2014

MediPoint: Total Wrist Reconstruction - Global Analysis and Market Forecasts

NEW YORK, Dec. 11, 2013 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

MediPoint: Total Wrist Reconstruction - Global Analysis and Market Forecasts

http://www.reportlinker.com/p01921062/MediPoint-Total-Wrist-Reconstruction---Global-Analysis-and-Market-Forecasts.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Orthopedic

MediPoint: Total Wrist Reconstruction - Global Analysis and Market Forecasts

Summary

Wrist arthritis is a serious issue that affects a significant number of people and making it difficult to engage in many day to day activities. While it is most prevalent in the developed nations, it is a growing concern in the emerging markets as well. The primary indications that have caused wrist arthritis are osteoarthritis, rheumatoid arthritis and post-traumatic arthritis. More recently with the aging population, and high quality biologic medications available for rheumatoid arthritis, osteoarthritis and post-traumatic arthritis are the primary indications that get severe enough to be considered for surgical intervention.

There is also an expected increase in the incidence of wrist arthritis due to the rising aging population numbers. Total wrist fusion (TWF) and total wrist replacement (TWR) are two surgical procedures that are considered in patients with severe wrist arthritis. While TWR is a motion preserving procedure, TWF has been seen as the gold standard especially in younger patients due to the high revision and failure rate in TWR. Patient demand and desire to retain motion in their joints will drive innovation and the numerous unmet needs expressed by physicians. This report focuses on the TWR and TWF markets in the US, the EU5, Japan, Brazil, China and India. This report identifies unmet needs in the market, surgeon attitudes towards current TWR and TWF prostheses, and the future of the market in the midst of a rapidly growing small bone joint replacement segment.

Highlights

Key Questions Answered

- Wrist arthritis prevalence is expected to increase during the forecast period. (Q).What is the cost of wrist arthritis? (Q).How will changing demographics and lifestyles affect the incidence of wrist arthritis?
- Lack of long-term results and studies have hampered adoption of TWR implants and TWF is still used frequently. (Q).What will require shifts in surgeon attitudes towards wrist replacement in the treatment of late-stage wrist arthritis?
- TWR is still slowly becoming more popular as an alternative to wrist fusion, as companies promote their products and patients demand technology that allows them to retain joint motion. (Q).What is the current perception and adoption of this technique in the major markets?
- There is a limited pipeline and one product slated for release in the US in 2014 already marketed in the EU with additional plate products expected in 2013. (Q).What is the Scope for more wrist innovation and what are surgeons looking for in their products? (Q).What is the debate on fusion versus replacement?
- Today approximately 3-5 TWR and 2-3 TWF prostheses have most market share throughout the world. Current prosthesis design less bone resection and are used for preserving joint motion. (Q).Which countries expect to see the most adoption and what are the hurdles? (Q).What are the unmet needs? (Q).How can device manufacturers differentiate themselves from the competition?

Reasons to buy

- "What Physicians Think" quotes provide a unique insight into how healthcare professionals are reacting to events within the industry, and what their responses could mean for industry strategists. In this report you will understand the perceptions of leading Orthopedic Hand Surgeons from around the world. This information is essential for all strategic decision makers in every organization allowing them to act on high quality information.

Table of Contents

1 Table of Contents 6
1.1 List of Tables 13
1.2 List of Figures 15
2 Introduction 17
2.1 Catalyst 17
2.2 Related Reports 18
2.3 Upcoming Related Reports 18
3 Disease Overview 19
3.1 Anatomy and Physiology 19
3.2 Pathophysiology 20
3.2.1 Overview 20
3.2.2 Osteoarthritis 20
3.2.3 Rheumatoid Arthritis 21
3.2.4 Carpal Tunnel Syndrome 21
3.2.5 Others 21
3.3 Clinical Presentation 22
3.4 Clinical Outcomes 23
3.4.1 Overview 23
3.4.2 Conservative Therapy 24
3.4.3 Arthroscopic Debridement 24
3.4.4 Proximal Row Carpectomy 24
3.4.5 Total Wrist Fusion 25
3.4.6 Total Wrist Replacement 27
3.4.7 Wrist Fusion Versus Total Wrist Replacement 29
3.5 Epidemiology 30
3.6 Economic Impact 32
3.6.1 Economic Impact of Treating Arthritis 32
3.6.2 Cost Effectiveness of Orthopedic Implants 33
4 Competitive Assessment 34
4.1 Total Wrist Implant 34
4.1.1 Overview of Historical Designs 34
4.1.2 Current Designs 35
4.2 Total Wrist Fusion 48
4.2.1 Overview of Historical Designs 48
4.2.2 Current Designs 49
5 Unmet Needs 57
5.1 Long-Term Clinical Data 57
5.2 Limited Product Offerings 58
5.3 Failure and Revision Rate 59
5.4 Minimal Bone Resection and Other Complications 59
5.5 Lack of Pipeline Products 61
5.6 Need for Better Physician Training 61
6 Pipeline Products 63
6.1 Overview 63
7 Industry Overview 64
7.1 Procedure Volumes 64
7.1.1 US 66
7.1.2 Europe 68
7.1.3 Asia-Pacific 70
7.1.4 Brazil 72
7.2 Market Access 73
7.2.1 US 74
7.2.2 Europe 76
7.2.3 Asia-Pacific 77
7.2.4 Brazil 78
7.3 Reimbursement Trends 79
7.3.1 US 79
7.3.2 Europe 81
7.3.3 Japan 84
7.3.4 Brazil 84
7.3.5 China 85
7.3.6 India 86
7.4 Regulatory Issues/Recalls 87
7.5 Mergers & Acquisitions / Key Partnerships 87
8 Company Profiles 90
8.1 Small Bone Innovation Inc. 90
8.1.1 Overview 90
8.1.2 Portfolio Assessment 90
8.1.3 SWOT Analysis 91
8.2 Depuy Synthes International 91
8.2.1 Overview 91
8.2.2 Portfolio Assessment 91
8.2.3 SWOT Analysis 92
8.3 Integra LifeSciences Inc. 93
8.3.1 Overview 93
8.3.2 Portfolio Assessment 93
8.3.3 SWOT Analysis 93
8.4 Biomet Orthopedics 94
8.4.1 Overview 94
8.4.2 Portfolio Assessment 94
8.4.3 SWOT Analysis 95
8.5 Medartis AG 95
8.5.1 Overview 95
8.5.2 Portfolio Assessment 95
8.5.3 SWOT Analysis 96
8.6 Acumed 96
8.6.1 Overview 96
8.6.2 Portfolio Assessment 96
8.6.3 SWOT Analysis 97
8.7 Tornier N.V. 98
8.7.1 Overview 98
8.7.2 Portfolio Assessment 98
8.7.3 SWOT Analysis 99
8.8 Swemac Orthopaedics AB 99
8.8.1 Overview 99
8.8.2 Portfolio Assessment 99
8.8.3 SWOT Analysis 100
8.9 Zimmer Holdings Inc. 100
8.9.1 Overview 100
8.9.2 Portfolio Assessment 100
8.9.3 SWOT Analysis 101
8.10 Skeletal Dynamics 102
8.10.1 Overview 102
8.10.2 Portfolio Assessment 102
8.10.3 SWOT Analysis 102
9 Market Drivers & Opportunities 103
9.1 Market Drivers 103
9.1.1 Rise in Osteoarthritis 103
9.1.2 Aging 103
9.1.3 Trauma 103
9.1.4 Patient Demand and Awareness 104
9.1.5 Availability of Long-Term Clinical Data 104
9.1.6 Further Technological Advancement 105
9.1.7 Corporate Promotions and Teaching Seminars 105
9.2 Opportunities 106
9.2.1 Expanding Aging and Arthritis Indication 106
9.2.2 Revision Surgery 106
9.2.3 Emerging Markets 107
9.2.4 Capitalizing on Market Fragmentation 107
10 Market Threats & Substitutes 108
10.1 Market Threats 108
10.1.1 Slow Technological Advancement 108
10.1.2 Physician Perception and Learning Curve 108
10.1.3 Complications 109
10.1.4 Cost 109
10.1.5 Lack of Long-Term Studies 110
10.2 Substitutes 110
10.2.1 Therapeutic Options and Fusion 110
11 Country Outlooks & Forecasts 111
11.1 Major Markets Overview 111
11.2 US 115
11.2.1 Overview 115
11.2.2 US Market Analysis 115
11.3 France 117
11.3.1 Overview 117
11.3.2 France Market Analysis 117
11.4 Germany 118
11.4.1 Overview 118
11.4.2 Germany Market Analysis 118
11.5 Italy 120
11.5.1 Overview 120
11.5.2 Italy Market Analysis 120
11.6 Spain 121
11.6.1 Overview 121
11.6.2 Spain Market Analysis 121
11.7 UK 122
11.7.1 Overview 122
11.7.2 UK Market Analysis 122
11.8 Japan 124
11.8.1 Overview 124
11.8.2 Japan Market Analysis 124
11.9 Brazil 125
11.9.1 Overview 125
11.9.2 Brazil Market Analysis 125
11.10 China 126
11.10.1 Overview 126
11.10.2 China Market Analysis 126
11.11 India 128
11.11.1 Overview 128
11.11.2 India Market Analysis 128
12 Appendix 130
12.1 Abbreviations 130
12.2 Bibliography 131
12.3 Report Methodology 137
12.3.1 Overview 137
12.3.2 Coverage 137
12.3.3 Secondary Research 137
12.3.4 Forecasting Methodology 138
12.3.5 Primary Research - Key Opinion Leader Interviews 139
12.3.6 Primary Research - Physician Survey 139
12.3.7 Expert Panel Validation 139
12.4 Physicians and Specialists Included in this Study 140
12.4.1 Dr. Philippe Bellemère 140
12.4.2 Dr. Vikas Gupta, MBBS, MS 140
12.4.3 William H. Seitz, Jr., MD 140
12.4.4 Robert M. Szabo, MD, MPH 140
12.4.5 David Warwick, MD, BM, DIMC, FRCS (Orth) 140
12.5 About the Authors 141
12.5.1 Analysts 141
12.5.2 Global Head of Healthcare 142
12.6 About MediPoint 142
12.7 About GlobalData 142
12.8 Contact Us 143
12.9 Disclaimer 143

List of Tables

Table 1: Clinical Symptoms and Descriptions 22
Table 2: Advantages and Disadvantages of Wrist Fusion and Total Wrist Replacement 30
Table 3: Direct and Indirect Costs of Arthritis 32
Table 4: Universal 2 Total Wrist Implant System (Integra LifeSciences Inc.) 36
Table 5: SWOT Universal 2 Total Wrist Implant System 37
Table 6: ReMotion Total Wrist (Small Bone Innovations, Inc.) 38
Table 7: SWOT ReMotion Total Wrist 38
Table 8: Maestro Total Wrist System (Biomet Orthopedics) 40
Table 9: SWOT Maestro Total Wrist System 40
Table 10: Tornier Resurfacing Capitate Pyrocarbon Implant 42
Table 11: SWOT:Tornier Resurfacing Capitate Pyrocarbon Wrist Implant 42
Table 12: Motec Wrist Joint Prosthesis (Swemac Orthopaedics AB) 44
Table 13: SWOT Motec Wrist Joint Prosthesis 45
Table 14: MWP III Total Wrist Prosthesis (Zimmer Inc.) 47
Table 15: SWOT MWP III Total Wrist Prosthesis 47
Table 16: LCP Wrist Fusion Set (DePuy Synthes, Johnson & Johnson Co.) 51
Table 17: SWOT LCP Wrist Fusion Set 51
Table 18: Integra Total Wrist Fusion System (Integra LifeSciences Inc.) 52
Table 19: SWOT Integra Total Wrist Fusion System 53
Table 20: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 54
Table 21: SWOT Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist 54
Table 22: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 55
Table 23: SWOT Implate Wrist Arthrodesis Nail 56
Table 24: Complications and Risks for TWR and TWF 60
Table 25: Product Components and Costs 73
Table 26: Regulatory Differences Between the US and EU 76
Table 27: Reimbursements Associated with TWR 80
Table 28: Medicare Payment Trend for Wrist Procedures,1992-2004 80
Table 29: Company Profile - Small Bone Innovation Inc. 90
Table 30: SWOT Analysis - Small Bone Innovations Inc. 91
Table 31: Company Profile - Depuy Synthes International 92
Table 32: SWOT Analysis - Depuy Synthes International 92
Table 33: Company Profile - Integra LifeSciences Inc. 93
Table 34: SWOT Analysis - Integra LifeSciences Inc. 93
Table 35: Company Profile - Biomet Orthopedics 94
Table 36: SWOT Analysis - Biomet Orthopedics 95
Table 37: Company Profile - Medartis AG 95
Table 38: SWOT Analysis - Medartis AG 96
Table 39: Company Profile - Acumed LLC 97
Table 40: SWOT Analysis - Acumed LLC 97
Table 41: Company Profile - Tornier N.V. 98
Table 42: SWOT Analysis - Tornier N.V. 99
Table 43: Company Profile - Swemac Orthopaedics AB 100
Table 44: SWOT Analysis - Swemac Orthopaedics AB 100
Table 45: Company Profile - Zimmer Holdings Inc. 101
Table 46: SWOT Analysis - Zimmer Holdings, Inc. 101
Table 47: Company Profile - Skeletal Dynamics LLC 102
Table 48: SWOT Analysis - Skeletal Dynamics LLC 102
Table 49: Global Sales ($m) Forecast for TWF and TWR, 2009-2018 111
Table 50: US Sales ($m) Forecast for TWF and TWR, 2009-2018 116
Table 51: France Sales ($m) Forecast for TWF and TWR, 2009-2018 117
Table 52: Germany Sales ($m) Forecast for TWF and TWR, 2009-2018 119
Table 53: Italy Sales ($m) Forecast for TWF and TWR, 2009-2018 120
Table 54: Spain Sales ($m) Forecast for TWF and TWR, 2009-2018 121
Table 55: UK Sales ($m) Forecast for TWF and TWR, 2009-2018 123
Table 56: Japan Sales ($m) Forecast for TWF and TWR, 2009-2018 124
Table 57: Brazil Sales ($m) Forecast for TWF and TWR, 2009-2018 125
Table 58: China Sales ($m) Forecast for TWF and TWR, 2009-2018 127
Table 59: India Sales ($m) Forecast for TWF and TWR, 2009-2018 128

1.2 List of Figures
Figure 1: Anatomy of the Wrist 19
Figure 2: Treatment Paradigm for Wrist Arthritis 23
Figure 3: Wrist Arthrodesis with a Fusion Plate 26
Figure 4: Total Wrist Arthroplasty 28
Figure 5: Population with Wrist Arthritis in Major Markets, 2009-2018 31
Figure 6: Disease Segments of Wrist Arthritis 32
Figure 7: Global Market Share of TWR Implants 34
Figure 8: Universal 2 Total Wrist Implant System (Integra LifeSciences Inc.) 36
Figure 9: ReMotion Total Wrist (Small Bone Innovations, Inc.) 37
Figure 10: Maestro Total Wrist System (Biomet Orthopedics) 39
Figure 11: Tornier Resurfacing Capitate Pyrocarbon Implant 41
Figure 12: Motec Wrist Joint Prosthesis (Swemac Orthopaedics AB) 44
Figure 13: MWP III Total Wrist Prosthesis (Zimmer Inc.) 46
Figure 14: Global Market Share of TWF Implants 48
Figure 15: LCP Wrist Fusion Set (DePuy Synthes, Johnson & Johnson Co.) 50
Figure 16: Integra Total Wrist Fusion System (Integra LifeSciences Inc.) 52
Figure 17: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 53
Figure 18: Implate Wrist Arthrodesis Nail (Skeletal Dynamics LLC) 55
Figure 19: Importance of Safety of Arthrodesis and Arthroplasty Implants 60
Figure 20: US Arthrodesis and Arthroplasty Procedure Volumes (2009-2018) 67
Figure 21: Europe Arthrodesis and Arthroplasty Procedure Volumes (2009-2018) 69
Figure 22: Asia-Pacific Arthrodesis and Arthroplasty Procedure Volumes (2009-2018) 71
Figure 23: Brazil Arthrodesis and Arthroplasty Procedure Volumes (2009-2018) 72
Figure 24: Medicare Payment Trend for Wrist Procedures, 1992-2004 81
Figure 25: Global Sales ($m) Forecast for TWR and TWF, 2009-2018 112
Figure 26: TWR Revenue by Major Market, 2009 and 2018 113
Figure 27: TWF Revenue by Major Market, 2009 and 2018 114
Figure 28: US TWR and TWF Market, 2009-2018 116
Figure 29: France TWR and TWF Market, 2009-2018 118
Figure 30: Germany TWR and TWF Market, 2009-2018 119
Figure 31: Italy TWR and TWF Market, 2009-2018 120
Figure 32: Spain TWR and TWF Market, 2009-2018 121
Figure 33: UK TWR and TWF Market, 2009-2018 123
Figure 34: Japan TWR and TWF Market, 2009-2018 124
Figure 35: Brazil TWR and TWF Market, 2009-2018 126
Figure 36: China TWR and TWF Market, 2009-2018 127
Figure 37: India TWR and TWF Market, 2009-2018 129

Companies Mentioned

Small Bone Innovation Inc.
Depuy Synthes International
Integra LifeSciences Inc.
Biomet Orthopedics
Medartis AG
Acumed
Tornier N.V.
Swemac Orthopaedics AB
Zimmer Holdings Inc.
Skeletal Dynamics

To order this report: MediPoint: Total Wrist Reconstruction - Global Analysis and Market Forecasts
http://www.reportlinker.com/p01921062/MediPoint-Total-Wrist-Reconstruction---Global-Analysis-and-Market-Forecasts.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Orthopedic

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