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The United States (U.S.) market for orthopedic extremity and soft tissue repair products encompasses interventional surgical procedures and biologic and synthetic implants used in the repair of bone, joints, and soft tissue that have been damaged as a result of disease or due to physical injury.
The United States (U.S.) market for orthopedic extremity and soft tissue repair products encompasses interventional surgical procedures and biologic and synthetic implants used in the repair of bone, joints, and soft tissue that have been damaged as a result of disease or due to physical injury. Innovation in the treatment of bone, joint, and soft tissue of the extremities will primarily be seen in biologics, as new products are designed harnessing cellular therapies, such as stem cells, to regrow and restore damaged bone and tissue.
Markets covered by this report include reconstructive extremity products (Chapter 1), soft tissue repair products (Chapter 2), fracture fixation products (Chapter 3), and biologic and synthetic orthopedic extremity repair products (Chapter 4).
Topics covered in this report include:
Over the forecast period covered in this report, the estimated value of the U.S. market for orthopedic extremity and soft tissue repair products is expected to grow by approximately $2,203.9 million at a compound annual growth rate (CAGR) of 12.6%. Reconstructive extremity products will grow at a CAGR of 11.7%, soft tissue repair products at a CAGR of 9.9%, fracture fixation products at a CAGR of 14.2%, and biologic and synthetic orthopedic extremity repair products at a CAGR of 19.8
TABLE OF CONTENTS
EXECUTIVE SUMMARY…………………………………………………………………………. ES-1
i. Methodology……………………………………………………………………….. ES-2
1. ORTHOPEDIC EXTREMITY REPLACEMENT MARKET ……………………… 1-1
1.1 Shoulder Implants…………………………………………………………………… 1-1
1.1.1 Types of Shoulder Joint Replacement/Resurfacing Procedures ……………………………………………………………… 1-1
1.1.1.1 Shoulder Arthroplasty/Total Shoulder Arthroplasty…………………………………. 1-1
1.1.1.2 Shoulder Hemiarthroplasty………………………….. 1-3
1.1.1.3 Reverse Shoulder Arthroplasty…………………….. 1-4
1.1.2 Products …………………………………………………………………. 1-5
1.1.3 Market Analysis ……………………………………………………….. 1-5
1.1.4 Competitors …………………………………………………………… 1-11
1.2 Elbow, Wrist, and Hand…………………………………………………………. 1-14
1.2.1 Total Elbow Arthroplasty and Radial
Head Arthroplasty…………………………………………………… 1-14
1.2.2 Market Analysis ……………………………………………………… 1-16
1.2.3 Total Wrist Arthroplasty …………………………………………… 1-18
1.2.4 Ulnar Head Arthroplasty ………………………………………….. 1-21
1.2.5 Metacarpophalangeal Arthoplasty …………………………….. 1-21
1.2.6 Carpometacarpal Arthroplasty………………………………….. 1-21
1.2.7 Proximal Interphalangeal Arthroplasty……………………….. 1-22
1.2.8 Products ……………………………………………………………….. 1-22
1.2.9 Market Analysis ……………………………………………………… 1-26
1.2.10 Competitors …………………………………………………………… 1-26
1.3 Foot and Ankle …………………………………………………………………….. 1-26
1.3.1 Total Toe Arthroplasty …………………………………………….. 1-26
1.3.2 Partial Toe Arthroplasty…………………………………………… 1-28
1.3.3 Total Ankle Arthroplasty ………………………………………….. 1-28
1.3.4 Subtalar arthrodesis ……………………………………………….. 1-29
1.3.5 Products ……………………………………………………………….. 1-29
1.3.6 Market Analysis ……………………………………………………… 1-29
1.3.7 Competitors …………………………………………………………… 1-32
1.4 Combined Market Analysis…………………………………………………….. 1-35
1.4.1 Market Drivers and Challenges ………………………………… 1-37
Exhibit 1-1: 2014, Selected Shoulder Implant Products ………………………………… 1-6
Exhibit 1-2: Shoulder Implants, Market Forecast, 2014-2019……………………….. 1-12
Exhibit 1-3: 2014, Shoulder Arthroplasty Procedures by Average Cost and Type …………………………………………………………………………….. 1-13
Exhibit 1-4: 2014, Shoulder Implants Market, Share by Supplier ………………….. 1-15
Exhibit 1-5: Elbow Implants, Market Forecast, 2014-2019 …………………………… 1-17
Exhibit 1-6: Radial Head Arthroplasty, Market Forecast, 2014-2019……………… 1-19
Exhibit 1-7: Elbow Arthroplasty, Combined Market Forecast, 2014-2019 ………. 1-20
Exhibit 1-8: 2014, Selected Upper Extremity Implants ………………………………… 1-23
Exhibit 1-9: Hand, Digit, and Wrist Arthroplasty, Combined Market Forecast, 2014-2019 ………………………………………………….. 1-27
Exhibit 1-10: 2014, Selected Foot and Ankle Implants ………………………………….. 1-30
Exhibit 1-11: 2014, Foot and Ankle Arthroplasty Procedures by Average Cost and Type …………………………………………………………………………….. 1-33
Exhibit 1-12: Foot and Ankle Arthroplasty, Market Forecast, 2014-2019 …………. 1-34
Exhibit 1-13: 2014, Foot and Ankle Market, Share by Supplier………………………. 1-36
Exhibit 1-14: Reconstructive Extremity Products, Combined Market Forecast, 2014-2019 ………………………………………………….. 1-38
2. SOFT TISSUE REPAIR MARKET……………………………………………………… 2-1
2.1 Soft Tissue Repair Products…………………………………………………….. 2-1
2.1.1 Anchors ………………………………………………………………….. 2-1
2.1.2 All-Suture Anchors …………………………………………………… 2-2
2.1.3 Soft Tissue Interference Screws…………………………………. 2-6
2.1.4 Soft Tissue Reinforcement Grafts ………………………………. 2-7
2.2 Shoulder Soft Tissue Repair…………………………………………………….. 2-7
2.2.1 Market Analysis ……………………………………………………… 2-14
2.3 Elbow, Wrist, and Hand Repair ………………………………………………. 2-16
2.3.1 Market Analysis ……………………………………………………… 2-16
2.4 Foot and Ankle Soft Tissue Repair………………………………………….. 2-17
2.4.1 Market Analysis ……………………………………………………… 2-17
2.5 Combined Market Forecast ……………………………………………………. 2-20
2.5.1 Competitors …………………………………………………………… 2-20
Exhibit 2-1: 2014, Selected Suture Anchors………………………………………………… 2-4
Exhibit 2-2: 2014, Selected Soft Tissue Interference Screws…………………………. 2-8
Exhibit 2-3: 2014, Selected Soft Tissue Reinforcement Grafts……………………… 2-10
Exhibit 2-4: Anatomy of the Shoulder……………………………………………………….. 2-13
Exhibit 2-5: Shoulder Soft Tissue Repair Products, Market Forecast, 2014-2019 ………………………………………………….. 2-15
Exhibit 2-6: Elbow, Hand, and Wrist Soft Tissue Repair Products, Market Forecast, 2014-2019 ………………………………………………….. 2-18
Exhibit 2-7: Foot and Ankle Soft Tissue Repair Products, Market Forecast, 2014-2019 ………………………………………………….. 2-19
Exhibit 2-8: Soft Tissue Repair Products, Combined Market Forecast, 2014-2019 ………………………………………………….. 2-21
Exhibit 2-9: 2014, Soft Tissue Repair Products Market, Share by Supplier…….. 2-23
3. TRAUMA AND OSTEOSYNTHESIS PRODUCTS……………………………….. 3-1
3.1 Fracture Etiology ……………………………………………………………………. 3-1
3.2 Fracture Fixation ……………………………………………………………………. 3-2
3.3 External Fixation Products……………………………………………………….. 3-2
3.3.1 Market Analysis ……………………………………………………….. 3-3
3.4 Internal Fixation Devices …………………………………………………………. 3-3
3.4.1 Internal Fixation Plates and Screws ……………………………. 3-8
3.5 Shoulder Fixation Market Analysis ………………………………………….. 3-16
3.6 Elbow, Hand, Digits, and Wrist Market Analysis………………………… 3-16
3.7 Foot and Ankle Market Analysis ……………………………………………… 3-21
3.8 Combined Market Analysis…………………………………………………….. 3-21
3.8.1 Competitors …………………………………………………………… 3-23
Exhibit 3-1: 2014, Selected External Fixation Products…………………………………. 3-4
Exhibit 3-2: External Fixation Products, Market Forecast, 2014-2019……………… 3-6
Exhibit 3-3: 2014, Selected Internal Fixation Products ………………………………….. 3-9
Exhibit 3-4: 2014, Selected Plates and Screws for Orthopedic Extremity Fixation…………………………………………………………………. 3-13
Exhibit 3-5: Shoulder Fixation Products, Market Forecast, 2014-2019…………… 3-17
Exhibit 3-6: Elbow Fixation Products, Market Forecast, 2014-2019 ………………. 3-19
Exhibit 3-7: Hand, Digits, and Wrist Fixation Products, Market Forecast, 2014-2019 ………………………………………………….. 3-20
Exhibit 3-8: Foot and Ankle Fixation Products, Market Forecast, 2014-2019…. 3-22
Exhibit 3-9: Fracture Fixation Products, Combined Market Forecast, 2014-2019 ………………………………………………….. 3-24
Exhibit 3-10: 2014, Extremity Fracture Fixation Products Market, Share by Supplier…………………………………………………………………. 3-27
4. BIOLOGIC AND SYNTHETIC ORTHOPEDIC EXTREMITY REPAIR PRODUCTS……………………………………………………………………………………. 4-1
4.1 Growth Factors………………………………………………………………………. 4-2
4.1.1 Blood Extracted Growth Factors and Platelet Concentrating Systems …………………………………………….. 4-2
4.1.2 Bone Marrow Aspirate Concentrate ……………………………. 4-4
4.1.3 Market Analysis ……………………………………………………….. 4-4
4.1.4 Competitors …………………………………………………………….. 4-7
4.2 Bone Replacement Materials …………………………………………………… 4-7
4.2.1 Allografts ………………………………………………………………. 4-11
4.2.1.1 Regulations Governing Allografts……………….. 4-11
4.2.1.2 Tissue Banks…………………………………………… 4-14
4.2.2 Demineralized Bone Matrix ……………………………………… 4-14
4.2.2.1 Market Analysis……………………………………….. 4-15
4.2.3 Synthetic Bone Substitutes………………………………………. 4-20
4.2.3.1 Market Analysis……………………………………….. 4-26
4.2.3.2 Competitors…………………………………………….. 4-26
4.3 Combined Market Forecast ……………………………………………………. 4-30
Exhibit 4-1: 2014, Selected Stem Cell and Growth Factor Products ……………….. 4-3
Exhibit 4-2: 2014, Selected Blood Extracted Growth Factors and Platelet Concentrating Systems …………………………………………………………… 4-5
Exhibit 4-3: 2014, Selected Bone Marrow Aspirate Systems …………………………. 4-6
Exhibit 4-4: Biologic Agents for Orthopedic Extremity Repair, Market Forecast, 2014-2019 ……………………………………………………. 4-8
Exhibit 4-5: 2014, Biologic Products for Orthopedic Extremity Repair Products Market, Share by Supplier……………………………………………………… 4-10
Exhibit 4-6: 2014, Selected Allografts……………………………………………………….. 4-12
Exhibit 4-7: 2014, Commercially Available Demineralized Bone Matrix Products ……………………………………………………………………. 4-16
Exhibit 4-8: Allograft and Demineralized Bone Matrix Products for Arthroplasty, Market Forecast, 2014-2019 ………………………………………………….. 4-21
Exhibit 4-9: Allograft and Demineralized Bone Matrix Products for Fracture Repair, Market Forecast, 2014-2019……………………………………….. 4-23
Exhibit 4-10: 2014, Selected Commercially Available Synthetic Bone Graft Substitutes…………………………………………………………………… 4-27
Exhibit 4-11: Synthetic Bone Graft Substitutes for Orthopedic Extremity Repair, Market Forecast, 2014-2019 ………………………………………………….. 4-29
Exhibit 4-12: 2014, Synthetic Bone Substitute Products Market, Share by Supplier…………………………………………………………………. 4-31
Exhibit 4-13: Allograft, Demineralized Bone Matrix, and Synthetic Bone Substitute Products, Combined Market Forecast, 2014-2019 …….. 4-33
APPENDIX: COMPANY LISTING……………………………………………………………… A-1
BIBLIOGRAPHY ……………………………………………………………………………………… B-1
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