US Small Bone and Joint Orthopedic Devices Market

A complete overview of every segment within this report. This summary includes an abridged competitive analysis, partial numerical data, CAGRS, and qualitative synopses. In 2012, the total U.S. market for small bone and joint orthopedic devices was valued at over $2 billion. The U.S. small bone and joint orthopedic device market includes shoulder reconstruction implants, elbow repair devices, hand and wrist devices, foot and ankle devices and shape memory staples. All of these segments were experiencing positive growth in 2012, as the aging population continued to drive demand along with the increased awareness for small bone and joint procedures. Capitated pricing has been affecting the shoulder reconstruction and hand and wrist devices market segments, which is negatively impacting the overall market. The ASPs of products in smaller market segments like the foot and ankle devices and shape memory staples market segments however are not being affected yet by capitated pricing. Overall, the strong positive growth in all segments will allow the entire market to grow rapidly over the 2012-2019 forecast period.

In 2012, the recently formed DePuy Synthes Companies of Johnson & Johnson held the leading position in the small bone and joint orthopedic device market largely due to their lead in plate and screw devices for wrist, feet and elbow fracture repair.

DePuy Synthes are not usually considered to be a dominant competitor in the small bone and joint orthopedic device market, yet they dominated the distal radius plate segment, the olecranon and distal humerus plate segment, the ankle arthrodesis segment and also the forefoot and midfoot device segment. Although the devices in the aforementioned segments are trauma fixation devices, they are also sold by a number of small joint specialist companies. Another point of distinction is that although these two markets are more mature than other extremity device segments, they have a broad clinical need, which corresponds to greater overall sales revenues. 

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Outside of these segments, there is less disparity between market shares for the remaining segments of the combined small bone and joint device market. Contingent upon the EUs approval for Depuy’s acquisition of Synthes was that DePuy would sell their Orthopedic Trauma business to Biomet. This initial acquisition, that included the divisions in the U.S., U.K., Australia, New Zealand, Japan and Switzerland, was finalized in June 2012. Since then, Biomet have acquired all of DePuy’s trauma accounts and have maintained the same pricing on these products to ensure a smooth transition. This acquisition has given Biomet a strong boost in their market share of several small bone and joint market segments in 2012.

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Table of Content

Table Of Contents  I
List Of Figures  VI
List Of Charts  IX

Executive Summary 1
1.1 U.S.Market For Small Bone & Joint Orthopedic Devices 1
1.2 Shoulder Reconstruction Market 2
1.3 Elbow Repair Market 3
1.4 Hand &Wrist Device Market 4
1.5 Foot & Ankle Device Market  5
1.6 Shape Memory Staple Market 6
1.7 Leading Competitors  7

Research Methodology  8
2.1 Research Scope  8
2.2 Idata’s 9-Step Methodology  8
Step 1: Project Initiation & Team Selection 8
Step 2: Prepare Data Systems And Perform Secondary Research 11
Step 3: Preparation For Interviews & Questionnaire Design 12
Step 4: Performing Primary Research 13
Step 5: Research Analysis: Establishing Baseline Estimates 15
Step 6: Market Forecast And Analysis 16
Step 7: Identify Strategic Opportunities  18
Step 8: Final Review And Market Release 19
Step 9: Customer Feedback And Market Monitoring 20

U.S. Small Bone & Joint Orthopedic Devices Market 21
3.1 Introduction 21
3.1.1 Anatomy And Pathology 21
3.1.2 Treatment  23
3.1.3 Shoulder Joint Reconstruction Devices  24
3.1.4 Elbow Joint Reconstruction 24
3.1.5 Hand And Wrist Devices  25
3.1.6 Foot And Ankle Devices 25
3.1.7 Shape Memory Staples 25
3.2 Market Overview  26
3.3 Trend Analysis By Segment  30
3.4 Market Drivers And Limiters 33
3.4.1 Market Drivers  33
3.4.2 Market Limiters 34
3.5 Competitive Analysis 36
3.5.1 Leading Competitors  36
3.5.2 Market Concentration 43
3.6 Mergers And Acquisitions  45

Shoulder Reconstruction Market  47
4.1 Introduction 47
4.1.1 Anatomy  47
4.1.2 Joint Reconstruction Devices  48
4.1.2.1 Total Shoulder Implants  48
4.1.2.2 Reversed-Shoulder Implants  48
4.1.2.3 Partial Shoulder Implants 48
4.1.2.4 Resurfacing Implants 49
4.1.2.5 Shoulder Revision 49
4.2 Market Overview  50
4.3 Market Analysis & Forecast 53
4.3.1 Total Shoulder Implant Market  55
4.3.2 Reversed Shoulder Market 56
4.3.3 Partial Shoulder Market  57
4.3.4 Shoulder Resurfacing Market  58
4.3.5 Shoulder Revision Market  59
4.4 Drivers And Limiters 60
4.4.1 Market Drivers  60
4.4.2 Market Limiters 61
4.5 Competitive Analysis 64

Elbow Repair Market 69
5.1 Introduction 69
5.1.1 Pathology  69
5.1.2 Device Types 69
5.1.2.1 Total Elbow Devices 69
5.1.2.2 Radial Head Elbow Devices  70
5.1.2.3 Contraindications 70
5.2 Market Overview  71
5.3 Market Analysis & Forecast 74
5.3.1 Total Elbow Implant Market By Segment 74
5.3.1.1 Semi-Constrained Total Elbow Market 75
5.3.1.2 Unconstrained Total Elbow Market 76
5.3.2 Radial Head Implant Market  77
5.3.3 Elbow Plates & Screws Market 78
5.4 Drivers And Limiters 79
5.4.1 Market Drivers  79
5.4.2 Market Limiters 79
5.5 Competitive Analysis 81

Hand & Wrist Device Market 86
6.1 Introduction 86
6.1.1 Device Types 87
6.2 Market Overview  90
6.3 Market Analysis & Forecast 93
6.3.1 Total Wrist Implant Market 94
6.3.2 Wrist Fusion Market 95
6.3.3 Distal Radius Market 96
6.3.4 Ulnar Head Replacement Market  97
6.3.5 Hand Digit Implant Market 98
6.4 Drivers And Limiters 99
6.4.1 Market Drivers  99
6.4.2 Market Limiters 99
6.5 Competitive Analysis 101

Foot & Ankle Device Market 107
7.1 Introduction  107
7.1.1 Treatment  107
7.1.2 Foot Treatments 109
7.1.2.1 Hammertoe Correction Procedures 109
7.2 Market Overview 110
7.3 Market Analysis & Forecast 114
7.3.1 Total Ankle Replacement Market By Segment 114
7.3.1.1 Mobile Bearing Ankle Implant Market 117
7.3.1.2 Fixed Bearing Ankle Implant Market  118
7.3.2 Total Ankle Arthrodesis Market By Segment  119
7.3.2.1 Ankle Plate & Screw Market 122
7.3.2.2 Ankle Intramedullary Nail Market 123
7.3.3 Forefoot & Midfoot Market By Segment 124
7.3.3.1 Forefoot & Midfoot Fusion Screw Market 127
7.3.3.2 Forefoot & Midfoot Plate & Screw Market 128
7.3.4 Subtalar Market By Segment  129
7.3.4.1 Subtalar Fusion Screw Market  132
7.3.4.2 Subtalar Implant Market 133
7.3.5 Foot Digit Implant Market By Segment  134
7.3.5.1 1st Metatarsal Phalangeal (Mtp) Implant Market 137
7.3.5.2 1st Mtp Hemi-Toe Implant Market 138
7.3.5.3 Lesser Toe Implant Market  139
7.3.6 Hammertoe Market By Segment 140
7.3.6.1 Hammertoe Correction Implant Market 143
7.3.6.2 Hammertoe K-Wire Market  144
7.3.7 Foot & Ankle External Fixation Market By Segment 145
7.3.7.1 Ankle External Fixation Market  148
7.3.7.2 Foot & Toe External Fixation Market 149
7.4 Drivers And Limiters 150
7.4.1 Market Drivers 150
7.4.2 Market Limiters 151
7.5 Competitive Analysis 153

Shape Memory Staple Market  159
8.1 Introduction  159
8.2 Market Analysis & Forecast 160
8.3 Market Drivers And Limiters 162
8.3.1 Market Drivers 162
8.3.2 Market Limiters 162
8.4 Competitive Analysis 164

Abbreviations 167

Appendix I  168
10.1 Extended Foot & Ankle Competitive Analysis 168
10.1.1 Ankle Replacement Market Leading Competitors By Segment 168
10.1.2 Ankle Arthrodesis Market Leading Competitors By Segment 169
10.1.3 Subtalar Market Leading Competitors By Segment 170