: 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).....72

Table 21: 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).....72

Table 22: 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).....72
1$350
   Arthroscopy.....73
Table 23: 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).....73
1$350
   Spinal Implants.....74
Table 24: 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).....74

Table 25: 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).....74
1$350
   Table 26: 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).....75
1$350
  8. END USERS OF ORTHOPEDIC INSTRUMENTS.....762 $200  
   Competitive Factors from End-Use Perspective.....76
Demographics Crucial Factor Driving Demand.....76
Hospitals: The Largest End-Use Industry.....76
1$100
   Physicians’ Offices/Clinics.....77
New Technology Adds to the Growth.....77
Home Health Care Market: A Fast Growing Segment.....77
1$100
  9. DISTRIBUTION STRUCTURE-A SKELETAL VIEW.....78   
   An Insight into the Distribution Network of Select Players.....78
BioMet, Inc......78
Medtronic Sofamor Danek.....78
1$100
   Synthes.....79
Zimmer Holdings, Inc......79
1$100
  10. TECHNOLOGICAL DEVELOPMENTS.....803 $295  
   Alternate-Bearing Materials in the Hip Implants Market.....80
Diamond-on-Diamond Technology.....80
Cementless Procedures Gain Ground.....80
1$100
   Trabecular Metal Technology.....81
Surface Modification Technology.....81
Novel Minimally Invasive Approaches.....81
Zimmer Launches Quad-Sparing Total Knee Replacement.....81
Spire’s Subsidiary Expands Ion Implantation Processing.....81
1$100
   Zimmer to Launch New Minimally Invasive Hip Procedure.....82
DePuy Introduces New Mini-Incision Technique in Hip Replacement.....82
1$100
  11. PRODUCT INNOVATIONS/INTRODUCTIONS.....8322 $1450  
   Medtronic Unveils KYPHONฎ Express™ for Vertebral Compression Fracture
  Treatment.....83
X-spine Receives FDA Clearance for Fixcet ™ Spinal Facet Screw System.....83
Alphatec Spine Introduces Four Novel Products in Biologics, Thoracolumbar and MIS
  Market.....83
1$100
   Orthofix International Unveils Spinal Deformity Correction Module.....84
SI-BONE to Unveil iFuse Implant System™.....84
Maxx Medical Unveils Freedom Total Kneeฎ System.....84
DePuy Mitek Rolls Out VERSALOK PEEK Rotator Cuff Anchor.....84
1$100
   SANUWAVE Health Launches OrthoPACE™ Device in Europe.....85
Medtronic Introduces Kyphon ActivOs 10 Bone Cement with Hydroxyapatite.....85
Ascension Orthopedics Rolls Out Ascension NuGrip CMC Implant.....85
1$100
   Aesculap Implant Systems Unveils S4 Element™ Pedicle Screw System.....86
DePuy Spine Introduces EXPEDIUMฎ VBD Instrument.....86
Stryker Unveils iVAS™ Inflatable Vertebral Augmentation System.....86
1$100
   CareFusion Introduces AVAmaxฎ Vertebral Balloon.....87
Integra LifeSciences Introduces Integra Spine's Paramount PS Fixation System.....87
1$100
   Ascension Orthopedics Unveils PyroTITAN™ Humeral Resurfacing Arthroplasty
  System.....88
DiFusion Technologies Receives FDA Approval for Xiphos Posterior Interbody
  Devices.....88
Titan Spine Unveils Endoskeletonฎ TC System.....88
Interventional Spine Completes Implant of RENEW™ Interspinous Allograft
  Technology.....88
1$100
   Exactech Secures Approval to Market Novationฎ Hip System in Japan.....89
Stryker Orthopaedics Unveils ADM Mobile Bearing Acetabular and Rejuvenate Modular
  Primary Hip Systems.....89
Wright Medical Launches ORTHOLOC Polyaxial Locked Plating System.....89
1$100
   BioMimetic’s Augment Bone Graft Receives Approval from Health Canada.....90
MiMedx Group Rolls Out Paradis Vaso Shield™.....90
Medtronic Launches SOVEREIGN™ Spinal System.....90
Signus Medical Launches DIALOG Sacroiliac Joint Fusion System.....90
1$100
   MAKO Surgical Introduces Lateral Unicompartmental Knee Surfacing Application.....91
CONMED Unveils Bullseye Anatomic Cruciate Reconstruction System.....91
CONMED Linvatec Introduces Small Biocomposite Interference Screw.....91
Medtronic Rolls Out TSRHฎ 3Dx™ Spinal System.....91
1$100
   Medtronic Rolls Out Mastergraft Strip.....92
Custom Spine Introduces Two New Spine Systems.....92
K2M Introduces TERRA NOVAฎ and SERENGETIฎ.....92
Covidien Unveils DuraSeal™ Spine Sealant.....92
DePuy Spine Expands Spinal Pathology Solutions Portfolio.....92
US Spine Introduces MIS Locking Facet System.....92
1$100
   US Spine Introduces Facet Gun MAX.....93
U.S. Spinal Technologies Introduced Phantom Plus™ Interbody Fusion System.....93
Smith & Nephew Rolls Out TRUCATH Spinal Injection System.....93
US Spine Launches Preference 2 Complex Spine System™.....93
1$100
   CONMED Introduces Linvatec Shoulder Restoration System.....94
Smith & Nephew's Endoscopy Division Introduces BICEPTOR™ Tenodesis System.....94
1$100
   Integra LifeSciences Introduces Coral™ Extended Tab Spinal Screw Series.....95
Medtronic Introduces Novel Orthopedic Devices.....95
DePuy Spine Introduces HEALOSฎ Fx Injectable Bone Graft Replacement.....95
1$100
   Orteq Inks Agreement with FH Orthopaedics to Launch Actifit Meniscal Implant.....96
Smith & Nephew Introduces VISIONAIRE Patient Matched Instrumentation.....96
Ascension Orthopedics Unveils Ascensionฎ Silicone PIP System.....96
1$100
   SpineSourceฎ Introduces SHELL™ Cervical PEEK Optimaฎ Cage.....97
Integra LifeSciences Holdings Introduces Vu L•POD™ and Vu e•POD™ IBD.....97
Ouroboros Medical Obtains Clearance to Market Spinal Fusion Product.....97
1$100
   Bonovo Orthopedics to Market Pioneer’s Spinal Fusion Products.....98
HydroCision Introduces SpineJetฎ Percutaneous Curved Access Set.....98
Tornier Implements Human Implant of Shoulder Arthroplasty Prosthesis.....98
X-spine Systems Obtains FDA Approval for Calix Spinal Implant System.....98
1$100
   Bonesupport Receives EU Clearance for Cerament Bone Void Filler.....99
DiFUSION Technologies Completes Testing of Silver Ion-based Antimicrobial
  Technology.....99
1$100
   Wright Medical Introduces Titanium Knee Implant.....100
Medtronic Introduces NANOSTIMฎ Synthetic Bone Paste.....100
CONMED Unveils Medical Devices.....100
1$100
   DePuy Unveils Pinnacle Hip Solutions.....101
Smith & Nephew Introduces VERILAST™ Technology.....101
DePuy Expands Sigmaฎ Knee Product Portfolio.....101
1$100
   Smith & Nephew Introduces R3™ Acetabular Cup System for Hip Replacement.....102
Smith & Nephew Launches Bioraptor 2.3 PK Suture Anchor.....102
RTI Introduces of Fresh-Stored OC Allografts.....102
Wright Medical Group Launches Profemur Xm Hip Stem.....102
ConforMIS Launches Patient-Specific Implant.....102
1$100
   Stryker Introduces Triathlon PKR System in the US.....103
Orthovita Launches New Bone Graft Substitute.....103
DePuy Launches ALPS for Orthopaedic Trauma.....103
DJO Surgical Gains FDA Approval to Market New X-alt.....103
1$100
   Osteotech Obtains FDA Clearance for Plexur M Biocomposite.....104
ConforMIS Wins CE Mark Approvals for Two Arthritis Products.....104
1$100
  12. PRODUCT INNOVATIONS/INTRODUCTIONS IN THE RECENT PAST – A PERSPECTIVE
  BUILDER.....105
11 $950  
   Smith & Nephew Unveils New High Definition Surgical Camera System.....105
Modern Plastics Announces New Medical Grade PMMA.....105
Wright Medical Introduces a New Biologic Grafting System.....105
Wright Medical Unveils Hip Solutions Products.....105
1$100
   Smith & Nephew Introduces Bi-Compartmental Knee System.....106
DePuy Introduces Computer Software for Assisting Surgery.....106
Medtronic Launches CD Horizonฎ Legacy™ Anterior Spinal System.....106
Depuy Orthopaedics Unveils New Coating for Biological Fixation.....106
DePuy Introduces Delta Xtend™ Reverse Shoulder System.....106
1$100
   DePuy Launches New System for Hip Fractures.....107
DePuy Introduces New Hip-Bearing System.....107
DePuy Introduces Pinnacleฎ Acetabular Cup System AltrX™.....107
Biomet Introduces Two New Hip Stem Products.....107
1$100
   ArthroCare Introduces Opusฎ TwinLock™ Knotless Fixation System.....108
SBI Introduces Advanced RingFIX™ System and Forefoot Repair Set.....108
SBI Launches New Distal Radius Plating System.....108
1$100
   Smith & Nephew Endoscopy Introduces New Lateral Hip Distractor.....109
HydroCision Launches SpineJetฎ EndoResector.....109
Wright Medical Launches Latest Stature-Specific Knee Replacement.....109
Integra LifeSciences Introduces Uni-CP Compression Plate.....109
1$100
   Wright Medical Introduces the CAROLINA™ Jones Fracture.....110
Wright Medical Launches EVOLVEฎ PROLINE System.....110
SBi Launches Artelonฎ STT Spacer.....110
Amedica Gains FDA Approval for Valeo VBR Spinal Implant.....110
1$100
   Amedica Obtains FDA Marketing Approval for Valeo Pedicle Screw System.....111
Corin Group Obtains FDA for Cormet Resurfacing Hip Device.....111
Altiva Obtains FDA Approval for Altivaฎ Classic ACP.....111
SBI Obtains FDA Approval for Artelon CMC Spacer Arthro.....111
Smith & Nephew’s Knee Systems Receive FDA Approval.....111
1$100
   Amedica Gains FDA Clearance for Valeo™ Cervical Plate System.....112
Zimmer Obtains FDA Approval for Zimmerฎ NexGenฎ Knee.....112
Invibio Receives Approval to Market Implantable Spinal Implant in Japan.....112
BioMedical Obtains FDA Clearance for OSSpine Spinal Product.....112
1$100
   Blackstone Medical Introduces New Spinal Fusion Product line.....113
CONMED Linvatec Launches New Powered Surgical Instruments & Arthroscopy
  Products.....113
1$100
   Smith & Nephew Introduces New JOURNEY BI-Cruciate Stabilized Knee System.....114
Stryker Launches Triathlon Knee System for Women.....114
1$100
   Wright Medical Unveils ODYSSEY™ Distal Cut First Instruments for MIS
  Procedures.....115
FDA Grants Approval for Marketing Smith & Nephew’s BHR System.....115
1$100
  13. RECENT INDUSTRY ACTIVITY.....11615 $950  
   Amedica Takes Over US Spine.....116
Medtronic to Take Over Osteotech.....116
NeuroTherm Takes Over Smith & Nephew's Interventional Spine Pain Management
  Business.....116
1$100
   Stryker Acquires Ascent Healthcare Solutions.....117
Alphatec Spine Acquires Scient’x Groupe.....117
Arthrex Acquires iBalance Medical.....117
1$100
   Zimmer to Acquire Beijing Montagne.....118
Olympus Acquires Minor Stake in Small Bone Innovations.....118
Crocker Ventures Takes Over TMJ Implants.....118
Welsh Carson Acquires Stake in K2M.....118
1$100
   Orthopaedic Synergy Acquires PRAXIM.....119
Memometal Technologies Acquires OrthoGlideฎ Ankle Technology.....119
Riverside Acquires Eska Implants.....119
1$100
   Exactech Takes Over VertiFlex's Minimally Invasive Spine Technologies and
  Products.....120
Exactech Takes Over Brighton Partners.....120
Landec Takes Over Lifecore Biomedical.....120
1$100
   Seneca Acquires Majority Share in Micro Machine.....121
X-spine Systems Signs License Agreement with Gamma Spine.....121
Hasco Medical and Bell-Horn Sign Agreement.....121
1$100
   DePuy Takes Over Finsbury.....122
Wenzel Spine Acquires DJO Surgical’s Spine Product Lines.....122
Stryker Takes Over OtisMed.....122
Biomet Acquires Assets of Cartilix.....122
1$100
   Circle Medical Devices Merges with Texcel Medical.....123
Facet Solutions Purchases Archus Orthopedics' Assets.....123
Cardo Medical Takes Over Assets and Intellectual Property from Vertebron.....123
Orthofix and MBA Group Enter into Agreement.....123
1$100
   Hanger Orthopedic Acquires Custom Orthopedics and Creative Orthotics &
  Prosthetics.....124
Integra LifeSciences Acquires IST.....124
Carlyle Group Snaps Up Groupe Marle.....124
1$100
   SBi Snaps Up Link America.....125
K2M Partners with Smith & Nephew.....125
AdvanSource Signs Agreement with Orthopedic Device Manufacturer.....125
Wright Medical Takes Over INBONE Technologies.....125
1$100
   Riverside Acquires Summit Medical.....126
UniPhar to Acquire Forth Medical and Northstar.....126
Regeneration Technologies and Tutogen Merge to Form RTI Biologics.....126
Precimed Acquires DePuy Orthopaedics' Chaumont Plant.....126
1$100
   SBI to Acquire Ankle Replacement Technology.....127
Symmetry Medical Acquires Orthopaedic Instrument Facility of DePuy.....127
Greatbatch Completes Acquisition of Precimed.....127
1$100
   Exactech Acquires Altiva.....128
Exactech to Acquire France Medica; Starts Direct Distribution in Japan.....128
Tornier and LifeCell Sign Distribution Agreement.....128
Osteotech Enters into Distribution Agreement with Harvest Technologies.....128
1$100
   Misonix Signs Distribution Deal with Aesculap.....129
Alynx Acquires MiMedx.....129
Alphatec Acquires Rights for Interbody/Vertebral Body Replacement Technology.....129
1$100
   Exactech Inks License Deal for Cartilage Repair Technology.....130
Biomet Ties Up with Massachusetts General Hospital for Clinical Studies.....130
Stryker Recalls Select Hip Products.....130
Norman Noble Increases Orthopedic Implant Production Operations.....130
1$100
  14. CORPORATE ACTIVITY IN THE RECENT PAST – A PERSPECTIVE BUILDER.....13115 $950  
   Biomet Merges with LVB Acquisition Merger Sub.....131
Cardinal Health Completes Acquisition of VIASYS Healthcare.....131
Biomet Sports Medicine and Marc Tec Ink Licensing Agreement.....131
1$100
   Zimmer Inks a Distribution Agreement with Regeneration Technologies.....132
Sandvik Inks Agreement with Medtronic to Acquire Medtronic’s Plant.....132
Medtronic and Weigao to Establish Joint Venture in China .....132
1$100
   HealthpointCapital Takes over Ideal Medical Products.....133
Covidien’s Subsidiary Takes Over Scandius Biomedical.....133
Integra LifeSciences Takes over IsoTis.....133
1$100
   DePuy Spine Completes Acquisition of Certain Disc-O-Tech Assets.....134
Wright Medical Acquires BIO-ARCH™ Subtalar Implant.....134
UniPhar Merges Whelehan Surgical and Surgicare Divisions.....134
Orthofix International Completes Acquisition of InSWing™ Technology.....134
1$100
   Sandvik Acquires Doncasters Medical Technologies.....135
Medtronic Completes Acquisition of Kyphon.....135
Tornier Takes Over DVO Extremity Solutions & Nexa Orthopedics.....135
1$100
   Medtronic Takes over O-arm Imaging from Breakaway Imaging.....136
Wright Medical Takes over Assets of R&R Medical.....136
Wright Medical Acquires DARCO’s Reconstructive Foot Surgery Business.....136
1$100
   Zimmer Holdings Acquires Endius.....137
Leis Medical and MedicineLodge Merge to Form iMDs.....137
Zimmer Takes Over ORTHOsoft.....137
NuVasive Takes Over Radius Medical.....137
1$100
   DJO Completes ReAble Merger.....138
Smith & Nephew Acquires Plus Orthopedics.....138
Orchid Takes Over Three Orthopedic Instrument Companies.....138
1$100
   Synthes Takes Over N Spine.....139
Avalign Technologies Acquires Nemcomed.....139
Wright Medical and A.M. Surgical in Distribution and License Agreement.....139
1$100
   Symmetry Medical and MAKO Surgical Enter into an Agreement.....140
Medtronic and Axon Enter into Agreement.....140
Wright Medical Shuts Down Facility in France.....140
Portland Orthopaedics Retakes US Distribution.....140
1$100
   Tornier and Bioretec in Partnership for Bioresorbable Surgical Devices.....141
Impulse Takes Over Clinical Support Services.....141
Alphatec Holdings Gains License for Vertebroplasty Technology System.....141
Smith & Nephew Signs Global Distribution Agreement with Teknimed.....141
1$100
   Corin Enters into Marketing and Distribution Deal with Stryker.....142
Biomet and Kensey Signs Marketing and Distribution Agreement.....142
BSN Medical Acquires FLA Orthopedics.....142
SimplexityMD Takes Over OrthoAccel Technologies.....142
Hanger Orthopedic Group Acquires Paris O&P Laboratory.....142
Smith & Nephew Recalls Knee Implants.....142
1$100
   Alphatec to Merge with Scient’X.....143
Endius and Quantum Form Strategic Alliance.....143
Biomet to Expand Indiana Facility.....143
1$100
   DJ Orthopedics Acquires Newmed.....144
FDA Clears Zimmer’s Gender Solutions Artificial Knee for Women.....144
Zimmer Acquires Surgical Instrument Technology from MedTech S.A.....144
dj Orthopedics Acquires Aircast.....144
FDA Approves Biomet’s Regenerex™ Acetabular System.....144
1$100
   DePuy Mitek Takes Over FMS Operations.....145
Medtronic Provides Research Grant to OTA.....145
Orthofix Restructures its International Business Operations.....145
Orthofix Acquires IMeS to Expand European Operations.....145
1$100
  15. FOCUS ON SELECT GLOBAL PLAYERS.....14611 $950  
   AAP Implantate AG/aap mebio (Germany).....146
Acumed LLC (US).....146
Arthrex, Inc. (US).....146
1$100
   B. Braun Melsungen AG (Germany).....147
Biomet, Inc. (US).....147
1$100
   Conmed Corp. (US).....1481$100
   DJO Surgical (US).....1491$100
   Exactech, Inc. (US).....150
Innomed, Inc. (US).....150
Japan Medical Dynamic Marketing (MDM), Inc. (Japan).....150
Johnson & Johnson (US).....150
1$100
   DePuy Inc. (US).....151
Medtronic Sofamor Danek, Inc. (US).....151
1$100
   Orthofix International N.V. (The Netherlands).....152
Smith and Nephew Plc (UK).....152
1$100
   Smith & Nephew, Inc. (US).....153
Stryker Corporation (US).....153
1$100
   Stryker Orthopaedics (US).....154
Synthes Holding AG (Switzerland).....154
1$100
   Wright Medical Technology, Inc. (US).....155
Zimmer Holdings, Inc. (US).....155
2$200
  16. GLOBAL MARKET PERSPECTIVE.....157   
   Table 27: World Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....1571$350
   Table 28: World Historic Review for Orthopedic Instrumentation by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....1581$350
   Table 29: World 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....1591$350
   By Segment.....160
Table 30: World Recent Past, Current & Future Analysis for Reconstructive Sector by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....160
1$350
   Table 31: World Historic Review for Reconstructive Sector by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....1611$350
   Table 32: World 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....1621$350
   Table 33: World Recent Past, Current & Future Analysis for Reconstructive Sector by Product Segment – Hip Implants, Knee Implants and Extremities Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....1631$350
   Table 34: World Historic Review for Reconstructive Sector by Product Segment - Hip Implants, Knee Implants and Extremities Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....164

Table 35: World 11-Year Perspective for Reconstructive Sector by Product Segment – Percentage Breakdown of Dollar Sales for Hip Implants, Knee Implants and Extremities Markets for Years 2005, 2010 & 2015 (includes corresponding Graph/Chart).....164
1$350
   Table 36: World Recent Past, Current & Future Analysis for Fracture Fixation by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....1651$350
   Table 37: World Historic Review for Fracture Fixation by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....1661$350
   Table 38: World 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....1671$350
   Table 39: World Recent Past, Current & Future Analysis for Arthroscopy Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....1681$350
   Table 40: World Historic Review for Arthroscopy Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America & Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....1691$350
   Table 41: World 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....1701$350
   Table 42: World Recent Past, Current & Future Analysis for Spinal Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....1711$350
   Table 43: World Historic Review for Spinal Products by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....1721$350
   Table 44: World 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....1731$350
   Table 45: World Recent Past, Current & Future Analysis for Other Orthopedic Instrumentation Products by Geographic Region – US, Canada, Japan, Europe, Asia- Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....1741$350
   Table 46: World Historic Review for Other Orthopedic Instrumentation Products by Geographic Region – US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin America and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....1751$350
   Table 47: World 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....176
1$350
  17. THE UNITED STATES.....17730 $z  
   A. Market Analysis.....177
Outlook.....177
The Largest Orthopedics Market.....177
Proposed Tax on Medical Device Industry – Potential Implications.....177
1$100
   An Overview of the US Orthopedic Healthcare System.....178
Table 48: US Orthopedics Market (2008): Percentage Share Breakdown of Number of Physician Visits for Back, Knee, Neck, Lower Back, Hip, and Small Bone and Joint (includes corresponding Graph/Chart).....178
1$350
   Table 49: Rate of Procedures (Per 10,000 Individuals) for Knee Arthroplasty, Hip Replacement, and Spinal Fusion: Breakdown by Age Group (includes corresponding Graph/Chart).....179
Trends & Issues.....179
Aging Population & Obesity Drive Demand for Orthopedic Procedures.....179
1$350
   Table 50: Primary Hip and Knee Replacement Procedures in the US (2008): Percentage Breakdown by Age Group (includes corresponding Graph/Chart).....180

Table 51: Percentage of Population by Age Group in the US (2010) (includes corresponding Graph/Chart).....180

Table 52: US Population in the Over-45 Years Age Group (2006-2008) (includes corresponding Graph/Chart).....180
1$350
   Technological Developments Promote Growth.....181
Biomaterials Market – Keeping Pace with Changing Times.....181
Orthopedic Soft Tissue Allograft Market in the US.....181
1$100
   Rising Incidence of Arthritis Aids Growth in Implant Procedures.....182
Orthopedic Implants Market in the US.....182
1$100
   Wear Debris-A Major Concern.....183
Reimbursement Scenario.....183
CMS Implements MS-DRG System.....183
1$100
   New FY 2010-2011 Provisions.....1841$100
   Main Additions to the MCC and CC Lists for Fiscal-year 2010.....185
MS-DRG System for Joint Replacements in comparison with DRG System.....185
1$100
   MS-DRG System for Spine Segment in comparison with DRG System.....186 1$100
   Table 53: Comparison of RW and GMLOS for DRG and MS-DRG Systems (2007-2010).....1871$350
   Reimbursement for Trauma Procedures in the Past.....188
Table 54: Medicare Reimbursement Codes for Leading Trauma Procedures in US (includes corresponding Graph/Chart).....188
1$350
   Table 55: Percentage Change in Medicare Reimbursement Rates (2000-2005) (includes corresponding Graph/Chart).....189
Reconstructive Market: An Overview.....189
Large Joint Reconstructive Implants Market – An Overview.....189
1$350
   An Insight into the Hip and Knee Replacement Market.....1901$100
   Innovative Products & Procedures Favor Growth.....191
Hip Resurfacing Implants Market in the US.....191
1$100
   Joint Replacement Procedures – Improving Technologies & Materials.....192
Knee Implants Market.....192
1$100
   Knee Implant Pricing Scenario.....193
Table 56: Knee Replacements in the US (1998-2008): Number of Procedures (in Thousands) and Average Duration of Hospitalization for Total, and Revision Knee Replacement Procedures (includes corresponding Graph/Chart).....193
1$350
   Hip Implants Market.....194
New Materials Emerge as Polyethylene Alternatives.....194
Historic Note (Knee and Hip Implants).....194
1$100
   Table 57: 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).....195

Table 58: 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).....195
1$350
   Shift from Cemented to Press-Fit Procedures.....196
Cost Containment for Implants.....196
Fracture Fixation Market.....196
1$100
   Table 59: 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).....197
Shift Towards LCPs Drive Growth.....197
Arthroscopy Market.....197
New Technologies Fuel Arthroscopy Market.....197
1$350
   Spinal Products Market.....198
Troubled Backs.....198
1$100
   Spinal Procedures in US Witness Substantial Growth.....199
Table 60: Spinal Implant Procedures in the US: 2001- 2008 (includes corresponding Graph/Chart).....199
1$350
   Artificial Disc Replacement.....200
Extremities Market.....200
Bone Graft Market.....200
1$100
   Competitive Landscape.....201 1$100
   Table 61: 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).....202

Table 62: 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).....202
1$350
   Table 63: 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).....203

Table 64: 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).....203
1$350
   B. Market Analytics.....204
Table 65: US Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....204
1$350
   Table 66: US Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2051$350
   Table 67: US 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....206
1$350
  18. CANADA.....2077 $1950  
   A. Market Analysis.....207
Outlook.....207
Orthopedics Market – An Overview.....207
1$100
   Increasing Incidence of Arthritis Triggers Demand for Hip & Knee Implants.....208
Hip & Knee Replacement Stats.....208
Table 68: Number of Joint Replacement Procedures in Canada (2009): Percentage Share Breakdown for Hips and Knees.....208

Table 69: Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Gender.....208
1$350
   Table 70: Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Age Group (includes corresponding Graph/Chart).....209

Table 71: Number of Hip and Knee Replacements in Canada (2009): Percentage Share Breakdown by Province (includes corresponding Graph/Chart).....209
1$350
   Spinal Implant Market in Canada.....210
Socio-Economic Factors.....210
Highly Consolidated Market.....210
1$100
   B. Market Analytics.....211
Table 72: Canadian Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....211
1$350
   Table 73: Canadian Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2121$350
   Table 74: Canadian 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....213
1$350
  19. JAPAN.....2145 $950  
   A. Market Analysis.....214
Outlook.....214
Driven by Innovations.....214
Aging Population Propels Sales.....214
Reimbursement Scenario.....214
1$100
   Spinal Implant Market - Opportunities Galore.....215
Players in Japanese Orthopedic Implants Market.....215
1$100
   B. Market Analytics.....216
Table 75: Japanese Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....216
1$350
   Table 76: Japanese Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2171$350
   Table 77: Japanese 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....218
1$350
  20. EUROPE.....21910 $2450  
   A. Market Analysis.....219
Outlook.....219
Demographics Drive Growth.....219
Implants Market – An Overview.....219
1$100
   Competitive Scenario in the Reconstructive Market.....220
Table 78: 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).....220
Modular Systems: Common Form of Knee Implant in Europe.....220
1$350
   Spinal Implants Market in Europe.....221
Impact of Regulations in the Orthopedic Sector.....221
Medical Devices Directive Revision, 2007.....221
1$100
   Competitive Insight into the European Trauma Market.....222
Table 79: 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).....222
Bio-absorbable Technologies Drive Orthopedic Markets.....222
1$350
   B. Market Analytics.....223
Table 80: European Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Geographic Region – France, Germany, Italy, UK, Spain, & Rest of Europe Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....223
1$350
   Table 81: European Historic Review for Orthopedic Instrumentation by Geographic Region – France, Germany, Italy, UK, Spain, & Rest of Europe Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2241$350
   Table 82: European Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....2251$350
   Table 83: European Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2261$350
   Table 84: European 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....2271$350
   Table 85: European 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....228
1$350
  20a. FRANCE.....2294 $950  
   A. Market Analysis.....229
Outlook.....229
Demographics Underpinning Growth.....229
Table 86: Percentage of Population by Age Group in France (2010) (includes corresponding Graph/Chart).....229
1$350
   B. Market Analytics.....230
Table 87: French Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....230
1$350
   Table 88: French Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2311$350
   Table 89: French 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....232
1$350
  20b. GERMANY.....2335 $1450  
   A. Market Analysis.....233
Outlook.....233
Orthopedic Products in Germany.....233
Demographic Factors & Injuries Offer Growth Opportunities.....233
1$100
   Table 90: Percentage of Population by Age Group in Germany (2010) (includes corresponding Graph/Chart).....234
Competitive Scenario.....234
1$350
   B. Market Analytics.....235
Table 91: German Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....235
1$350
   Table 92: German Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2361$350
   Table 93: German 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....237
1$350
  20c. ITALY.....2383 $950  
   Market Analysis.....238
Table 94: Italian Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....238
1$350
   Table 95: Italian Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2391$350
   Table 96: Italian 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....240
1$350
  20d. THE UNITED KINGDOM.....2415 $950  
   A. Market Analysis.....241
Outlook.....241
Orthopedics Market – An Overview.....241
Implants Market Rides on Product Innovations.....241
1$100
   UK Population Statistics.....242
Table 97: Percentage of Population by Age Group in the UK (2010) (includes corresponding Graph/Chart).....242
Total Hip Replacement Statistics.....242
Shoulder & Small Joint Implants.....242
1$350
   B. Market Analytics.....243
Table 98: UK Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....243
1$350
   Table 99: UK Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2441$350
   Table 100: UK 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....245
1$350
  20e. SPAIN.....2464 $950  
   A. Market Analysis.....246
Outlook.....246
Prosthesis Market in Spain.....246
Demographics.....246
1$100
   B. Market Analytics.....247
Table 101: Spanish Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....247
1$350
   Table 102: Spanish Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2481$350
   Table 103: Spanish 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....249
1$350
  20f. REST OF EUROPE.....2507 $1450  
   A. Market Analysis.....250
Outlook.....250
Orthopedic Implants Market in Eastern Europe – An Overview.....250
Overview of Select Markets in Europe.....250
Russia.....250
1$100
   Austria.....251
Czech Republic.....251
Competition.....251
Spinal Implants.....251
Finland.....251
1$100
   Switzerland.....252
Hungary.....252
Fracture Fixation.....252
1$100
   Spinal Implants.....253
Poland.....253
Fracture Fixation.....253
Spinal Implants.....253
1$100
   B. Market Analytics.....254
Table 104: Rest of Europe Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment - Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....254
1$350
   Table 105: Rest of Europe Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2551$350
   Table 106: Rest of Europe 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....256
1$350
  21. ASIA-PACIFIC.....2578 $1450  
   A. Market Analysis.....257
Outlook.....257
Asia – A Promising Market for Orthopedic Device Manufacturers.....257
Asian Orthopedic Markets: Entry Barriers.....257
1$100
   Review of Select Markets.....258
Australia.....258
China.....258
Fracture Fixation.....258
1$100
   Spinal Implants.....259
India.....259
Joint Implants Market – Set for Rapid Growth.....259
1$100
   Medical Tourism Bolsters Orthopedic Implants Market.....260
South Korea.....260
1$100
   Competition.....261
Taiwan.....261
Foreign Participation in Taiwanese Orthopedic Market Segments.....261
Thailand.....261
1$100
   B. Market Analytics.....262
Table 107: Asia-Pacific Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment - Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....262
1$350
   Table 108: Asia-Pacific Historic Review for Orthopedic Instrumentation by Product Segment – Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2631$350
   Table 109: Asia-Pacific 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....264
1$350
  22. LATIN AMERICA.....2654 $950  
   A. Market Analysis.....265
Outlook.....265
Argentina.....265
Entry Regulations for Foreign Players.....265
Brazil.....265
Spinal Implants.....265
1$100
   Ecuador.....266
B. Market Analytics.....266
Table 110: Latin American Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....266
1$350
   Table 111: Latin American Historic Review for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2671$350
   Table 112: Latin American 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....268
1$350
  23. REST OF WORLD.....2694 $950  
   A. Market Analysis.....269
Outlook.....269
Israel.....269
1$100
   B. Market Analytics.....270
Table 113: Rest of World Recent Past, Current & Future Analysis for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2007 through 2015 (includes corresponding Graph/Chart).....270
1$350
   Table 114: Rest of World Historic Review for Orthopedic Instrumentation by Product Segment for Reconstructive Sector (Hip Implants, Knee Implants and Extremities), Fracture Fixation, Arthroscopy, Spinal Products and Other Orthopedic Products Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2000 through 2006 (includes corresponding Graph/Chart).....2711$350
   Table 115: Rest of World 11-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 2005, 2010 & 2015 (includes corresponding Graph/Chart).....2721$350
COMPETITION 433$995
  
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                       4
Middle East                         1
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