European Orthopedic Market 2021-2026: Hip, Knee & Shoulder

European Orthopedic Market 2021-2026: Hip, Knee & Shoulder

Overview: The report contains 900 pages and 1,600 exhibits detailing the European orthopedic market of Hip, Knee and Shoulder in Germany, UK, France, Italy, Spain and other 13 other countries also analysed to get accurate picture of entire European market: Belgium, Denmark, Finland, Sweden, Ireland, Netherlands, Austria, Luxembourg, Greece, Portugal, Switzerland, Norway & Turkey.

Why to acquire this report?

  • Special focus on worldwide orthopedic market player dynamics & global market trends
  • Focus on high-growth products: dual mobility hip, shorter stem hip, reverse shoulder...
  • Impact of COVID-19 on the orthopedic market
  • Innovation & new technologies for implants: Robotic-assisted, navigation surgeries, Additive Manufacturing & 3D Printing in orthopedics
  • Impact of inflation on the orthopedic market
  • Detailed profiles of main Majors and Challengers in Europe
What you will find in this report:
  • Special focus on worldwide orthopedic market player dynamics & global market trends: USA, Europe, China, South Korea, Australia, Japan: Hip & Knee units and value in 2021 plus 2026 forecast
  • Focus on high growth products: hip dual mobility cups, hip partial mobile cup, hip shorter stem, hip anterior approach, 3D printing & trabecular metal used in hip, knee and shoulder, robotic assisted and navigation surgeries, etc.
  • Innovation & new technologies for implants: Robotic-assisted and Navigation surgeries & Additive Manufacturing & 3D Printing
  • Analysis of the drivers & limiters of the market, price pressure and regulatory trends & MDR impact in Europe.
  • Comprehensive analysis of the key companies with detailed profiles of main Majors and Challengers in Europe: revenues, growth, split by activities & geography, flagship products, company history, main acquisitions.
  • Impact of COVID in orthopedic markets: 2020, 2021 and beyond
  • Impact of inflation on the orthopedic market


INTRODUCTION AND SURVEY METHODOLOGY
Important notice
Countries in the perimeter of the survey: five main countries: Inhabitants in Million / GDP per capita in US $
Countries in the perimeter of the survey: twelve other economies: Inhabitants in Million / GDP per capita in US $
METHODOLOGY (1/3): Our methodology consists of 3 approaches
METHODOLOGY (2/3): Orthopedic companies face to face and direct interviews
METHODOLOGY (3/3): Pricing in 2021
Bearing materials
Bearing materials: Advantages & Weaknesses
Hip general segmentation
Hip segmentation by fixations & bearings: Cemented, Cementless & Hybrid and M/Pe, Ce/Pe, Ce/Ce & M/M
Knee general segmentation
Knee segmentation: Fixed Vs. Mobile knee bearings, Fixations, Posterior stabilized Vs. Cruciate Retaining
Shoulder general segmentation
EXECUTIVE SUMMARY: WORLDWIDE ORTHOPEDIC & SPINE MARKET IN 2021.
Worldwide Orthopedic & Spine market in 2021
Synopsis: Orthopedic market
I- WORLDWIDE ORTHOPEDIC & SPINE MARKET IN 2021
Worldwide Orthopedic markets in 2021: Hip, Knee, Extremities, Spine, Trauma, Orthobiologics, other
The Worldwide Orthopedic market: growth for Hip, Knee, Extremities…
Worldwide implants market in 2021 in value (B$): Hip, Knee, Spine
Worldwide implants & Orthobiologics market in 2021 in value (B$): Trauma & CMF, Orthobiologics, Extremities
European implants market in 2021 in value (M€)
Worldwide Orthopedic market in 2021: competition Depuy Synthes, Zimmer Biomet, Stryker, Medtronic, Smith & Nephew,
other
Worldwide competition by product in 2021
Three types of Challengers: Challengers type 1 (country leader), Challengers type 2 (country player) and Challengers type 3
(local vendors) competing with the Majors
The challengers gained market shares for the total Orthopedics
The challengers gained market shares continuously 2013-2021 in hip, knee, spine, trauma & CMF…
Hip Europe market share 2008-2021 for Zimmer Biomet, Depuy Synthes, Stryker, Smith & Nephew, Challengers
Knee Europe market share 2008-2021 for Zimmer Biomet, Depuy Synthes, Stryker, Smith & Nephew, Challengers
Majors Vs Challengers: Majors saved their margins & Challengers got the growth!
Majors Vs Challengers: Majors saved their ranking but Challengers got the growth! Depuy Synthes, Zimmer Biomet,
Medtronic, Stryker, Smith & Nephew Vs Exactech, Aesculap, Globus, Lima, Wright, Nuvasive, Amplitude
Challengers are growing Vs Majors
Challengers growing Vs majors: the reasons
Ratio for 10,000 inhabitants & growth by area: Hip ratio: Nb of hip implants for 10,000 inhabitants / Knee ratio: Nb of knee
implants for 10,000 inhabitants / Hip CAGR 2019 -2026 (%) / Knee CAGR 2019 -2026 (%)
Ratio of hip & knee for 10,000 inhabitants by area: USA, Europe, Japan, Australia, South Korea, China and ROW
Drivers & limiters (1/2)
Drivers & limiters (2/2)
Market Drivers
Global population growth 1950-2050 and people over 65
The market drivers: Demographic & Economic
The market drivers: Innovation & new products
Innovative surgeons are looking for new products. They are attracted by new Orthopedic projects. Conservative surgeons
mainly use standard products with decades of clinical evidence
Product Mix pulls the market Total hip trends 2006-2026 (in volume) Cemented, Cementless, Hybrid
The revision driver: more and more people have more than one implant in their life Hip implant trends 2006-2021 (in
volume)
Hip market structure: More Revision prosthesis -> positive impact on mix product
The market limiters (1/4): Reimbursement and pricing regulation
The market limiters (2/4): HIP average price trend in Europe
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Europe
The market limiters (3/4): Regulatory, Certification,…– Example of France: Over the last 18 years, the only tariff decrease
of hip reimbursement in France happened in November 2013 and was scheduled over three consecutive years (2013,
2014, 2015, 2021)
The market limiters (4/4): Group purchasing in Europe was a limiter of the market in Germany, it was much less successful
in France and Italy and not developed in USA
HIP average price trend in Europe: 2003-2021
Innovative surgeons are looking for new products
The Orthopedic sale channels
Hip Europe forecasted market share 2014-2026 for Zimmer Biomet, Depuy Synthes, Stryker, Smith & Nephew, Challengers
Knee Europe forecasted market share 2014-2026 for Zimmer Biomet, Depuy Synthes, Stryker, Smith & Nephew,
Challengers
The life cycle of the Orthopedic products: growth forecasts by 2026
Worldwide Orthopedic market forecasts / Worldwide Orthopedic market: CAGR 2021 -2026
II- EUROPE ORTHOPEDICS MARKET 2021 – 2026
EUROPE Contents
European Regulation Agenda
Regulations of medical devices
Regulatory aspects and certification of Medical Devices
MDR (Medical Device Regulation): impact in Europe
A product’s CE marked under MDD will remain valid for about 5 years
EUROPE in 2021: Population, age structure, health data
The withdrawal of entire product lines from the market,
Hip implant market overviews 2021 – 2026
Hip Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Hip global segmentation
Hip segmentation: fixations & bearings
Hip Implants Market in 2021
Hip implant market 1999-2021
Hip market in Value (M €)
Hip implant in 2021 (in volume): Total, Partial, Revision & Resurfacing
Resurfacing collapsed due to the Metal on Metal (M/M) problems
Total hip implant in 2021 (in volume): Monobloc Vs. Modular
Stem, head & cup (in volume x 1000)
Modular Total hip in 2021 (in volume): Cemented, Cementless & Hybrid
Cementless & hybrid Total hip in 2021 (in volume & in %)
Bearing trend in Total hip
Ceramic, metal & PE trends for Head and Cup
Metal & Ceramic HEAD
Metal, Ceramic & PE CUP
Hip implants in 2021 in EUROPE: Competitive environment analysis / Hip implants in 2021 in EUROPE: Market shares
Hip in EUROPE: Top 5 and other competitor market shares benchmarking
2008-2021 Hip trends in EUROPE: 7 company leaders sales/year analysis
Modular Total hip in 2021: Cemented, Cementless & Hybrid average sale prices in Euros
Average Hip Prices in 2021
Hip implants in 2021 (in value): Total, Partial & Revision hip
Hip implant market in EUROPE in M€ in 2021
Total hip implants in 2021 (in value): Monobloc Vs. Modular
Total hip implant market in EUROPE: Bearing Materials
Cemented modular Total hip in 2021 (in value)
Cemented modular Hip implant market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Cementless modular Total hip market
Hybrid modular Total hip market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Ceramic based: Ce/Pe and Ce/Ce bearings global market
& 30 other players
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Europe
Modular Total hip in 2021 (in value): Cementless, Cemented & Hybrid
High growth products in 2021: tomorrow’s cash cow?
Anterior surgical approach ratio
Mini hip implant in 2021 (in volume)
Mini hip ratio
Dual mobility cup in 2021 (in volume)
Primary dual mobility cup in 2021 (in volume)
Revision dual mobility cup in 2021 (in volume)
Dual mobility cup market in 2021 (in value)
Primary & Revision market ratio (in value)
Dual mobility cup market for primary
Dual mobility cup market for revision
Dual mobility cup in 2021 in EUROPE: Competitive environment analysis
Mobile cup for partial
Mobile cup trends
Mobile cup in partial implants: % / partial implants
Mobile cup in partial implants In Volume (x 1 000 implants)
Hip Implant Market in 2021: Synthesis
Hip implant opportunities & trends by 2026
Hip implant trends 2008-2026: Total, Partial, Revision, Resurfacing & Mini hip
Total mini hip implant 2008-2026 (in volume)
Dual mobility cup 2008-2026 (in volume)
Bipolar shells evolution 2008-2026
Impact of the Bipolar shells on partial implants average price
Total hip trends 2008-2026 (in volume): Modular Vs. Monobloc
Stem, head & cup market 2008-2026 (in volume)
Total hip trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Bearing materials Cemented trends 2008-2026 (in volume)
Cementless trends 2008 – 2026 (in volume): M/Pe, Ce/Pe, Ce/Ce, M/M
Cementless & Hybrid trends 2008-2026 (in volume) M/Pe, Ce/Pe, Ce/Ce, M/M
Bearing evolution in Total hip 2008-2026
Ceramic, metal & PE trends for heads and cups 2008-2026
Bearing materials: Cemented Total hip market 2008-2026 (in value)
Bearing materials: Cementless Total hip market 2008-2026 (in value)
Bearing materials: Hybrid market 2008-2026 (in value)
2021 – 2026 Price trends
Price Erosion assumption per year
Example of price decrease for each product (Euros)
Average price erosion/year from 2021 to 2026
Hip erosion price and the growth factors
The volume & mix impact balancing price erosion
Price erosion existing, but the decrease segment by segment is different
Hip market trends 2008-2026 (in value)
Total hip market 2008-2026 (in value): Cementless, Hybrid & Cemented
Total hip market 2008-2026 (in value): Modular Vs. Monobloc
Hip implant market 2008-2026 (in value): Total, Partial, Revision hips
Dual mobility cup market 2008-2026: Primary & Revision market split (in value)
Total mini hip market 2012-2026 (in value)
Anterior approach surgeries 2008-2026
Knee implant market overviews 2021 – 2026
Knee Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Knee global segmentation
Knee segmentation: Fixed Vs. Mobile knee bearings, Fixations, Posterior stabilized Vs. Cruciate Retaining Total
knees
Knee Implants in 2021
Knee implant market (2019-2021 ) In Volume
Knee implant market in 2021 (in volume): Total, Partial, Revision knees
Knee implant market in 2021 (in volume): Fixed bearing Vs. Mobile bearing
Partial implant market in 2021 (in volume): Uni Vs. Femoro Pat.
Total knee market in 2021 (in volume): Posterior Stabilized Vs. Cruciate Retaining
Posterior Stabilized Vs. Cruciate Retaining: criteria of choice for the surgeons
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
& 20 other Players
& 10 other Players
Europe
Total knee market in 2021 (in volume): Cemented, Cementless, Hybrid for Mobile & fixed bearing Total
Knees
Knee implants in 2021 in EUROPE: Competitive environment analysis
Fixed Vs. Mobile bearing Total knee prices in 2021: Cemented, Cementless, Hybrid
Average Knee Prices in 2021 Total, Partial, Revision knees
Knee implant market in 2021 (in value): Total Vs. Partial Vs. Revision
Total Knee implant market in 2021 (in value) Posterior Stabilized Vs. Cruciate retaining
Total knee market in 2021 (in value): Fixed bearing Vs. Mobile bearing
Fixed & Mobile bearing knee market in 2021 (in value)
Partial implant market in 2021 (in value): Uni Vs. Femoro Pat.
Partial Knee implant market in value in 2021
Knee Implant Market in 2021 Synthesis
Knee opportunities & trends by 2026
Knee implant trends 2008-2026 (in volume): Total, Partial, Revision
Total knee trends 2008-2026 (in volume): Posterior stabilized Vs. Cruciate Retaining
Total knee trends 2008-2026 (in volume): Fixed bearing Vs. Mobile bearing
Fixed bearing knee trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Mobile bearing trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Price trends
Price Erosion assumption per year
Example of price decrease for each product (in Euros)
Average price erosion/year from 2021 to 2026
Impact of product mix on the average price
2021 – 2026 Average price decrease in%
Knee erosion price and the growth factors
The volume & mix impact balancing price erosion
Fixed bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Mobile bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Total knee market 2008-2026 (in value) Fixed Bearing Vs. Mobile Bearing
Total knee market 2008-2026 (in value): Posterior Stabilized Vs. Cruciate retaining
Partial knee Implant market: UNI Vs. Femoro Pat. in 2026
Knee implant market 2008-2026 (In value): Total, Partial, Revision
Shoulder implant market overviews 2021 - 2026
Shoulder Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Shoulder global segmentation
Shoulder implant market in 2021
Shoulder implant market in 2021 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant market in 2021 (in volume): Standard Vs. Reversed
Shoulder implants in 2021 in EUROPE: Competitive environment analysis
Shoulder implant prices in 2021
Shoulder implant market in 2021 (in value): Total, Partial, Revision, Resurfacing
Total shoulder market in 2021 (in value): Standard Vs. Reversed
Total standard shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Total reversed shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Mini shoulder & Universal stems for standard and reversed shoulder in 2021 (in volume)
Shoulder Implant Market in 2021: Synthesis
Shoulder opportunities & trends by 2026
Shoulder implant trends 2008-2026 Global market (in volume)
Shoulder implants growth rate per year 2003-2026
Shoulder implant trends 2008-2026 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in volume) Standard Vs. Reversed
Price trends
Shoulder erosion price and the growth factors
Total standard shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Total reversed shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Shoulder implant trends 2008-2026 (in value): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in value): Standard Vs. Reversed
III- GERMANY ORTHOPEDICS MARKET 2021 – 2026
Germany Contents
Germany in 2021: Population, age structure, health data
Sources & references for Germany
Reimbursement and regulatory outline
DRG Introduction
Regulation: DRG
Regulation: DRG – examples of tariff preliminary fixed
Implants price reimbursement in 2021
Germany: Reimbursement Conclusions
Hip implant market overviews 2021 – 2026
Hip Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Hip global segmentation
Hip segmentation: fixations & bearings
Hip Implants Market in 2021
Hip implant market 1999-2021
Hip market in Value (M €)
Hip implant in 2021 (in volume): Total, Partial, Revision & Resurfacing
Resurfacing collapsed due to the Metal on Metal (M/M) problems
Total hip implant in 2021 (in volume): Monobloc Vs. Modular
Stem, head & cup (in volume x 1000)
Modular Total hip in 2021 (in volume): Cemented, Cementless & Hybrid
Cementless & hybrid Total hip in 2021 (in volume & in %)
Bearing trend in Total hip
Ceramic, metal & PE trends for Head and Cup
Metal & Ceramic HEAD
Metal, Ceramic & PE CUP
Hip implants in 2021 in Germany: Competitive environment analysis / Hip implants in 2021 in GERMANY: Market
shares
Zimmer Biomet
Aesculap
Smith & Nephew
Depuy Synthes
Link
Hip in Germany: Top 5 and other competitor market shares benchmarking
2008-2021 Hip trends in Germany: 7 company leaders sales/year analysis
Modular Total hip in 2021: Cemented, Cementless & Hybrid average sale prices in Euros
Average Hip Prices in 2021
Hip implants in 2021 (in value): Total, Partial & Revision hip
Hip implant market in Germany in M€ in 2021
Total hip implants in 2021 (in value): Monobloc Vs. Modular
Total hip implant market in GERMANY: Bearing Materials
Cemented modular Total hip in 2021 (in value)
Cemented modular Hip implant market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Cementless modular Total hip market
Hybrid modular Total hip market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Ceramic based: Ce/Pe and Ce/Ce bearings global market
Modular Total hip in 2021 (in value): Cementless, Cemented & Hybrid
High growth products in 2021: tomorrow’s cash cow?
Anterior surgical approach ratio
Mini hip implant in 2021 (in volume)
Mini hip ratio
Dual mobility cup in 2021 (in volume)
Germany
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Primary dual mobility cup in 2021 (in volume)
Revision dual mobility cup in 2021 (in volume)
Dual mobility cup market in 2021 (in value)
Primary & Revision market ratio (in value)
Dual mobility cup market for primary
Dual mobility cup market for revision
Dual mobility cup in 2021 in Germany: Competitive environment analysis
Mobile cup for partial
Mobile cup trends
Mobile cup in partial implants: % / partial implants
Mobile cup in partial implants In Volume (x 1 000 implants)
Hip Implant Market in 2021: Synthesis
Hip implant opportunities & trends by 2026
Hip implant trends 2008-2026: Total, Partial, Revision, Resurfacing & Mini hip
Total mini hip implant 2008-2026 (in volume)
Dual mobility cup 2008-2026 (in volume)
Bipolar shells evolution 2008-2026
Impact of the Bipolar shells on partial implants average price
Total hip trends 2008-2026 (in volume): Modular Vs. Monobloc
Stem, head & cup market 2008-2026 (in volume)
Total hip trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Bearing materials Cemented trends 2008-2026 (in volume)
Cementless trends 2008 – 2026 (in volume): M/Pe, Ce/Pe, Ce/Ce, M/M
Cementless & Hybrid trends 2008-2026 (in volume) M/Pe, Ce/Pe, Ce/Ce, M/M
Bearing evolution in Total hip 2008-2026
Ceramic, metal & PE trends for heads and cups 2008-2026
Bearing materials: Cemented Total hip market 2008-2026 (in value)
Bearing materials: Cementless Total hip market 2008-2026 (in value)
Bearing materials: Hybrid market 2008-2026 (in value)
2021 - 2026 Price trends
Price Erosion assumption per year
Example of price decrease for each product (Euros)
Average price erosion/year from 2021 to 2026
Hip erosion price and the growth factors
The volume & mix impact balancing price erosion
Price erosion existing, but the decrease segment by segment is different
Hip market trends 2008-2026 (in value)
Total hip market 2008-2026 (in value): Cementless, Hybrid & Cemented
Total hip market 2008-2026 (in value): Modular Vs. Monobloc
Hip implant market 2008-2026 (in value): Total, Partial, Revision hips
Dual mobility cup market 2008-2026: Primary & Revision market split (in value)
Total mini hip market 2012-2026 (in value)
Anterior approach surgeries 2008-2026
Knee implant market overviews
Knee Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Knee global segmentation
Knee segmentation: Fixed Vs. Mobile knee bearings, Fixations, Posterior stabilized Vs. Cruciate Retaining Total
knees
Knee Implants in 2021
Knee implant market (2019-2021) In Volume
Knee implant market in 2021 (in volume): Total, Partial, Revision knees
Knee implant market in 2021 (in volume): Fixed bearing Vs. Mobile bearing
Partial implant market in 2021 (in volume): Uni Vs. Femoro Pat.
Total knee market in 2021 (in volume): Posterior Stabilized Vs. Cruciate Retaining
Posterior Stabilized Vs. Cruciate Retaining: criteria of choice for the surgeons
Total knee market in 2021 (in volume): Cemented, Cementless, Hybrid for Mobile & fixed bearing Total
Knees
Knee implants in 2021 in Germany: Competitive environment analysis
Zimmer Biomet
Smith & Nephew
Germany
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Stryker
Depuy Synthes
Aesculap
Fixed Vs. Mobile bearing Total knee prices in 2021: Cemented, Cementless, Hybrid
Average Knee Prices in 2021 Total, Partial, Revision knees
Knee implant market in 2021 (in value): Total Vs. Partial Vs. Revision
Total Knee implant market in 2021 (in value) Posterior Stabilized Vs. Cruciate retaining
Total knee market in 2021 (in value): Fixed bearing Vs. Mobile bearing
Fixed & Mobile bearing knee market in 2021 (in value)
Partial implant market in 2021 (in value): Uni Vs. Femoro Pat.
Partial Knee implant market in value in 2021
Knee Implant Market in 2021 Synthesis
Knee opportunities & trends by 2026
Knee implant trends 2008-2026 (in volume): Total, Partial, Revision
Total knee trends 2008-2026 (in volume): Posterior stabilized Vs. Cruciate Retaining
Total knee trends 2008-2026 (in volume): Fixed bearing Vs. Mobile bearing
Fixed bearing knee trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Mobile bearing trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Price trends
Price Erosion assumption per year
Example of price decrease for each product (in Euros)
Average price erosion/year from 2021 to 2026
Impact of product mix on the average price
2021 – 2026 Average price decrease in%
Knee erosion price and the growth factors
The volume & mix impact balancing price erosion
Fixed bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Mobile bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Total knee market 2008-2026 (in value) Fixed Bearing Vs. Mobile Bearing
Total knee market 2008-2026 (in value): Posterior Stabilized Vs. Cruciate retaining
Partial knee Implant market: UNI Vs. Femoro Pat. in 2026
Knee implant market 2008-2026 (In value): Total, Partial, Revision
Shoulder implant market overviews
Shoulder Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Shoulder global segmentation
Shoulder implant market in 2021
Shoulder implant market in 2021 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant market in 2021 (in volume): Standard Vs. Reversed
Shoulder implants in 2021 in Germany: Competitive environment analysis
Depuy Synthes
Stryker
Zimmer Biomet
Mathys
Arthrex
Shoulder implant prices in 2021
Shoulder implant market in 2021 (in value): Total, Partial, Revision, Resurfacing
Total shoulder market in 2021 (in value): Standard Vs. Reversed
Total standard shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Total reversed shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Mini shoulder & Universal stems for standard and reversed shoulder in 2021 (in volume)
Shoulder Implant Market in 2021: Synthesis
Shoulder opportunities & trends by 2026
Shoulder implant trends 2008-2026 Global market (in volume)
Shoulder implants growth rate per year 2003-2026
Shoulder implant trends 2008-2026 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in volume) Standard Vs. Reversed
Price trends
Shoulder erosion price and the growth factors
Germany
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Total standard shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Total reversed shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Shoulder implant trends 2008-2026 (in value): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in value): Standard Vs. Reversed
IV- France Orthopedics Market 2021 – 2026
France Contents
France in 2021: Population, age structure, health data
Sources & references for France
Reimbursement and regulatory outline
T2A Introduction in Franc
Regulation: T2A
Regulation: T2A – examples of tariff preliminary fixed
T2A: Exclusion list
Implants price reimbursement in 2021: Example of LPPR
Impact after the new deal on reimbursement levels: prices decrease drastically in 2021
Regulatory impact
France: Reimbursement Conclusions
Hip implant market overviews 2021 – 2026
Hip Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Hip global segmentation
Hip segmentation: fixations & bearings
Hip Implants Market in 2021
Hip implant market 1999-2021
Hip market in Value (M€)
Hip implant in 2021 (in volume): Total, Partial, Revision & Resurfacing
Resurfacing collapsed due to the Metal on Metal (M/M) problems
Total hip implant in 2021 (in volume): Monobloc Vs. Modular
Stem, head & cup (in volume x 1000)
Modular Total hip in 2021 (in volume): Cemented, Cementless & Hybrid
Cementless & hybrid Total hip in 2021 (in volume & in %)
Bearing trend in Total hip
Ceramic, metal & PE trends for Head and Cup
Metal & Ceramic HEAD
Metal, Ceramic & PE CUP
Hip implants in 2021 in France: Competitive environment analysis / Hip implants in 2021 in FRANCE: Market shares
Zimmer Biomet
Serf Dedienne
Corin
Amplitude
Stryker
Hip in France: Top 5 and other competitor market shares benchmarking
2008-2021 Hip trends in France: 7 company leaders sales/year analysis
Modular Total hip in 2021: Cemented, Cementless & Hybrid average sale prices in Euros
Average Hip Prices in 2021
Hip implants in 2021 (in value): Total, Partial & Revision hip
Hip implant market in France in M€ in 2021
Total hip implants in 2021 (in value): Monobloc Vs. Modular
Total hip implant market in FRANCE: Bearing Materials
Cemented modular Total hip in 2021 (in value)
Cemented modular Hip implant market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Cementless modular Total hip market
Hybrid modular Total hip market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Ceramic based: Ce/Pe and Ce/Ce bearings global market
Modular Total hip in 2021 (in value): Cementless, Cemented & Hybrid
High growth products in 2021: tomorrow’s cash cow?
Anterior surgical approach ratio
Mini hip implant in 2021 (in volume)
France
September 2022 19th Edition
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European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Mini hip ratio
Dual mobility cup in 2021 (in volume)
Primary dual mobility cup in 2021 (in volume)
Revision dual mobility cup in 2021 (in volume)
Dual mobility cup market in 2021 (in value)
Primary & Revision market ratio (in value)
Dual mobility cup market for primary
Dual mobility cup market for revision
Dual mobility cup in 2021 in France: Competitive environment analysis
Serf Dedienne
Amplitude
FH
Mobile cup for partial
Mobile cup trends
Mobile cup in partial implants: % / partial implants
Mobile cup in partial implants In Volume (x 1 000 implants)
Hip Implant Market in 2021: Synthesis
Hip implant opportunities & trends by 2026
Hip implant trends 2008-2026: Total, Partial, Revision, Resurfacing & Mini hip
Total mini hip implant 2008-2026 (in volume)
Dual mobility cup 2008-2026 (in volume)
Bipolar shells evolution 2008-2026
Impact of the Bipolar shells on partial implants average price
Total hip trends 2008-2026 (in volume): Modular Vs. Monobloc
Stem, head & cup market 2008-2026 (in volume)
Total hip trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Bearing materials Cemented trends 2008-2026 (in volume)
Cementless trends 2008 – 2026 (in volume): M/Pe, Ce/Pe, Ce/Ce, M/M
Cementless & Hybrid trends 2008-2026 (in volume) M/Pe, Ce/Pe, Ce/Ce, M/M
Bearing evolution in Total hip 2008-2026
Ceramic, metal & PE trends for heads and cups 2008-2026
Bearing materials: Cemented Total hip market 2008-2026 (in value)
Bearing materials: Cementless Total hip market 2008-2026 (in value)
Bearing materials: Hybrid market 2008-2026 (in value)
2021 - 2026 Price trends
Price Erosion assumption per year
Example of price decrease for each product (Euros)
Average price erosion/year from 2021 to 2026
Hip erosion price and the growth factors
The volume & mix impact balancing price erosion
Price erosion existing, but the decrease segment by segment is different
Hip market trends 2008-2026 (in value)
Total hip market 2008-2026 (in value): Cementless, Hybrid & Cemented
Total hip market 2008-2026 (in value): Modular Vs. Monobloc
Hip implant market 2008-2026 (in value): Total, Partial, Revision hips
Dual mobility cup market 2008-2026: Primary & Revision market split (in value)
Total mini hip market 2012-2026 (in value)
Anterior approach surgeries 2008-2026
Knee implant market overviews
Knee Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Knee global segmentation
Knee segmentation: Fixed Vs. Mobile knee bearings, Fixations, Posterior stabilized Vs. Cruciate Retaining Total
knees
Knee Implants in 2021
Knee implant market (2002-2021) In Volume
Knee implant market in 2021 (in volume): Total, Partial, Revision knees
Knee implant market in 2021 (in volume): Fixed bearing Vs. Mobile bearing
Partial implant market in 2021 (in volume): Uni Vs. Femoro Pat.
Total knee market in 2021 (in volume): Posterior Stabilized Vs. Cruciate Retaining
France
September 2022 19th Edition
11
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Posterior Stabilized Vs. Cruciate Retaining: criteria of choice for the surgeons
Total knee market in 2021 (in volume): Cemented, Cementless, Hybrid for Mobile & fixed bearing Total
Knees
Knee implants in 2021 in France: Competitive environment analysis
Amplitude
Zimmer Biomet
Stryker
Depuy Synthes
Xnov
Fixed Vs. Mobile bearing Total knee prices in 2021: Cemented, Cementless, Hybrid
Average Knee Prices in 2021 Total, Partial, Revision knees
Knee implant market in 2021 (in value): Total Vs. Partial Vs. Revision
Total Knee implant market in 2021 (in value) Posterior Stabilized Vs. Cruciate retaining
Total knee market in 2021 (in value): Fixed bearing Vs. Mobile bearing
Fixed & Mobile bearing knee market in 2021 (in value)
Partial implant market in 2021 (in value): Uni Vs. Femoro Pat.
Partial Knee implant market in value in 2021
Knee Implant Market in 2021 Synthesis
Knee opportunities & trends by 2026
Knee implant trends 2008-2026 (in volume): Total, Partial, Revision
Total knee trends 2008-2026 (in volume): Posterior stabilized Vs. Cruciate Retaining
Total knee trends 2008-2026 (in volume): Fixed bearing Vs. Mobile bearing
Fixed bearing knee trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Mobile bearing trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Price trends
Price Erosion assumption per year
Example of price decrease for each product (in Euros)
Average price erosion/year from 2021 to 2026
Impact of product mix on the average price
2021 – 2026 Average price decrease in%
Knee erosion price and the growth factors
The volume & mix impact balancing price erosion
Fixed bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Mobile bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Total knee market 2008-2026 (in value) Fixed Bearing Vs. Mobile Bearing
Total knee market 2008-2026 (in value): Posterior Stabilized Vs. Cruciate retaining
Partial knee Implant market: UNI Vs. Femoro Pat. in 2026
Knee implant market 2008-2026 (In value): Total, Partial, Revision
Shoulder implant market overviews
Shoulder Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Shoulder global segmentation
Shoulder implant market in 2021
Shoulder implant market in 2021 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant market in 2021 (in volume): Standard Vs. Reversed
Shoulder implants in 2021 in France: Competitive environment analysis
FX Solutions
Stryker
Zimmer Biomet
FH
Move'up
Shoulder implant prices in 2021
Shoulder implant market in 2021 (in value): Total, Partial, Revision, Resurfacing
Total shoulder market in 2021 (in value): Standard Vs. Reversed
Total standard shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Total reversed shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Mini shoulder & Universal stems for standard and reversed shoulder in 2021 (in volume)
Shoulder Implant Market in 2021: Synthesis
Shoulder opportunities & trends by 2026
France
France
September 2022 19th Edition
12
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Shoulder implant trends 2008-2026 Global market (in volume)
Shoulder implants growth rate per year 2003-2026
Shoulder implant trends 2008-2026 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in volume) Standard Vs. Reversed
Price trends
Shoulder erosion price and the growth factors
Total standard shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Total reversed shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Shoulder implant trends 2008-2026 (in value): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in value): Standard Vs. Reversed
V- ITALY Orthopedics Market 2021 – 2026
ITALY Contents
ITALY in 2021: Population, age structure, health data
Sources & references for ITALY
Reimbursement and regulatory outline
DRG Introduction
Regulation: DRG
Regulation: DRG – examples of tariff preliminary fixed
Implants price reimbursement in 2021
ITALY: Reimbursement Conclusions
Hip implant market overviews 2021 – 2026
Hip Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Hip global segmentation
Hip segmentation: fixations & bearings
Hip Implants Market in 2021
Hip implant market 1999-2021
Hip market in Value (M €)
Hip implant in 2021 (in volume): Total, Partial, Revision & Resurfacing
Resurfacing collapsed due to the Metal on Metal (M/M) problems
Total hip implant in 2021 (in volume): Monobloc Vs. Modular
Stem, head & cup (in volume x 1000)
Modular Total hip in 2021 (in volume): Cemented, Cementless & Hybrid
Cementless & hybrid Total hip in 2021 (in volume & in %)
Bearing trend in Total hip
Ceramic, metal & PE trends for Head and Cup
Metal & Ceramic HEAD
Metal, Ceramic & PE CUP
Hip implants in 2021 in ITALY: Competitive environment analysis / Hip implants in 2021 in ITALY: Market shares
Zimmer Biomet
Stryker
Lima
Smith & Nephew
Depuy Synthes
Adler Ortho
Hip in ITALY: Top 5 and other competitor market shares benchmarking
2008-2021 Hip trends in ITALY: 7 company leaders sales/year analysis
Modular Total hip in 2021: Cemented, Cementless & Hybrid average sale prices in Euros
Average Hip Prices in 2021
Hip implants in 2021 (in value): Total, Partial & Revision hip
Hip implant market in ITALY in M€ in 2021
Total hip implants in 2021 (in value): Monobloc Vs. Modular
Total hip implant market in ITALY: Bearing Materials
Cemented modular Total hip in 2021 (in value)
Cemented modular Hip implant market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Cementless modular Total hip market
Hybrid modular Total hip market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Ceramic based: Ce/Pe and Ce/Ce bearings global market
Italy
September 2022 19th Edition
13
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Modular Total hip in 2021 (in value): Cementless, Cemented & Hybrid
High growth products in 2021: tomorrow’s cash cow?
Anterior surgical approach ratio
Mini hip implant in 2021 (in volume)
Mini hip ratio
Dual mobility cup in 2021 (in volume)
Primary dual mobility cup in 2021 (in volume)
Revision dual mobility cup in 2021 (in volume)
Dual mobility cup market in 2021 (in value)
Primary & Revision market ratio (in value)
Dual mobility cup market for primary
Dual mobility cup market for revision
Dual mobility cup in 2021 in ITALY: Competitive environment analysis
Mobile cup for partial
Mobile cup trends
Mobile cup in partial implants: % / partial implants
Mobile cup in partial implants In Volume (x 1 000 implants)
Hip Implant Market in 2021: Synthesis
Hip implant opportunities & trends by 2026
Hip implant trends 2008-2026: Total, Partial, Revision, Resurfacing & Mini hip
Total mini hip implant 2008-2026 (in volume)
Dual mobility cup 2008-2026 (in volume)
Bipolar shells evolution 2008-2026
Impact of the Bipolar shells on partial implants average price
Total hip trends 2008-2026 (in volume): Modular Vs. Monobloc
Stem, head & cup market 2008-2026 (in volume)
Total hip trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Bearing materials Cemented trends 2008-2026 (in volume)
Cementless trends 2008 – 2026 (in volume): M/Pe, Ce/Pe, Ce/Ce, M/M
Cementless & Hybrid trends 2008-2026 (in volume) M/Pe, Ce/Pe, Ce/Ce, M/M
Bearing evolution in Total hip 2008-2026
Ceramic, metal & PE trends for heads and cups 2008-2026
Bearing materials: Cemented Total hip market 2008-2026 (in value)
Bearing materials: Cementless Total hip market 2008-2026 (in value)
Bearing materials: Hybrid market 2008-2026 (in value)
2021 - 2026 Price trends
Price Erosion assumption per year
Example of price decrease for each product (Euros)
Average price erosion/year from 2021 to 2026
Hip erosion price and the growth factors
The volume & mix impact balancing price erosion
Price erosion existing, but the decrease segment by segment is different
Hip market trends 2008-2026 (in value)
Total hip market 2008-2026 (in value): Cementless, Hybrid & Cemented
Total hip market 2008-2026 (in value): Modular Vs. Monobloc
Hip implant market 2008-2026 (in value): Total, Partial, Revision hips
Dual mobility cup market 2008-2026: Primary & Revision market split (in value)
Total mini hip market 2012-2026 (in value)
Anterior approach surgeries 2008-2026
Knee implant market overviews
Knee Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Knee global segmentation
Knee segmentation: Fixed Vs. Mobile knee bearings, Fixations, Posterior stabilized Vs. Cruciate Retaining Total
knees
Knee Implants in 2021
Knee implant market (2002-2021) In Volume
Knee implant market in 2021 (in volume): Total, Partial, Revision knees
Knee implant market in 2021 (in volume): Fixed bearing Vs. Mobile bearing
Italy
September 2022 19th Edition
14
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Partial implant market in 2021 (in volume): Uni Vs. Femoro Pat.
Total knee market in 2021 (in volume): Posterior Stabilized Vs. Cruciate Retaining
Posterior Stabilized Vs. Cruciate Retaining: criteria of choice for the surgeons
Total knee market in 2021 (in volume): Cemented, Cementless, Hybrid for Mobile & fixed bearing Total
Knees
Knee implants in 2021 in ITALY: Competitive environment analysis
Zimmer Biomet
Depuy Synthes
Stryker
Smith & Nephew
Microport
Exactech
Fixed Vs. Mobile bearing Total knee prices in 2021: Cemented, Cementless, Hybrid
Average Knee Prices in 2021 Total, Partial, Revision knees
Knee implant market in 2021 (in value): Total Vs. Partial Vs. Revision
Total Knee implant market in 2021 (in value) Posterior Stabilized Vs. Cruciate retaining
Total knee market in 2021 (in value): Fixed bearing Vs. Mobile bearing
Fixed & Mobile bearing knee market in 2021 (in value)
Partial implant market in 2021 (in value): Uni Vs. Femoro Pat.
Partial Knee implant market in value in 2021
Knee Implant Market in 2021 Synthesis
Knee opportunities & trends by 2026
Knee implant trends 2008-2026 (in volume): Total, Partial, Revision
Total knee trends 2008-2026 (in volume): Posterior stabilized Vs. Cruciate Retaining
Total knee trends 2008-2026 (in volume): Fixed bearing Vs. Mobile bearing
Fixed bearing knee trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Mobile bearing trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Price trends
Price Erosion assumption per year
Example of price decrease for each product (in Euros)
Average price erosion/year from 2021 to 2026
Impact of product mix on the average price
2021 – 2026 Average price decrease in%
Knee erosion price and the growth factors
The volume & mix impact balancing price erosion
Fixed bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Mobile bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Total knee market 2008-2026 (in value) Fixed Bearing Vs. Mobile Bearing
Total knee market 2008-2026 (in value): Posterior Stabilized Vs. Cruciate retaining
Partial knee Implant market: UNI Vs. Femoro Pat. in 2026
Knee implant market 2008-2026 (In value): Total, Partial, Revision
Italy
September 2022 19th Edition
15
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Shoulder implant market overviews
Shoulder Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Shoulder global segmentation
Shoulder implant market in 2021
Shoulder implant market in 2021 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant market in 2021 (in volume): Standard Vs. Reversed
Shoulder implants in 2021 in ITALY: Competitive environment analysis
Lima
Stryker
Depuy Synthes
Zimmer Biomet
Exactech
Permedica
Shoulder implant prices in 2021
Shoulder implant market in 2021 (in value): Total, Partial, Revision, Resurfacing
Total shoulder market in 2021 (in value): Standard Vs. Reversed
Total standard shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Total reversed shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Mini shoulder & Universal stems for standard and reversed shoulder in 2021 (in volume)
Shoulder Implant Market in 2021: Synthesis
Shoulder opportunities & trends by 2026
Shoulder implant trends 2008-2026 Global market (in volume)
Shoulder implants growth rate per year 2003-2026
Shoulder implant trends 2008-2026 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in volume) Standard Vs. Reversed
Price trends
Shoulder erosion price and the growth factors
Total standard shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Total reversed shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Shoulder implant trends 2008-2026 (in value): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in value): Standard Vs. Reversed
VI- UK Orthopedics Market 2021 – 2026
UK Contents
UK in 2021: Population, age structure, health data
Sources & references for UK
Reimbursement and regulatory outline
DRG Introduction
Regulation: DRG
Regulation: DRG – examples of tariff preliminary fixed
Implants price reimbursement in 2021
UK: reimbursement Conclusions
Hip implant market overviews 2021 – 2026
Hip Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Hip global segmentation
Hip segmentation: fixations & bearings
Hip Implants Market in 2021
Hip implant market 1999-2021
Hip market in Value (M €)
Hip implant in 2021 (in volume): Total, Partial, Revision & Resurfacing
Resurfacing collapsed due to the Metal on Metal (M/M) problems
Total hip implant in 2021 (in volume): Monobloc Vs. Modular
Stem, head & cup (in volume x 1000)
Modular Total hip in 2021 (in volume): Cemented, Cementless & Hybrid
Cementless & hybrid Total hip in 2021 (in volume & in %)
Italy
UK
September 2022 19th Edition
16
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Bearing trend in Total hip
Ceramic, metal & PE trends for Head and Cup
Metal & Ceramic HEAD
Metal, Ceramic & PE CUP
Hip implants in 2021 in UK: Competitive environment analysis / Hip implants in 2021 in UK: Market shares
Zimmer Biomet
Depuy Synthes
Stryker
Smith & Nephew
Corin
JRI (AK Medical)
Hip in UK: Top 5 and other competitor market shares benchmarking
2008-2021 Hip trends in UK: 7 company leaders sales/year analysis
Modular Total hip in 2021: Cemented, Cementless & Hybrid average sale prices in Euros
Average Hip Prices in 2021
Hip implants in 2021 (in value): Total, Partial & Revision hip
Hip implant market in UK in M€ in 2021
Total hip implants in 2021 (in value): Monobloc Vs. Modular
Total hip implant market in UK: Bearing Materials
Cemented modular Total hip in 2021 (in value)
Cemented modular Hip implant market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Cementless modular Total hip market
Hybrid modular Total hip market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Ceramic based: Ce/Pe and Ce/Ce bearings global market
Modular Total hip in 2021 (in value): Cementless, Cemented & Hybrid
High growth products in 2021: tomorrow’s cash cow?
Anterior surgical approach ratio
Mini hip implant in 2021 (in volume)
Mini hip ratio
Dual mobility cup in 2021 (in volume)
Primary dual mobility cup in 2021 (in volume)
Revision dual mobility cup in 2021 (in volume)
Dual mobility cup market in 2021 (in value)
Primary & Revision market ratio (in value)
Dual mobility cup market for primary
Dual mobility cup market for revision
Dual mobility cup in 2021 in UK: Competitive environment analysis
Mobile cup for partial
Mobile cup trends
Mobile cup in partial implants: % / partial implants
Mobile cup in partial implants In Volume (x 1 000 implants)
Hip Implant Market in 2021: Synthesis
Hip implant opportunities & trends by 2026
Hip implant trends 2008-2026: Total, Partial, Revision, Resurfacing & Mini hip
Total mini hip implant 2008-2026 (in volume)
Dual mobility cup 2008-2026 (in volume)
Bipolar shells evolution 2008-2026
Impact of the Bipolar shells on partial implants average price
Total hip trends 2008-2026 (in volume): Modular Vs. Monobloc
Stem, head & cup market 2008-2026 (in volume)
Total hip trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Bearing materials Cemented trends 2008-2026 (in volume)
Cementless trends 2008 – 2026 (in volume): M/Pe, Ce/Pe, Ce/Ce, M/M
Cementless & Hybrid trends 2008-2026 (in volume) M/Pe, Ce/Pe, Ce/Ce, M/M
Bearing evolution in Total hip 2008-2026
Ceramic, metal & PE trends for heads and cups 2008-2026
Bearing materials: Cemented Total hip market 2008-2026 (in value)
Bearing materials: Cementless Total hip market 2008-2026 (in value)
Bearing materials: Hybrid market 2008-2026 (in value)
2021 - 2026 Price trends
Price Erosion assumption per year
Example of price decrease for each product (Euros)
UK
September 2022 19th Edition
17
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Average price erosion/year from 2021 to 2026
Hip erosion price and the growth factors
The volume & mix impact balancing price erosion
Price erosion existing, but the decrease segment by segment is different
Hip market trends 2008-2026 (in value)
Total hip market 2008-2026 (in value): Cementless, Hybrid & Cemented
Total hip market 2008-2026 (in value): Modular Vs. Monobloc
Hip implant market 2008-2026 (in value): Total, Partial, Revision hips
Dual mobility cup market 2008-2026: Primary & Revision market split (in value)
Total mini hip market 2012-2026 (in value)
Anterior approach surgeries 2008-2026
Knee implant market overviews
Knee Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Knee global segmentation
Knee segmentation: Fixed Vs. Mobile knee bearings, Fixations, Posterior stabilized Vs. Cruciate Retaining Total
knees
Knee Implants in 2021
Knee implant market (2002-2021 ) In Volume
Knee implant market in 2021 (in volume): Total, Partial, Revision knees
Knee implant market in 2021 (in volume): Fixed bearing Vs. Mobile bearing
Partial implant market in 2021 (in volume): Uni Vs. Femoro Pat.
Total knee market in 2021 (in volume): Posterior Stabilized Vs. Cruciate Retaining
Posterior Stabilized Vs. Cruciate Retaining: criteria of choice for the surgeons
Total knee market in 2021 (in volume): Cemented, Cementless, Hybrid for Mobile & fixed bearing Total
Knees
Knee implants in 2021 in UK: Competitive environment analysis
Depuy Synthes
Zimmer Biomet
Stryker
Smith & Nephew
JRI (AK Medical)
Aesculap
Fixed Vs. Mobile bearing Total knee prices in 2021: Cemented, Cementless, Hybrid
Average Knee Prices in 2021 Total, Partial, Revision knees
Knee implant market in 2021 (in value): Total Vs. Partial Vs. Revision
Total Knee implant market in 2021 (in value) Posterior Stabilized Vs. Cruciate retaining
Total knee market in 2021 (in value): Fixed bearing Vs. Mobile bearing
Fixed & Mobile bearing knee market in 2021 (in value)
Partial implant market in 2021 (in value): Uni Vs. Femoro Pat.
Partial Knee implant market in value in 2021
Knee Implant Market in 2021 Synthesis
Knee opportunities & trends by 2026
Knee implant trends 2008-2026 (in volume): Total, Partial, Revision
Total knee trends 2008-2026 (in volume): Posterior stabilized Vs. Cruciate Retaining
Total knee trends 2008-2026 (in volume): Fixed bearing Vs. Mobile bearing
Fixed bearing knee trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Mobile bearing trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Price trends
Price Erosion assumption per year
Example of price decrease for each product (in Euros)
Average price erosion/year from 2021 to 2026
Impact of product mix on the average price
2021 - 2026Average price decrease in%
Knee erosion price and the growth factors
The volume & mix impact balancing price erosion
Fixed bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Mobile bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Total knee market 2008-2026 (in value) Fixed Bearing Vs. Mobile Bearing
Total knee market 2008-2026 (in value): Posterior Stabilized Vs. Cruciate retaining
UK
September 2022 19th Edition
18
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Partial knee Implant market: UNI Vs. Femoro Pat. in 2026
Knee implant market 2008-2026 (In value): Total, Partial, Revision
Shoulder implant market overviews
Shoulder Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Shoulder global segmentation
Shoulder implant market in 2021
Shoulder implant market in 2021 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant market in 2021 (in volume): Standard Vs. Reversed
Shoulder implants in 2021 in UK: Competitive environment analysis
Lima
Depuy Synthes
Zimmer Biomet
Stryker
FX Solutions
Exactech
Shoulder implant prices in 2021
Shoulder implant market in 2021 (in value): Total, Partial, Revision, Resurfacing
Total shoulder market in 2021 (in value): Standard Vs. Reversed
Total standard shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Total reversed shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Mini shoulder & Universal stems for standard and reversed shoulder in 2021 (in volume)
Shoulder Implant Market in 2021: Synthesis
Shoulder opportunities & trends by 2026
Shoulder implant trends 2008-2026 Global market (in volume)
Shoulder implants growth rate per year 2003-2026
Shoulder implant trends 2008-2026 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in volume) Standard Vs. Reversed
Price trends
Shoulder erosion price and the growth factors
Total standard shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Total reversed shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Shoulder implant trends 2008-2026 (in value): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in value): Standard Vs. Reversed
VII- SPAIN Orthopedics Market 2021 – 2026
SPAIN Contents
SPAIN in 2021: Population, age structure, health data
Sources & references for SPAIN
Reimbursement and regulatory outline
DRG Introduction
Regulation: DRG
Regulation: DRG – examples of tariff preliminary fixed
Implants price reimbursement in 2021
SPAIN: reimbursement Conclusions
Hip implant market overviews 2021 – 2026
Hip Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Hip global segmentation
Hip segmentation: fixations & bearings
Hip Implants Market in 2021
Hip implant market 1999-2021
Hip market in Value (M €)
Hip implant in 2021 (in volume): Total, Partial, Revision & Resurfacing
Resurfacing collapsed due to the Metal on Metal (M/M) problems
Spain
September 2022 19th Edition
19
European Orthopedic Market 2021-2026
Hip, Knee & Shoulder
Total hip implant in 2021 (in volume): Monobloc Vs. Modular
Stem, head & cup (in volume x 1000)
Modular Total hip in 2021 (in volume): Cemented, Cementless & Hybrid
Cementless & hybrid Total hip in 2021 (in volume & in %)
Bearing trend in Total hip
Ceramic, metal & PE trends for Head and Cup
Metal & Ceramic HEAD
Metal, Ceramic & PE CUP
Hip implants in 2021 in SPAIN: Competitive environment analysis / Hip implants in 2021 in SPAIN: Market shares
Zimmer Biomet
Stryker
Depuy Synthes
Smith & Nephew
MBA (JRI product)
Medacta
Hip in SPAIN: Top 5 and other competitor market shares benchmarking
2008-2021 Hip trends in SPAIN: 7 company leaders sales/year analysis
Modular Total hip in 2021: Cemented, Cementless & Hybrid average sale prices in Euros
Average Hip Prices in 2021
Hip implants in 2021 (in value): Total, Partial & Revision hip
Hip implant market in SPAIN in M€ in 2021
Total hip implants in 2021 (in value): Monobloc Vs. Modular
Total hip implant market in SPAIN: Bearing Materials
Cemented modular Total hip in 2021 (in value)
Cemented modular Hip implant market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Cementless modular Total hip market
Hybrid modular Total hip market: Bearing materials
Cementless & Hybrid Total hip in 2021 (in value)
Ceramic based: Ce/Pe and Ce/Ce bearings global market
Modular Total hip in 2021 (in value): Cementless, Cemented & Hybrid
High growth products in 2021: tomorrow’s cash cow?
Anterior surgical approach ratio
Mini hip implant in 2021 (in volume)
Mini hip ratio
Dual mobility cup in 2021 (in volume)
Primary dual mobility cup in 2021 (in volume)
Revision dual mobility cup in 2021 (in volume)
Dual mobility cup market in 2021 (in value)
Primary & Revision market ratio (in value)
Dual mobility cup market for primary
Dual mobility cup market for revision
Dual mobility cup in 2021 in SPAIN: Competitive environment analysis
Mobile cup for partial
Mobile cup trends
Mobile cup in partial implants: % / partial implants
Mobile cup in partial implants In Volume (x 1 000 implants)
Hip Implant Market in 2021: Synthesis
Hip implant opportunities & trends by 2026
Hip implant trends 2008-2026: Total, Partial, Revision, Resurfacing & Mini hip
Total mini hip implant 2008-2026 (in volume)
Dual mobility cup 2008-2026 (in volume)
Bipolar shells evolution 2008-2026
Impact of the Bipolar shells on partial implants average price
Total hip trends 2008-2026 (in volume): Modular Vs. Monobloc
Stem, head & cup market 2008-2026 (in volume)
Total hip trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Bearing materials Cemented trends 2008-2026 (in volume)
Cementless trends 2008 – 2026 (in volume): M/Pe, Ce/Pe, Ce/Ce, M/M
Cementless & Hybrid trends 2008-2026 (in volume) M/Pe, Ce/Pe, Ce/Ce, M/M
Bearing evolution in Total hip 2008-2026
Ceramic, metal & PE trends for heads and cups 2008-2026
Bearing materials: Cemented Total hip market 2008-2026 (in value)
Bearing materials: Cementless Total hip market 2008-2026 (in value)
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Bearing materials: Hybrid market 2008-2026 (in value)
2021 - 2026 Price trends
Price Erosion assumption per year
Example of price decrease for each product (Euros)
Average price erosion/year from 2021 to 2026
Hip erosion price and the growth factors
The volume & mix impact balancing price erosion
Price erosion existing, but the decrease segment by segment is different
Hip market trends 2008-2026 (in value)
Total hip market 2008-2026 (in value): Cementless, Hybrid & Cemented
Total hip market 2008-2026 (in value): Modular Vs. Monobloc
Hip implant market 2008-2026 (in value): Total, Partial, Revision hips
Dual mobility cup market 2008-2026: Primary & Revision market split (in value)
Total mini hip market 2012-2026 (in value)
Anterior approach surgeries 2008-2026
Knee implant market overviews
Knee Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Knee global segmentation
Knee segmentation: Fixed Vs. Mobile knee bearings, Fixations, Posterior stabilized Vs. Cruciate Retaining Total
knees
Knee Implants in 2021
Knee implant market (2002-2021 ) In Volume
Knee implant market in 2021 (in volume): Total, Partial, Revision knees
Knee implant market in 2021 (in volume): Fixed bearing Vs. Mobile bearing
Partial implant market in 2021 (in volume): Uni Vs. Femoro Pat.
Total knee market in 2021 (in volume): Posterior Stabilized Vs. Cruciate Retaining
Posterior Stabilized Vs. Cruciate Retaining: criteria of choice for the surgeons
Total knee market in 2021 (in volume): Cemented, Cementless, Hybrid for Mobile & fixed bearing Total
Knees
Knee implants in 2021 in SPAIN: Competitive environment analysis
Zimmer Biomet
Stryker
Smith & Nephew
Exactech
Depuy Synthes
MBA (Corin)
Fixed Vs. Mobile bearing Total knee prices in 2021: Cemented, Cementless, Hybrid
Average Knee Prices in 2021 Total, Partial, Revision knees
Knee implant market in 2021 (in value): Total Vs. Partial Vs. Revision
Total Knee implant market in 2021 (in value) Posterior Stabilized Vs. Cruciate retaining
Total knee market in 2021 (in value): Fixed bearing Vs. Mobile bearing
Fixed & Mobile bearing knee market in 2021 (in value)
Partial implant market in 2021 (in value): Uni Vs. Femoro Pat.
Partial Knee implant market in value in 2021
Knee Implant Market in 2021 Synthesis
Knee opportunities & trends by 2026
Knee implant trends 2008-2026 (in volume): Total, Partial, Revision
Total knee trends 2008-2026 (in volume): Posterior stabilized Vs. Cruciate Retaining
Total knee trends 2008-2026 (in volume): Fixed bearing Vs. Mobile bearing
Fixed bearing knee trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Mobile bearing trends 2008-2026 (in volume): Cemented, Cementless, Hybrid
Price trends
Price Erosion assumption per year
Example of price decrease for each product (in Euros)
Average price erosion/year from 2021 to 2026
Impact of product mix on the average price
2021 - 2026 Average price decrease in%
Knee erosion price and the growth factors
The volume & mix impact balancing price erosion
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Fixed bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Mobile bearing Total knee market 2008-2026 (in value) Cemented, Cementless, Hybrid
Total knee market 2008-2026 (in value) Fixed Bearing Vs. Mobile Bearing
Total knee market 2008-2026 (in value): Posterior Stabilized Vs. Cruciate retaining
Partial knee Implant market: UNI Vs. Femoro Pat. in 2026
Knee implant market 2008-2026 (In value): Total, Partial, Revision
Shoulder implant market overviews
Shoulder Implant ratio/100 000 inhabitants/year: benchmarking with other countries
Public Vs Private sector: sales, prices, sales by channels, by agents, by direct sales & by distributors
Shoulder global segmentation
Shoulder implant market in 2021
Shoulder implant market in 2021 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant market in 2021 (in volume): Standard Vs. Reversed
Shoulder implants in 2021 in SPAIN: Competitive environment analysis
Lima
Stryker
FX Solutions
Depuy Synthes
Exactech
Shoulder implant prices in 2021
Shoulder implant market in 2021 (in value): Total, Partial, Revision, Resurfacing
Total shoulder market in 2021 (in value): Standard Vs. Reversed
Total standard shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Total reversed shoulder market in 2021 (in volume): Cemented, Cementless, Hybrid
Mini shoulder & Universal stems for standard and reversed shoulder in 2021 (in volume)
Shoulder Implant Market in 2021: Synthesis
Shoulder opportunities & trends by 2026
Shoulder implant trends 2008-2026 Global market (in volume)
Shoulder implants growth rate per year 2003-2026
Shoulder implant trends 2008-2026 (in volume): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in volume) Standard Vs. Reversed
Price trends
Shoulder erosion price and the growth factors
Total standard shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Total reversed shoulder market 2008-2026 (in value): Cemented, Cementless, Hybrid
Shoulder implant trends 2008-2026 (in value): Total, Partial, Revision, Resurfacing
Shoulder implant trends 2008-2026 (in value): Standard Vs. Reversed
VIII- Other countries:
Sweden
Belgium
Denmark
Finland
Ireland
Netherlands
Austria
Luxembourg
Greece
Portugal
Switzerland
Norway
Turkey
IX- IMPACT OF COVID-19 AND INFLATION
COVID-19: timeline of a Pandemic
The impact of Covid-19 on the Orthopedics Market
Bearing in mind that during the 2008 financial crisis, growth in orthopedics was merely slowed down implants and contract
manufacturers largely held their ground
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What is the forecast for the world economy and the orthopedic industry? Even the International Monetary Fund has said
that forecasts have become very dicey and a grey area
The world economy will experience the worst recession since the Great Depression (1930s)
Growth projections
Latest World Economic Outlook: growth projections (1/2)
Latest World Economic Outlook: growth projections (2/2)
The “Covid-19 effect”: orthopedic sales decline Depuy Synthes
The “Covid-19 effect”: orthopedic sales decline Medtronic
The “Covid-19 effect”: orthopedic sales decline Stryker
According to their forecasts, the orthopedic players will lose between x% (Best scenario) and y% (worst scenario) of their
2020 revenues, depending on their activity, area, type of customers, etc.
Orthopedic activity in China recovered in April, while European and US activity collapsed
According to the forecasts of the main players, they will lose between x% and y% of their 2020 revenues from orthopedics
due to the impact of Covid-19
The “Covid-19 effect”: orthopedic companies sales declined in 2020
The “Covid-19 effect”: country impact for 2020
The “Covid-19 effect” on the Contract manufacturing market in 2020
Covid-19 impact on Orthopedic players
The Majors, which accounted for 65% of the market in 2020, have not all recovered the 2019 level
A part of the challengers (> $100M in revenue) have returned to double-digit growth, other continue to suffer
Impact of inflation on the end-user market and on contract manufacturing
Worldwide orthopedic market forecasts
The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing
X- Detailed profiles of main Majors and Challengers in Europe
ZIMMER BIOMET
ZIMMER BIOMET SWOT analysis
STRYKER
STRYKER SWOT analysis
DEPUY SYNTHES
DEPUY SYNTHES SWOT analysis
SMITH & NEPHEW
SMITH & NEPHEW SWOT analysis
MEDTRONIC
MEDTRONIC SWOT analysis
ADLER ORTHO
LIMA
LINK
CORIN
AMPLITUDE
MENIX
MICROPORT
MEDACTA
AESCULAP
EXACTECH
ENOVIS
XI- New technologies & orthopedic innovations
Robotic-assisted and navigation surgeries
MAKO from Stryker
ROSA from Zimmer Biomet
Omni robotic cutting guide & Omni Ligament balancer from OMNIlife Science / TANVI in China
Navio & Cori from Smith & Nephew / Mazor from Medtronic / Velys from Depuy Synthes
MAKO’s acquisition by Stryker boosted the orthopedic robotic market and have a huge impact on instruments market
Orthopedic robotics surgeries: Stryker open the mass market, Smith & Nephew, Zimmer Biomet, Depuy Synthes and many
other have followed
Robotic assisted surgeries: USA is by far the leading country for Robotics usage. Knee surgery is the real target
Additive Manufacturing & 3D printing in orthopedics
History of orthopedic Additive Manufacturing
Story of Zimmer and Trabecular Tantalum
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Zimmer, Trabecular Metal related implants
Metal Additive Manufacturing: Technologies and major competitors, EOS, SLM Solutions, Concept Laser, Arcam, Other
Arcam EBM installed base for orthopedic industry: Lima
Beijing AK MEDICAL EBM Installed base 2010-2016
Illustrative build-up speed and resolution of selected Metal Additive Manufacturing systems: EBM Vs Selective Laser
Melting
Smith & Nephew uses Additive Manufacturing for customized cutting blocks & Hip Cup
Stryker has announced massive investments in 3D printing
Current Stryker products made by 3D printing: Knee, cages, other
Depuy Spine uses Additive Manufacturing for prototyping complex surgical tools
Depuy announced investments of US$41M in 3D printing in January 2021
DePuy Synthes has acquired 3D printing technology from Tissue Regeneration Systems Inc
DePuy Synthes Launched 3D-Printed Titanium Facial Reconstruction Implants in U.S.
XILLOC invested in four machines for Cranio-Maxillofacial applications
Equipment suppliers for orthopedics, Installed base per customer and per supplier: EOS, ARCAM, CONCEPT LASER, SLM
Solutions, 3D Systems and their customers
Addressable market should increase with lower Additive Manufacturing cost
Additive Manufacturing (AM) is attractive for reconstructive implants to accelerate and improve osteo-integration.
Zimmer has used Trabecular Tantalum clinically since 1997
Number of implants produced using Additive Manufacturing: Zimmer Biomet, Lima, Exactech, Adler Ortho
FDA clearance for medical devices using Additive Manufacturing in USA
In 2021 Additive Manufacturing represented only a small % of all orthopedic products manufactured
Additive Manufacturing today has a slight impact on the forging, casting & machining of implants. In 2021, we estimate
that, in Europe, less than 7% of all parts of hips, knees, shoulder, and trauma are made by Additive Manufacturing
Cages for spine surgeries in the five main European countries: as Peek and Titanium lose market share, Additive
Manufacturing of cages will increase dramatically
Is Additive Manufacturing the right option for the implant Contract Manufacturing business?
Is Additive Manufacturing the right option for the instruments Contract Manufacturing business?
Additive Manufacturing for orthopedics: synthesis

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