全球小關節殖入市場︰2009年

Abstract

The global market for small joint implants will experience healthy growth through 2015. Regional markets, such as the U.S., Europe, Asia-Pacific (AP) and the Rest-of-the-World (ROW) will be distinguished by the prevalence of conditions that contribute to small joint disease, the availability of different products, and factors influencing the provision of healthcare.

In the U.S., growth will be influenced by the adoption of products that have only been available overseas, preference for motion-preserving technologies over fusion, and challenges with respect to reimbursement and coverage. In Europe, where aging populations will contribute to the demand for small joint implants, cost-containment efforts will influence prices and product purchases. AP and ROW countries feature differences in disease prevalence, demographics, and processes for reimbursement, regulatory approval, and product distribution.

This report examines the market for replacement, fixation, and fusion implants for the shoulder, elbow, wrist, fingers, ankle and foot, and provides a detailed analysis of the clinical and economic factors driving regional markets.

Table of Contents

1. EXECUTIVE SUMMARY

• 1.1 Regional Analysis
  • 1.1.1 The United States
  • 1.1.2 Europe
  • 1.1.3 AP & ROW
• 1.2 Product Analysis
  • 1.2.1 Fingers and Hand
  • 1.2.2 Wrist
  • 1.2.3 Elbow
  • 1.2.4 Shoulder
  • 1.2.5 Ankle and Foot
  • 1.2.6 Other Small Joint Implants
• Exhibit 1-1: Small Joint Implant Revenues by Region, 2007-2015
• Exhibit 1-2: U.S. Small Joint Implant Market Forecast, 2007-2015
• Exhibit 1-3: European Market Forecast for Small Joint Implants, 2007-2015
• Exhibit 1-4: AP & ROW Small Joint Implant Market Forecast, 2007-2015
• Exhibit 1-5: Global Small Joint Implant Revenues by Product Segment, 2007-2015

2. OVERVIEW

• 2.1 U.S.
  • 2.1.1 Disease Prevalence
  • 2.1.2 Economic Factors
• 2.2 Europe
  • 2.2.1 Disease Prevalence
  • 2.2.2 Economic Factors
• 2.3 AP & ROW
  • 2.3.1 Disease Prevalence
  • 2.3.2 Economic Factors
• Exhibit 2-1: Regional Differences in Factors Contributing to Small Joint Implant Procedures
• Exhibit 2-2: Selected Studies of OA Prevalence in the U.S.
• Exhibit 2-3: Selected Studies of OA Prevalence and Incidence in Europe
• Exhibit 2-4: Selected Studies of OA Prevalence and Incidence in AP & ROW Countries

3. JOINT REPLACEMENT PRODUCTS

• 3.1 Replacement Products for the Joints of the Fingers and Hand
  • 3.1.1 Clinical Results
  • 3.1.2 Companies and Products
• 3.2 Replacement Products for the Wrist and Distal Radioulnar Joint
  • 3.2.1 Clinical Results
  • 3.2.2 Companies and Products
• 3.3 Elbow Replacement Products
  • 3.3.1 Clinical Results
  • 3.3.2 Companies and Products
• 3.4 Shoulder Replacement Products
  • 3.4.1 Clinical Results
  • 3.4.2 Companies and Products
• 3.5 Replacement Products for the Ankle and Foot
  • 3.5.1 Ankle Arthroplasty
  • 3.5.1.1 Ankle Replacement Products
  • 3.5.2 Foot Arthroplasty
  • 3.5.3 Companies and Products
• Exhibit 3-1: Small Joint Implants by Type
• Exhibit 3-2: Features of Finger Joint Implants
• Exhibit 3-3: Clinical Studies of Replacement Products in the Fingers and Hand
• Exhibit 3-4: Selected Finger Joint Replacement Products in 2008
• Exhibit 3-5: Advantages and Disadvantages of Wrist and DRUJ Implants
• Exhibit 3-6: Clinical Studies of Wrist and DRUJ Arthroplasty
• Exhibit 3-7: Selected Wrist and DRUJ Replacement Products in 2008
• Exhibit 3-8: Features of Elbow Replacement Products
• Exhibit 3-9: Clinical Studies of Total Elbow Replacement
• Exhibit 3-10: Selected Elbow Replacement Products in 2008
• Exhibit 3-11: Shoulder Replacement Products by Type
• Exhibit 3-12: Selected Studies of Shoulder Replacement
• Exhibit 3-13: Selected Shoulder Replacement Products in 2008
• Exhibit 3-14: Selected Joint Replacement Devices for the Ankle and Foot in 2008

4. INTERNAL FIXATION FOR FUSION & SMALL JOINT STABILIZATION

• 4.1 Internal Fixation Products for Small Joints of the Upper Extremities
  • 4.1.1 Fingers
  • 4.1.2 Wrist & Hand
  • 4.1.3 Elbow
  • 4.1.4 Shoulder
• 4.2 Internal Fixation Products for Small Joints of the Lower Extremities
  • 4.2.1 Products and Suppliers
• Exhibit 4-1: Internal Fixation Products by Type
• Exhibit 4-2: Shoulder Fracture by Type
• Exhibit 4-3: Selected Fixation Products

5. SMALL JOINT PROCEDURE VOLUMES AND MARKET FORECASTS

• 5.1 U.S. Procedure Volumes and Market Forecasts
  • 5.1.1 Small Joint Replacements
    • 5.1.1.1 Fingers and Hand
      • 5.1.1.1.1 Procedure Volumes
      • 5.1.1.1.2 Market Analysis
    • 5.1.1.2 Wrist
      • 5.1.1.2.1 Procedure Forecast
      • 5.1.1.2.2 Market Analysis
    • 5.1.1.3 Elbow
      • 5.1.1.3.1 Procedure Forecast
      • 5.1.1.3.2 Market Analysis
    • 5.1.1.4 Shoulder
      • 5.1.1.4.1 Procedure Forecast
      • 5.1.1.4.2 Market Analysis
    • 5.1.1.5 Ankle
      • 5.1.1.5.1 Procedure Forecast
      • 5.1.1.5.2 Market Analysis
    • 5.1.1.6 Other Joints in the Foot
      • 5.1.1.6.1 Procedure Forecast
      • 5.1.1.6.2 Market Analysis
  • 5.1.2 Internal Fixation for Arthrodesis and Small Joint Repair
    • 5.1.2.1 Procedure Forecast
    • 5.1.2.2 Market Analysis
  • 5.1.3 Company Analysis
• 5.2 International Regions - Procedure Volumes and Market Forecasts
  • 5.2.1 Europe
    • 5.2.1.1 Fingers and Hand
      • 5.2.1.1.1 Procedure Forecast
      • 5.2.1.1.2 Market Analysis
    • 5.2.1.2 Wrist
      • 5.2.1.2.1 Procedure Forecast
      • 5.2.1.2.2 Market Analysis
    • 5.2.1.3 Elbow
      • 5.2.1.3.1 Procedure Forecast
      • 5.2.1.3.2 Market Analysis
    • 5.2.1.4 Shoulder
      • 5.2.1.4.1 Procedure Forecast
      • 5.2.1.4.2 Market Analysis
    • 5.2.1.5 Ankle
      • 5.2.1.5.1 Procedure Forecast
      • 5.2.1.5.2 Market Analysis
    • 5.2.1.6 Other Joints in the Foot
      • 5.2.1.6.1 Procedure Forecast
      • 5.2.1.6.2 Market Analysis
    • 5.2.1.7 Internal Fixation for Arthrodesis and Small Joint Repair
      • 5.2.1.7.1 Procedure Forecast
      • 5.2.1.7.2 Market Analysis
  • 5.2.2 AP & ROW
    • 5.2.2.1 Finger and Hand
      • 5.2.2.1.1 Procedure Forecast
      • 5.2.2.1.2 Market Analysis
    • 5.2.2.2 Wrist
    • 5.2.2.3 Elbow
      • 5.2.2.3.1 Procedure Forecast
      • 5.2.2.3.2 Market Analysis
    • 5.2.2.4 Shoulder
      • 5.2.2.4.1 Procedure Forecast
      • 5.2.2.4.2 Market Forecast
    • 5.2.2.5 Ankle
    • 5.2.2.6 Other Joints in the Foot
      • 5.2.2.6.1 Procedure Forecast
      • 5.2.2.6.2 Market Analysis
    • 5.2.2.7 Internal Fixation for Arthrodesis and Small Joint Repair
      • 5.2.2.7.1 Procedure Forecast
      • 5.2.2.7.2 Market Analysis
    • 5.2.2.8 Company Analysis
• Exhibit 5-1: Small Joint Implant Revenues by Region, 2007-2015
• Exhibit 5-2: Small Joint Implant Revenues by Product Segment, 2007-2015
• Exhibit 5-3: U.S. Small Joint Implant Procedure Forecast, 2007-2015
• Exhibit 5-4: U.S. Market Forecast for Small Joint Implants, 2007-2015
• Exhibit 5-5: Finger Joint Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-6: Finger Arthroplasties by Joint, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-7: Finger Joint Replacements, U.S. Market Forecast, 2007-2015
• Exhibit 5-8: MCP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5-9: PIP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5-10: CMC and Other Finger Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5-11: Finger Joint Replacement Devices by Material, U.S. Market Forecast, 2007-2015
• Exhibit 5-12: Wrist Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-13: Wrist Replacements, U.S. Market Forecast, 2007-2015
• Exhibit 5-14: Elbow Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-15: U.S. Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 5-16: U.S. Market Forecast for Total Elbow Replacement Devices by Type, 2007-2015
• Exhibit 5-17: U.S. Market Forecast for Partial Elbow Replacements, 2007-2015
• Exhibit 5-18: U.S. Procedure Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-19: U.S. Procedure Forecast for Total Shoulder Replacement, 2007-2015
• Exhibit 5-20: U.S. Procedure Forecast for Partial Shoulder Replacement, 2007-2015
• Exhibit 5-21: U.S. Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-22: U.S. Market Forecast for Total Shoulder Replacement Systems, 2007-2015
• Exhibit 5-23: U.S. Market Forecast for Partial Shoulder Replacement Systems, 2007-2015
• Exhibit 5-24: U.S. Procedure Forecast for Total Ankle Replacements, 2007-2015
• Exhibit 5-25: U.S. Market Forecast for Total Ankle Replacement Devices, 2007-2015
• Exhibit 5-26: U.S. Procedure Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-27: U.S. Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-28: U.S. Market Forecast for Toe and Foot Joint Replacements by Type, 2007-2015
• Exhibit 5-29: Wrist Fusions, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-30: Fusions/Internal Fixation for Joints of the Fingers and Hand, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-31: Fusions/Internal Fixation for Joints of the Elbow, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-32: Internal Fixation for Fractures of the Proximal Humerus, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-33: Internal Fixation for the Small Joints of the Ankle and Foot, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-34: U.S. Market Forecast, Internal Fixation for Arthrodesis and Small Joint Repair, 2007-2015
• Exhibit 5-35: Supplier Shares in 2008
• Exhibit 5-36: Small Joint Implants, European Procedure Forecast, 2007-2015
• Exhibit 5-37: Small Joint Implants, European Market Forecast, 2007-2015
• Exhibit 5-38: Finger Joint Replacements, European Procedure Forecast, 2007-2015
• Exhibit 5-39: Finger Arthroplasties by Joint, European Procedure Forecast, 2007-2015
• Exhibit 5-40: Finger Joint Replacements, European Market Forecast, 2007-2015
• Exhibit 5-41: MCP Joint Replacement Devices, European Market Forecast, 2007-2015
• Exhibit 5-42: PIP Joint Replacement Devices, European Market Forecast, 2007-2015
• Exhibit 5-43: CMC and Other Finger Joint Replacement Devices, European Market Forecast, 2007-2015
• Exhibit 5-44: Finger Joint Replacement Devices by Material, European Market Forecast, 2007-2015
• Exhibit 5-45: Wrist Replacements, European Procedure Forecast, 2007-2015
• Exhibit 5-46: Wrist Replacements, European Market Forecast, 2007-2015
• Exhibit 5-47: Elbow Replacements, European Procedure Forecast, 2007-2015
• Exhibit 5-48: European Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 5-49: European Market Forecast for Total Elbow Replacement Devices by Type, 2007-2015
• Exhibit 5-50: European Procedure Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-51: European Procedure Forecast for Total Shoulder Replacement, 2007-2015
• Exhibit 5-52: European Procedure Forecast for Partial Shoulder Replacement, 2007-2015
• Exhibit 5-53: European Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-54: European Market Forecast for Total Shoulder Replacement Systems, 2007-2015
• Exhibit 5-55: European Market Forecast for Partial Shoulder Replacement Systems, 2007-2015
• Exhibit 5-56: European Procedure Forecast for Total Ankle Replacements, 2007-2015
• Exhibit 5-57: European Market Forecast for Total Ankle Replacement Devices, 2007-2015
• Exhibit 5-58: European Procedure Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-59: European Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-60: European Market Forecast for Toe and Foot Joint Replacements by Type, 2007-2015
• Exhibit 5-61: Wrist Fusions, European Procedure Forecast, 2007-2015
• Exhibit 5-62: Fusions/Internal Fixation for Joints of the Fingers and Hand, European Procedure Forecast, 2007-2015
• Exhibit 5-63: Fusions/Internal Fixation for Joints of the Elbow, European Procedure Forecast, 2007-2015
• Exhibit 5-64: Internal Fixation for Fractures of the Proximal Humerus, European Procedure Forecast, 2007-2015
• Exhibit 5-65: Internal Fixation for the Small Joints of the Ankle and Foot, European Procedure Forecast, 2007-2015
• Exhibit 5-66: European Market Forecast, Internal Fixation for Arthrodesis and Small Joint Repair, 2007-2015
• Exhibit 5-67: AP & ROW Small Joint Implants, Procedure Forecast, 2007-2015
• Exhibit 5-68: AP & ROW Small Joint Implants, Market Forecast, 2007-2015
• Exhibit 5-69: Finger Joint Replacements, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-70: Finger Arthroplasties by Joint, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-71: Finger Joint Replacements, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-72: MCP Joint Replacement Devices, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-73: PIP Joint Replacement Devices, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-74: CMC and Other Finger Joint Replacement Devices, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-75: Finger Joint Replacement Devices by Material, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-76: Wrist Replacements, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-77: Wrist Replacements, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-78: Elbow Replacements, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-79: AP & ROW Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 5-80: AP & ROW Market Forecast for Total Elbow Replacement Devices by Type, 2007-2015
• Exhibit 5-81: AP & ROW Procedure Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-82: AP & ROW Procedure Forecast for Total Shoulder Replacement, 2007-2015
• Exhibit 5-83: AP & ROW Procedure Forecast for Partial Shoulder Replacement, 2007-2015
• Exhibit 5-84: AP & ROW Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-85: AP & ROW Market Forecast for Total Shoulder Replacement Systems, 2007-2015
• Exhibit 5-86: AP & ROW Market Forecast for Partial Shoulder Replacement Systems, 2007-2015
• Exhibit 5-87: AP & ROW Procedure and Market Forecast for Total Ankle Replacements, 2007-2015
• Exhibit 5-88: AP & ROW Procedure Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-89: AP & ROW Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-90: AP & ROW Market Forecast for Toe and Foot Joint Replacements by Type, 2007-2015
• Exhibit 5-91: Wrist Fusions, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-92: Fusions/Internal Fixation for Joints of the Fingers and Hand, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-93: Fusions/Internal Fixation for Joints of the Elbow, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-94: Internal Fixation for Fractures of the Proximal Humerus, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-95: Internal Fixation for the Small Joints of the Ankle and Foot, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-96: Supplier Shares in Europe and AP & ROW, 2008

6. COMPANY PROFILES

• Exhibit 6-1: Selected Suppliers of Small Joint Implants in 2008