MediPoint: Total Wrist Reconstruction - South America Analysis and Market Forecasts

NEW YORK, April 16, 2013 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

MediPoint: Total Wrist Reconstruction - South America Analysis and Market Forecasts
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MediPoint: Total Wrist Reconstruction - South America Analysis and Market Forecasts

Summary

Injuries to any of the bones, ligaments, tendons or nerves in the wrist joint can cause pain. Severe arthritis is the most common condition for patients considering a total wrist replacement surgery. Two major categories of arthritis may affect the wrist joint, namely osteoarthritis and rheumatoid or inflammatory arthritis. Post traumatic arthritis is another reason for the onset of osteoarthritis years later after trauma to the joint. Finally another indication for wrist pain and dysfunction includes carpal tunnel syndrome.

Brazil is by far the smallest market covered in this forecast. The market is also expected to remain relatively constant over the forecast period for TWR. The same goes for the TWF market where there is virtually no growth expected. One reason for this is the relatively young population in Brazil. Unlike all other countries, the aging population is not growing so rapidly in Brazil. This report focuses on the TWR markets in South America. This report identifies unmet needs in the market, surgeon attitudes towards current TWR prostheses, and the future of TWR.

Scope

- An overview of arthritis, which includes epidemiology, etiology, symptoms, diagnosis, pathology and treatment guidelines.
- Annualized South America TWR market revenue and future forecasts from 2009 to 2011, forecast for 7 years to 2018.
- Investigation of current and future market competition for TWR
- 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 TWR device sector through market impact analysis, future market scenario and company analysis.
- Direct quotes from Key Opinion Leaders (KOL) as well as orthopedists

Reasons to buy

- Understand the trends shaping and driving the South America TWR Market.
- Realize device preferences of physicians who have performed the tests already.
- Access market sizing, forecasts and quantified growth opportunities in the South America TWR 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 South America TWR market landscape? Identify, understand and capitalize.

Table of Contents

1 Table of Contents 5
1.1 List of Tables 10
1.2 List of Figures 12
2 Introduction 13
2.1 Catalyst 13
3 Disease Overview 14
3.1 Anatomy and Physiology 14
3.2 Pathophysiology 15
3.2.1 Overview 15
3.2.2 Osteoarthritis 15
3.2.3 Rheumatoid Arthritis 16
3.2.4 Carpal Tunnel Syndrome 16
3.2.5 Others 16
3.3 Clinical Presentation 17
3.4 Clinical Outcomes 18
3.4.1 Overview 18
3.4.2 Conservative Therapy 19
3.4.3 Arthroscopic Debridement 19
3.4.4 Proximal Row Carpectomy 19
3.4.5 Total Wrist Fusion 20
3.4.6 Total Wrist Replacement 22
3.4.7 Wrist Fusion Versus Total Wrist Replacement 24
3.5 Epidemiology 25
3.6 Economic Impact 27
3.6.1 Economic Impact of Treating Arthritis 27
3.6.2 Cost Effectiveness of Orthopedic Implants 28
4 Competitive Assessment 29
4.1 Total Wrist Implant 29
4.1.1 Overview of Historical Designs 29
4.1.2 Current Designs 29
4.2 Total Wrist Fusion 41
4.2.1 Overview of Historical Designs 41
4.2.2 Current Designs 41
5 Unmet Needs 49
5.1 Long-Term Clinical Data 49
5.2 Limited Product Offerings 50
5.3 Failure and Revision Rate 51
5.4 Minimal Bone Resection and Other Complications 51
5.5 Lack of Pipeline Products 53
5.6 Need for Better Physician Training 53
6 Pipeline Products 55
6.1 Overview 55
7 Industry Overview 56
7.1 Procedure Volumes 56
7.1.1 Brazil 58
7.2 Market Access 59
7.2.1 Brazil 60
7.3 Reimbursement Trends 61
7.3.1 Brazil 61
7.4 Regulatory Issues/Recalls 62
7.5 Mergers & Acquisitions / Key Partnerships 62
8 Company Profiles 65
8.1 Small Bone Innovation Inc. 65
8.1.1 Overview 65
8.1.2 Portfolio Assessment 65
8.1.3 SWOT Analysis 66
8.2 Depuy Synthes International 66
8.2.1 Overview 66
8.2.2 Portfolio Assessment 66
8.2.3 SWOT Analysis 67
8.3 Integra LifeSciences Inc. 68
8.3.1 Overview 68
8.3.2 Portfolio Assessment 68
8.3.3 SWOT Analysis 68
8.4 Biomet Orthopedics 69
8.4.1 Overview 69
8.4.2 Portfolio Assessment 69
8.4.3 SWOT Analysis 70
8.5 Medartis AG 70
8.5.1 Overview 70
8.5.2 Portfolio Assessment 70
8.5.3 SWOT Analysis 71
8.6 Acumed 71
8.6.1 Overview 71
8.6.2 Portfolio Assessment 71
8.6.3 SWOT Analysis 72
8.7 Tornier N.V. 73
8.7.1 Overview 73
8.7.2 Portfolio Assessment 73
8.7.3 SWOT Analysis 74
8.8 Swemac Orthopaedics AB 74
8.8.1 Overview 74
8.8.2 Portfolio Assessment 74
8.8.3 SWOT Analysis 75
8.9 Zimmer Holdings Inc. 75
8.9.1 Overview 75
8.9.2 Portfolio Assessment 75
8.9.3 SWOT Analysis 76
8.10 Skeletal Dynamics 77
8.10.1 Overview 77
8.10.2 Portfolio Assessment 77
8.10.3 SWOT Analysis 77
9 Market Drivers & Opportunities 78
9.1 Market Drivers 78
9.1.1 Rise in Osteoarthritis 78
9.1.2 Aging 78
9.1.3 Trauma 78
9.1.4 Patient Demand and Awareness 79
9.1.5 Availability of Long-Term Clinical Data 79
9.1.6 Further Technological Advancement 80
9.1.7 Corporate Promotions and Teaching Seminars 80
9.2 Opportunities 81
9.2.1 Expanding Aging and Arthritis Indication 81
9.2.2 Revision Surgery 81
9.2.3 Emerging Markets 82
9.2.4 Capitalizing on Market Fragmentation 82
10 Market Threats & Substitutes 83
10.1 Market Threats 83
10.1.1 Slow Technological Advancement 83
10.1.2 Physician Perception and Learning Curve 83
10.1.3 Complications 84
10.1.4 Cost 84
10.1.5 Lack of Long-Term Studies 85
10.2 Substitutes 85
10.2.1 Therapeutic Options and Fusion 85
11 Country Outlooks & Forecasts 86
11.1 Brazil 86
11.1.1 Overview 86
11.1.2 Brazil Market Analysis 86
12 Appendix 88
12.1 Abbreviations 88
12.2 Bibliography 89
12.3 Report Methodology 95
12.3.1 Overview 95
12.3.2 Coverage 95
12.3.3 Secondary Research 95
12.3.4 Forecasting Methodology 96
12.3.5 Primary Research – Key Opinion Leader Interviews 97
12.3.6 Primary Research – Physician Survey 97
12.3.7 Expert Panel Validation 97
12.4 Physicians and Specialists Included in this Study 98
12.4.1 Dr. Philippe Bellemère 98
12.4.2 Dr. Vikas Gupta, MBBS, MS 98
12.4.3 William H. Seitz, Jr., MD 98
12.4.4 Robert M. Szabo, MD, MPH 98
12.4.5 David Warwick, MD, BM, DIMC, FRCS (Orth) 98
12.5 About the Authors 99
12.5.1 Analysts 99
12.5.2 Global Head of Healthcare 100
12.6 About MediPoint 100
12.7 About GlobalData 100
12.8 Contact Us 101
12.9 Disclaimer 101

List of Tables

Table 1: Clinical Symptoms and Descriptions 17
Table 2: Advantages and Disadvantages of Wrist Fusion and Total Wrist Replacement 25
Table 3: Direct and Indirect Costs of Arthritis 27
Table 4: Universal 2 Total Wrist Implant System (Integra LifeSciences Inc.) 31
Table 5: SWOT Universal 2 Total Wrist Implant System 31
Table 6: ReMotion Total Wrist (Small Bone Innovations, Inc.) 32
Table 7: SWOT ReMotion Total Wrist 33
Table 8: Maestro Total Wrist System (Biomet Orthopedics) 34
Table 9: SWOT Maestro Total Wrist System 34
Table 10: Tornier Resurfacing Capitate Pyrocarbon Implant 36
Table 11: SWOT:Tornier Resurfacing Capitate Pyrocarbon Wrist Implant 36
Table 12: Motec Wrist Joint Prosthesis (Swemac Orthopaedics AB) 38
Table 13: SWOT Motec Wrist Joint Prosthesis 38
Table 14: MWP III Total Wrist Prosthesis (Zimmer Inc.) 40
Table 15: SWOT MWP III Total Wrist Prosthesis 40
Table 16: LCP Wrist Fusion Set (DePuy Synthes, Johnson & Johnson Co.) 43
Table 17: SWOT LCP Wrist Fusion Set 43
Table 18: Integra Total Wrist Fusion System (Integra LifeSciences Inc.) 44
Table 19: SWOT Integra Total Wrist Fusion System 45
Table 20: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 46
Table 21: SWOT Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist 46
Table 22: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 47
Table 23: SWOT Implate Wrist Arthrodesis Nail 48
Table 24: Complications and Risks for TWR and TWF 52
Table 25: Product Components and Costs 59
Table 26: Company Profile – Small Bone Innovation Inc. 65
Table 27: SWOT Analysis – Small Bone Innovations Inc. 66
Table 28: Company Profile – Depuy Synthes International 67
Table 29: SWOT Analysis – Depuy Synthes International 67
Table 30: Company Profile – Integra LifeSciences Inc. 68
Table 31: SWOT Analysis – Integra LifeSciences Inc. 68
Table 32: Company Profile – Biomet Orthopedics 69
Table 33: SWOT Analysis – Biomet Orthopedics 70
Table 34: Company Profile – Medartis AG 70
Table 35: SWOT Analysis – Medartis AG 71
Table 36: Company Profile – Acumed LLC 72
Table 37: SWOT Analysis – Acumed LLC 72
Table 38: Company Profile – Tornier N.V. 73
Table 39: SWOT Analysis – Tornier N.V. 74
Table 40: Company Profile – Swemac Orthopaedics AB 75
Table 41: SWOT Analysis – Swemac Orthopaedics AB 75
Table 42: Company Profile – Zimmer Holdings Inc. 76
Table 43: SWOT Analysis – Zimmer Holdings, Inc. 76
Table 44: Company Profile – Skeletal Dynamics LLC 77
Table 45: SWOT Analysis – Skeletal Dynamics LLC 77
Table 46: Brazil Sales ($m) Forecast for TWF and TWR, 2009–2018 86

List of Figures

Figure 1: Anatomy of the Wrist 14
Figure 2: Treatment Paradigm for Wrist Arthritis 18
Figure 3: Wrist Arthrodesis with a Fusion Plate 21
Figure 4: Total Wrist Arthroplasty 23
Figure 5: Population with Wrist Arthritis in Major Markets, 2009–2018 26
Figure 6: Disease Segments of Wrist Arthritis 27
Figure 7: Universal 2 Total Wrist Implant System (Integra LifeSciences Inc.) 30
Figure 8: ReMotion Total Wrist (Small Bone Innovations, Inc.) 32
Figure 9: Maestro Total Wrist System (Biomet Orthopedics) 33
Figure 10: Tornier Resurfacing Capitate Pyrocarbon Implant 35
Figure 11: Motec Wrist Joint Prosthesis (Swemac Orthopaedics AB) 37
Figure 12: MWP III Total Wrist Prosthesis (Zimmer Inc.) 39
Figure 13: LCP Wrist Fusion Set (DePuy Synthes, Johnson & Johnson Co.) 42
Figure 14: Integra Total Wrist Fusion System (Integra LifeSciences Inc.) 44
Figure 15: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 45
Figure 16: Implate Wrist Arthrodesis Nail (Skeletal Dynamics LLC) 47
Figure 17: Importance of Safety of Arthrodesis and Arthroplasty Implants 52
Figure 18: Brazil Arthrodesis and Arthroplasty Procedure Volumes (2009–2018) 58
Figure 19: Brazil TWR and TWF Market, 2009–2018 87

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:
Orthopedic Industry:
MediPoint: Total Wrist Reconstruction - South America Analysis and Market Forecasts

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