Market Report Source

Overview

Introduction

The orthopedic joint replacement market is at a crossroads between time-tested conventional procedures and advanced implant materials and surgical techniques. Demand driven by an aging population and an increasing number of younger patients undergoing replacement procedures together with improved implant materials and surgical techniques are contributing to growth in this mature market.

Scope

*Comprehensive analysis of the size, value and growth prospects of the US and European hip and knee replacement markets *Summary of key developments in the field of hip and knee replacement procedures *SWOT analysis of the US and EU hip and knee replacement markets *Comparative analysis of the key players in the hip and knee replacement markets

Highlights

The US and European hip and knee implant markets are the two largest markets for hip and knee implants globally, with the US accounting for nearly 50% and Europe contributing to around 30% of total procedures worldwide.

Hip and knee replacements are mature markets in the US and Europe with knee procedures and revenues growing at a higher rate than hip replacement procedures and revenues. The 2005 revenues for hip implants in the US were $2 billion and $1.4 billion in Europe. Knee implant revenues for 2005 were $2.4 billion in the US and $774m in Europe.

The average prices for hip implants grew by 2-3% from 2004 to 2005 while that of knees grew by 3-4%. Future market growth is expected to be driven by increasing demand for hip and knee replacements as the baby boom generation nears retirement and an increasing number of younger patients undergo hip and knee replacement procedures.

Reasons to Purchase

*Evaluate the size of the US and European hip and knee replacement markets, in terms of number of replacements and value *Assess the key factors driving and restricting market growth over the coming years *Analyze the competitive landscape in each market and identify the key players

Table of Contents

CHAPTER 1 EXECUTIVE SUMMARY
Insights into the US and European hip and knee implants market
Hip & knee replacement market analysis
Market drivers
Market restraints
Future outlook
CHAPTER 2 INTRODUCTION
Scope of the analysis
Market segmentation
Hip & knee implants market background
Total hip & knee replacement
Revision hip & knee replacement
Bearing surfaces
Fixation procedures
Types of procedures
Hip market background
Metal-on-metal
Ceramic-on-ceramic
Metal-on-polyethylene
Crosslinked polyethylene
Total hip replacement
Indications for total hip replacement
Cemented implants
Cementless implants
Hybrid
Revision hip replacement
Indications for revision hip replacement
Endoprosthesis or partial hip replacement
Alternative procedures in hip arthroplasty
Hip resurfacing
Birmingham hip resurfacing (BHR)
Indications for hip resurfacing
Knee market background
Total knee replacement (TKR)
Indications for total knee replacement
Fixed knee prosthesis
Mobile bearing knee prosthesis
Posterior stabilized/cruciate retaining
Revision knee
Indications for revision knee
Unicondylar knees
Minimally invasive surgery
Minimally invasive surgery (MIS) of hip
Minimally invasive surgery (MIS) of knee
Key developments in the hip and knee market
Techniques
Computer navigation
Implants and materials
Titanium
Cobalt-chrome
Tantalum
Foam metal implants
Polyetheretherketone
Allograft prosthesis
Innovative ceramics
CHAPTER 3 MARKET OVERVIEW
US and European orthopedic implants
Hip implants market
US hip market
Procedure trends
European hip market
Procedure trends
Knee implants market
US knee market
Procedure trends
European knee market
Procedure trends
Pricing and reimbursement of hip and knee replacements
US
Updated Center for Medicare and Medicaid Services (CMS) payment system
Europe
SWOT analysis for hip and knee implants market
Strengths
Patient demand
Newer implants and biomaterials
Marketing
Weakness
Downward pricing pressure
Rising costs
Opportunities
‘Baby boom’ population reaching retirement
Active younger patients seeking surgery
Awareness
Competition driven innovation
Threats
Risk of failure of implants
Rising costs of implants
Shorter product lifecycles
Alternative treatment options
Future trends in hip and knee replacement: growth in a mature market
US and European hip and knee replacement market
Strong growth to continue in a mature market
Growth will be driven by procedures and not price
Younger and broadening patient base to drive short- and medium-term growth
‘Baby boom’ generation set to drive long-term growth
Revision and partial replacement to drive segment growth
US hip and knee replacement market
Knee replacement to continue to outgrow hip replacement market
Minimally invasive surgery will find increased adoption rates
Favorable reimbursement rulings to push procedure growth
Cementless implants set to dominate fixation procedure growth
European hip and knee replacement market
Knee replacement procedures set to surpass hip replacement procedures
Cautious adoption of minimally invasive surgeryby surgeons
Cementless implants making inroads into the conventional cemented implants market
Surgeons choose implants that provide mobility and longevity; and procedures that are bone-sparing
CHAPTER 4 KEY MARKET PLAYERS
Key players
Hip replacement market shares
Knee replacement market shares
The US hip market share
European hip replacement market share
The US knee replacement market share
European knee replacement market share
Company profiles
Zimmer
DePuy
Stryker Corporation
Biomet
Smith & Nephew
CHAPTER 5 APPENDIX
Sources for reference
Journals
Government websites
Orthopedic associations
Scientific websites
Company websites
Broker reports
Abbreviations
List of Tables
Table 1: Total US & Europe hip & knee replacement procedures in 2005
Table 2: US & Europe hip and knee replacement revenues ($m), 2005
Table 3: Hip and knee replacement market segmentation
Table 4: US & Europe hip replacement procedures, 2005
Table 5: US & Europe hip replacement market revenues ($m), 2005
Table 6: US & Europe knee replacement procedures, 2005
Table 7: US & Europe knee replacement revenues ($m), 2005
Table 8: US hip replacement market shares (%), 2005
Table 9: Europe hip replacement market shares (%), 2005
Table 10: US knee replacement market shares (%), 2005
Table 11: Europe knee replacement market shares (%), 2005
List of Figures
Figure 1: The US hip replacement market procedures, 2005
Figure 2: European hip replacement procedures, 2005
Figure 3: US knee replacement procedures 2005
Figure 4: European knee replacement procedure break-up, 2005
Figure 5: US hip replacement market shares, 2005
Figure 6: European hip replacement market shares, 2005
Figure 7: US knee replacement market share, 2005
Figure 8: European knee replacement market share, 2005