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EXECUTIVE SUMMARY

The report titled ‘The US Orthopedic Implants and Devices Market Outlook to 2018 – Driven by Rising Hip and Knee Replacement Surgeries’ provides a comprehensive analysis of the various aspects such as market size, segmentation, trends and developments and future projections of the orthopedic devices as well as various orthopedic implants such as reconstructive joint replacement implants, spinal implants, trauma implants, Orthobiologics, bone cement and accessories, extremities and others as key segments of the market. The report also provides detailed explanation of market size, segmentation, market shares and company profiles of major players in major segments of hip and knee implants.

Around 28.6 million people in the US are estimated to sustain some kind of musculoskeletal injury annually according to the American Academy of Orthopedic Surgeons, which costs around USD 254.0 billion. As a result various orthopedic reconstruction and trauma device manufacturing companies have witnessed continued growth in revenues in recent years. One of the primary reasons for the rising incidence of various orthopedic diseases in the US is the growing population of people above 60 years of age. The individuals over the age of 60 years are the largest customers of reconstructive products such as hip, knee and spinal implants in the US. Moreover, younger individuals in their 40s and 50s are also undergoing orthopedic surgeries, thereby propelling the market for implants used in these surgeries. Orthopedic implants have been therefore one of the fastest growing segments in the medical device industry of the US in recent years. Orthopedic implants and devices market of the US forms a substantial part of the overall medical device industry of the country. It accounts for over ~% of the USD 125.0 billion medical device market of the US. However, the industry has already reached maturity stage as the supply of the orthopedic implants and devices has exceeded the demand. Moreover, the market is highly concentrated, where only 5-6 leading manufacturing companies account for over 90% of the market.
The overall orthopedic products market in the US comprises of orthopedic equipments such as operating room equipment, arthroscopy devices and others; as well as orthopedic implants. Orthopedic implants are comprised of reconstructive, joint replacement implants, spinal implants, trauma implants, orthobiologics, hyaluronic acid and extremities and bone cement. Implants in the reconstructive joint replacement segment consist of hip implants, knee implants, spinal implants, shoulder implants and other related implants. The market is dominated by implants in terms of revenues, which accounted for around ~% of the overall orthopedic implants and devices market of the US in 2013. Orthopedic implant manufacturers in the US generated revenue of around USD ~ million in 2013, up from USD ~ million generated in 2008. Reconstructive joint replacement implants are the largest segment and represented around ~% of the revenues generated in the US orthopedic implants market in 2013. The high demand among the ageing Americans for large joint reconstruction procedures which include hip and knee replacement surgeries has resulted in a high share of reconstructive joint replacement implants over the years. Spinal implants were the second largest implant category which contributed around 27.2% to the orthopedic implants market of the US in 2013. Around 465,000 spinal surgeries were performed in the US in 2011 as per the American Academy of Orthopedic Surgeons (AAOS).

The reconstructive joint replacement implant market in the US can be segmented into knee, hip, shoulder and others on the basis of the use of implant and the site of the repair. Knee implants was the largest segment with a share of ~% in terms of revenue in 2013. Hip implants are the second largest segment which accounted for 35.9% of the US reconstructive joint replacement market in 2013. The segment generated revenues of USD ~ million and USD ~ million in 2008 and 2013 respectively. The growth in the hip implants segment has resulted from the rising number of primary and revision hip replacement procedures among the US population.

The growing incidence of medical conditions such as osteoporosis, osteonecrosis, osteoarthritis and fractures are the primary factors responsible for surge in the hip replacement procedures. According to the American Association of Orthopedic Surgeons (AAOS) in the US alone around 10 million people have osteoporosis while 18 million more are at the risk of developing the disease. It is estimated that around ~ hip fractures occur every year in the country due to osteoporosis. Primary hip implants are the largest segment and accounted for around ~% of the total hip implant market in the US in terms of revenues in 2013. Hip implant manufacturers for this category generated USD ~ million of revenues in 2013. On the basis of the type of components, the hip implant market of the US can be segmented into stem, shell/liner, head and others. Stem is the largest segment with a share of around ~% in the overall hip implant market of the US in 2013. The two major segments of knee implants are primary knee replacement implants and revision knee replacement implants. The market has consistently been dominated by primary knee implants which accounted for around 95.0% and 93.0% of the total sales revenue from knee implants in the US in 2008 and 2013 respectively. On the basis of the types of components the knee implants can be categorized into Bicondylar femurs, tibia, tibial inserts, Patellas, unicondylar knees and others which include stems, wedges and hinged knees. Bicondylar femurs are the largest segment and accounted for around ~% of the knee implant market in terms of sales revenues in 2013. Around USD ~ million worth of Bicondylar femurs were sold in the US in 2013.

The hip implants market of the US is dominated by six leading players which account for over 90.0% of the market in terms of sales revenue. DePuy Synthes which is owned by Johnson & Johnson is the largest player with a market share of ~% in the domestic sales of hip implants by value in the US in 2013. Stryker is the second largest player which had a share of around ~% amounting to USD ~ million in 2013. Presently DePuy Synthes is the largest player and has a market share of around ~%. Zimmer is the second largest player at present and accounts for around ~% of the knee implant sales in US. It is estimated to have generated USD ~ million of revenue from knee implant sales in 2013. It is also estimated that around 67 million people or around 25% of the adult population will have physician diagnosed arthritis in the country by 2030. The overall orthopedic implants and devices market of the US is projected to surge to around USD ~ million in 2018 from USD ~ million in 2013 by expanding at a CAGR of ~% during the forecast period of 2013-2018.

KEY TOPICS COVERED IN THE REPORT:

- The market size of the US Orthopedic devices and implants market by value.
- Market segmentation of the US Orthopedic devices and implants market by implants and devices.
- Market segmentation of the US Orthopedic implants market by reconstructive joint replacement implants, spinal implants, trauma implants, orthobiologics, bone cement and accessories, extremity implants and others.
- Market size and future projections of the reconstructive joint replacement implants, spinal implants, trauma implants, orthobiologics, bone cement and accessories, extremity implants and others.
- Market segmentation of the reconstructive joint replacement implants by knee, hip, shoulder and other implants.
- Market size and future projections of the US hip, knee, shoulder and other implants.
- Market shares of major players in the US hip and knee implants market.
- Market shares of major players in the US hip implants market.
- Market shares of major players in the US knee implants market.
- Company profiles of the major players in the US hip and knee implants market.
- Trends and developments in the US hip and knee implants market.
- Government regulations in the US hip and knee implants market.
- SWOT analysis of the US orthopedic implants and devices market.
- Porter’s Five Forces analysis of the US orthopedic implants and devices market.
- Future outlook and projections of the US orthopedic implants and devices market.

Table Of Contents

The US Orthopedic Implants and Devices Market Outlook to 2018 - Driven by Rising Hip and Knee Replacement Surgeries
TABLE OF CONTENTS

1. The US Orthopedic Implants and Devices Market Introduction
2. The US Orthopedic Implants and Devices Market Value Chain
3. The US Orthopedic Implants and Devices Market Size, 2008-2013
4. The US Orthopedic Implants and Devices Market Segmentation, 2008-2013
5. The US Reconstructive Joint Replacement Implants Market Introduction and Market Size, 2008-2013
6. The US Reconstructive Joint Replacement Implants Market Segmentation by Hips, Knee, Shoulders and Others, 2008-2013
7. The US Hip Implants Market Introduction
7.1. The US Hip Implants Market Size by Value, 2008-2013
8. The US Hip Implants Market Segmentation, 2008-2013
8.1. By Type of Hip Replacement Procedure, 2011 and 2013
8.2. By Type of Components, 2010 and 2013
9. Market Shares of the Major Players in the US Hip Implant Market, 2009, 2010 and 2013
10. Future Outlook and Projections of the US Hip Implants Market, 2014-2018
11. The US Knee Implants Market Introduction
11.1. The US Knee Implants Market Size by Value, 2008-2013
12. The US Knee Implants Market Segmentation, 2008-2013
12.1. By Type of Knee Replacement Procedure, 2008 and 2013
12.2. By Type of Components, 2010 and 2013
13. Market Shares of the Major Players in the US Knee Implant Market, 2009, 2010 and 2013
14. Future Outlook and Projections of the US Knee Implants Market, 2014-2018
15. Trends and Developments in the US Hip and Knee Implants Market
Minimally Invasive Hip and Knee Replacement Surgeries Gaining Traction
Consolidation of the Orthopedic Devices Market
Specialized and Custom Fitted Hip Implants
Rise in the Readmissions of the Hip Replacement Patients with Shorter Stays in Hospitals Post-surgery
Manufacturers Focusing on Customized and Personalized Knee Implants
Growing Demnad for Gender-specific Knee Implants
Increasing Adoption of Computer Assisted Surgery
Recall of Metal-on-Metal Hip Replacement Implants
Growing Knee Replacement Lawsuits and Recall of Knee Implants
Other Emerging Trends in the US Orthopedic Implants Market
16. Government Regulations in the US Orthopedic Implants and Devices Market
17. Company Profiles of the Major Players
18. SWOT Analysis of the US Orthopedic Implants Industry
Strengths
Weaknesses
Opportunities
Threats
19. Porter's Five Forces Analysis of the US Orthopedic Implants and Devices Market
Bargaining Power of Buyers
Bargaining Power of Suppliers
Threat of New Entrants
Threat of New Substitute Products
Rivalry between Competitors
20. Future Outlook and Projections of the US Orthopedic Implants and Devices Market, 2014-2018
21. Macro-economic and Industry Factors - Historical and Projections
21.1. Total and Old Population in the US, 2008-2018
21.2. Obese and Overweight Population in the US, 2008-2018
21.3. Personal Disposable Income of the Population in the US, 2008-2018
21.4. Total Healthcare Expenditure in the US, 2008-2018
21.5. Total Health Insurance Premiums Underwritten, 2008-2018
21.6. Total Diagnosed Diabetic Population in the US, 2008-2018
22. Appendix
22.1. Market Definitions
22.2. Abbreviations
22.3. Research Methodology
Data Collection Methods
Approach
Variables (Dependent and Independent)
Multi Factor Based Sensitivity Model
Final Conclusion
22.4. Disclaimer

LIST OF FIGURES

Figure 1: The Orthopedic Implants and Devices Value Chain
Figure 2: The US Orthopedic Implants and Devices Market Size by Value on the Basis of Revenues in USD Million, 2008-2013
Figure 3: The US Reconstructive Joint Replacement Implants Market Size by Value on the Basis of Revenues in USD Million, 2008-2013
Figure 4: The US Reconstructive Joint Replacement Implants Market Segmentation by Knee, Hip, Shoulder and Other Implants on the Basis of Revenue in Percentage, 2008-2013
Figure 5: Hip Implant Components
Figure 6: The US Hip Implants Market Size by Value on the Basis of Revenues in USD Million, 2008-2013
Figure 7: The US Hip Implant Market Segmentation by Type of Hip Replacement Procedure on the Basis of Revenue in Percentage, 2011 and 2013
Figure 8: The US Hip Implant Market Segmentation by Type of Components on the Basis of Revenue in Percentage, 2010 and 2013P
Figure 9: The US Hip Stem Market Segmentation by Coated, Uncoated, Long and Resurfacing on the Basis of Revenue in Percentage, 2010 and 2013P
Figure 10: The US Hip Implants Market Future Projections by Value on the Basis of Revenues in USD Million, 2014-2017
Figure 11: Knee Implant Components
Figure 12: The US Knee Implants Market Size by Value on the Basis of Revenues in USD Million, 2008-2013
Figure 13: The US Knee Implant Market Segmentation by Type of Knee Replacement Procedure on the Basis of Revenue in Percentage, 2008 and 2013
Figure 14: The US Knee Implant Market Segmentation by Type of Components on the Basis of Revenue in Percentage, 2010 and 2013P
Figure 15: The US Knee Implants Market Future Projections by Value on the Basis of Revenues in USD Million, 2014-2018
Figure 16: The US Orthopedic Implants and Devices Market Future Projections by Value on the Basis of Revenues in USD Million, 2014-2018
Figure 17: Total and Old Population in the US in Million, 2008-2018
Figure 18: Total Obese and Overweight Population in the US in Million, 2008-2018
Figure 19: Personal Disposable Income of the Population in the US in USD Million, 2008-2018
Figure 20: Total Healthcare Expenditure in the US in USD Million, 2008-2018
Figure 21: Total Health Insurance Premiums Underwritten in the US in USD Million, 2008-2018
Figure 22: Total Diagnosed Diabetic Population in the US in Million, 2008-2018

LIST OF TABLES

Table 1: The US Orthopedic Implants and Devices Market Segmentation by Implants and Devices on the Basis of Revenue in Percentage, 2008-2013
Table 2: The US Orthopedic Implants and Devices Market Segmentation by Implants and Devices on the Basis of Revenue in USD Million, 2008-2013
Table 3: The US Orthopedic Implants Market Segmentation by Type of Implants on the Basis of Revenue in Percentage, 2008-2013
Table 4: The US Orthopedic Implants Market Segmentation by Type of Implants on the Basis of Revenue in USD Million, 2008-2013
Table 5: Market Share of the Major Players in the US Hip and Knee Implant Market on the Basis of Revenue in Percentage, 2009, 2010 and 2013P
Table 6: Revenues of the Major Players in the US Hip and Knee Implant Market in USD Million, 2009, 2010 and 2013P
Table 7: The US Reconstructive Joint Replacement Implants Market Segmentation by Knee, Hip, Shoulder and Other Implants on the Basis of Revenue in USD Million, 2008-2013
Table 8: The US Reconstructive Joint Replacement Implants Market Segmentation and Projections by Knee, Hip, Shoulder and Other Implants on the Basis of Revenue in USD Million, 2014-2018
Table 9: The US Hip Implant Market Segmentation by Type of Hip Replacement Procedure on the Basis of Revenue in USD Million, 2011 and 2013
Table 10: The US Hip Implant Market Segmentation by Type of Components on the Basis of Revenue in USD Million, 2010 and 2013P
Table 11: The US Hip Stem Market Segmentation by Coated, Uncoated, Long and Resurfacing on the Basis of Revenue in USD Million, 2010 and 2013P
Table 12: Market Share of the Major Players in the US Hip Implant Market on the Basis of Revenue in Percentage, 2009, 2010 and 2013P
Table 13: Revenues of the Major Players in the US Hip Implant Market in USD Million, 2009, 2010 and 2013P
Table 14: The US Knee Implant Market Segmentation by Type of Knee Replacement Procedure on the Basis of Revenue in USD Million, 2008 and 2013
Table 15: The US Knee Implant Market Segmentation by Type of Component on the Basis of Revenue in Percentage, 2010 and 2013P
Table 16: Market Share of the Major Players in the US Knee Implant Market on the Basis of Revenue in Percentage, 2009, 2010 and 2013P
Table 17: Revenues of the Major Players in the US Knee Implant Market in USD Million, 2009, 2010 and 2013P
Table 18: Company Profiles of the Major Players present in the US Hip and Knee Implant Market
Table 19: Financial Performance of the Major Players present in the US Orthopedic Equipment Market in USD Million, 2008-2012
Table 20: Financial Performance of Biomet Inc. in USD Million, 2011-2013
Table 21: The US Orthopedic Implants and Devices Market Segmentation and Projections by Implants and Devices on the Basis of Revenue in USD Million, 2014-2018
Table 22: The US Orthopedic Implants Market Segmentation and Projections by Type of Implants on the Basis of Revenue in Percentage, 2014-2018
Table 23: Correlation Matrix for the US Hip Implants Market
Table 24: Regression Coefficients Output

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