Hip and Knee Orthopedic Surgical Implants Market Shares, Strategies, and Forecasts, Worldwide, 2016 to 2022

  • ID:PD001377
  • January 2016
  • WinterGreen Research, Inc.
                          

Worldwide hip and knee orthopedic surgical Implant markets are poised to achieve significant growth with the aging of the population. Old people have trouble making their joints last as long as they do. The patient stability and the relief from pain provided by the implant is compelling. The major suppliers are providing implants that are state of the art. Orthopedic reconstructive implants are used to replace joints that have deteriorated. Deterioration may come as a result of aging, disease, osteoarthritis, or injury.

Total hip replacement surgery has evolved dramatically over the years as advances in technology have made it possible to improve surgical techniques. 325,000 people had total hip replacement surgery in 2015 in the United States. Computer-assisted total hip replacement surgery is one of the latest revolutions in total hip replacement.

Zimmer is the market leader by far in the hip and knee orthopedic implant market. Zimmer® M/L taper hip prosthesis has Kinectiv® modular neck technology. This is better than traditional hip replacements that have had limited size and shape choices. Doctors typically adjusted the hip bone to fit the implant. Hip replacements with Zimmer Kinectiv Technology give surgeons a wide range of options to achieve a
more accurate fit of the joint replacement to the hip.

Reconstructive joint surgery involves the modification of the affected area of the joint and the implantation of one or more manufactured components. It may involve the use of bone cement. The primary orthopedic reconstructive targets are joints. Hips and knees are the joints most commonly repaired with orthopedic implants. Orthopedic implant vendors produce associated instruments. Instruments are required by orthopedic surgeons to implant reconstructive products.

Interdisciplinary dialog in medicine through its extensive continuing education offerings is a vital part of the hip and knee implant joint replacement market. System partnership means even more intensive exchange to continuously improve patient care. The company seeks to actively contribute extensive knowledge of procurement, logistics and application processes to the medical community. The aim is to increase efficiency of joint implant surgery in hospitals. Depending on the type of disorder, the activity level of the patient and the bone quality, the most suitable implant model is selected and fixated in the bone. A great number of implants for artificial hip replacement are available. The difference between individual models and manufacturers is small, all products are technologically sophisticated and good. Surgeon adoption of an implant product line provides competitive advantage.

The surgeon selects an implant based on the devices for which he or she is trained. Surgeons tend to be proficient in a particular device and have the most success implanting that one. The surgeon decision for choice of implant depends on the diagnosis, his or her own experience with the implant products, and the suitability of the selected implant for the patient. Implant assisted medial knee arthroplasty: orthopedic surgical implants are poised to take knee and hip surgery quality far beyond what has previously been available. The quality of knee arthroplasty is improved with implant capability. All the advantages of surgical implants carry into the orthopedic reconstruction surgical products. When the knee and hip surgical implants are used, patients have reduction of post-operative pain, fewer re-admissions to hospital and faster recovery. 

Implants support high-precision surgery. Knee and hip surgical implants need robots to provide consistent reproducible precision. Knee or hip replacement will demand attention to quality of life. Maintenance of lifestyle provided by an implant as a joint replacement is compelling. As next generation systems, hip and knee implants provide a way to improve traditional orthopedic hip and knee replacement surgery. Total hip replacement surgery has evolved dramatically as advances in technology have brought improved surgical techniques. Surgical implants are a significant part of that advance.

Once, the penetration achieves this 35% level, all orthopedic surgeons will demand that hospitals offer implant orthopedic surgical capability because the outcomes are more predictable and better. Knee and hip surgical implant markets have been impacted by the reduction in insurance payments. Payment reductions have forced hospitals to act as businesses. The cost of delivering care has become as much a factor as providing quality care when making decisions about patient improvement in condition.

Cost-cutting has been made in the supply chain. Suppliers were examined closely for quality and cost. The number of suppliers is reduced to put pressure on the ones that remain. Those remaining are pressured to improve prices and efficiencies. Hospitals, physicians, and care providers have been financially incentivized to create accountable care organizations (ACOs). Coordinated patient care plans and value-based purchasing were rewarded. The med device buyer shifted from physicians to the ACOs and smart buying groups.

Implants have provided an opportunity to transform orthopedics. New materials and new designs are bringing that transformation forward. By furthering the growth of implant innovation, patients can get better treatment. By enhancing the surgeon and patient experience is is likely that the entire orthopedics implant market will grow more rapidly than it would otherwise.  The aging US population has supported demand, since the occurrence of health issues that require medical devices is higher in the elderly population. Buoyed by strong demand and sales, industry profit margins have increased considerably during the past five years.

The worldwide market for Hip and knee orthopedic surgical joint replacement products is $16.7 billion anticipated to reach $33 billon by 2022. The complete report provides a comprehensive analysis including procedure numbers, units sold, market value, forecasts, as well as a detailed competitive market shares and analysis of major players’ success, challenges, and strategies in each segment and subsegment.
The reports cover markets for knee and hip Implant orthopedic surgery medical specialties and sub-specialties.
 

KNEE AND HIP ORTHOPEDIC IMPLANT MARKET EXECUTIVE SUMMARY 27
Knee and Hip Orthopedic Implant Market Driving Forces 27
Knee and Hip Surgical Robot Market Shares 31
Knee and Hip Surgical Implant Forecasts 33

1. KNEE AND HIP ORTHOPEDIC IMPLANTS MARKET DESCRIPTION AND MARKET DYNAMICS 34
1.1 Challenges In The Field Of Healthcare 34
1.1.1 Clinical Limited Financial Resources 35
1.1.2 Clinical Economic Efficiency 35
1.1.3 Reducing Fixed Costs Homogeneous Supplier Structure Optimizing Processes 37
1.2 Orthopedic Reconstructive Implants 38
1.3 Continuing Education 38
1.3.1 Implant Industry Characterized by Frequent Patent Litigation 39
1.3.2 Primary Customers 40
1.4 Knee Orthopaedic Reconstructive Implants 41
1.4.1 Knee Replacement 42
1.5 Hip Implants 44
1.5.1 Hip Replacement 44

2. KNEE AND HIP ORTHOPEDIC IMPLANT MARKET SHARES AND MARKET FORECASTS 49
2.1 Knee and Hip Orthopedic Implant Market Driving Forces 49
2.2 Knee and Hip Surgical Robot Market Shares 53
2.2.1 Products 56
2.2.2 Orthopedic Implant Surgical Companies 56
2.2.3 Zimmer Persona® Knee: The Personalized Knee System 57
2.2.4 Zimmer Persona Knee - The Personalized Knee System 59
2.2.5 Biomet Vanguard SSK 360 Revision System is the best-selling Biomet knee revision implant. 62
2.2.6 Zimmer Biomet Oxford Partial Knee 62
2.2.7 Stryker Accolade II 62
2.2.8 Johnson and Johnson / DePuy Surgical Orthopedic Implants Segments 64
2.2.9 Johnson and Johnson / DePuy Hip 65
2.2.10 Smith & Nephew Surgical Orthopedic Implants Segments 66
2.2.11 Exactech Surgical Orthopedic Implants Segments 67
2.2.12 Exactech 68
2.2.13 Mathys Surgical Orthopedic Implants Segments, 70
2.2.14 DJO 71
2.2.15 ConforMIS 72
2.2.16 Aesculap Bicontact® Universal Hip System 73
2.2.17 Wright Medical Technology 73
2.2.18 Wright Medical Technology 74
2.2.19 Total Hip Replacement 75
2.2.20 Total Hip Replacement Leaching Metal Debris Causes A Condition Called Metallosis 75
2.2.21 Total Knee Replacement 76
2.2.22 Other Surgical Orthopedic Implant Segments 77
2.3 Knee and Hip Surgical Implant Forecasts 78
2.3.1 Knee Implants Market Forecasts 82
2.3.2 Hip Implant Market Forecasts 84
2.3.3 Knee and Hip Surgical Implant Unit Analysis 86
2.4 Knee and Hip Orthopedic Surgical Procedure Analysis 89
2.5 Knee and Hip Surgical Robot Regional Analysis 90
2.5.1 Orthopedic Implant Regional Positioning 91
2.5.2 Zimmer Americas 92
2.5.3 Zimmer Europe 92
2.5.4 Charité Europe 93
2.5.5 European Reconstructive Implant And Trauma Product Markets 94
2.5.6 Asia Pacific Market For Reconstructive Implant And Trauma Products 94
2.5.7 Asia Pacific. 95
2.5.8 Zimmer Local Distribution Facilities 96

3. KNEE AND HIP SURGICAL ROBOT PRODUCTS 97
3.1 Zimmer Holdings / Biomet Hip 97
3.1.1 Zimmer Fitmore® Hip Stem 99
3.1.2 Zimmer Continuum® Acetabular system 99
3.1.3 Zimmer Facing Lawsuits over Durom Acetabular Component 105
3.1.4 Zimmer Holdings / Biomet Knee 106
3.1.5 Zimmer / Biomet Knee and Hip 112
3.1.6 Biomet Knee reconstructive products 113
3.1.7 Biomet Oxford Partial Knee 115
3.2 Smith & Nephew 115
3.2.1 Smith & Nephew Orthopaedic Product Line 115
3.2.2 Smith & Nephew Hip 119
3.2.3 Smith & Nephew Recall of Metal Liner Component Of Its Modular R3 124
3.2.4 Smith & Nephew Redapt Hip Implant 124
3.2.5 Smith & Nephew Knee 126
3.2.6 Smith & Nephew Knee Implant Systems 127
3.2.7 Smith & Nephew LEGION HK Hinge Knee Replacement 128
3.3 Johnson and Johnson / DePuy Hip 129
3.3.1 DePuy’s ASR XL Acetabular Total Hip Replacement System Recalled 132
3.3.2 DePuy ATTUNE® Knee System 133
3.3.3 DePuy GLIDERIGHT™ Articulation Knee Implant 138
3.3.4 DePuy AOX™ Polyethylene 139
3.3.5 DePuy ORTHOVISC® Knee Injections 139
3.4 Stryker 140
3.4.1 Stryker Triathlon Total Knee Implants 146
3.4.2 Stryker MAKOplasty ® Robotic Arm Hip Replacement Solution 148
3.4.3 Stryker MAKOplasty® Surgical Robotic Total Hip Arthroplasty 150
3.4.4 Stryker MAKO Surgical Knee Replacements 158
3.4.5 Stryker’s Mako Total Knee Application Receives FDA Clearance 159
3.4.6 Stryker Knee and Hip Surgical Robot Products Benefits 161
3.4.7 Stryker / Mako 163
3.4.8 Stryker® Knee Replacement System 167
3.5 Microport Profemur™ Z Hip Stem System 168
3.5.1 MicroPort Evolution Knee 170
3.5.2 MicroPort Orthopedics Knee Replacement 170
3.5.3 MicroPort Orthopedic Devices 174
3.6 Corin 180
3.7 DJO Hip 183
3.7.1 DJO Revelation Hip System 184
3.7.2 DJO Revelation microMAX Hip 184
3.7.3 DJO Linear Hip System 185
3.7.4 DOJ LMR Hip 185
3.7.5 DJO 3DKnee™ System 186
3.7.6 DJO 3DKnee System 187
3.7.7 DJO FMP Acetabular System 190
3.7.8 DJO RSP Monoblock 190
3.7.9 DJO Reverse Shoulder Prosthesis (RSP) 191
3.7.10 DJO Turon Modular Shoulder System 191
3.7.11 DJO e-plus 192
3.8 Exactech 192
3.8.1 Exactech Knee 193
3.9 ConforMIS 197
3.9.1 ConforMIS iTotal CR Mimics Natural Shape Of The Knee 199
3.9.2 ConforMIS in Development of the iTotal Hip 201
3.10 Medacta 203
3.11 B. Braun / Aesculap AG 204
3.11.1 Aesculap Hip Arthroplasty Low Abrasion Ceramic Articulation And Bioactive Surface Coatings 205
3.11.2 Aesculap Bicontact® Universal Hip System 205
3.11.3 Aesculap Knee Arthroplasty 209
3.12 Waldemar LINK GmbH & Co. 211
3.12.1 LINK® Hip Prostheses 212
3.13 Mathys AG 217
3.13.1 Mathys Stem 221
3.13.2 Mathys Cup 222
3.13.3 Mathys Hip Head 224
3.13.4 Mathys Knee Portfolio 225
3.13.5 Mathys Shoulder Portfolio 227
3.14 Wright Medical Technology 228

4. KNEE AND HIP SURGICAL RESEARCH, TECHNOLOGY, AND REGULATION 229
4.1 Cemented / Cement-Free Implants 229
4.1.1 Cement-Free Anchorage 229
4.1.2 Cemented Anchorage 229
4.2 Well Described Problem For Hip Replacements 231
4.2.1 Allergy Considerations 233
4.2.2 Smith-Nephew VERILAST◊ Technology for Knees 233
4.2.3 Smith & Nephew VERILAST Technology May Last Up To 30 Years Of Wear 234
4.3 Hip Implant Failure 235
4.3.1 Epidemic Of Failures Of Hip Implant Devices 235
4.3.2 Implants Involved In These Lawsuits 236
4.4 Regulation 236
4.4.1 U.S. Food and Drug Administration 237
U.S. Food and Drug Administration Regulatory 238
4.4.2 FDA’s Premarket Clearance and Approval Requirements 238
4.4.3 510(k) Clearance Pathway 239
4.4.4 Premarket Approval Pathway 240
4.4.5 Clinical Trials 240
4.4.6 Pervasive and Continuing FDA Regulation 241

5. KNEE AND HIP SURGICAL COMPANY DESCRIPTIONS 243
5.1 B Braun / Aesculap 243
5.1.1 B. Braun Products 244
5.1.2 B.Braun 246
5.1.3 Braun / Aesculap Revenue 248
5.1.4 Aesculap Hip Arthroplasty 249
5.1.5 Aesculap Knee Arthroplasty 249
5.2 ConforMIS 249
5.2.1 ConforMIS Fully Paid Up, Worldwide License Agreement with Wright Medical Group, 250
5.2.2 ConforMIS iTotal PS Knee Replacement Product Systems Voluntary Recall 251
5.2.3 ConforMIS Makes The Implant Fit The Patient 251
5.2.4 ConforMIS Revenue Third Quarter 2015 252
5.2.5 ConforMIS Third Quarter 2015 Financial Results 252
5.3 DJO 255
5.3.1 DJO Trademarks, Service Marks And Brand Names 256
5.3.2 DJO Linear® Hip System 257
5.3.3 DJO TaperFill™ Hip System 257
5.3.4 DJO Revelation® microMAX™ Hip 259
5.3.5 DJO Knee 259
5.3.6 DJO e+™ 260
5.3.7 DJO Movation™ and S.U.R.E. System™ 260
5.3.8 DJO Surgical 261
5.3.9 DJO purchases the Biomet Cobalt™ HV Bone Cement and Optivac© Cement Mixing from Zimmer Biomet 262
5.3.10 DJO Advanced Technologies 262
5.3.11 DJO Revenue 263
5.3.12 DJO Sales by Business Segment 264
5.4 Exactech 265
5.5 Johnson and Johnson / Depuy 270
5.5.1 Depuy Synthes Trauma Launches New Biologic Implant 271
5.5.2 DePuy Synthes Companies of Johnson & Johnson 273
5.5.3 J&J DePuy Synthes 273
5.5.4 DePuy Synthes ASR Hips Failed Solutions In The Specialties Of Joint Reconstruction, Trauma 274
5.5.5 Johnson and Johnson / DePuy Synthes 274
5.1.1 Google Collaborating With Johnson & Johnson To Develop Surgical Robots 275
5.1.2 DePuy 276
5.1.3 Johnson & Johnson 276
5.1.4 Johnson & Johnson / Ethicon 276
5.5.6 Johnson & Johnson Business 278
5.5.7 Johnson & Johnson Geographic Areas 279
5.6 Corin 280
5.6.1 Corin Hip Components 280
5.6.2 Corin Knee Components 282
5.7 Mathys 283
5.8 Medacta 284
5.8.1 Medacta Business 285
5.9 MicroPort Scientific Corporation 285
5.9.1 MicroPort Orthopedic Devices 287
5.9.2 MicroPort acquires OrthoRecon Business from Wright Medical Technologies 287
5.9.3 Microport Hip Systems 287
5.10 Shenzhen Advanced Institute Spinal Surgical Robot 288
5.11 Smith & Nephew 289
5.11.1 Smith & Nephew Revenue 290
5.11.2 Smith & Nephew 2015 Q3 Highlights 295
5.12 Stryker Corporation 297
5.12.1 Stryker Revenue 297
5.12.2 Stryker Results Of Operations 300
5.12.3 Stryker Segment Orthopaedics 303
5.12.4 Stryker Business Segment Operations 303
5.12.5 Stryker Revenue 304
5.12.6 Stryker Hip Recall: $1.4 Billion Settlement 305
5.12.7 Stryker Regional Revenue Segment 305
5.12.8 Stryker Robots 306
5.12.9 Stryker / MAKO Surgical 311
5.12.10 Stryker / Mako 312
5.12.11 MAKO Surgical RIO Robotic Arm 321
5.12.12 Stryker Endoscopy 322
5.12.13 Mako Surgical Business 323
5.12.14 Mako Products 324
5.12.15 Mako Surgical Strategy 327
5.12.16 Mako Surgical Revenue 330
5.13 THINK Surgical 330
5.13.1 THINK Surgical TPLAN™ 3D Planning Workstation 331
5.13.2 THINK Surgical TCAT™ Computer Assisted Tool 333
5.13.3 Think Surgical 335
5.13.4 Think Surgical Robodoc 336
5.14 Waldemar LINK GmbH & Co. 337
5.14.1 Waldemar Link GmbH und Co. KG 338
5.15 Wright Medical Technology 339
5.15.1 Wright Revenue 339
5.15.2 Wright Medical Group NV Revenue 340
5.15.3 Wright Medical Group N.V. Revenue for 2015 Third Quarter 341
5.15.4 Wright / Tornier 346
5.16 Zimmer Biomet 346
5.16.1 Zimmer Biomet Sales by Product Category 352
5.16.2 Zimmer Biomet 353
5.16.3 Zimmer Metal-on-Metal Hip Recall 355

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