Hip and Knee Orthopedic Surgical Implants Market: Global Industry Size, Shares, Strategies, and Forecasts, 2016 to 2022

The worldwide market for Hip and knee orthopedic surgical joint replacement products is $16.7 billion anticipated to reach $33 billon by 2022. The complete report provides a comprehensive analysis including procedure numbers, units sold, market value, forecasts, as well as a detailed competitive market shares and analysis of major players’ success, challenges, and strategies in each segment and sub-segment. The reports cover markets for knee and hip Implant orthopedic surgery medical specialties and sub-specialties.

A new study Hip and Knee Orthopedic Surgical Implants: Market Shares, Strategy, and Forecasts, Worldwide, 2016 to 2022. The 2016 study has 360 pages, 188 tables and figures. Worldwide hip and knee orthopedic surgical Implant markets are poised to achieve significant growth with the aging of the population.

Old people have trouble making their joints last as long as they do. The patient stability and the relief from pain provided by the implant is compelling. The major suppliers are providing implants that are state of the art. Orthopedic reconstructive implants are used to replace joints that have deteriorated. Deterioration may come as a result of aging, disease, osteoarthritis, or injury.

Total hip replacement surgery has evolved dramatically over the years as advances in technology have made it possible to improve surgical techniques. 325,000 people had total hip replacement surgery in 2015 in the United States. Computer-assisted total hip replacement surgery is one of the latest revolutions in total hip replacement.

Zimmer is the market leader by far in the hip and knee orthopedic implant market. Zimmer® M/L taper hip prosthesis has Kinectiv® modular neck technology. This is better than traditional hip replacements that have had limited size and shape choices. Doctors typically adjusted the hip bone to fit the implant. Hip replacements with Zimmer Kinectiv Technology give surgeons a wide range of options to achieve a more accurate fit of the joint replacement to the hip.

Reconstructive joint surgery involves the modification of the affected area of the joint and the implantation of one or more manufactured components. It may involve the use of bone cement. The primary orthopedic reconstructive targets are joints. Hips and knees are the joints most commonly repaired with orthopedic implants.

Orthopedic implant vendors produce associated instruments. Instruments are required by orthopedic surgeons to implant reconstructive products.

Interdisciplinary dialog in medicine through its extensive continuing education offerings is a vital part of the hip and knee implant joint replacement market. System partnership means even more intensive exchange to continuously improve patient care. The company seeks to actively contribute extensive knowledge of procurement, logistics and application processes to the medical community.

The aim is to increase efficiency of joint implant surgery in hospitals. Depending on the type of disorder, the activity level of the patient and the bone quality, the most suitable implant model is selected and fixated in the bone. A great number of implants for artificial hip replacement are available. The difference between individual models and manufacturers is small, all products are technologically sophisticated and good. Surgeon adoption of an implant product line provides competitive advantage.

The surgeon selects an implant based on the devices for which he or she is trained. Surgeons tend to be proficient in a particular device and have the most success implanting that one. The surgeon decision for choice of implant depends on the diagnosis, his or her own experience with the implant products, and the suitability of the selected implant for the patient.

Implant assisted medial knee arthroplasty: orthopedic surgical implants are poised to take knee and hip surgery quality far beyond what has previously been available. The quality of knee arthroplasty is improved with implant capability. All the advantages of surgical implants carry into the orthopedic reconstruction surgical products.. When the knee and hip surgical implants are used, patients have reduction of post-operative pain, fewer re-admissions to hospital and faster recovery. Implants support high-precision surgery.

Knee and hip surgical implants need robots to provide consistent reproducible precision. Knee or hip replacement will demand attention to quality of life. Maintenance of lifestyle provided by an implant as a joint replacement is compelling. As next generation systems, hip and knee implants provide a way to improve traditional orthopedic hip and knee replacement surgery. Total hip replacement surgery has evolved dramatically as advances in technology have brought improved surgical techniques. Surgical implants are a significant part of that advance.

Once, the penetration achieves this 35% level, all orthopedic surgeons will demand that hospitals offer implant orthopedic surgical capability because the outcomes are more predictable and better.

Knee and hip surgical implant markets have been impacted by the reduction in insurance payments. Payment reductions have forced hospitals to act as businesses. The cost of delivering care has become as much a factor as providing quality care when making decisions about patient improvement in condition. Cost-cutting has been made in the supply chain. Suppliers were examined closely for quality and cost.

The number of suppliers is reduced to put pressure on the ones that remain. Those remaining are pressured to improve prices and efficiencies. Hospitals, physicians, and care providers have been financially incentivized to create accountable care organizations (ACOs). Coordinated patient care plans and value-based purchasing were rewarded. The med device buyer shifted from physicians to the ACOs and smart buying groups.

According to Susan Eustis, lead author of the study, “Use of the orthopedic implant represents a key milestone in reconstructive surgery. Implants have provided an opportunity to transform orthopedics. New materials and new designs are bringing that transformation forward. By furthering the growth of implant innovation, patients can get better treatment. By enhancing the surgeon and patient experience is is likely that the entire orthopedics implant market will grow more rapidly than it would otherwise.”

The aging US population has supported demand, since the occurrence of health issues that require medical devices is higher in the elderly population. Buoyed by strong demand and sales, industry profit margins have increased considerably during the past five years.

The worldwide market for Hip and knee orthopedic surgical joint replacement products is $16.7 billion anticipated to reach $33 billon by 2022. The complete report provides a comprehensive analysis including procedure numbers, units sold, market value, forecasts, as well as a detailed competitive market shares and analysis of major players’ success, challenges, and strategies in each segment and sub-segment. The reports cover markets for knee and hip Implant orthopedic surgery medical specialties and sub-specialties.

Market Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, Bloomberg, and Thompson Financial. It conducts its business with integrity.

Market Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, and Thompson Financial. Market Research is positioned to help customers facing challenges that define the modern enterprises.

The increasingly global nature of science, technology and engineering is a reflection of the implementation of the globally integrated enterprise. Customers trust wi

Market Research announces that it has published a new study Hip and Knee Orthopedic Surgical Implants: Market Shares, Strategy, and Forecasts, Worldwide, 2016 to 2022. The 2016 study has 360 pages, 188 tables and figures. Worldwide hip and knee orthopedic surgical Implant markets are poised to achieve significant growth with the aging of the population.

Old people have trouble making their joints last as long as they do. The patient stability and the relief from pain provided by the implant is compelling. The major suppliers are providing implants that are state of the art. Orthopedic reconstructive implants are used to replace joints that have deteriorated. Deterioration may come as a result of aging, disease, osteoarthritis, or injury.

Total hip replacement surgery has evolved dramatically over the years as advances in technology have made it possible to improve surgical techniques. 325,000 people had total hip replacement surgery in 2015 in the United States. Computer-assisted total hip replacement surgery is one of the latest revolutions in total hip replacement.

Zimmer is the market leader by far in the hip and knee orthopedic implant market. Zimmer® M/L taper hip prosthesis has Kinectiv® modular neck technology. This is better than traditional hip replacements that have had limited size and shape choices. Doctors typically adjusted the hip bone to fit the implant. Hip replacements with Zimmer Kinectiv Technology give surgeons a wide range of options to achieve a more accurate fit of the joint replacement to the hip.

Reconstructive joint surgery involves the modification of the affected area of the joint and the implantation of one or more manufactured components. It may involve the use of bone cement. The primary orthopedic reconstructive targets are joints. Hips and knees are the joints most commonly repaired with orthopedic implants.

Orthopedic implant vendors produce associated instruments. Instruments are required by orthopedic surgeons to implant reconstructive products.

Interdisciplinary dialog in medicine through its extensive continuing education offerings is a vital part of the hip and knee implant joint replacement market. System partnership means even more intensive exchange to continuously improve patient care. The company seeks to actively contribute extensive knowledge of procurement, logistics and application processes to the medical community.

The aim is to increase efficiency of joint implant surgery in hospitals. Depending on the type of disorder, the activity level of the patient and the bone quality, the most suitable implant model is selected and fixated in the bone. A great number of implants for artificial hip replacement are available. The difference between individual models and manufacturers is small, all products are technologically sophisticated and good. Surgeon adoption of an implant product line provides competitive advantage.

The surgeon selects an implant based on the devices for which he or she is trained. Surgeons tend to be proficient in a particular device and have the most success implanting that one. The surgeon decision for choice of implant depends on the diagnosis, his or her own experience with the implant products, and the suitability of the selected implant for the patient.

Implant assisted medial knee arthroplasty: orthopedic surgical implants are poised to take knee and hip surgery quality far beyond what has previously been available. The quality of knee arthroplasty is improved with implant capability. All the advantages of surgical implants carry into the orthopedic reconstruction surgical products.. When the knee and hip surgical implants are used, patients have reduction of post-operative pain, fewer re-admissions to hospital and faster recovery. Implants support high-precision surgery.

Knee and hip surgical implants need robots to provide consistent reproducible precision. Knee or hip replacement will demand attention to quality of life. Maintenance of lifestyle provided by an implant as a joint replacement is compelling. As next generation systems, hip and knee implants provide a way to improve traditional orthopedic hip and knee replacement surgery. Total hip replacement surgery has evolved dramatically as advances in technology have brought improved surgical techniques. Surgical implants are a significant part of that advance.

Once, the penetration achieves this 35% level, all orthopedic surgeons will demand that hospitals offer implant orthopedic surgical capability because the outcomes are more predictable and better.

Knee and hip surgical implant markets have been impacted by the reduction in insurance payments. Payment reductions have forced hospitals to act as businesses. The cost of delivering care has become as much a factor as providing quality care when making decisions about patient improvement in condition. Cost-cutting has been made in the supply chain. Suppliers were examined closely for quality and cost.

The number of suppliers is reduced to put pressure on the ones that remain. Those remaining are pressured to improve prices and efficiencies. Hospitals, physicians, and care providers have been financially incentivized to create accountable care organizations (ACOs). Coordinated patient care plans and value-based purchasing were rewarded. The med device buyer shifted from physicians to the ACOs and smart buying groups.

According to Susan Eustis, lead author of the study, “Use of the orthopedic implant represents a key milestone in reconstructive surgery. Implants have provided an opportunity to transform orthopedics. New materials and new designs are bringing that transformation forward. By furthering the growth of implant innovation, patients can get better treatment. By enhancing the surgeon and patient experience is is likely that the entire orthopedics implant market will grow more rapidly than it would otherwise.”

The aging US population has supported demand, since the occurrence of health issues that require medical devices is higher in the elderly population. Buoyed by strong demand and sales, industry profit margins have increased considerably during the past five years.

The worldwide market for Hip and knee orthopedic surgical joint replacement products is $16.7 billion anticipated to reach $33 billon by 2022. The complete report provides a comprehensive analysis including procedure numbers, units sold, market value, forecasts, as well as a detailed competitive market shares and analysis of major players’ success, challenges, and strategies in each segment and sub-segment. The reports cover markets for knee and hip Implant orthopedic surgery medical specialties and sub-specialties.

Market Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, Bloomberg, and Thompson Financial. It conducts its business with integrity.

Market Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, and Thompson Financial. Market Research is positioned to help customers facing challenges that define the modern enterprises.

The increasingly global nature of science, technology and engineering is a reflection of the implementation of the globally integrated enterprise. Customers trust Market research to work alongside them to ensure the success of the participation in a particular market segment.

Market Research supports various market segment programs; provides trusted technical services to the marketing departments. It carries out accurate market share and forecast analysis services for a range of commercial and government customers globally. These are all vital market research support solutions requiring trust and integrity.ntergreen research to work alongside them to ensure the success of the participation in a particular market segment.

Market Research supports various market segment programs; provides trusted technical services to the marketing departments. It carries out accurate market share and forecast analysis services for a range of commercial and government customers globally. These are all vital market research support solutions requiring trust and integrity.

Table Of Content

Knee and Hip Orthopedic Implant Market Executive

Summary 27

Knee and Hip Orthopedic Implant Market Driving Forces 27

Knee and Hip Surgical Robot Market Shares 31

Knee and Hip Surgical Implant Forecasts 33

1. Knee and Hip Orthopedic Implants Market Description

and Market Dynamics 34

1.1 Challenges In The Field Of Healthcare 34

1.1.1 Clinical Limited Financial Resources 35

1.1.2 Clinical Economic Efficiency 35

1.1.3 Reducing Fixed Costs Homogeneous Supplier Structure Optimizing

Processes 37

1.2 Orthopedic Reconstructive Implants 38

1.3 Continuing Education 38

1.3.1 Implant Industry Characterized by Frequent Patent Litigation 39

1.3.2 Primary Customers 40

1.4 Knee Orthopaedic Reconstructive Implants 41

1.4.1 Knee Replacement 42

1.5 Hip Implants 44

1.5.1 Hip Replacement 44

2. Knee and Hip Orthopedic Implant Market Shares and

Market Forecasts 49

2.1 Knee and Hip Orthopedic Implant Market Driving Forces 49

2.2 Knee and Hip Surgical Robot Market Shares 53

2.2.1 Products 56

2.2.2 Orthopedic Implant Surgical Companies 56

2.2.3 Zimmer Persona® Knee: The Personalized Knee System 57

2.2.4 Zimmer Persona Knee – The Personalized Knee System 59

2.2.5 Biomet Vanguard SSK 360 Revision System is the best-selling Biomet

knee revision implant. 62

2.2.6 Zimmer Biomet Oxford Partial Knee 62

2.2.7 Stryker Accolade II 62

2.2.8 Johnson and Johnson / DePuy Surgical Orthopedic Implants Segments

64

2.2.9 Johnson and Johnson / DePuy Hip 65

2.2.10 Smith & Nephew Surgical Orthopedic Implants Segments 66

2.2.11 Exactech Surgical Orthopedic Implants Segments 67

2.2.12 Exactech 68

2.2.13 Mathys Surgical Orthopedic Implants Segments, 70

2.2.14 DJO 71

2.2.15 ConforMIS 72

2.2.16 Aesculap Bicontact® Universal Hip System 73

2.2.17 Wright Medical Technology 73

2.2.18 Wright Medical Technology 74

2.2.19 Total Hip Replacement 75

2.2.20 Total Hip Replacement Leaching Metal Debris Causes A Condition

Called Metallosis 75

2.2.21 Total Knee Replacement 76

2.2.22 Other Surgical Orthopedic Implant Segments 77

2.3 Knee and Hip Surgical Implant Forecasts 78

2.3.1 Knee Implants Market Forecasts 82

2.3.2 Hip Implant Market Forecasts 84

2.3.3 Knee and Hip Surgical Implant Unit Analysis 86

2.4 Knee and Hip Orthopedic Surgical Procedure Analysis 89

2.5 Knee and Hip Surgical Robot Regional Analysis 90

2.5.1 Orthopedic Implant Regional Positioning 91

2.5.2 Zimmer Americas 92

2.5.3 Zimmer Europe 92

2.5.4 Charité Europe 93

2.5.5 European Reconstructive Implant And Trauma Product Markets 94

2.5.6 Asia Pacific Market For Reconstructive Implant And Trauma Products94

2.5.7 Asia Pacific. 95

2.5.8 Zimmer Local Distribution Facilities 96

3. Knee and Hip Surgical Robot Products 97

3.1 Zimmer Holdings / Biomet Hip 97

3.1.1 Zimmer Fitmore® Hip Stem 99

3.1.2 Zimmer Continuum® Acetabular system 99

3.1.3 Zimmer Facing Lawsuits over Durom Acetabular Component 105

3.1.4 Zimmer Holdings / Biomet Knee 106

3.1.5 Zimmer / Biomet Knee and Hip 112

3.1.6 Biomet Knee reconstructive products 113

3.1.7 Biomet Oxford Partial Knee 115

3.2 Smith & Nephew 115

3.2.1 Smith & Nephew Orthopaedic Product Line 115

3.2.2 Smith & Nephew Hip 119

3.2.3 Smith & Nephew Recall of Metal Liner Component Of Its Modular R3

124

3.2.4 Smith & Nephew Redapt Hip Implant 124

3.2.5 Smith & Nephew Knee 126

3.2.6 Smith & Nephew Knee Implant Systems 127

3.2.7 Smith & Nephew LEGION HK Hinge Knee Replacement 128

3.3 Johnson and Johnson / DePuy Hip 129

3.3.1 DePuy’s ASR XL Acetabular Total Hip Replacement System Recalled 132

3.3.2 DePuy ATTUNE® Knee System 133

3.3.3 DePuy GLIDERIGHT™ Articulation Knee Implant 138

3.3.4 DePuy AOX™ Polyethylene 139

3.3.5 DePuy ORTHOVISC® Knee Injections 139

3.4 Stryker 140

3.4.1 Stryker Triathlon Total Knee Implants 146

3.4.2 Stryker MAKOplasty ® Robotic Arm Hip Replacement Solution 148

3.4.3 Stryker MAKOplasty® Surgical Robotic Total Hip Arthroplasty 150

3.4.4 Stryker MAKO Surgical Knee Replacements 158

3.4.5 Stryker’s Mako Total Knee Application Receives FDA Clearance 159

3.4.6 Stryker Knee and Hip Surgical Robot Products Benefits 161

3.4.7 Stryker / Mako 163

3.4.8 Stryker® Knee Replacement System 167

3.5 Microport Profemur™ Z Hip Stem System 168

3.5.1 MicroPort Evolution Knee 170

3.5.2 MicroPort Orthopedics Knee Replacement 170

3.5.3 MicroPort Orthopedic Devices 174

3.6 Corin 180

3.7 DJO Hip 183

3.7.1 DJO Revelation Hip System 184

3.7.2 DJO Revelation microMAX Hip 184

3.7.3 DJO Linear Hip System 185

3.7.4 DOJ LMR Hip 185

3.7.5 DJO 3DKnee™ System 186

3.7.6 DJO 3DKnee System 187

3.7.7 DJO FMP Acetabular System 190

3.7.8 DJO RSP Monoblock 190

3.7.9 DJO Reverse Shoulder Prosthesis (RSP) 191

3.7.10 DJO Turon Modular Shoulder System 191

3.7.11 DJO e-plus 192

3.8 Exactech 192

3.8.1 Exactech Knee 193

3.9 ConforMIS 197

3.9.1 ConforMIS iTotal CR Mimics Natural Shape Of The Knee 199

3.9.2 ConforMIS in Development of the iTotal Hip 201

3.10 Medacta 203

3.11 B. Braun / Aesculap AG 204

3.11.1 Aesculap Hip Arthroplasty Low Abrasion Ceramic Articulation And

Bioactive Surface Coatings 205

3.11.2 Aesculap Bicontact® Universal Hip System 205

3.11.3 Aesculap Knee Arthroplasty 209

3.12 Waldemar LINK GmbH & Co. 211

3.12.1 LINK® Hip Prostheses 212

3.13 Mathys AG 217

3.13.1 Mathys Stem 221

3.13.2 Mathys Cup 222

3.13.3 Mathys Hip Head 224

3.13.4 Mathys Knee Portfolio 225

3.13.5 Mathys Shoulder Portfolio 227

3.14 Wright Medical Technology 228

4. Knee and Hip Surgical Research, Technology, and

Regulation 229

4.1 Cemented / Cement-Free Implants 229

4.1.1 Cement-Free Anchorage 229

4.1.2 Cemented Anchorage 229

4.2 Well Described Problem For Hip Replacements 231

4.2.1 Allergy Considerations 233

4.2.2 Smith-Nephew VERILAST◊ Technology for Knees 233

4.2.3 Smith & Nephew VERILAST Technology May Last Up To 30 Years Of

Wear 234

4.3 Hip Implant Failure 235

4.3.1 Epidemic Of Failures Of Hip Implant Devices 235

4.3.2 Implants Involved In These Lawsuits 236

4.4 Regulation 236

4.4.1 U.S. Food and Drug Administration 237

U.S. Food and Drug Administration Regulatory 238

4.4.2 FDA’s Premarket Clearance and Approval Requirements 238

4.4.3 510(k) Clearance Pathway 239

4.4.4 Premarket Approval Pathway 240

4.4.5 Clinical Trials 240

4.4.6 Pervasive and Continuing FDA Regulation 241

5. Knee and Hip Surgical Company Descriptions 243

5.1 B Braun / Aesculap 243

5.1.1 B. Braun Products 244

5.1.2 B.Braun 246

5.1.3 Braun / Aesculap Revenue 248

5.1.4 Aesculap Hip Arthroplasty 249

5.1.5 Aesculap Knee Arthroplasty 249

5.2 ConforMIS 249

5.2.1 ConforMIS Fully Paid Up, Worldwide License Agreement with Wright

Medical Group, 250

5.2.2 ConforMIS iTotal PS Knee Replacement Product Systems Voluntary

Recall 251

5.2.3 ConforMIS Makes The Implant Fit The Patient 251

5.2.4 ConforMIS Revenue Third Quarter 2015 252

5.2.5 ConforMIS Third Quarter 2015 Financial Results 252

5.3 DJO 255

5.3.1 DJO Trademarks, Service Marks And Brand Names 256

5.3.2 DJO Linear® Hip System 257

5.3.3 DJO TaperFill™ Hip System 257

5.3.4 DJO Revelation® microMAX™ Hip 259

5.3.5 DJO Knee 259

5.3.6 DJO e+™ 260

5.3.7 DJO Movation™ and S.U.R.E. System™ 260

5.3.8 DJO Surgical 261

5.3.9 DJO purchases the Biomet Cobalt™ HV Bone Cement and Optivac©

Cement Mixing from Zimmer Biomet 262

5.3.10 DJO Advanced Technologies 262

5.3.11 DJO Revenue 263

5.3.12 DJO Sales by Business Segment 264

5.4 Exactech 265

5.5 Johnson and Johnson / Depuy 270

5.5.1 Depuy Synthes Trauma Launches New Biologic Implant 271

5.5.2 DePuy Synthes Companies of Johnson & Johnson 273

5.5.3 J&J DePuy Synthes 273

5.5.4 DePuy Synthes ASR Hips Failed Solutions In The Specialties Of Joint

Reconstruction, Trauma 274

5.5.5 Johnson and Johnson / DePuy Synthes 274

5.1.1 Google Collaborating With Johnson & Johnson To Develop Surgical

Robots 275

5.1.2 DePuy 276

5.1.3 Johnson & Johnson 276

5.1.4 Johnson & Johnson / Ethicon 276

5.5.6 Johnson & Johnson Business 278

5.5.7 Johnson & Johnson Geographic Areas 279

5.6 Corin 280

5.6.1 Corin Hip Components 280

5.6.2 Corin Knee Components 282

5.7 Mathys 283

5.8 Medacta 284

5.8.1 Medacta Business 285

5.9 MicroPort Scientific Corporation 285

5.9.1 MicroPort Orthopedic Devices 287

5.9.2 MicroPort acquires OrthoRecon Business from Wright Medical

Technologies 287

5.9.3 Microport Hip Systems 287

5.10 Shenzhen Advanced Institute Spinal Surgical Robot 288

5.11 Smith & Nephew 289

5.11.1 Smith & Nephew Revenue 290

5.11.2 Smith & Nephew 2015 Q3 Highlights 295

5.12 Stryker Corporation 297

5.12.1 Stryker Revenue 297

5.12.2 Stryker Results Of Operations 300

5.12.3 Stryker Segment Orthopaedics 303

5.12.4 Stryker Business Segment Operations 303

5.12.5 Stryker Revenue 304

5.12.6 Stryker Hip Recall: $1.4 Billion Settlement 305

5.12.7 Stryker Regional Revenue Segment 305

5.12.8 Stryker Robots 306

5.12.9 Stryker / MAKO Surgical 311

5.12.10 Stryker / Mako 312

5.12.11 MAKO Surgical RIO Robotic Arm 321

5.12.12 Stryker Endoscopy 322

5.12.13 Mako Surgical Business 323

5.12.14 Mako Products 324

5.12.15 Mako Surgical Strategy 327

5.12.16 Mako Surgical Revenue 330

5.13 THINK Surgical 330

5.13.1 THINK Surgical TPLAN™ 3D Planning Workstation 331

5.13.2 THINK Surgical TCAT™ Computer Assisted Tool 333

5.13.3 Think Surgical 335

5.13.4 Think Surgical Robodoc 336

5.14 Waldemar LINK GmbH & Co. 337

5.14.1 Waldemar Link GmbH und Co. KG 338

5.15 Wright Medical Technology 339

5.15.1 Wright Revenue 339

5.15.2 Wright Medical Group NV Revenue 340

5.15.3 Wright Medical Group N.V. Revenue for 2015 Third Quarter 341

5.15.4 Wright / Tornier 346

5.16 Zimmer Biomet 346

5.16.1 Zimmer Biomet Sales by Product Category 352

5.16.2 Zimmer Biomet 353

5.16.3 Zimmer Metal-on-Metal Hip Recall 355


Figure ES-1 27

Knee and Hip Orthopedic Implant Market Driving Forces 27

Figure ES-2 28

Knee and Hip Orthopedic Implant Market Aspects 28

Table ES-3 29

Knee and Hip Orthopedic Implant Market Challenges 29

Table ES-4 30

Innovative Knee and Hip Orthopedic Implant Features 30

Figure ES-5 32

Hip and Knee Surgical Orthopedic Implants Market Shares, Shipments, Dollars,

Worldwide 2015 32

Figure ES-6 33

Orthopedic Implants Market Forecasts, Dollars, Worldwide, 33

2016-2022 33

Table 1-1 36

Clinical Economic Efficiency 36

Figure 1-2 42

Knee Replacement Operation Resurfaces The Damaged Knee Joint With Metal

And Plastic Implants To Restore Movement 42

Table 1-3 45

Hip Implant Surgeon Implant Decision Process Metrics 45

Table 1-4 46

Hip Implant Surgery Challenges 46

Table 1-5 46

Hip Implant Surgery Difficulties 46

Figure 1-6 47

Orthopedic Hip Implant Instrumentation 47

Figure 2-1 49

Knee and Hip Orthopedic Implant Market Driving Forces 49

Figure 2-2 50

Knee and Hip Orthopedic Implant Market Aspects 50

Table 2-3 51

Knee and Hip Orthopedic Implant Market Challenges 51

Table 2-4 52

Innovative Knee and Hip Orthopedic Implant Features 52

Figure 2-5 54

Hip and Knee Surgical Orthopedic Implants Market Shares, Shipments, Dollars,

Worldwide 2015 54

Table 2-6 55

Hip and Knee Surgical Orthopedic Implants Markets and Systems Shares, Dollars,

Worldwide, 2015 55

Figure 2-7 58

Zimmer Biomet Knee 58

Figure 2-8 59

Zimmer Persona Knee 59

Table 2-9 61

Zimmer Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 61

Table 2-10 63

Stryker Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 63

Table 2-11 64

Johnson and Johnson DePuy Surgical Orthopedic Implants Segments, Dollars,

Worldwide, 2015 64

Figure 2-12 65

Johnson and Johnson / Depuy Hip Implants 65

Table 2-13 66

Smith & Nephew Surgical Orthopedic Implants Segments, Dollars, Worldwide,

2015 66

Table 2-14 67

Exactech Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 67

Figure 2-15 69

Exactech Knee Implant Images 69

Table 2-16 70

Mathys Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 70

Table 2-17 71

DJO Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 71

Figure 2-18 72

DJO Hip Implant 72

Table 2-19 73

ConforMIS Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 73

Table 2-20 74

Wright Medical Technology Persona Knee features 74

Table 2-21 76

Total Knee Replacement Leading Causes Of Dissatisfaction 76

Table 2-22 77

Other Surgical Orthopedic Implant Segments, Dollars, Worldwide, 2015 77

Figure 2-23 78

Orthopedic Implants Market Forecasts, Dollars, Worldwide, 78

2016-2022 78

Table 2-24 79

Total Orthopedic Surgical Implant Market Segment Forecasts Dollars, Worldwide,

2016-2022 79

Table 2-25 80

Surgical Orthopedic Implant Market Segments, Units and Dollars, Worldwide,

2015 80

Table 2-26 81

Hip, Knee and Other Orthopedic Surgical Implant Market Segment Forecasts,

Dollars, Worldwide, 2016-2022 81

Figure 2-27 82

Knee Implants Market Forecasts, Dollars, Worldwide, 2016-2022 82

Table 2-28 83

Knee Orthopedic Surgical Implant Market Segment Forecasts, Units, Dollars, and

Dollars per Unit, United States and Worldwide, 83

2016-2022 83

Figure 2-29 84

Hip Implants Market Forecasts, Dollars, Worldwide, 2016-2022 84

Table 2-30 85

Hip Orthopedic Surgical Implant Market Segment Forecasts, Dollars, Units, Dollars

per Unit, United States and Worldwide, 2016-2022 85

Table 2-31 86

Surgical Orthopedic Implant Knee and Hip Market Segments, Units and Dollars,

Worldwide, 2015 86

Figure 2-32 87

Other Implants Market Forecasts, Dollars, Worldwide, 2016-2022 87

Table 2-33 88

Surgical Orthopedic Implant Market Segments, Units and Dollars, Worldwide,

2015 88

Table 2-34 89

Hip, Knee, and Other Orthopedic Surgical Implant Market Segment Forecasts,

Units, United States and Worldwide, 2016-2022 89

Figure 2-35 90

Orthopedic Surgical Implant Regional Market Segments, Dollars, Worldwide,

2015 90

Table 2-36 91

Orthopedic Surgical Robot Regional Market Segments, Dollars, 2015 91

Figure 3-1 97

Zimmer Holdings / Biomet Hip 97

Table 3-2 98

Zimmer Significant Hip Brands 98

Figure 3-3 101

Zimmer Continuum™ Acetabular System 101

Figure 3-4 102

Zimmer Continuum™ Acetabular Orthopedic Implant Hip System 102

Figure 3-5 102

Zimmer Continuum™ Acetabular System Meets Individual Patient Needs 102

Table 3-6 103

Zimmer Continuum™ Acetabular System Features 103

Table 3-7 104

Zimmer Trabecular Metal Material Characteristics 104

Table 3-8 106

Zimmer Significant Knee Brands: 106

Figure 3-9 107

Zimmer Holdings / Biomet Knee 107

Table 3-10 108

Zimmer Personalized Total Knee Arthroplasty System Functions 108

Figure 3-11 110

Zimmer Holdings / Biomet Knee Components 110

Figure 3-12 111

Zimmer Holdings / Biomet Implantable Knee Component Unlock and Pull 111

Table 3-13 112

Biomet Key Products

Description 112

Table 3-14 114

Biomet Knee Reconstructive Key

Products 114

Figure 3-15 116

Smith & Nephew Product Line 116

Table 3-16 119

Smith & Nephew REFLECTION™ Ceramic Acetabular Hip Features 119

Figure 3-17 120

Smith & Nephew REFLECTION™ Ceramic Acetabular Hip System 120

Figure 3-18 121

Smith-nephew Reflection Ceramic Acetabular Hip System Optimized Neck 121

Figure 3-19 122

Smith & Nephew Hip Implant 122

Figure 3-20 123

Smith & Nephew Hip Implant CLose-up 123

Smith & Nephew Redapt Hip Implant 124

Figure 3-22 126

Smith & Nephew Journey BCS Knee Implant 126

Figure 3-23 127

Smith & Nephew Legion TKS Total Knee System 127

Figure 3-24 129

Johnson and Johnson / Depuy Hip Implants 129

Table 3-25 130

Johnson & Johnson DePuy ASR & Pinnacle Hip Replacement Orthopedics

Features 130

Figure 3-26 134

DePuy ATTUNE® Knee Implant System Works With Knee Muscles And Ligaments

134

Figure 3-27 135

DePuy ATTUNE Knee 135

Figure 3-28 136

DePuy ATTUNE Knee Side View 136

Figure 3-29 138

Innovative Technology of the DePuy ATTUNE Knee 138

Figure 3-30 140

Anika Therapeutics Hyaluronic Acid Knee Injections 140

Figure 3-31 141

Stryker Implant Products 141

Table 3-32 144

Stryker Mobile Bearing Hip System Stability and Longevity Features 144

Table 3-33 145

Stryker Mobile Bearing Hip System Advanced Fixation Features 145

Table 3-34 145

Stryker ADM X3 and WDM X3 Hip System 145

Figure 3-35 146

Stryker Triathlon Total Knee 146

Figure 3-36 147

Stryker Mako Advanced RIO® Robotic Arm 147

Figure 3-37 148

Stryker MAKOplasty ® Robotic Arm Solution 148

Figure 3-38 149

Stryker MAKOplasty Hip Arthroplasty 149

Figure 3-39 150

Stryker MAKOplasty Hip Arthroplasty 150

Table 3-40 151

Stryker MAKOplasty® Surgical Robotic Total Hip Arthroplasty Features 151

Figure 3-41 152

Stryker Hip Joint Kinematics 152

Figure 3-42 153

Stryker RIO Robotic Arm Interactive Orthopedic System 153

Figure 3-43 154

Stryker MAKOplasty 154

Figure 3-44 157

Stryker Mako RESTORIS Hip System Components 157

Table 3-45 158

Stryker Mako Diverse Family of RESTORIS® Hip Implant Systems 158

Figure 3-46 159

MAKO Surgical Maker Of Robots To Assist In Knee Replacements 159

Figure 3-47 161

Stryker Mako Robotic Stations for Surgery Planning and Bone Cutting 161

Figure 3-48 162

Stryker Knee and Hip Surgical Robot For Bone Cutting 162

Figure 3-49 163

Stryker Knee Surgical Robot Precision Cutter Decreases Need For Bone

Resurfacing 163

Figure 3-50 165

Stryker Mako Surgical Preoperative and Post Operative Knee Surgery Images 165

Table 3-51 166

Stryker Mako Surgical Robot Knee Arthroplasty Benefits 166

Figure 3-52 169

Microport Profemur™ Z Hip Stem System 169

Figure 3-53 170

MicroPort Orthopedics Knee Replacement 170

Table 3-54 171

MicroPort Implant Medical Conditions Treated: 171

Table 3-55 173

MicroPort Medical Solutions: 173

Figure 3-56 174

MicroPort Hips and Knees 174

Figure 3-57 176

MicroPort Knees 176

Figure 3-58 178

MicroPort Evolution™ Medial-Pivot Knee System 178

Table 3-59 179

MicroPort e MP Knee System Flexion Stability

Features 179

Figure 3-60 180

Corin Hip Product Line 180

Figure 3-61 181

Corin Product Line 181

Table 3-62 182

Early Intervention and Primary Hip Implants 182

Figure 3-63 183

DJO Hip Implant 183

Figure 3-64 184

DJO Revelation® Lateral Flare® Total Hip 184

Figure 3-65 184

DJO Revelation microMAX Hip 184

Figure 3-66 185

DJO Linear Hip System 185

Figure 3-67 186

DOJ LMR Hip 186

Figure 3-68 187

DJO 3DKnee™ System 187

Figure 3-69 188

DJO 3DKnee™ System 188

Table 3-70 189

DJO EMPOWR 3D Knee™ System: Key design Features 189

Figure 3-71 190

DJO Foundation Knee System 190

Figure 3-72 193

Exactech Knee Implant Images 193

Figure 3-73 194

Exactech Knee Implant 194

Figure 3-74 194

Exactech Knee System 194

Figure 3-75 197

ConforMIS iTotal Customized Knee Replacement 197

Figure 3-76 199

ConforMIS iTotal CR Mimics Natural Shape Of The Knee 199

Table 3-77 202

ConforMIS iFit Technology Platform Key Elements 202

Source: Market Research, Inc. 202

Figure 3-78 203

ConforMIS iTotal Hip 203

Figure 3-79 206

B. Braun / Aesculap Bicontact® System Implant Components 206

Figure 3-80 207

B. Braun / Aesculap Implant System Components 207

Figure 3-81 210

Aesculap Knee Arthroplasty Components 210

Table 3-82 212

Link Target Product Markets 212

Figure 3-83 213

LINK Prosthesis Standard Stems 213

Figure 3-84 215

Link Primary Instrumentation 215

Figure 3-85 215

Link Cementless And Cemented Hip Stems And Hip Cups For Revision Surgery 215

Figure 3-86 216

Link Prosthesis Heads 216

Figure 3-87 217

Mathys AG Primary Hip Modules 217

Figure 3-88 218

Mathys AG Primary Hip Monobloc and Bipolar / Hemi Modules 218

Figure 3-89 219

Mathys AG Primary Cemented and Uncemented Hip Modules 219

Figure 3-90 220

Mathys AG Primary Hip Revision Modules 220

Table 3-91 221

Mathys AG Hip Implant Stems That Are Anchored Cement-Free 221

Figure 3-92 222

Mathys AG Hip Implant Stems 222

Figure 3-93 223

Mathys Modular Cups Can Be Implanted With Cement-Free Or Cemented

Anchorage 223

Figure 3-94 224

Mathys Ceramic Hip Heads 224

Figure 3-95 225

Mathys Knee Portfolio 225

Figure 3-96 226

Mathys Uni Knee and Revision Knee 226

Figure 3-97 227

Mathys Shoulder Portfolio 227

Figure 4-1 230

Smith & Nephew Hip Stem For Cement-Free (Left) And Cemented (Right)

Anchorage 230

Figure 4-2 232

Smith & Nephew Metal Content of Implants 232

Table 4-3 238

U.S. Food and Drug Administration Regulatory Governance Of Activities 238

Table 4-4 241

Continuing FDA Regulation 241

Table 5-1 244

B. Braun Products 244

Table 5-2 245

B. Braun Product Descriptions 245

Figure 5-3 255

DJO Hip, Knee, Upper Extremity, and Cement Solutions 255

Figure 5-4 257

DJO Linear® Hip System 257

Figure 5-5 258

DJO TaperFill™ Hip System 258

Figure 5-6 259

DJO Empowr 3D Knee™ 259

Figure 5-7 260

DJO e+™ 260

Figure 5-8 261

Movation™ and S.U.R.E. System™ 261

Figure 5-9 262

DJO Provides ArmorCoat Implant Protection For Maximum Performance 262

Figure 5-10 270

Johnson and Johnson / Depuy Hip Implants 270

Figure 5-11 271

Depuy Synthes Biologic Implant 271

Table 5-12 275

Johnson and Johnson Family of Companies Comprises: 275

Table 5-13 279

Johnson & Johnson Business 279

Figure 5-14 281

Corin Orthopaedic Hip Implant 281

Figure 5-15 282

Corin Knee Components 282

Figure 5-16 283

Mathys Worldwide Presence 283

Table 5-17 286

MicroPort® Advanced Technology Product Segments Addressed 286

Table 5-18 287

Microport Hip Systems 287

Figure 5-19 289

Smith & Nephew Laser Surgical Instrument 289

Figure 5-20 307

Stryker Joint Implants 307

Figure 5-21 308

Stryker Patient Specific Pre-Operative Planning 308

Figure 5-22 309

Stryker Patient Specific Pre-Operative Planning 309

Table 5-23 309

Stryker Better Fit Orthopedics 309

Table 5-24 310

Stryker Osteoarthritis Affects Compartments Of The Knee 310

Figure 5-25 311

Stryker / MAKO Surgical RIO Robotic Arm Interactive System 311

Figure 5-26 318

MAKO Surgical Restoris 318

Figure 5-27 320

Mako Robotic Arm Technology Assists in Total Hip Replacement 320

Figure 5-28 321

MAKO Surgical 321

Figure 5-29 322

MAKO Surgical Implants 322

Table 5-30 327

MAKO Robotic Surgery Benefits 327

Figure 5-31 331

THINK Surgical TPLAN™ 3D Planning Workstation 331

Figure 5-32 332

THINK Surgical TPLAN™ Workstation 332

Figure 5-33 333

THINK Surgical TCAT™ Computer Assisted Tool 333

Figure 5-34 335

Think Surgical Planning 335

Figure 5-35 336

Think Surgical Robodoc 336

Figure 5-36 337

LINK Prosthetic Stems Precision Turning 337

Figure 5-37 338

Link Baking Ceramic Molds at VACUCAST 338

Table 5-38 354

Zimmer Biomet Musculoskeletal Healthcare Offerings 354

Table 5-39 356

Zimmer Metal On Metal Hip Replacement Difficulties and Side Effects. 356

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