MediPoint: Trauma Fixation - APAC Analysis and Market Forecasts

LONDON, Dec. 30, 2013 /PRNewswire/ -- Reportbuyer.com just published a new market research report:

MediPoint: Trauma Fixation - APAC Analysis and Market Forecasts

MediPoint: Trauma Fixation - APAC Analysis and Market Forecasts

Summary

Traumatic injury patients that come into the Emergency Room (ER) experience orthopedic injury in the form of fractures 60% to 65% of the time, based on GlobalData's conversations with key opinion leaders. Of this population, 45%–50% are operable and require fracture repair techniques in the form of external or internal fixation. As the global population continues to grow in the emerging markets, with overcrowding and economic growth, some of the drivers for trauma fixation include motor vehicle accidents and aging. GlobalData's analysis shows that while the orthopedics implant market is mature, where products have become commodities, trauma fixation is one that has room for more technological development and adoption.

Japan is one of the largest healthcare markets and has a mature healthcare market similar to those of the west. With its high proportion of aging, it is a prime market for hip fixation, while the other APAC markets, China and India, with their growing populations have both a market of elderly and young patients who increasingly are faced with high-energy trauma.

Scope

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

Reasons to buy

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

Table of Contents

1 Table of Contents 8
1.1 List of Tables 13
1.2 List of Figures 18
2 Introduction 19
2.1 Catalyst 20
3 Disease Overview 22
3.1 Anatomy and Physiology 22
3.1.1 Bone Biology 22
3.1.2 Skeletal Structure 22
3.2 Pathophysiology 25
3.2.1 Overview 25
3.2.2 Post-Traumatic Arthritis 25
3.2.3 Fracture 25
3.3 Clinical Presentation 26
3.3.1 Symptoms 26
3.3.2 Fracture Types 27
3.3.3 Fractures by Location 29
3.3.4 Hip Injury 31
3.4 Clinical Outcomes 32
3.4.1 Immobilization 32
3.4.2 Plates and Screws 33
3.4.3 Intramedullary Nails 35
3.4.4 Hip Fixation Device Options 35
3.4.5 External Fixation 38
4 Industry Overview 39
4.1 Overview 39
4.2 Procedure Trends 41
4.2.1 APAC 41
4.3 Market Access 42
4.3.1 APAC 42
4.4 Regulatory Issues / Recalls 49
4.4.1 Rigid FX FDA Warning Letter 49
4.4.2 DePuy Orthopedics LBS Lower Extremity Dovetail Intercalary Component Recall 49
4.5 Mergers, Acquisitions and Partnerships 49
4.5.1 Zimmer Acquires NORMED Medizin-Technik 49
4.5.2 Smith & Nephew Acquires Adler Mediequip Private Limited 50
4.5.3 Smith & Nephew plc Announces Acquisition of Brazil Distribution Business 50
4.5.4 Biomet Inc. Acquires DePuy Trauma 50
4.5.5 Zimmer Acquires ExtraOrtho XtraFix External Fixation Product Line 50
4.5.6 DePuy Orthopaedics (Johnson & Johnson) and Synthes Inc. Merge 50
4.5.7 Synthes Inc. and AO Foundation Partnership 51
4.6 Economic Impact 51
4.6.1 Developed Countries 51
4.6.2 Emerging Markets 52
4.7 Market Drivers 52
4.7.1 Rising Prevalence 52
4.7.2 Development Due to War 56
4.7.3 Bone Regeneration 56
4.7.4 Commoditization of Orthopedic Market 57
4.7.5 Patient Demand and Awareness 58
4.7.6 Technological Developments 58
4.7.7 Rising Competition and Innovation through Small Players 60
4.7.8 Materials Development 60
4.8 Market Opportunities 62
4.8.1 Mergers and Acquisitions 62
4.8.2 Emerging Markets 62
4.8.3 Extremities Growth 63
4.8.4 Capitalizing on Market Fragmentation 64
4.9 Market Barriers 65
4.9.1 Burden of Rising Regulation 65
4.9.2 Proving Efficacy 66
4.9.3 Pricing Pressures and Reimbursement 67
4.9.4 Medical Device Excise Tax 68
4.10 Substitutes 68
4.10.1 Joint Replacement 68
4.10.2 Generic Implants 69
4.10.3 External Fixation 70
5 Competitive Assessment 72
5.1 Overview 72
5.2 Global Market Share 72
5.2.1 Global Market Share 72
5.3 Marketed Products 75
5.3.1 Key Internal Fixation Products 77
5.3.2 Key External Fixation Devices 108
6 Unmet Needs 112
6.1 Addressing the Complications 112
6.2 Advanced Materials Research 112
6.3 Improving Borderline Patient Treatment Outcomes 113
6.4 Bioabsorbable Technology Development 114
6.5 Centralization 114
6.6 Cost Containment 115
6.7 Drug-Eluting Implants 116
6.8 Long-Term Clinical Data 116
6.9 Trauma Registry 118
7 Pipeline Products 120
7.1 Overview 120
7.2 Product Profiles 120
7.2.1 Drug-Releasing Screws by Bioretec 120
7.2.2 Small Bone Innovations Arthrodesis Plates 120
7.2.3 Semprus Biosciences Trauma Fixation Devices 120
7.2.4 Nanova Inc. Bioabsorbable Bone Screws 120
7.2.5 CAMBfix Ltd. Pipeline 121
7.2.6 Nutek Orthopaedics LLC External Fixation Pipeline 121
7.2.7 Innovia LLC Develops IM Nail 121
8 Clinical Trials to Watch 122
8.1 Overview 122
8.2 Orthopedic Trauma Patient Quality of Life Trial 122
8.3 Non-Operative vs. Operative Management of Olecranon Fractures 123
8.4 Smith & Nephew INTUIT Hip Fracture Study 123
8.5 Distal Radius Fracture Fixation Comparison 124
8.6 Nails versus Plates for Femur Fractures in Dar es Salaam, Tanzania 124
9 Current and Future Players 125
9.1 Trends in Corporate Strategy 125
9.2 Company Profiles 126
9.2.1 Acumed 126
9.2.2 Biomet 128
9.2.3 DePuy Synthes International 130
9.2.4 Integra LifeSciences 132
9.2.5 Orthofix 134
9.2.6 OsteoMed 136
9.2.7 Small Bone Innovations, Inc. 137
9.2.8 Smith & Nephew 139
9.2.9 Stryker 141
9.2.10 Tornier 143
9.2.11 Trimed Inc. 145
9.2.12 Wright Medical 147
9.2.13 Zimmer 149
9.2.14 Companies in Trauma 152
10 Market Outlook 156
10.1 APAC 156
10.1.1 Overview 156
10.1.2 Japan 156
10.1.3 China 157
10.1.4 India 159
11 Appendix 162
11.1 Abbreviations 162
11.2 Bibliography 163
11.3 Research Methodology 172
11.3.1 Overview 172
11.3.2 Coverage 172
11.3.3 Secondary Research 173
11.3.4 Forecasting Methodology 173
11.3.5 Primary Research – Key Opinion Leader Interviews 175
11.3.6 Primary Research – Physician Survey 175
11.3.7 Expert Panel Validation 177
11.4 Physicians and Specialists Included in this Study 177
11.4.1 Dr. Philippe Bellemère 177
11.4.2 Julio Duarte Clemente, MD, PhD. 177
11.4.3 Dr. Moussa Hamadouche 177
11.4.4 Dr. Vidhya Ravi 177
11.4.5 Robert M. Szabo, MD, MPH 178
11.4.6 Dr. Marcello Zaia Oliveira 178
11.4.7 Robert Zura, MD 178
11.5 About the Authors 179
11.5.1 Analysts 179
11.5.2 Global Head of Healthcare 180
11.6 About MediPoint 181
11.7 About GlobalData 181
11.8 Disclaimer 181

List of Tables

Table 1: Clinical Symptoms and Descriptions 26
Table 2: Fracture Locations in the Body 30
Table 3: Locking Plates vs. Non-Locking Plates Features 33
Table 4: IM Nail Technical Specifications 35
Table 5: Fixation Types for Hip Fractures 36
Table 6: Direct and Indirect Costs of Orthopedics 52
Table 7: Acumed Lower Extremity Internal Fixation Products and Screws 77
Table 8: Acumed Upper Extremity Internal Fixation Products 78
Table 9: Acumed Plate and Screw Systems SWOT 79
Table 10: Acumed IM Nail Systems SWOT 79
Table 11: Biomet Internal Fixation Plates and Screws 80
Table 12: Biomet Internal Fixation IM Nails 81
Table 13: Biomet Plate and Screw Systems SWOT 81
Table 14: Biomet IM Nail Systems SWOT 82
Table 15: Bioretec Internal Fixation Implants 83
Table 16: Bioretec Bioabsorbable Screws SWOT 83
Table 17: DePuy Synthes Plates and Screws 84
Table 18: DePuy Synthes Intramedullary Nails 85
Table 19: DePuy Synthes Plate and Screw Systems SWOT 86
Table 20: DePuy Synthes IM Nail Systems SWOT 86
Table 21: Extremity Medical Plates, Screws and Nails 87
Table 22: Extremity Medical Internal Fixation Systems SWOT 87
Table 23: Integra Life Sciences Lower Extremity Internal Fixation Products 88
Table 24: Integra Life Sciences Upper Extremity Internal Fixation Products 89
Table 25: Integra Life Sciences Internal Fixation Systems SWOT 90
Table 26: Orthofix Internal Fixation Plates and Screws 91
Table 27: Orthofix Internal Fixation IM Nails 91
Table 28: Orthofix Plate and Screw Systems SWOT 91
Table 29: Orthofix IM Nails SWOT 92
Table 30: Osteomed Internal Fixation Lower Extremity 92
Table 31: Osteomed Internal Fixation Upper Extremity 93
Table 32: Osteomed Upper Extremity Systems SWOT 93
Table 33: Osteomed Lower Extremity Systems SWOT 93
Table 34: Small Bone Innovations Internal Fixation Lower Extremity 94
Table 35: Small Bone Innovations Internal Fixation Upper Extremity 94
Table 36: SBi Upper Extremity Systems SWOT 95
Table 37: SBi Lower Extremity Systems SWOT 95
Table 38: Smith & Nephew Internal Fixation 96
Table 39: Smith & Nephew Plate and Screw Systems SWOT 97
Table 40: Stryker Internal Fixation Upper Extremity 97
Table 41: Stryker Internal Fixation Lower Extremity 98
Table 42: Stryker Internal Fixation Foot and Ankle 99
Table 43: Stryker Upper Extremity Systems SWOT 100
Table 44: Stryker Lower Extremity Systems SWOT 100
Table 45: Tornier Internal Fixation Upper Extremity 101
Table 46: Tornier Plate and Screw Systems SWOT 102
Table 47: Trimed Internal Fixation Lower Extremity 102
Table 48: Trimed Internal Fixation Upper Extremity 103
Table 49: Trimed Plate and Screw Systems SWOT 103
Table 50: Wright Medical Internal Fixation Lower Extremity Plates and Screws 104
Table 51: Wright Medical Internal Fixation Upper Extremity Plates and Screws 105
Table 52: Wright Medical Lower Extremity Plate and Screw Systems SWOT 106
Table 53: Wright Medical Upper Extremity Plate and Screw Systems SWOT 106
Table 54: Zimmer Internal Fixation Plates and Screws 107
Table 55: Zimmer Internal Fixation IM Nails 107
Table 56: Zimmer Plate and Screw Systems SWOT 107
Table 57: Zimmer IM Nail System SWOT 108
Table 58: Biomet External Fixation 108
Table 59: DePuy Synthes External Fixation 108
Table 60: Orthofix External Fixation 109
Table 61: Smith & Nephew External Fixation 110
Table 62: Stryker External Fixation 110
Table 63: Wright Medical External Fixation 111
Table 64: Zimmer External Fixation 111
Table 65: Orthopedic Trauma Patient Quality of Life Trial 122
Table 66: Non-Operative vs. Operative Management of Olecranon Fractures 123
Table 67: INTUIT Hip Fracture Outcome Study 123
Table 68: Distal Radius Fracture Fixation Comparison 124
Table 69: Nails versus Plates for Femur Fractures in Dar es Salaam, Tanzania 124
Table 70: Company Profile – Acumed LLC 126
Table 71: SWOT Analysis – Acumed LLC 127
Table 72: Company Profile – Biomet Orthopedics 128
Table 73: SWOT Analysis – Biomet Orthopedics 129
Table 74: Company Profile – DePuy Synthes International 131
Table 75: SWOT Analysis – DePuy Synthes International 132
Table 76: Company Profile – Integra LifeSciences Inc. 133
Table 77: SWOT Analysis – Integra LifeSciences Inc. 134
Table 78: Company Profile – Orthofix Inc. 135
Table 79: SWOT Analysis – Orthofix Inc. 135
Table 80: Company Profile – OsteoMed 136
Table 81: SWOT Analysis – OsteoMed 137
Table 82: Company Profile – Small Bone Innovations Inc. 138
Table 83: SWOT Analysis – Small Bone Innovations Inc. 138
Table 84: Company Profile – Smith & Nephew 139
Table 85: SWOT Analysis – Smith & Nephew 140
Table 86: Company Profile – Stryker 142
Table 87: SWOT Analysis – Stryker 143
Table 88: Company Profile – Tornier N.V. 144
Table 89: SWOT Analysis – Tornier N.V. 145
Table 90: Company Profile – Trimed, Inc. 146
Table 91: SWOT Analysis – Trimed 146
Table 92: Company Profile – Wright Medical 147
Table 93: SWOT Analysis – Wright Medical 148
Table 94: Company Profile – Zimmer Holdings Inc. 150
Table 95: SWOT Analysis – Zimmer Holdings, Inc. 151
Table 96: Trauma Companies in the Global Market 152
Table 97: Trauma Companies in APAC Market 154
Table 98: Trauma Fixation Sales ($m) Forecast for Japan, 2010–2019 156
Table 99: Trauma Fixation Sales ($m) Forecast for China, 2010–2019 158
Table 100: Trauma Fixation Sales ($m) Forecast for India, 2010–2019 160

1.2 List of Figures
Figure 1: Skeletal Structure 23
Figure 2: Joint Structure 24
Figure 3: Fracture Types 27
Figure 4: Hip Fracture Types 31
Figure 5: Hip Fracture Distribution 36
Figure 6: Fracture by Bones, 2008 39
Figure 7: Global Product Sales Volume for Trauma Fixation, 2010–2019 40
Figure 8: APAC Product Sales Volume for Trauma Fixation, 2010–2019 42
Figure 9: Sources of Orthopedic Trauma (%) 54
Figure 10: Global Market Share for Plates and Screw Systems, 2012 73
Figure 11: Global Market Share for IM Nails, 2012 74
Figure 12: Global IM Nails Breakdown, 2012 74
Figure 13: Global Market Share for External Fixation, 2012 75
Figure 14: Influencing Factors for Plate and Screw Products 76
Figure 15: Challenging Aspects in Trauma Surgery 117
Figure 16: Japan Sales ($m) Forecast for Trauma Fixation, 2010–2019 157
Figure 17: China Sales ($m) Forecast for Trauma Fixation, 2010–2019 159
Figure 18: India Sales ($m) Forecast for Trauma Fixation, 2010–2019 161
Figure 19: Surgeon Location Breakdown Trauma Survey (n=103) 176
Figure 20: Surgeon Practice Setting Trauma Survey (n=103) 176

Companies Mentioned

Acumed
Biomet
DePuy Synthes International
Integra LifeSciences
Orthofix
OsteoMed
Small Bone Innovations, Inc.
Smith & Nephew
Stryker
Tornier
Trimed Inc.
Wright Medical
Zimmer

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MediPoint: Trauma Fixation - APAC Analysis and Market Forecasts
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