Reportlinker Adds U.S. Market for Orthopedic Trauma Devices 2010

NEW YORK, March 4 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

U.S. Market for Orthopedic Trauma Devices 2010

http://www.reportlinker.com/p0180582/US-Market-for-Orthopedic-Trauma-Devices-2010.html

With the increasing mean age of the population of the U.S., the market for orthopedic trauma bone fixation devices is experiencing strong growth. Many fracture types increase in prevalence in accordance with age. Fracture rates increase because of the overall fragility of bone as it ages along with a higher incidence rate of osteoporosis in elderly patients. This report includes analysis of the following fixation devices:

• Orthopedic plates and screws
• Bioabsorbable fixation
• Intramedullary nails
• Large, medium and small cannulated screws
• Intramedullary hip screws
• Conventional hip screws
• External fixators
• Long bone stimulators
• Additional trauma devices

In 2009, the total orthopedic trauma market was valued at over $3 billion. This market will grow at a CAGR of 8.2% over the forecast period. In 2009, the fastest growing segments of the trauma market were intramedullary nails, plates and screws.

Within the orthopedic trauma device market, companies such Biomet, DePuy, Smith & Nephew, Stryker and Synthes lead the market. This report provides a comprehensive and detailed analysis of market revenues by device type, market forecasts through 2016, unit sales, average selling prices, market drivers and limiters and a detailed competitive analysis, including manufacturer market shares and product portfolios.

TABLE OF CONTENTS .I

LIST OF FIGURES .........X

LIST OF CHARTS .......XV

EXECUTIVE SUMMARY ............ 1

1.1 OVERVIEW .............. 1

1.2 ORTHOPEDIC TRAUMA PROCEDURES ....... 2

1.3 PLATE AND SCREW MARKET . 3

1.4 BIOABSORBABLE FIXATION MARKET ....... 4

1.5 INTRAMEDULLARY NAIL MARKET ........... 5

1.6 CANNULATED SCREW MARKET ................ 6

1.7 INTRAMEDULLARY HIP SCREW MARKET . 7

1.8 CONVENTIONAL HIP SCREW MARKET ...... 8

1.9 EXTERNAL FIXATION MARKET ................. 9

1.10 LONG BONE STIMULATOR MARKET ..... 10

1.11 COMPETITIVE ANALYSIS ... 11

RESEARCH METHODOLOGY 12

2.1 RESEARCH SCOPE . 12

2.2 IDATA'S 9-STEP METHODOLOGY ........... 12

Step 1: Project Initiation & Team Selection .......... 13

Step 2: Prepare Data Systems and Perform Secondary Research ........... 14

Step 3: Preparation for Interviews & Questionnaire Design ... 15

Step 4: Performing Primary Research .... 16

Step 5: Research Analysis: Establishing Baseline Estimates ... 18

Step 6: Market Analysis and Forecast .... 18

Step 7: Identify Strategic Opportunities . 20

Step 8: Final Review and Market Release ............. 21

Step 9: Customer Feedback and Market Monitoring ................ 22

TRAUMA MARKET OVERVIEW ............... 23

3.1 INTRODUCTION ..... 23

3.1.1 Anatomy and Pathology . 23

3.1.1.1 Anatomy .....23

3.1.1.2 Pathology and Healing ................24

3.1.2 Treatment Overview ....... 24

3.1.2.1 Internal Fixation .......24

3.1.2.2 External Fixation ......25

3.1.2.3 Bone Growth Stimulation ............26

3.2 OVERVIEW ............ 26

3.2.1 Internal Fixation ............ 26

3.2.1.1 Plates and Screws .....26

3.2.1.2 Bioabsorbable Plates and Screws 27

3.2.1.3 Intramedullary Nails .27

3.2.1.4 Cannulated Screws ...27

3.2.1.5 Conventional Hip Screws ............27

3.2.1.6 Intramedullary Hip Screws ..........28

3.2.1.7 Pins, Wires and Cables ................28

3.2.2 External Fixation ........... 29

3.2.3 Long Bone Stimulators ... 29

3.3 MARKET ANALYSIS AND FORECAST ...... 30

3.3.1 Total Orthopedic Trauma Market ..... 30

3.3.2 Total Trauma Market by Segment ..... 34

3.4 MARKET DRIVERS AND LIMITERS .......... 37

3.4.1 Market Drivers 37

3.4.1.1 Aging Population ......37

3.4.1.2 Reduction in Economic Activity ...37

3.4.1.3 Role in Essential Surgery .............37

3.4.1.4 Synthes' Market Dominance ........37

3.4.1.5 Product Innovation ...38

3.4.2 Market Limiters .............. 38

3.4.2.1 Commodity Products 38

3.4.2.2 Reimbursement Pressure .............38

3.5 COMPETITIVE ANALYSIS ..... 39

3.6 MERGERS AND ACQUISITIONS ................ 43

3.6.1.1 Greatbatch Acquires Precimed ....43

3.6.1.2 Consortium Acquires Biomet .......43

3.6.1.3 ReAble Therapeutics Inc. Acquires DJO ....43

3.6.1.4 Smith & Nephew Acquires Plus Orthopedics ................43

3.6.1.5 Tornier Acquires Nexa orthopedics ............43

3.6.1.6 Wright Medical Acquires R&R Medical .....44

PROCEDURES .............. 45

4.1 PROCEDURE OVERVIEW ....... 45

4.1.1 Procedural Definitions .. 45

4.1.2 Total Procedures ............ 46

4.1.3 Procedural Analysis by Region ......... 47

4.1.3.1 Upper Extremities .....47

4.1.3.2 Hip .............49

4.1.3.3 Lower Extremities .....49

PLATE AND SCREW MARKET .................. 53

5.1 INTRODUCTION ..... 53

5.1.1.1 General Product Description ......53

5.1.1.2 Locking Plates ..........54

5.1.1.3 Hybrid Plates ............54

5.2 MARKET ANALYSIS AND FORECAST ...... 55

5.2.1 Total Plate and Screw Market .......... 55

5.2.2 Total Locking Plate Market .............. 59

5.2.3 Locking Plates and Screws by Fragment Size . 62

5.2.3.1 Large Fragment Locking Plates ..62

5.2.3.2 Small Fragment Locking Plates ...64

5.2.3.3 Mini Fragment Locking Plates ....67

5.2.4 Total Standard Plate and Screw Market .......... 70

5.2.5 Standard Plates and Screws by Fragment Size 72

5.2.5.1 Large Fragment Standard Plates and Screws ...............72

5.2.5.2 Small Fragment Standard Plates and Screw .................74

5.2.5.3 Mini Fragment Standard Plates and Screws .................77

5.2.6 Total Hybrid Plate and Screw Market ............. 80

5.3 HYBRID PLATE AND SCREW MARKET BY FRAGMENT SIZE ...... 83

5.3.1.1 Large Fragment Hybrid Plates and Screws ..................83

5.3.1.2 Small Fragment Hybrid Plates and Screws 85

5.3.1.3 Mini Fragment Hybrid Plates and Screws .87

5.3.2 Plate and Screw Market by Material (Stainless Steel and Titanium) 90

Standard Plate and Screw Market by Material (Stainless Steel and Titanium) ..........92

5.3.2.1 Locking Plate and Screw Market by Material (Stainless Steel and Titanium) 96

5.3.2.2 Hybrid Plate and Screw Market by Material (Stainless Steel and Titanium)101

5.3.3 Distal Radius Plates ..... 106

5.4 MARKET DRIVERS AND LIMITERS ........ 108

5.4.1 Market Drivers ............. 108

5.4.1.1 Anatomic Plates and Screws ......108

5.4.1.2 Locking Plates and Screws ........108

5.4.1.3 Hybrid Plates and Screws ..........108

5.4.1.4 Titanium Plates and Screws .......108

5.4.1.5 Distal Radius Plates and Screws ..............109

5.4.2 Market Limiters ............ 109

5.4.2.1 Competing Technologies ...........109

5.4.2.2 Hospital Cost Management .......109

5.5 COMPETITIVE ANALYSIS ... 110

5.5.1 Leading Competitors for the Total Plate and Screw Market ........... 110

5.5.2 Leading Competitors in the Distal Radius Market ........... 114

BIOABSORBABLE FIXATION MARKET .............. 117

6.1 INTRODUCTION ... 117

6.1.1 Product Overview ........ 117

6.1.2 Disadvantages Compared to Metal Fixation . 118

6.1.2.1 Expense ....119

6.1.2.2 Sterilization .............119

6.1.2.3 Decreasing Strength with Absorption .......119

6.1.2.4 Instrumentation .......119

6.1.2.5 Soft Tissue Reaction and Bone Lysis ........119

6.1.3 Future Directions ......... 119

6.2 MARKET ANALYSIS AND FORECAST .... 120

6.3 MARKET DRIVERS AND LIMITERS ........ 122

6.3.1 Market Drivers ............. 122

6.3.1.1 Reduction of Surgery .................122

6.3.1.2 Product Range Expansion .........122

6.3.2 Market Limiters ............ 122

6.3.2.1 Increased Cost ........122

6.3.2.2 Increased Complexity ................122

6.4 COMPETITIVE ANALYSIS ... 123

INTRAMEDULLARY NAIL MARKET .... 125

7.1 INTRODUCTION ... 125

7.1.1 Product Description ..... 126

7.1.2 Efficacy ......... 126

7.2 MARKET ANALYSIS AND FORECAST .... 127

7.2.1 Intramedullary Nail Market by Indication ..... 129

7.2.1.1 Femoral Intramedullary Nails ...129

7.2.1.2 Tibial Intramedullary Nails .......132

7.2.1.3 Humeral Intramedullary Nails ..134

7.2.1.4 Ankle Intramedullary Nails ........136

7.2.1.5 Forearm Intramedullary Nails ..138

7.3 MARKET DRIVERS AND LIMITERS ........ 140

7.3.1 Market Drivers ............. 140

7.3.1.1 Aging Population ....140

7.3.1.2 Growth in Ankle and Femur Nails ............140

7.3.1.3 Clinical Outcome ....140

7.3.1.4 Instrumentation .......140

7.3.2 Market Limiters ............ 141

7.3.2.1 Plates and Screws ...141

7.3.2.2 Competition ............141

7.4 COMPETITIVE ANALYSIS ... 142

CANNULATED SCREW MARKET .......... 145

8.1 INTRODUCTION ... 145

8.1.1.1 Product Description 145

8.1.1.2 Headless Cannulated Screws .....146

8.2 MARKET ANALYSIS AND FORECAST .... 147

8.2.1 Total Cannulated Screw Market ..... 147

8.2.2 Total Market for Headed Cannulated Screws .................. 150

8.2.3 Market for Headed Cannulated Screws by Size ................ 152

8.2.3.1 Large, Headed Cannulated Screws (Diameter > 6 mm) ............152

8.2.3.2 Medium, Headed Cannulated Screws (Diameter 4 mm to 6 mm)..................154

8.2.3.3 Small, Headed Cannulated Screws (Diameter < 4 mm) .............156

8.2.4 Total Market for Headless Cannulated Screws ................ 158

8.3 MARKET FOR HEADLESS CANNULATED SCREWS BY SIZE ..... 161

8.3.1.1 Large, Headless Cannulated Screws (Diameter > 6 mm) ..........161

8.3.1.2 Medium, Headless Cannulated Screws (Diameter 4 mm to 6 mm) ...............163

8.3.1.3 Small, Headless Cannulated Screws (Diameter < 4mm) ...........165

8.4 MARKET DRIVERS AND LIMITERS ........ 167

8.4.1 Market Drivers ............. 167

8.4.1.1 Aging Population ....167

8.4.1.2 Growth of Headless Screws .......167

8.4.1.3 Role in Essential Surgery ...........167

8.4.1.4 Anti-microbial Coatings ............167

8.4.2 Market Limiters ............ 168

8.4.2.1 Lower ASP to Podiatrists ...........168

8.4.2.2 Lack of Product Differentiation in Headed Screws .....168

8.5 COMPETITIVE ANALYSIS ... 169

INTRAMEDULLARY HIP SCREW MARKET ....... 172

9.1 INTRODUCTION ... 172

9.1.1.1 Product Description 172

9.1.1.2 Efficacy ....172

9.2 MARKET ANALYSIS AND FORECAST .... 173

9.3 MARKET DRIVERS AND LIMITERS ........ 175

9.3.1 Market Drivers ............. 175

9.3.1.1 Aging Population ....175

9.3.1.2 Role in Essential Surgery ...........175

9.3.1.3 Clinical Outcome ....175

9.3.2 Market Limiters ............ 176

9.3.2.1 Growth of Hip Replacement ......176

9.3.2.2 Increased Surgical Complexity ..176

9.3.2.3 Increased Patient Pain ..............176

9.4 COMPETITIVE ANALYSIS ... 177

CONVENTIONAL HIP SCREW MARKET ............. 180

10.1 INTRODUCTION . 180

10.1.1.1 Product Description .................180

10.1.1.2 Efficacy ..181

10.2 MARKET ANALYSIS AND FORECAST .. 182

10.2.1 Conventional Hip Screw Market ... 182

10.3 MARKET DRIVERS AND LIMITERS ...... 184

10.3.1 Market Drivers ........... 184

10.3.1.1 Aging Population ..184

10.3.1.2 Surgeon Familiarity .................184

10.3.1.3 Computer-Guided Surgery and Navigation ...............184

10.3.1.4 Earlier Patient Mobilization ....184

10.3.1.5 Price Competitiveness .............185

10.3.2 Market Limiters .......... 185

10.3.2.1 New Technologies .185

10.3.2.2 Growth of Hip Replacement ....185

10.4 COMPETITIVE ANALYSIS . 186

EXTERNAL FIXATION MARKET ........... 189

11.1 INTRODUCTION . 189

11.2 OVERVIEW ........ 191

11.2.1.1 Product Description .................191

11.2.1.2 Efficacy ..191

11.2.1.3 Radiolucency .........191

11.2.1.4 Reusability ............192

11.3 MARKET ANALYSIS AND FORECAST .. 192

11.3.1 Total External Fixation Market .... 192

11.3.2 External Fixation by Anatomy ...... 195

11.3.2.1 Shoulder Girdle External Fixation .........195

11.3.2.2 Forearm External Fixation ......197

11.3.2.3 Upper Arm and Elbow External Fixation ..................200

11.3.2.4 Wrist/Hand/Finger External Fixation ....203

11.3.2.5 Hip (Pelvis and Trochanter) External Fixation .........206

11.3.2.6 Upper Leg External Fixation ...209

11.3.2.7 Knee External Fixation ............212

11.3.2.8 Lower Leg External Fixation ...215

11.3.2.9 Ankle External Fixation ...........218

11.3.2.10 Foot and Toes External Fixation ..........221

11.4 MARKET DRIVERS AND LIMITERS ...... 224

11.4.1 Market Drivers ........... 224

11.4.1.1 Minimally Invasive Nature ......224

11.4.1.2 Temporary Fixation .................224

11.4.1.3 Use with Bone Graft Substitutes .............224

11.4.1.4 Bacteriostatic and Bone Growth Stimulator Coating Usage ....225

11.4.1.5 Common Use of External Fixation in Europe ...........225

11.4.2 Market Limiters .......... 225

11.4.2.1 Infection at the Site of Pin Insertion .......225

11.4.2.2 Reimbursement .....225

11.4.2.3 Rates of Equipment Re-use ......226

11.4.2.4 Growing Internal Fixation Markets ........226

11.5 COMPETITIVE ANALYSIS . 227

LONG BONE STIMULATION MARKET ...... 231

12.1 INTRODUCTION . 231

12.1.1.1 Product Description .................231

12.1.1.2 Efficacy ..231

12.1.1.3 External versus Internal Devices ............232

12.1.1.4 FDA Classification ..................233

12.2 MARKET ANALYSIS AND FORECAST .. 234

12.2.1 Long Bone Growth Stimulator Market ........ 234

12.2.2 External Long Bone Stimulator Market ....... 236

12.2.3 Internal Bone Stimulator Market .. 239

12.3 MARKET DRIVERS AND LIMITERS ...... 241

12.3.1 Market Drivers ........... 241

12.3.1.1 Product Reliability 241

12.3.1.2 Reduced Invasiveness ..............241

12.3.1.3 Ease of Patient Use ..................241

12.3.1.4 Medicare Bid Exemption .........241

12.3.2 Market Limiters .......... 242

12.3.2.1 Competition from Biologic Therapies .....242

12.3.2.2 Prohibition of Physician-Self Referral ...242

12.3.2.3 FDA Class III Regulation ........242

12.4 COMPETITIVE ANALYSIS . 243

12.4.1 Combined Long Bone Growth Stimulator Market .......... 243

ABBREVIATIONS ...... 247

LIST OF FIGURES

EXECUTIVE SUMMARY ................ 1

RESEARCH METHODOLOGY ...... 12

TRAUMA MARKET OVERVIEW . 23

Figure 3-1: Total Orthopedic Trauma Market by Major Market Segment, U.S.,

2006 – 2016 ............ 31

Figure 3-2: Total Trauma Market by Segment, U.S., 2006 – 2016 ...... 35

Figure 3-3: Market Drivers and Limiters, Total Trauma Market, U.S., 2009 ........ 38

Figure 3-4: Leading Competitors, Total Orthopedic Trauma Fixation Market,

U.S., 2009 .............. 41

PROCEDURES ........... 45

Figure 4-1: Total Bone Fixation Procedures, U.S., 2009 .... 46

Figure 4-2: Surgically Treated Upper Extremity Fracture Procedures, U.S.,

2009 ........ 48

Figure 4-3: Surgically Treated Hip Fracture Procedures, U.S., 2009 . 50

Figure 4-4: Surgically Treated Lower Extremity Fracture Procedures, U.S.,

2009 ........ 50

PLATE AND SCREW MARKET .... 53

Figure 5-1 Plate and Screw Fragment Sizes .... 54

Figure 5-2: Total Plate and Screw Market, U.S., 2006 – 2016 ........... 56

Figure 5-3: Total Plate and Screw Market by Segment, U.S., 2006 – 2016 ........... 57

Figure 5-4: Total Locking Plate and Screw Market, U.S., 2006 – 2016 ................ 60

Figure 5-5: Large Fragment Locking Plate and Screw Market, U.S.,

2006 – 2016 ............ 62

Figure 5-6: Small Fragment Locking Plate and Screw Market, U.S.,

2006 – 2016 ............ 65

Figure 5-7: Mini Fragment Locking Plate and Screw Market, U.S.,

2006 – 2016 ............ 68

Figure 5-8: Total Standard Plate and Screw Market, U.S., 2006 – 2016 ............... 70

Figure 5-9: Large Fragment Standard Plate and Screw Market, U.S.,

2006 – 2016 ............ 72

Figure 5-10: Small Fragment Standard Plate and Screw Market, U.S.,

2006 – 2016 ............ 75

Figure 5-11: Mini Fragment Standard Plate and Screw Market, U.S.,

2006 – 2016 ............ 78

Figure 5-12: Total Hybrid Plate and Screw Market, U.S., 2006 – 2016 ................ 81

Figure 5-13: Large Fragment Hybrid Plate and Screw Market, U.S.,

2006 – 2016 ............ 83

Figure 5-14: Small Fragment Hybrid Plate and Screw Market, U.S.,

2006 – 2016 ............ 85

Figure 5-15: Mini Fragment Hybrid Plate and Screw Market, U.S.,

2006 – 2016 ............ 88

Figure 5-16: Plate and Screw Market by Material (Stainless Steel and Titanium),

U.S., 2009 .............. 91

Figure 5-17: Large Fragment Standard Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ........ 93

Figure 5-18: Small Fragment Standard Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ........ 94

Figure 5-19: Mini Fragment Standard Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ........ 95

Figure 5-20: Large Fragment Locking Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ........ 98

Figure 5-21: Small Fragment Locking Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ........ 99

Figure 5-22: Mini Fragment Locking Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ...... 100

Figure 5-23: Large Fragment Hybrid Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ...... 103

Figure 5-24: Small Fragment Hybrid Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ...... 104

Figure 5-25: Mini Fragment Hybrid Plate and Screw Market by Material

(Stainless Steel and Titanium), U.S., 2006 – 2016 ...... 105

Figure 5-26: Distal Radius Plate Market, U.S., 2006 – 2016 ........... 106

Figure 5-27: Market Drivers and Limiters, Plate and Screw Market, U.S., 2009 . 109

Figure 5-28: Leading Competitors, Total Plate and Screw Market, U.S., 2009 ... 112

Figure 5-29 Leading Competitors, Distal Radius Market, U.S., 2009 ................. 115

BIOABSORBABLE FIXATION MARKET .. 117

Figure 6-1: Bioabsorbable Fixation Market, U.S., 2006 – 2016 ....... 120

Figure 6-2: Market Drivers and Limiters, Bioabsorbable Fixation Market, U.S.,

2009 ...... 122

Figure 6-3: Leading Competitors, Bioabsorbable Fixation Market, U.S., 2009 ... 123

INTRAMEDULLARY NAIL MARKET ....... 125

Figure 7-1: Total Intramedullary Nail Market, U.S., 2006 – 2016 ... 127

Figure 7-2: Femoral Intramedullary Nail Market, U.S., 2006 – 2016.................. 130

Figure 7-3: Tibial Intramedullary Nail Market, U.S., 2006 – 2016 .. 132

Figure 7-4: Humeral Intramedullary Nail Market, U.S., 2006 – 2016 ................. 134

Figure 7-5: Ankle Intramedullary Nail Market, U.S., 2006 – 2016 .. 136

Figure 7-6: Forearm Intramedullary Nail Market, U.S., 2006 – 2016 ................. 138

Figure 7-7: Market Drivers and Limiters, Intramedullary Nail Market, U.S.,

2009 ...... 141

Figure 7-8: Leading Competitors, Intramedullary Nail Market, U.S., 2009......... 143

CANNULATED SCREW MARKET ............ 145

Figure 8-1: Total Cannulated Screw Market, U.S., 2006 – 2016 ...... 148

Figure 8-2: Total Headed Cannulated Screw Market, U.S., 2006 – 2016 ............ 150

Figure 8-3: Large, Headed Cannulated Screw Market, U.S., 2006 – 2016 .......... 152

Figure 8-4: Medium, Headed Cannulated Screw Market, U.S., 2006 – 2016....... 154

Figure 8-5: Small, Headed Cannulated Screw Market, U.S., 2006 – 2016 .......... 156

Figure 8-6: Total Headless Cannulated Screw Market, U.S., 2006 – 2016 .......... 159

Figure 8-7: Large, Headless Cannulated Screw Market, U.S., 2006 – 2016 ........ 161

Figure 8-8: Medium, Headless Cannulated Screw Market, U.S., 2006 – 2016..... 163

Figure 8-9: Small, Headless Cannulated Screw Market, U.S., 2006 – 2016 ........ 165

Figure 8-10: Market Drivers and Limiters, Cannulated Screw Market, U.S.,

2009 ...... 168

Figure 8-11: Leading Competitors, Cannulated Screw Market, U.S., 2009 ......... 170

INTRAMEDULLARY HIP SCREW MARKET ............... 172

Figure 9-1: Intramedullary Hip Screw Market, U.S., 2006 – 2016 ... 173

Figure 9-2: Market Drivers and Limiters, Intramedullary Hip Screw Market, U.S.,

2009 ...... 176

Figure 9-3: Leading Competitors, Intramedullary Hip Screw Market, U.S.

2009 ...... 178

CONVENTIONAL HIP SCREW MARKET . 180

Figure 10-1: Conventional Hip Screw Market, U.S., 2006 – 2016 ... 182

Figure 10-2 Market Drivers and Limiters, Conventional Hip Screw Market, U.S.,

2009 ...... 185

Figure 10-3 Leading Competitors, Conventional Hip Screw Market, U.S., 2009. 187

EXTERNAL FIXATION MARKET ............. 189

Figure 11-1: Total External Fixator Market, U.S., 2006 – 2016 ...... 193

Figure 11-2: Shoulder External Fixator Market, U.S., 2009 – 2016 . 195

Figure 11-3: Forearm External Fixator Market, U.S., 2006 – 2016 .. 198

Figure 11-4: Upper Arm and Elbow External Fixator Market, U.S.,

2006 – 2016 .......... 201

Figure 11-5: Wrist/Hand/Finger External Fixator Market, U.S., 2006 – 2016 .... 204

Figure 11-6: Hip (Pelvis and Trochanter) External Fixator Market, U.S.,

2006 – 2016 .......... 207

Figure 11-7: Upper Leg External Fixator Market, U.S., 2006 – 2016 ................. 210

Figure 11-8: Knee External Fixator Market, U.S., 2006 – 2016 ...... 213

Figure 11-9: Lower Leg External Fixator Market, U.S., 2006 – 2016 ................. 216

Figure 11-10: Ankle External Fixator Market, U.S., 2006 – 2016 ... 219

Figure 11-11: Foot and Toes External Fixator Market, U.S., 2006 – 2016 .......... 222

Figure 11-12: Market Drivers and Limiters, External Fixation Market, U.S.,

2009 ...... 226

Figure 11-13: Leading Competitors, External Fixator Market, U.S., 2009 .......... 229

LONG BONE STIMULATION MARKET 231

Figure 12-1: Product Description by Manufacturer .......... 233

Figure 12-2: Total Long Bone Growth Stimulator Market, U.S., 2006 – 2016 .... 234

Figure 12-3: External Long Bone Stimulator Market, U.S., 2006 – 2016............ 236

Figure 12-4: External Long Bone Stimulator Market by Type, U.S.,

2006 – 2016 .......... 237

Figure 12-5: Internal Long Bone Stimulator Market, U.S., 2006 – 2016............. 239

Figure 12-6: Market Drivers and Limiters, Long Bone Stimulation Market, U.S.,

2009 ...... 243

Figure 12-7: Leading Competitors, Long Bone Stimulator Market, U.S., 2009 ... 245

ABBREVIATIONS ... 247

LIST OF CHART S

EXECUTIVE SUMMARY ................ 1

Chart 1-1: Total Trauma Market, U.S., 2006 – 2016 ............ 1

Chart 1-2: Surgically Treated Fracture Procedures by Anatomy, U.S., 2009........... 2

Chart 1-3: Leading Competitors, Total Plate and Screw Market, U.S.,

2006 – 2016 .............. 3

Chart 1-4: Bioabsorbable Fixation Market, U.S., 2006 – 2016 ............ 4

Chart 1-5: Intramedullary Nail Market by Anatomy, U.S., 2009 ......... 5

Chart 1-6: Cannulated Screw Market Annual Revenue Growth Rates, U.S.,

2006 – 2016 .............. 6

Chart 1-7: Conventional and Intramedullary Hip Screw Revenue, U.S.,

2006 – 2016 .............. 7

Chart 1-8: Conventional Hip Screw Market, U.S., 2006 – 2016 .......... 8

Chart 1-9: External Fixation Market U.S., 2006 – 2016 ....... 9

Chart 1-10: Total Long Bone Stimulator Market, U.S., 2009 and 2016 ................ 10

Chart 1-11: Leading Competitors, Orthopedic Trauma Market, U.S., 2009........... 11

RESEARCH METHODOLOGY ...... 12

TRAUMA MARKET OVERVIEW . 23

Chart 3-1: Total Orthopedic Trauma Market, U.S., 2006 – 2016 ....... 32

Chart 3-2: Total Orthopedic Trauma Market by Major Market Segment, U.S.,

2006 – 2016 ............ 33

Chart 3-3: Total Trauma Market by Segment, U.S., 2006 – 2016 ...... 36

Chart 3-4: Leading Competitors, Total Trauma Fixation Market, U.S., 2009 ........ 42

PROCEDURES ........... 45

Chart 4-1: Percentage of Surgically Treated Fracture Procedures by Anatomy,

U.S., 2009 .............. 51

Chart 4-2: Percentage of Surgically Treated Fracture Procedures by Anatomical

Region, U.S., 2009 . 52

PLATE AND SCREW MARKET .... 53

Chart 5-1: Total Plate and Screw Market, U.S., 2006 – 2016 ............ 58

Chart 5-2: Total Locking Plate and Screw Market, U.S., 2006 – 2016.................. 61

Chart 5-3: Large Fragment Locking Plate and Screw Market, U.S., 2006 – 2016.. 63

Chart 5-4: Small Fragment Locking Plate and Screw Market, U.S., 2006 – 2016.. 66

Chart 5-5: Mini Fragment Locking Plate and Screw Market, U.S., 2006 – 2016 ... 69

Chart 5-6: Standard Plate and Screw Market, U.S. 2006 – 2016 ........ 71

Chart 5-7: Large Fragment Standard Plate and Screw Market, U.S., 2006 – 2016 . 73

Chart 5-8: Small Fragment Standard Plate and Screw Market, U.S., 2006 – 2016 . 76

Chart 5-9: Mini Fragment Standard Plate and Screw Market, U.S., 2006 – 2016 .. 79

Chart 5-10: Total Hybrid Plate and Screw Market, U.S., 2006 – 2016.................. 82

Chart 5-11: Large Fragment Hybrid Plate and Screw Market, U.S., 2006 – 2016.. 84

Chart 5-12: Small Fragment Hybrid Plate and Screw Market, U.S., 2006 – 2016.. 86

Chart 5-13: Mini Fragment Hybrid Plate and Screw Market, U.S., 2006 – 2016 ... 89

Chart 5-14: Distal Radius Plate Market, U.S., 2006 – 2016 ............ 107

Chart 5-15 Leading Competitors, Total Plate and Screw Market, U.S., 2009 ...... 113

Chart 5-16: Leading Competitors, Distal Radius Market, U.S., 2009.................. 116

BIOABSORBABLE FIXATION MARKET .. 117

Chart 6-1: Bioabsorbable Fixation Market, U.S., 2006 – 2016 ........ 121

Chart 6-2: Leading Competitors, Bioabsorbable Fixation Market, U.S., 2009..... 124

INTRAMEDULLARY NAIL MARKET ....... 125

Chart 7-1: Total Intramedullary Nail Market, U.S., 2006 – 2016 .... 128

Chart 7-2: Femoral Intramedullary Nail Market, U.S., 2006 – 2016 131

Chart 7-3: Tibial Intramedullary Nail Market, U.S., 2006 – 2016 ... 133

Chart 7-4: Humeral Intramedullary Nail Market, U.S., 2006 – 2016 .................. 135

Chart 7-5: Ankle Intramedullary Nail Market, U.S., 2006 – 2016 ... 137

Chart 7-6: Forearm Intramedullary Nail Market, U.S., 2006 – 2016 139

Chart 7-7: Leading Competitors, Intramedullary Nail Market, U.S., 2009 .......... 144

CANNULATED SCREW MARKET ............ 145

Chart 8-1: Total Cannulated Screw Market, U.S., 2006 – 2016 ....... 149

Chart 8-2: Total Headed Cannulated Screw Market, U.S., 2006 – 2016.............. 151

Chart 8-3: Large, Headed Cannulated Screw Market, U.S., 2006 – 2016 ............ 153

Chart 8-4: Medium, Headed Cannulated Screw Market, U.S., 2006 – 2016 ........ 155

Chart 8-5: Small, Headed Cannulated Screw Market, U.S., 2006 – 2016 ............ 157

Chart 8-6: Total Headless Cannulated Screw Market, U.S., 2006 – 2016............ 160

Chart 8-7: Large, Headless Cannulated Screw Market, U.S., 2006 – 2016.......... 162

Chart 8-8: Medium, Headless Cannulated Screw Market, U.S., 2006 – 2016 ...... 164

Chart 8-9: Small, Headless Cannulated Screw Market, U.S., 2006 – 2016.......... 166

Chart 8-10: Leading Competitors, Cannulated Screw Market, U.S., 2009.......... 171

INTRAMEDULLARY HIP SCREW MARKET ............... 172

Chart 9-1: Intramedullary Hip Screw Market, U.S., 2006 – 2016 .... 174

Chart 9-2: Leading Competitors, Intramedullary Hip Screw Market, U.S. 2009.. 179

CONVENTIONAL HIP SCREW MARKET . 180

Chart 10-1: Conventional Hip Screw Market, U.S., 2006 – 2016 .... 183

Chart 10-2 Leading Competitors, Conventional Hip Screw Market, U.S., 2009 .. 188

EXTERNAL FIXATION MARKET ............. 189

Chart 11-1: Total External Fixator Market, U.S., 2006 – 2016 ........ 194

Chart 11-2: Shoulder External Fixator Market, U.S., 2009 – 2016 .. 196

Chart 11-3: Forearm External Fixator Market, U.S., 2006 – 2016 ... 199

Chart 11-4: Upper Arm and Elbow External Fixator Market, U.S., 2006 – 2016 . 202

Chart 11-5: Wrist/Hand/Finger External Fixator Market, U.S., 2006 – 2016 ...... 205

Chart 11-6: Hip (Pelvis and Trochanter) External Fixator Market, U.S.,

2006 – 2016 .......... 208

Chart 11-7: Upper Leg External Fixator Market, U.S., 2006 – 2016 211

Chart 11-8: Knee External Fixator Market, U.S., 2006 – 2016 ........ 214

Chart 11-9: Lower Leg External Fixator Market, U.S., 2006 – 2016 .................. 217

Chart 11-10: Ankle External Fixator Market, U.S., 2006 – 2016 ..... 220

Chart 11-11: Foot and Toes External Fixator Market, U.S., 2006 – 2016 ........... 223

Chart 11-12 Leading Competitors, External Fixator Market, U.S., 2009............. 230

LONG BONE STIMULATION MARKET 231

Chart 12-1: Total Long Bone Growth Stimulator Market, U.S., 2006 – 2016...... 235

Chart 12-2: Long Bone Stimulator Market, U.S., 2006 – 2016 ........ 238

Chart 12-3: Internal Long Bone Stimulator Market, U.S., 2006 – 2016 .............. 240

Chart 12-4: Leading Competitors, External Long Bone Stimulator Market, U.S.,

2009 ...... 246

ABBREVIATIONS ... 247

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Orthopedic Industry: U.S. Market for Orthopedic Trauma Devices 2010

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