Abstract
This report answers key business questions
- What annual growth is expected for the spinal sector to 2013 and what will
the US$ value be?
- Who are the leading companies in the spinal sector and what % share of the
market do they have?
- Who are the emerging companies that are seeing significant double digit
revenue growth, and what are the products/ technologies which are driving that
performance?
- In which geographic region is the orthopaedic market expected to grow with
a CAGR of 13%?
- Since 2006 there have been 36 significant acquisitions - who bought who,
for how much and which sectors were affected?
- Who are German company, co.don' s principal competitors?
The recession takes hold but performances are still impressive
The global orthopaedic market is estimated by Espicom to have been worth
approximately US$37.1 billion in 2008, following growth of 9.7% over the
previous year. Excluding the arthroscopy and ' other' segments (operating
theatre equipment and supplies), the market totalled US$29 billion, having
grown by 10.7% over the previous year.
The fastest growing segments are orthobiologics, spinal and trauma, whilst the
established markets for reconstruction implants and arthroscopy equipment are
exhibiting more modest growth rates.
Growth continues to be fuelled by a number of factors, including the ageing
population, the uptake of orthopaedic surgery at an earlier age, physiological
problems due to the increasing incidence of obesity, the development of better
and longer-lasting implants and materials, as well as new procedures, in
particular, minimally-invasive procedures. Long-term social and demographic
trends will underpin the sector' s commercial success for many years.
Spinal markets continue rapid growth as innovative companies make their mark
The spinal implant market experienced approximately 15.3% growth, to US$6.8
billion in 2008. This segment is one of the fastest-growing markets in
orthopaedics, fuelled by the ageing population, treatments for younger
patients, the development of better implants, materials and procedures, higher
patient demand and the move from fusion technologies to motion-preserving
devices. In keeping with the rest of the orthopaedic market, the spine segment
will slow in 2009, to nearer 8.2%.
Medtronic is the clear market leader with over 40% market share, having
bolstered its position with the 2007 acquisition of Kyphon. DePuy held a 16%
share of the market in 2007, followed by Synthes on 13% and Stryker on 9%.
Zimmer signalled its intent in 2008, with the acquisition of Abbott Spine,
giving the company a 6% share of the market. The major spinal manufacturers
have all seen their positions in the market decline in recent years as
numerous new companies enter the spinal market with proprietary technology
aimed at improving current surgical approaches.
Orthobiologics: beginning to deliver the promise
The global market for orthobiologics was estimated at US$4.8 billion in 2008.
This market is projected to more than double by 2013 driven by technological
advances and an ageing, increasingly active population giving rise to more
people aged over 60 diagnosed with musculoskeletal conditions. Stem-cell
therapies are forecast to be the fastest growing category, boosted by
President Obama' s decision to lift the restrictions on US federal funding for
research on new stem cell lines.
It is estimated that over 200 companies are developing orthopaedic
biomaterials. While the large multinationals have a significant presence, the
orthobiologics segment is very fragmented and is mainly inhabited by much
smaller companies, many of which are development stage companies with products
that have not yet received regulatory approval. The orthobiologics market is
currently led by Medtronic, with an expanding orthobiologics portfolio, the
lead product of which is the company' s InFUSE Bone Graft, which dominates the
bone morphogenic protein market with 90+% market share.
Table of Contents
Contents
ORTHOPAEDIC MARKET
- Arthroscopy Market
- Orthobiologics Market
- Orthopaedic Market - Key Players
WORLD MARKET REVIEW
- North America
- Western Europe
- Asia/Pa cific
- Middle Ea st & Africa
- Central & South America
AGEING POPULATION DRIVES GROWTH
2008 IN REVIEW
- Mergers & Acquisitions
- Agreements
INDUSTRY CONSOLIDATION
aap Implantate
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Acro bot
- KEY PERSONNEL
- COMPANY OVERVIEW
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- Products In Development
- FINANCIALS
Alphatec Spine
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Apa Tech
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Archus Orthopedics
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Artimplant
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Ascension Orthopedics
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Axiom Worldwide
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- R&D HIGHLIGHTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Biomet
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- Subsidiaries
- FINANCIALS
Bone Support
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Co.don
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- R&D MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Corin
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
DePuy
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
DJO Incorporated
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Exactech
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Facet Solutions
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Glo bus Medical
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Integra Life Sciences
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
K2M
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
KFx Medical
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
LDR Holdings
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Life Spine
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Mazor Surgical Technologies
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- R&D MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Medtronic
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- TECHNOLOGIES /PRODUCTS (Kyphon)
- FINANCIALS
NuVasive
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Orthofi x International
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Orthovita
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY CO MPETITIO N
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Osteotech
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- R&D MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Pioner Surgical Technology
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- R&D MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
RTI Biologics
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Smal Bone Innovations
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Smith & Nephew
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Spinal Elements
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Spinal Restoration
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Spinal Motion
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- R&D Activities
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Spine Vision
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Stryker
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Symetry Medical
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Synthes
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Tornier
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Tran S1
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
US Spine
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FI NANCI AL
Verte bron
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- AGREEMENTS
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Wright Medical Technology
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
X-spine Systems
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY MILESTO NES
- TECHNOLOGIES /PRODUCTS
- FINANCIALS
Zimer
- KEY PERSONNEL
- COMPANY OVERVIEW
- KEY COMPETITORS
- KEY MILESTO NES
- AGREEMENTS
- R&D MILESTO NES
- TECHNOLOGIES /PRODUCTS
- TECHNOLOGIES /PRODUCTS - Abbott Spine
- FINANCIALS
REPORT METHODOLOGY & BIBLIOGRAPHY
DEFINITIONS
- Orthopaedic Market
- Orthopaedic Device/Medical Device Classification
