Researchmoz Provide Medi point total hip replacement - us analysis and market forecasts Report

MediPoint: Total Hip Replacement - US Analysis and Market Forecasts
Osteoarthritis has become a global public health concern with no cure. It is the most common form of arthritis
that is primarily due to wear and tear of the joints. With the aging global population, this is an indication that
is growing rapidly with the hip being one of the most common joints afflicted. While the primary indication
for total hip replacement (THR) is osteoporosis, the other major indications for THR are osteonecrosis and
fractures to a lesser degree. As people live longer and with younger patients also receiving implants, the
revision rates for primary hip replacements are also expected to rise. Primary hip replacement has become one
of the most successful surgeries, with a variety of femoral and acetabular components available from a wide
selection of manufacturers. This report focuses on the total primary hip replacement market along with
primary revision market. The global hip replacement market has been estimated in this report which includes
the US, France, Germany, Italy, Spain, UK, Japan, Brazil, China and India. The report provides unmet needs,
future adoption and compounded annual growth rates (CAGR).
GlobalDatas analysis shows that the hip replacement market has become a mature market where products
have become commodities. The future of the market lays on the ability of manufacturers to provide implants at
a very low cost while continuing to provide the same level of clinical efficacy. The product development need
lies primarily in revising the resurfacing products articulating surface with new materials rather than
developing new acetabular and femoral components. Additionally the major opportunity lies within the
emerging markets which are the countries that have a higher CAGR and will provide the key for growth and
grabbing market share.
The mature market in the design of hip replacement products has led to a shift in the focus of developing
orthopedic implants. Orthopedic surgery in the hip has become more minimally invasive unlike that of the
past, with smaller incision sizes, the development of computer-navigated arthroplasty systems and even
bone-preserving techniques such as resurfacing. This report addresses the various unmet needs, presents the
current technology and the drivers for the future and market growth in the US. Adoption rates are examined,
as well as the decision-makers, in order capture market share.
Scope
An overview of arthritis, which includes epidemiology, etiology, symptoms, diagnosis, pathology and
treatment guidelines. Annualized US THR market revenue and future forecasts from 2009 to 2011, forecast
for 7 years to 2018. Investigation of current and future market competition for THR Insightful review of the
key industry drivers, restraints and challenges as well as predicted impact of key events. Competitor
assessment including device approval analysis and device sales forecasts. Marketed and pipeline product
profiles covering efficiency, safety, clinical study details, device approvals, product positioning and device
sales forecast. Analysis of unmet needs within the market and opportunities for future players. Technology
trends evaluation to assess strength of pipeline. An overview of all devices in development including clinical
study details, design and material selection considerations, efficacy reports, and device approval timelines.
Company profiles including business description, financial overview and SWOT analysis. Coverage of key
market players. Strategic assessment of the THR sector through market impact analysis, future market
scenario and company analysis. Direct quotes from Key Opinion Leaders (KOL) as well as Orthopedic
Surgeon

Reasons to buy
Understand the trends shaping and driving the US THR Market. Realize device preferences of physicians
who have performed the tests already. Access market sizing, forecasts and quantified growth opportunities in
the US THR market through 2018. Quantify candidate patient populations to better design product pricing &
launch plans. Drive revenues, formulate effective sales and marketing strategies and gain in-depth
understanding of the competitive landscape. Perform benchmarking analysis of growth opportunities against
currently marketed products. Assess competitiveness of products in market by understanding the strengths
and weaknesses of current competition. Take a comprehensive look at the markets device pipeline and
identify promising, paradigm-shifting products. Create an effective counter-strategy to gain a competitive
advantage against those currently in the market. Organize your sales and marketing efforts by identifying the
market categories and segments that present the best opportunities for growth. Whats the next big thing in US
THR market landscape? Identify, understand and capitalize.
table Of Contents
1 Table Of Contents
1 Table Of Contents 7
1.1 List Of Tables 16
1.2 List Of Figures 26
2 Introduction 30
2.1 Catalyst 31
3 Disease Overview 33
3.1 Anatomy And Physiology 33
3.2 Pathophysiology 34
3.2.1 Overview 34
3.2.2 Osteoarthritis 34
3.2.3 Rheumatoid Arthritis 35
3.2.4 Post-traumatic Arthritis 36
3.2.5 Osteonecrosis 36
3.2.6 Injury 36
3.2.7 Bone Tumors 37
3.2.8 Other Diseases 37
3.3 Clinical Presentation 38
3.4 Clinical Outcomes 39
3.4.1 Overview 39
3.4.2 Conservative Therapy 41
3.4.3 Hip Arthroscopy 41
3.4.4 Hip Arthrodesis 42

3.4.5 Hemiarthroplasty (partial) 43
3.4.6 Core Decompression 43
3.4.7 Hip Osteotomy 44
3.4.8 Resection Arthroplasty 44
3.4.9 Primary Total Hip Replacement 45
3.4.10 Revision Total Hip Replacement 47
3.4.11 Resurfacing Arthroplasty 48
3.4.12 Computer-navigated Hip Replacement 49
3.5 Surgical Approaches 49
3.5.1 Anterolateral Approach 51
3.5.2 Posterior Approach 51
3.5.3 Direct Anterior Approach 52
3.5.4 Minimally Invasive Approaches 52
3.6 Epidemiology 53
3.6.1 Us 54
3.7 Economic Impact 55
3.7.1 Us 56
4 Competitive Assessment 58
4.1 Overview Of Historical Designs 58
4.2 Marketed Products 59
4.2.1 Global Market Share 59
4.2.2 Primary Total Hip Replacement 61
4.2.3 Product Profiles By Company 61
5 Unmet Needs 203
5.1 Long-term Clinical Data 203
5.2 Need For Continued Materials Research 203
5.3 Bearings 205
5.4 Refocus Of Pipeline Products 206
5.5 Renewal Of Resurfacing 207
5.6 Addressing The Learning Curve For Tier Ii Surgeons 208
5.7 Need For Cost Containment 210
5.8 Centralization 211
5.9 National Joint Registry 211
6 Pipeline Products 213
6.1 Overview 213
6.2 Primary Total Hip Pipeline Products 213
6.2.1 Exactech Lpi Prime Hip System 213

6.2.2 Enduro Bone-preserving Hip Stem 214
6.2.3 Deltamotion Acetabular Cup System 214
6.2.4 Novosource Hip Implant 215
7 Industry Overview 216
7.1 Procedure Volumes 216
7.1.1 Us 217
7.2 Market Access 218
7.2.1 Us 218
7.3 Reimbursement Trends 221
7.3.1 Us 221
7.4 Regulatory Issues/recalls 223
7.4.1 Depuy Hip Replacement Recall 224
7.4.2 Stryker Hip Replacement Recall 224
7.4.3 Smith & Nephew Recall: R3 Metal Liners Of The R3 Acetabular System 224
7.4.4 Zimmer Durom® Acetabular Component 225
7.4.5 Biomet Hip Replacement Complications 225
7.4.6 Wright Medical Conserve Hip Implant 225
7.4.7 The Corin Group Metal-on-metal Hip Resurfacing 225
7.5 Mergers & Acquisitions / Key Partnerships 226
7.5.1 Medtronic Acquires China Kanghui Holdings 226
7.5.2 Tornier Acquires Orthohelix Surgical Designs Inc. 226
7.5.3 Depuy Orthopaedics (johnson & Johnson) And Synthes Inc. Merge 227
7.5.4 Italian Consortium 2il Orthopaedics Ltd Acquires Corin Group 227
7.5.5 Zimmer Acquires Beijing Montagne Medical Device Co. Ltd. 227
7.5.6 Wright Medial Announces Agreement To Sell Orthorecon Business To Microport Medical B.v. 228
8 Company Profiles 229
8.1 B. Braun 229
8.1.1 Overview 229
8.1.2 Portfolio Assessment 230
8.1.3 Swot Analysis 230
8.2 Biomet Orthopedics 231
8.2.1 Overview 231
8.3 Corentec Co. Ltd. 236
8.3.1 Overview 236
8.4 Corin 237

8.4.1 Overview 237
8.5 Depuy Synthes International 240
8.5.1 Overview 240
8.6 Exactech 244
8.6.1 Overview 244
8.7 Iconacy Orthopedic Implants Llc 247
8.7.1 Overview 247
8.8 Implantcast Gmbh 249
8.8.1 Overview 249
8.9 Jri Orthopaedics 251
8.9.1 Overview 251
8.10 Kyocera 253
8.10.1 Overview 253
8.11 Limacorporate S.p.a 255
8.11.1 Overview 255
8.12 Medacta 258
8.12.1 Overview 258
8.13 Medtronic 260
8.13.1 Overview 260
8.14 Novosource Inc. 262
8.14.1 Overview 262

8.15 Peter Brehm Gmbh 264
8.15.1 Overview 264
8.16 Serf Dedienne Santé 266
8.16.1 Overview 266
8.17 Smith & Nephew 268
8.17.1 Overview 268
8.18 Stelkast 271
8.18.1 Overview 271
8.19 Stryker 273
8.19.1 Overview 273
8.20 Tianjin Zhengtian Medical Instrument Co., Ltd. 276
8.20.1 Overview 276
8.21 Tornier N.v. 278
8.21.1 Overview 278
8.22 Wright Medical 281
8.22.1 Overview 281
8.23 United Orthopedic Corporation 285
8.23.1 Overview 285
8.24 Zimmer Holdings Inc. 287
8.24.1 Overview 287
8.25 Other Companies 291

9 Market Drivers, Opportunities And Barriers 292
9.1 Market Drivers 292
9.1.1 Prevalence Rise 292
9.1.2 Expanding Indications 294
9.1.3 Availability And Lack Of Long-term Clinical Data 295
9.1.4 Fracture Incidence 295
9.1.5 Patient Demand And Awareness 295
9.2 Opportunities 296
9.2.1 Revision Surgery 296
9.2.2 Emerging Markets 296
9.2.3 Continued Materials Research 297
9.2.4 Corporate Promotions And Teaching Seminars 298
9.2.5 Advancement Towards Cost Reduction 298
9.3 Market Barriers 299
9.3.1 Market Barriers 299
10 Country Outlooks & Forecasts 303
10.1 Us Market Analysis 303
11 Appendix 307
11.1 Abbreviations 307
11.2 Bibliography 308
11.3 Report Methodology 325
11.3.1 Overview 325
11.3.2 Coverage 325
11.3.3 Secondary Research 326
11.3.4 Forecasting Methodology 327
11.3.5 Primary Research – Key Opinion Leader Interviews 328
11.3.6 Expert Panel Validation 328
11.4 Physicians And Specialists Included In This Study 329
11.4.1 Dr. Alessandro Aprato 329
11.4.2 Dr. Fran Channa 329
11.4.3 Joseph Daniel Frcs Ms (orth) 329
11.4.4 Dr. Alejandro Gonzalez Della Valle 329
11.4.5 Dr. Moussa Hamadouche 329
11.4.6 Dr. Sheng-li Huang And Xi-jing He 329
11.4.7 Dr. Ayumi Kaneuji 329
11.4.8 Dr. Yuichi Mitani 329
11.4.9 Dr. Ning Lu 330
11.4.10 Dr. Deepak Saini 330
11.4.11 Dr. Lafayette Lage 330

11.4.12 Dr. Christoph Zilkens 330
11.5 About The Authors 331
11.5.1 Analysts 331
11.5.2 Global Head Of Healthcare 332
11.6 About Medipoint 333
11.7 About Globaldata 333
11.8 Disclaimer 333
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Researchmoz Provide Medi point total hip replacement - us analysis and market forecasts Report

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Researchmoz Provide Medi point total hip replacement - us analysis and market forecasts Report