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MediPoint: Sports Medicine - South America Analysis and Market Forecasts

Summary

This report focuses on the sports medicine market, which includes implants and arthroscopic capital equipment. The orthopedic sports medicine market has been estimated in this report and covers the US, France, Germany, Italy, Spain, the UK, Japan, Brazil, China and India. The report provides unmet needs, future adoption and compound annual growth rates (CAGR). GlobalData’s analysis shows that while the orthopedics implant market is mature, sports medicine is an area with the potential for significant international growth. With the market, the US remains to be the largest market with the EU to follow and growing. The APAC region while markedly smaller has a large potential patient population.The top six to seven market leaders continue to dominate the market through technological innovation and investment in establishing strong distribution networks. The major opportunity lies within technological advancement and the clinical trials to prove effectiveness of new techniques.

The health insurance system in Brazil is largely government-run, with around 80% of the population covered by the public system. Under this mechanism, we can expect cost barriers with poor reimbursement rates. The key factor in the Brazilian healthcare market is its relative instability compared with a country like the US, and the fact that reimbursement is highly subject to change. The public sector though remains the big market due to military purchasing for high quality use which would be the major target for multinational firms.

Scope

- An overview of sports medicine, which includes epidemiology, etiology, symptoms, diagnosis, pathology and treatment guidelines.
- Annualized SA sports medicine market revenue and future forecasts from 2011 to 2013, forecast for 7 years to 2020.
- Investigation of current and future market competition for sports medicine.
- 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 sports medicine sector through market impact analysis, future market scenario and company analysis.
- Direct quotes from Key Opinion Leaders (KOL) as well as doctors

Reasons to buy

- Understand the trends shaping and driving SA sports medicine market.
- Realize device preferences of physicians who have performed the tests already.
- Access market sizing, forecasts and quantified growth opportunities in SA sports medicine 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 market’s 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.
- What’s the next big thing in SA sports medicine market landscape? Identify, understand and capitalize.

Table Of Contents

MediPoint: Sports Medicine - South America Analysis and Market Forecasts
1 Table of Contents

2 Introduction 20
2.1 Catalyst 21
2.2 Related Reports 22
2.3 Upcoming Related Reports 22
3 Clinical Outcomes 23
3.1 Conservative Treatments 23
3.1.1 Immobilization and Bracing 24
3.1.2 Physical Therapy 24
3.1.3 Muscle Stimulation 25
3.2 Drug Therapy 25
3.2.1 Nutritional Supplements 26
3.2.2 Analgesics and NSAIDs 26
3.2.3 Corticosteroids 26
3.2.4 Viscosupplementation 26
3.3 Soft Tissue Repair 27
3.4 Arthroscopy 29
3.5 Plates and Screws 30
3.6 Joint Replacement 31
4 Industry Overview 32
4.1 Overview 32
4.2 Procedure Trends 32
4.2.1 South America 32
4.3 Market Access 34
4.3.1 South America 34
4.4 Disputes and Settlements 37
4.4.1 Smith and Nephew Granted an Injunction Against Arthrex 37
4.4.2 KFx Medical and Smith and Nephew Enter Into Licensing Agreement 38
4.4.3 KFx Medical Wins Patent Infringement Lawsuit Against Arthrex 38
4.4.4 ArthroCare and Smith and Nephew Settle Legal Disputes 38
4.5 Mergers, Acquisitions, Partnerships, and Other Deals 38
4.5.1 Stryker Acquires Pivot Medical 38
4.5.2 Smith and Nephew Announces Acquisition of ArthroCare 38
4.5.3 Smith and Nephew Acquires Plato Grup Assets 39
4.5.4 Smith and Nephew Announces Acquisition of Its Brazil Distribution Business 39
4.5.5 Kensey Nash Acquires Minority Stake in Orteq Sports Medicine 39
4.5.6 Tornier Acquires C2M Medical 39
4.5.7 Tornier Signs Licensing Agreement with T.A.G. Medical Products Corporation 39
4.5.8 Biomet Acquires Cartilix 40
4.5.9 Biomet Sports Medicine Enters Into Deal With Marc Tec 40
4.6 Economic Impact 40
4.6.1 Developed Countries 40
4.6.2 Emerging Markets 42
5 Unmet Needs 44
5.1 Long-Term Clinical Data 44
5.1.1 Hip Arthroscopic Implants Clinical Data 44
5.1.2 Rotator Cuff Injury Clinical Data 44
5.2 Cartilage and Meniscal Repair Product Development 45
5.2.1 Knee Meniscus Treatment 45
5.2.2 Hip Cartilage Product Development 47
5.3 Biologics for Faster Healing 48
5.4 Standardization and Improvement of Instruments 48
5.4.1 Hip and Shoulder Instrumentation 48
5.4.2 Screwdriver Standardization 49
5.5 Fellowship Training Programs 50
5.6 Advanced Materials Research 50
5.7 Bioabsorbable Technology Development 52
5.8 Centralization 53
5.9 Need for Cost-Containment 54
5.10 Suture Anchor Product Development 55
6 Market Opportunity Analysis 57
6.1 Adding More Training Programs 57
6.2 Product Line Extensions 57
6.3 Lack of Pricing Pressure in Sports Medicine 58
6.4 Mergers and Acquisitions 59
6.5 Seasonality of Sports Medicine 59
6.6 Emerging Markets 60
6.7 Minimally-Invasive Surgical Preference 60
7 Market Drivers, Barriers and Substitutes 62
7.1 Driver: Rising Prevalence 62
7.1.1 Sports-Related Injuries 62
7.1.2 Aging 62
7.1.3 Trauma 63
7.2 Driver: Hip Arthroscopy 64
7.2.1 Femoroacetabular Impingement Growth 65
7.2.2 Hip Arthroscopy Fellowship Training Programs 65
7.3 Driver: Knee and Shoulder Arthroscopy 66
7.4 Driver: Revision Surgery 67
7.5 Driver: Patient Demand and Awareness 68
7.6 Driver: Orthobiologics Development 68
7.6.1 Bone Grafts 69
7.6.2 Platelet-Rich Plasma 69
7.7 Driver: Rising Competition and Innovation Through Small Players 70
7.8 Driver: Materials Development 70
7.8.1 Composite Materials and Biopolymers 70
7.8.2 Bioabsorbables 71
7.8.3 Metallic Alloys in Orthopedics 71
7.9 Barrier: Arthroscopy's Questionable Outcomes 72
7.9.1 Hip Arthroscopy 72
7.9.2 Knee Arthroscopy 73
7.10 Barrier: Steep Learning Curve 74
7.11 Barrier: Reimbursement 75
7.12 Barrier: Burden of Rising Regulation 76
7.13 Barrier: Proving Efficacy 77
7.14 Barrier: Medical Device Excise Tax 78
7.15 Substitute: Open Surgery Versus Minimally-Invasive Arthroscopy 78
7.16 Substitute: Conservative Treatment Options 79
8 Competitive Assessment 80
8.1 Overview 80
8.2 Marketed Products in Sports Medicine 80
8.2.1 Arthrex 80
8.2.2 ArthroCare Corporation 88
8.2.3 Biomet 92
8.2.4 ConMed Corporation 96
8.2.5 DePuy Mitek 101
8.2.6 Smith and Nephew 106
8.2.7 Stryker 109
8.2.8 Tornier 111
9 Pipeline Assessment 113
9.1 Overview 113
9.2 Product Profiles 113
9.2.1 Bioretec Drug-Releasing Screws 113
9.2.2 Nanova Bioabsorbable Bone Screws 113
9.2.3 MinInvasive Arthroscopic Suture Passer 113
9.2.4 SpineSmith Pipeline 114
9.2.5 DePuy Mitek FMS VUE 114
9.2.6 Pivot Medical Hip Arthroscopy System 114
9.2.7 University of Florida Shoulder Labral Anchor Delivery System 114
9.2.8 University of California at San Diego Cartilage Regeneration Device 114
10 Clinical Trials to Watch 115
10.1 Overview 115
10.2 Can Shoulder Arthroscopy Work (CSAW) Study 115
10.3 Arthroscopy in the Treatment of Degenerative Medial Meniscus Tear 115
10.4 Knee Arthroscopy Cohort Southern Denmark 116
10.5 Hip Arthroscopy Versus Conservative Management of Femoroacetabular Impingement 116
10.6 Femoroacetabular Impingement Randomized Controlled Trial 117
10.7 Multicenter ACL Revision Study (MARS) 117
10.8 Arthroscopic Versus Open Stabilization for Traumatic Shoulder Instability 118
10.9 Microfracture in the Knee Study 118
10.10 Single- Versus Double-Row Suture Anchor Repair in Medium to Large Rotator Cuff Tears 119
10.11 Early Surgery Versus Conservative Therapy for Meniscal Injuries in Older Patients (ESCAPE) 119
10.12 Arthroscopic Rotator Cuff Repair of Full Thickness Tears With and Without Arthroscopic Acromioplasty 120
10.13 Arthroscopic Rotator Cuff Repair With Platelet-Rich Plasma 120
10.14 Tibial Tunnel Widening in ACL Reconstruction-Comparing Two Bioscrews 121
11 Current and Future Players 122
11.1 Trends in Corporate Strategy 122
11.2 Company Profiles 123
11.2.1 Arthrex 123
11.2.2 ArthroCare Corporation 125
11.2.3 Biomet 127
11.2.4 ConMed Corporation 129
11.2.5 DePuy Companies 132
11.2.6 Smith and Nephew 134
11.2.7 Stryker 136
11.2.8 Tornier 138
11.2.9 Wright Medical Group 140
11.2.10 Other Key Players in Sports Medicine 143
12 Market Outlook 149
12.1 Company Market Share 149
12.1.1 Overview 149
12.1.2 South America Market Share 149
12.2 By Geography 150
12.2.1 South America 150
13 Appendix 153
13.1 Bibliography 153
13.2 Abbreviations 161
13.3 Research Methodology 165
13.3.1 Overview 165
13.3.2 Coverage 165
13.3.3 Secondary Research 165
13.4 Physicians and Specialists Included in this Study 166
13.4.1 Dr. Henry D.E. Atkinson 166
13.4.2 Dr. Joshua Alpert 166
13.4.3 Dr. Andrea Ferretti 166
13.4.4 Dr. Alejandro Gonzalez Della Valle 166
13.4.5 Dr. Andreas Imhoff 167
13.4.6 Dr. Marcello Zaia Oliveira 167
13.4.7 Dr. Vidhya Ravi 167
13.4.8 Dr. Elvire Servien 167
13.4.9 Dr. Yotaro Yamakado 167
13.5 Primary Research 168
13.5.1 Primary Research - Key Opinion Leader Interviews 168
13.5.2 Primary Research - Physician and Industry Interviews 168
13.5.3 Expert Panel Validation 169
13.6 Forecasting Methodology 169
13.7 About the Authors 171
13.7.1 Analysts 171
13.7.2 Global Head of Healthcare 172
13.8 About MediPoint 173
13.9 About GlobalData 173
13.10 Disclaimer 173

1.1 List of Tables

Table 1: Most Common Soft Tissue Injuries to the Extremities in Sports Medicine 28
Table 2: Brazil Growth Rate for Arthroscopy by Joint, 2013-2020 33
Table 3: Direct, Indirect, and Intangible Costs of Orthopedics 42
Table 4: Potential Market for Meniscus Treatment Types 46
Table 5: Metal Implant CharacteristicsThat Can Be Improved 72
Table 6: Arthrex Shoulder Implants 82
Table 7: Arthrex, Shoulder Instrumentation 83
Table 8: Arthrex, Knee Sutures and Suture Anchors 83
Table 9: Arthrex, Knee Graft Fixation Devices and Meniscal Products 84
Table 10: Arthrex, Hip Implants and Instruments 86
Table 11: Arthrex, Arthroscopy Procedure Capital Equipment 87
Table 12: Arthrex, Implants SWOT Analysis 87
Table 13: Arthrex, Instrumentation SWOT Analysis 88
Table 14: Arthrocare, Suture Implants 89
Table 15: ArthroCare, Suture Management Products 90
Table 16: ArthroCare, Cruciate Ligament Graft Fixation Products 91
Table 17: ArthroCare, Capital Equipment and Instruments 91
Table 18: ArthroCare, Implants SWOT Analysis 92
Table 19: Arthrocare, Instruments and Capital Equipment SWOT Analysis 92
Table 20: Biomet, Shoulder Arthroscopy Products 93
Table 21: Biomet, Knee Arthroscopy Products 94
Table 22: Biomet's Other Joints Arthroscopy Products 95
Table 23: Biomet, Capital Equipment Sports Medicine Products 95
Table 24: Biomet Implants SWOT Analysis 96
Table 25: Biomet, Capital Equipment SWOT Analysis 96
Table 26: ConMed, Shoulder Arthroscopy Products 97
Table 27: ConMed, Knee Arthroscopy Products 98
Table 28: ConMed, Small Joint and Hip Arthroscopy Products 99
Table 29: ConMed, Instruments and Capital Equipment 100
Table 30: ConMed, Implants SWOT Analysis 100
Table 31: ConMed, Capital Equipment SWOT Analysis 101
Table 32: DePuy Mitek, Fixation Devices 102
Table 33: DePuy, Mitek Instruments 104
Table 34: DePuy Mitek, Capital Equipment 105
Table 35: DePuy Mitek Implants, SWOT Analysis 105
Table 36: DePuy Mitek, Capital Equipment SWOT Analysis 105
Table 37: Smith and Nephew, Fixation Devices 107
Table 38: Smith and Nephew, Instruments and Capital Equipment 108
Table 39: Smith and Nephew Implants, SWOT Analysis 108
Table 40: Smith and Nephew, Capital Equipment SWOT Analysis 108
Table 41: Stryker, Fixation Devices 109
Table 42: Stryker, Instrumentation 110
Table 43: Stryker, Capital Equipment 110
Table 44: Stryker, Fixation Devices SWOT Analysis 111
Table 45: Stryker, Instrumentation and Capital Equipment SWOT Analysis 111
Table 46: Tornier Sports Medicine Products 112
Table 47: Tornier, Product Family SWOT Analysis 112
Table 48: Can Shoulder Arthroscopy Work (CSAW) 115
Table 49: Arthroscopy in the Treatment of Degenerative Medial Meniscus Tear 116
Table 50: Knee Arthroscopy Cohort Southern Denmark 116
Table 51: Hip Arthroscopy Versus Conservative Management of Femoroacetabular Impingement 117
Table 52: Femoroacetabular Impingement Randomized Controlled Trial 117
Table 53: Multicenter ACL Revision Study (MARS) 118
Table 54: Arthroscopic Versus Open Stabilization for Traumatic Shoulder Instability 118
Table 55: Results at 10 to 14 Years After Microfracture in the Knee 119
Table 56: Single Versus Double Row Suture Anchor Repair in Medium to Large Rotator Cuff Tears 119
Table 57: Early Surgery Versus Conservative Therapy for Meniscal Injuries in Older Patients (ESCAPE) 120
Table 58: Arthroscopic Rotator Cuff Repair of Full Thickness Tears With and Without Arthroscopic Acromioplasty 120
Table 59: Arthroscopic Rotator Cuff Repair With Platelet-Rich Plasma in Large to Massive Tears 121
Table 60: Tibial Tunnel Widening in Anterior Cruciate Ligament Reconstruction Comparing Two Bioscrews 121
Table 61: Company Profile - Arthrex 124
Table 62: SWOT Analysis - Arthrex 125
Table 63: Company Profile - ArthroCare Corporation 126
Table 64: SWOT Analysis - ArthroCare Corporation 127
Table 65: Company Profile - Biomet 128
Table 66: SWOT Analysis - Biomet 129
Table 67: Company Profile - ConMed Corporation 130
Table 68: SWOT Analysis - ConMed Corporation 131
Table 69: Company Profile - DePuy Companies 132
Table 70: SWOT Analysis - DePuy Companies 133
Table 71: Company Profile - Smith and Nephew 135
Table 72: SWOT Analysis - Smith and Nephew 136
Table 73: Company Profile - Stryker 137
Table 74: SWOT Analysis - Stryker 138
Table 75: Company Profile - Tornier 139
Table 76: SWOT Analysis - Tornier 140
Table 77: Company Profile - Wright Medical Group 141
Table 78: SWOT Analysis - Wright Medical Group 142
Table 79: Other Sports Medicine Companies in the US Market 143
Table 80: Other Sports Medicine Companies in the EU Market 144
Table 81: Other Sports Medicine Companies in the APAC Market 146
Table 82: Brazil Sports Medicine Sales Forecast ($m), 2011-2020 151
Table 83: Primary Research Interviews Completed in Sports Medicine 169

1.2 List of Figures
Figure 1: Brazil Arthroscopic Procedure Volumes, 2011-2020 33
Figure 2: Brazil Arthroscopic Procedure Volumes by Joint, 2011-2020 34
Figure 3: Sources of Orthopedic Trauma (%) (n=103) 64
Figure 4: Brazil Market Share for Arthroscopy, 2012 149
Figure 5: Brazil Sports Medicine Sales Forecast ($m), 2011-2020 152

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