In the U.S., growth will be influenced by the continued adoption of products that, until recently, had only been available overseas; preference for motion-preserving technologies over fusion; and challenges with respect to reimbursement and coverage. In Europe, where aging populations will contribute to the demand for small joint implants, cost-containment efforts will influence prices and product purchases. Countries in the Asia-Pacific region and elsewhere in the world are characterized by differences with respect to disease prevalence, demographics, and processes for reimbursement, regulatory approval, and product distribution.
This report examines the market for hardware products used to repair fractures of the extremities as well as joint replacement products for the shoulder, elbow, wrist, fingers, ankle and foot, and provides a detailed analysis of the clinical and economic factors driving regional markets.
1. EXECUTIVE SUMMARY 1.1 Regional Analysis 1.1.1 The United States 1.1.2 Europe 1.1.3 AP & ROW Exhibit 1-1: Small Joint Implants & Extremity Hardware: Revenues by Region, 2010-2017 Exhibit 1-2: U.S. Market Forecast for Small Joint Implants & Extremity Hardware, 2010-2017 Exhibit 1-3: Small Joint Implants & Extremity Hardware, European Market Forecast, 2010-2017 Exhibit 1-4: AP & ROW Small Joint Implant Market Forecast, 2007-2015 2. OVERVIEW 2.1 U.S. 2.1.1 Disease Prevalence 2.1.2 Economic Factors 2.2 Europe 2.2.1 Disease Prevalence 2.2.2 Economic Factors 2.3 AP & ROW 2.3.1 Disease Prevalence 2.3.2 Economic Factors Exhibit 2-1: Regional Differences in Factors Contributing to Small Joint Implant Procedures Exhibit 2-2: Selected Studies of OA Prevalence in the U.S. Exhibit 2-3: Selected Studies of OA Prevalence and Incidence in Europe Exhibit 2-4: Selected Studies of OA Prevalence and Incidence in AP & ROW Countries 3. JOINT REPLACEMENT PRODUCTS 3.1 Replacement Products for the Joints of the Fingers and Hand 3.1.1 Clinical Results 3.1.2 Companies and Products 3.2 Replacement Products for the Wrist and Distal Radioulnar Joint 3.2.1 Clinical Results 3.2.2 Companies and Products 3.3 Elbow Replacement Products 3.3.1 Clinical Results 3.3.2 Companies and Products 3.4 Shoulder Replacement Products 3.4.1 Clinical Results 3.4.2 Companies and Products 3.5 Replacement Products for the Ankle and Foot 3.5.1 Ankle Arthroplasty 3.5.1.1 Ankle Replacement Products 3.5.2 Foot Arthroplasty 3.5.3 Companies and Products Exhibit 3-1: Small Joint Implants by Type Exhibit 3-2: Features of Finger Joint Implants Exhibit 3-3: Clinical Studies of Replacement Products in the Fingers and Hand Exhibit 3-4: Selected Finger Joint Replacement Products in 2011 Exhibit 3-5: Advantages and Disadvantages of Wrist and DRUJ Implants Exhibit 3-6: Clinical Studies of Wrist and DRUJ Arthroplasty Exhibit 3-7: Selected Wrist and DRUJ Replacement Products in 2011 Exhibit 3-8: Features of Elbow Replacement Products Exhibit 3-9: Clinical Studies of Total Elbow Replacement Exhibit 3-10: Selected Elbow Replacement Products in 2011 Exhibit 3-11: Shoulder Replacement Products by Type Exhibit 3-12: Selected Studies of Shoulder Replacement Exhibit 3-13: Selected Shoulder Replacement Products in 2011 Exhibit 3-14: Selected Joint Replacement Devices for the Ankle and Foot in 2011 4. HARDWARE FOR FRACTURES OF THE EXTREMITIES 4.1 Hardware for the Upper Extremities 4.1.1 Fingers 4.1.2 Wrist & Hand 4.1.3 Elbow 4.1.4 Shoulder 4.2 Hardware for the Lower Extremities 4.2.1 Products and Suppliers Exhibit 4-1: Fixation Products by Type Exhibit 4-2: Shoulder Fracture by Type Exhibit 4-3: Selected Extremities' Hardware in 2011 5. PROCEDURES & MARKET FORECASTS: SMALL JOINTS & EXTREMITIES 5.1 U.S. Procedure Volumes and Market Forecasts 5.1.1 Small Joint Replacements 5.1.1.1 Fingers and Hand 5.1.1.1.1 Procedure Volumes 5.1.1.1.2 Market Analysis 5.1.1.2 Wrist 5.1.1.2.1 Procedure Forecast 5.1.1.2.2 Market Analysis 5.1.1.3 Elbow 5.1.1.3.1 Procedure Forecast 5.1.1.3.2 Market Analysis 5.1.1.4 Shoulder 5.1.1.4.1 Procedure Forecast 5.1.1.4.2 Market Analysis 5.1.1.5 Ankle 5.1.1.5.1 Procedure Forecast 5.1.1.5.2 Market Analysis 5.1.1.6 Other Joints in the Foot 5.1.1.6.1 Procedure Forecast 5.1.1.6.2 Market Analysis 5.1.2 Hardware for Fractures of the Extremities 5.1.2.1 Procedure Forecast & Market Analysis 5.1.3 Supplier Shares 5.2 International Regions - Procedure Volumes and Market Forecasts 5.2.1 Europe 5.2.1.1 Fingers and Hand 5.2.1.1.1 Procedure Forecast 5.2.1.1.2 Market Analysis 5.2.1.2 Wrist 5.2.1.2.1 Procedure Forecast 5.2.1.2.2 Market Analysis 5.2.1.3 Elbow 5.2.1.3.1 Procedure Forecast 5.2.1.3.2 Market Analysis 5.2.1.4 Shoulder 5.2.1.4.1 Procedure Forecast 5.2.1.4.2 Market Analysis 5.2.1.5 Ankle 5.2.1.5.1 Procedure Forecast 5.2.1.5.2 Market Analysis 5.2.1.6 Other Joints in the Foot 5.2.1.6.1 Procedure Forecast 5.2.1.6.2 Market Analysis 5.2.1.7 Hardware for Fractures of the Extremities 5.2.1.7.1 Procedure Forecast & Market Analysis 5.2.2 AP & ROW 5.2.2.1 Finger and Hand 5.2.2.1.1 Procedure Forecast 5.2.2.1.2 Market Analysis 5.2.2.2 Wrist 5.2.2.3 Elbow 5.2.2.3.1 Procedure Forecast 5.2.2.3.2 Market Analysis 5.2.2.4 Shoulder 5.2.2.4.1 Procedure Forecast 5.2.2.4.2 Market Forecast 5.2.2.5 Ankle 5.2.2.6 Other Joints in the Foot 5.2.2.6.1 Procedure Forecast 5.2.2.6.2 Market Analysis 5.2.2.7 Hardware for Fractures of the Extremities 5.2.2.7.1 Procedure Forecast & Market Analysis 5.2.3 Supplier Shares Exhibit 5-1: Small Joint Implants & Extremity Hardware: Revenues by Region, 2010-2017 Exhibit 5-2: Small Joint Implants & Extremity Hardware: Revenues by Product Segment, 2010-2017 Exhibit 5-3: U.S. Small Joint Implant & Extremities Hardware, Procedure Forecast, 2010-2017 Exhibit 5-4: U.S. Market Forecast for Small Joint Implants & Extremity Hardware, 2010-2017 Exhibit 5-5: Finger Joint Replacements, U.S. Procedure Forecast, 2010-2017 Exhibit 5-6: Finger Arthroplasties by Joint, U.S. Procedure Forecast, 2010-2017 Exhibit 5-7: Finger Joint Replacements, U.S. Market Forecast, 2010-2017 Exhibit 5-8: MCP Joint Replacement Devices, U.S. Market Forecast, 2010-2017 Exhibit 5-9: PIP Joint Replacement Devices, U.S. Market Forecast, 2010-2017 Exhibit 5-10: CMC and Other Finger Joint Replacement Devices, U.S. Market Forecast, 2010-2017 Exhibit 5-11: Finger Joint Replacement Devices by Material, U.S. Market Forecast, 2010-2017 Exhibit 5-12: Wrist Replacements, U.S. Procedure Forecast, 2010-2017 Exhibit 5-13: Wrist Replacements, U.S. Market Forecast, 2010-2017 Exhibit 5-14: Elbow Replacements, U.S. Procedure Forecast, 2010-2017 Exhibit 5-15: U.S. Market Forecast for Elbow Replacement Products, 2010-2017 Exhibit 5-16: U.S. Market Forecast for Total Elbow Replacement Devices by Type, 2010-2017 Exhibit 5-17: U.S. Procedure Forecast for Shoulder Replacement, 2010-2017 Exhibit 5-18: U.S. Procedure Forecast for Total Shoulder Replacement, 2010-2017 Exhibit 5-19: U.S. Procedure Forecast for Partial Shoulder Replacement, 2010-2017 Exhibit 5-20: U.S. Market Forecast for Shoulder Replacement, 2010-2017 Exhibit 5-21: U.S. Market Forecast for Total Shoulder Replacement Systems, 2010-2017 Exhibit 5-22: U.S. Market Forecast, Partial Shoulder Replacements, 2010-2017 Exhibit 5-23: U.S. Procedure Forecast for Total Ankle Replacements, 2010-2017 Exhibit 5-24: U.S. Market Forecast,Total Ankle Replacement Devices, 2010-2017 Exhibit 5-25: U.S. Procedure Forecast for Joint Replacements of the Toes and Foot, 2010-2017 Exhibit 5-26: U.S. Market Forecast for Joint Replacements of the Toes and Foot, 2010-2017 Exhibit 5-27: U.S. Market Forecast for Toe and Foot Joint Replacements by Type, 2010-2017 Exhibit 5-28: Extremity Fracture Cases in the U.S., 2010-2017 Exhibit 5-29: Upper Extremity Fracture Cases in the U.S., 2010-2017 Exhibit 5-30: Hardware Procedures for Fractures of the Humeral Shaft in the U.S., 2010-2017 Exhibit 5-31: Hardware Procedures for Fractures of the Elbow in the U.S., 2010-2017 Exhibit 5-32: Hardware Procedures, Forearm Fractures in the U.S., 2010-2017 Exhibit 5-33: Hardware Procedures, Wrist Fractures in the U.S., 2010-2017 Exhibit 5-34: Hardware Procedures for Fractures of the Hand & Fingers in the U.S., 2010-2017 Exhibit 5-35: The U.S. Market Forecast for Hardware Used in Fractures of the Upper Extremities, 2010-2017 Exhibit 5-36: Lower Extremity Fracture Cases in the U.S., 2010-2017 Exhibit 5-37: Hardware Procedures for Femoral Fractures in the U.S., 2010-2017 Exhibit 5-38: Hardware Procedures for Fractures of the Tibia and Fibula in the U.S., 2010-2017 Exhibit 5-39: Hardware Procedures for Ankle Fractures in the U.S., 2010-2017 Exhibit 5-40: Hardware Procedures for Fractures of the Foot & Toe in the U.S., 2010-2017 Exhibit 5-41: The U.S. Market Forecast for Hardware Used in Fractures of the Lower Extremities, 2010-2017 Exhibit 5-42: The U.S. Market Forecast for Hardware Used in Fractures of the Extremities, 2010-2017 Exhibit 5-43: U.S. Supplier Shares in 2010 and 2011 Exhibit 5-44: Small Joint Implants, European Procedure Forecast, 2010-2017 Exhibit 5-45: Small Joint Implants & Extremity Hardware, European Market Forecast, 2010-2017 Exhibit 5-46: Finger Joint Replacements,European Procedure Forecast,2010-2017 Exhibit 5-47: Finger Arthroplasties by Joint, European Procedure Forecast, 2010-2017 Exhibit 5-48: Finger Joint Replacements, European Market Forecast, 2010-2017 Exhibit 5-49: MCP Joint Replacement Devices, European Market Forecast, 2010-2017 Exhibit 5-50: PIP Joint Replacement Devices, European Market Forecast, 2010-2017 Exhibit 5-51: CMC and Other Finger Joint Replacement Devices, European Market Forecast, 2010-2017 Exhibit 5-52: Finger Joint Replacement Devices by Material, European Market Forecast, 2010-2017 Exhibit 5-53: Wrist Replacements, European Procedure Forecast, 2010-2017 Exhibit 5-54: Wrist Replacements, European Market Forecast, 2010-2017 Exhibit 5-55: Elbow Replacements, European Procedure Forecast, 2010-2017 Exhibit 5-56: European Market Forecast for Elbow Replacement Products, 2010-2017 Exhibit 5-57: European Market Forecast for Total Elbow Replacement Devices by Type, 2010-2017 Exhibit 5-58: European Procedure Forecast for Shoulder Replacement, 2010-2017 Exhibit 5-59: European Procedures, Total Shoulder Replacement, 2010-2017 Exhibit 5-60: European Procedure Forecast for Partial Shoulder Replacement, 2010-2017 Exhibit 5-61: European Market Forecast for Shoulder Replacement, 2010-2017 Exhibit 5-62: European Market Forecast for Total Shoulder Replacement Systems, 2010-2017 Exhibit 5-63: European Market Forecast for Partial Shoulder Replacement Systems, 2010-2017 Exhibit 5-64: European Procedure Forecast for Total Ankle Replacements, 2010-2017 Exhibit 5-65: European Market Forecast, Total Ankle Replacements, 2010-2017 Exhibit 5-66: European Procedure Forecast for Joint Replacements of the Toes and Foot, 2010-2017 Exhibit 5-67: European Market Forecast for Joint Replacements of the Toes and Foot, 2010-2017 Exhibit 5-68: European Market Forecast for Toe and Foot Joint Replacements by Type, 2010-2017 Exhibit 5-69: Extremity Fracture Cases in Europe, 2010-2017 Exhibit 5-70: Upper Extremity Fracture Cases in Europe, 2010-2017 Exhibit 5-71: Hardware Procedures, Humeral Shaft Fractures in Europe, 2010-2017 Exhibit 5-72: Hardware Procedures for Elbow Fractures in Europe, 2010-2017 Exhibit 5-73: Hardware Procedures for Forearm Fractures in Europe, 2010-2017 Exhibit 5-74: Hardware Procedures for Wrist Fractures in Europe, 2010-2017 Exhibit 5-75: Hardware Procedures for Fractures of the Hand & Fingers in Europe, 2010-2017 Exhibit 5-76: The European Market Forecast for Hardware Used in Fractures of the Upper Extremities, 2010-2017 Exhibit 5-77: Lower Extremity Fracture Cases in Europe, 2010-2017 Exhibit 5-78: Hardware Procedures for Femoral Fractures in Europe, 2010-2017 Exhibit 5-79: Hardware Procedures for Fractures of the Tibia and Fibula in Europe, 2010-2017 Exhibit 5-80: Hardware Procedures for Ankle Fractures in Europe, 2010-2017 Exhibit 5-81: Hardware Procedures for Fractures of the Foot & Toe in Europe, 2010-2017 Exhibit 5-82: The European Market Forecast for Hardware Used in Fractures of the Lower Extremities, 2010-2017 Exhibit 5-83: The European Market Forecast for Hardware Used in Fractures of the Extremities, 2010-2017 Exhibit 5-84: AP & ROW Small Joint Implants & Extremities Hardware, Procedure Forecast, 2010-2017 Exhibit 5-85: Small Joint Implants & Extremity Hardware, AP & ROW Market Forecast, 2010-2017 Exhibit 5-86: Finger Joint Replacements, AP & ROW Procedures, 2010-2017 Exhibit 5-87: Finger Arthroplasties by Joint, AP & ROW Procedure Forecast, 2010-2017 Exhibit 5-88: Finger Joint Replacements, AP & ROW Market Forecast, 2010-2017 Exhibit 5-89: MCP Joint Replacements, AP & ROW Market Forecast, 2010-2017 Exhibit 5-90: PIP Joint Replacements, AP & ROW Market Forecast, 2010-2017 Exhibit 5-91: CMC and Other Finger Joint Replacement Devices, AP & ROW Market Forecast, 2010-2017 Exhibit 5-92: Finger Joint Replacement Devices by Material, AP & ROW Market Forecast, 2010-2017 Exhibit 5-93: Wrist Replacements, AP & ROW Procedure Forecast, 2010-2017 Exhibit 5-94: Wrist Replacements, AP & ROW Market Forecast, 2010-2017 Exhibit 5-95: Elbow Replacements, AP & ROW Procedure Forecast, 2010-2017 Exhibit 5-96: AP & ROW Market Forecast for Elbow Replacement Products, 2010-2017 Exhibit 5-97: AP & ROW Market Forecast for Total Elbow Replacement Devices by Type, 2010-2017 Exhibit 5-98: AP & ROW Procedure Forecast for Shoulder Replacement, 2010-2017 Exhibit 5-99: AP & ROW Procedure Forecast for Total Shoulder Replacement, 2010-2017 Exhibit 5-100: AP & ROW Procedure Forecast for Partial Shoulder Replacement, 2010-2017 Exhibit 5-101: AP & ROW Market Forecast for Shoulder Replacement, 2010-2017 Exhibit 5-102: AP & ROW Market Forecast for Total Shoulder Replacement Systems, 2010-2017 Exhibit 5-103: AP & ROW Market Forecast for Partial Shoulder Replacement Systems, 2010-2017 Exhibit 5-104: AP & ROW Procedure and Market Forecast for Total Ankle Replacements, 2010-2017 Exhibit 5-105: AP & ROW Procedure Forecast for Joint Replacements of the Toes and Foot, 2010-2017 Exhibit 5-106: AP & ROW Market Forecast for Joint Replacements of the Toes and Foot, 2010-2017 Exhibit 5-107: AP & ROW Market Forecast for Toe and Foot Joint Replacements by Type, 2010-2017 Exhibit 5-108: Extremity Fracture Cases in AP & ROW Countries, 2010-2017 Exhibit 5-109: Upper Extremity Fracture Cases in AP & ROW Countries, 2010-2017 Exhibit 5-110: Hardware Procedures for Fractures of the Humeral Shaft in AP & ROW 2010-2017 Exhibit 5-111: Hardware Procedures for Fractures of the Elbow in AP & ROW Countries, 2010-2017 Exhibit 5-112: Hardware Procedures for Fractures of the Forearm in AP & ROW Countries, 2010-2017 Exhibit 5-113: Hardware Procedures for Fractures of the Wrist in AP & ROW Countries, 2010-2017 Exhibit 5-114: Hardware Procedures for Fractures of the Hand & Fingers in AP & ROW Countries, 2010-2017 Exhibit 5-115: The AP & ROW Market Forecast for Hardware Used in Fractures of the Upper Extremities, 2010-2017 Exhibit 5-116: Lower Extremity Fracture Cases in AP & ROW Countries, 2010-2017 Exhibit 5-117: Hardware Procedures for Femoral Fractures in AP & ROW Countries, 2010-2017 Exhibit 5-118: Hardware Procedures for Fractures of the Tibia and Fibula in AP & ROW Countries, 2010-2017 Exhibit 5-119: Hardware Procedures for Ankle Fractures in AP & ROW Countries, 2010-2017 Exhibit 5-120: Hardware Procedures for Fractures of the Foot & Toe in AP & ROW Countries, 2010-2017 Exhibit 5-121: The AP & ROW Market Forecast for Hardware Used in Fractures of the Lower Extremities, 2010-2017 Exhibit 5-122: The AP & ROW Market Forecast for Hardware Used in Fractures of the Extremities, 2010-2017 Exhibit 5-123: Supplier Shares in Europe and AP & ROW, 2010 & 2011 6. COMPANY PROFILES 6.1 Acumed 6.2 Ascension Orthopedics (Integra LifeSciences) 6.3 Biomet 6.4 DJO Surgical (DJO Global) 6.5 Exactech 6.6 DePuy Orthopaedics (Johnson & Johnson) 6.7 Integra LifeSciences 6.8 OrthoHelix 6.9 Small Bone Innovations 6.10 Smith & Nephew 6.11 Stryker 6.12 Synthes 6.13 Tornier 6.14 Wright Medical Technology 6.15 Zimmer