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市場調査レポート
米国の小関節インプラント市場：2009年
2009 U.S. SMALL JOINT IMPLANT MARKETS
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Abstract
The U.S. market accounts for the largest share of global revenues for small
joint implants. Growth will be influenced by the adoption of products that
have only been available overseas, the preference for motion-preserving
technologies over fusion, and challenges with respect to reimbursement and
regulatory factors.
New product introductions could have a significant impact on the U.S. market.
Reverse shoulder replacements have recently become available, which expand the
treatable population to include individuals with severe rotator cuff damage.
Renewed interest in ankle replacements and the potential introduction of the
first mobile-bearing devices in the U.S. could result in a shift towards ankle
replacements over fusions in selected patients.
While challenges with respect to reimbursement and healthcare costs will have
an impact on revenues, sales growth is expected to remain strong through 2015
due to the rising prevalence of conditions that affect the small joints. This
report examines the market for replacement, fixation, and fusion implants for
the shoulder, elbow, wrist, fingers, ankle and foot, and provides a detailed
analysis of the clinical and economic factors driving the market.
Table of Contents
1. EXECUTIVE SUMMARY
- 1.1 Product Segments
- 1.1.1 Shoulder
- 1.1.2 Internal Fixation Products to Fuse or Stabilize the Small Joints
- 1.1.3 Ankle and Foot
- 1.1.4 Elbow
- 1.1.5 Fingers and Hand
- 1.1.6 Wrist
- Exhibit 1 1: U.S. Small Joint Implant Market Forecast, 2007-2015
- Exhibit 1 2: U.S. Market Forecast for Shoulder Replacement, 2007-2015
- Exhibit 1 3: U.S. Market Forecast, Internal Fixation for Arthrodesis and
Small Joint Repair, 2007-2015
- Exhibit 1 4: U.S. Market Forecast for Total Ankle Replacement Devices,
2007-2015
- Exhibit 1 5: U.S. Market Forecast for Joint Replacements of the Toes and
Foot, 2007-2015
- Exhibit 1 6: U.S. Market Forecast for Elbow Replacement Products, 2007-2015
- Exhibit 1 7: Finger Joint Replacements, U.S. Market Forecast, 2007-2015
- Exhibit 1 8: Wrist Replacements, U.S. Market Forecast, 2007-2015
2. OVERVIEW
- 2.1 Disease Prevalence
- 2.2 Economic Factors
- Exhibit 2 1: Factors Driving the U.S. Market for Small Joint Implants
- Exhibit 2 2: Selected Studies of OA Prevalence in the U.S.
3. JOINT REPLACEMENT PRODUCTS
- 3.1 Replacement Products for the Joints of the Fingers and Hand
- 3.1.1 Clinical Results
- 3.1.2 Companies and Products
- 3.2 Replacement Products for the Wrist and Distal Radioulnar Joint
- 3.2.1 Clinical Results
- 3.2.2 Companies and Products
- 3.3 Elbow Replacement Products
- 3.3.1 Clinical Results
- 3.3.2 Companies and Products
- 3.4 Shoulder Replacement Products
- 3.4.1 Clinical Results
- 3.4.2 Companies and Products
- 3.5 Replacement Products for the Ankle and Foot
- 3.5.1 Ankle Arthroplasty
- 3.5.1.1 Ankle Replacement Products
- 3.5.2 Foot Arthroplasty
- 3.5.3 Companies and Products
- Exhibit 3 1: Small Joint Implants by Type
- Exhibit 3 2: Features of Finger Joint Implants
- Exhibit 3 3: Clinical Studies of Replacement Products in the Fingers and
Hand
- Exhibit 3 4: Selected Finger Joint Replacement Products in 2008
- Exhibit 3 5: Advantages and Disadvantages of Wrist and DRUJ Implants
- Exhibit 3 6: Clinical Studies of Wrist and DRUJ Arthroplasty
- Exhibit 3 7: Selected Wrist and DRUJ Replacement Products in 2008
- Exhibit 3 8: Features of Elbow Replacement Products
- Exhibit 3 9: Clinical Studies of Total Elbow Replacement
- Exhibit 3 10: Selected Elbow Replacement Products in 2008
- Exhibit 3 11: Shoulder Replacement Products by Type
- Exhibit 3 12: Selected Studies of Shoulder Replacement
- Exhibit 3 13: Selected Shoulder Replacement Products in 2008
- Exhibit 3 14: Selected Joint Replacement Devices for the Ankle and Foot in
2008
4. INTERNAL FIXATION FOR SMALL JOINT FUSION & STABILIZATION
- 4.1 Internal Fixation Products for Small Joints of the Upper Extremities
- 4.1.1 Fingers
- 4.1.2 Wrist & Hand
- 4.1.3 Elbow
- 4.1.4 Shoulder
- 4.2 Internal Fixation Products for Small Joints of the Lower Extremities
- 4.2.1 Products and Suppliers
- Exhibit 4 1: Internal Fixation Products by Type
- Exhibit 4 2: Shoulder Fracture by Type
- Exhibit 4 3: Selected Internal Fixation Products
5. U.S. PROCEDURE VOLUMES AND MARKET FORECASTS
- 5.1 Joint Replacements
- 5.1.1 Fingers and Hand
- 5.1.1.1 Procedure Volumes
- 5.1.1.2 Market Analysis
- 5.1.2 Wrist
- 5.1.2.1 Procedure Forecast
- 5.1.2.2 Market Analysis
- 5.1.3 Elbow
- 5.1.3.1 Procedure Forecast
- 5.1.3.2 Market Analysis
- 5.1.4 Shoulder
- 5.1.4.1 Procedure Forecast
- 5.1.4.2 Market Analysis
- 5.1.5 Ankle
- 5.1.5.1 Procedure Forecast
- 5.1.5.2 Market Analysis
- 5.1.6 Other Joints in the Foot
- 5.1.6.1 Procedure Forecast
- 5.1.6.2 Market Analysis
- 5.2 Internal Fixation for Arthrodesis and Small Joint Repair
- 5.2.1 Procedure Forecast
- 5.2.2 Market Analysis
- 5.3 Company Analysis
- Exhibit 5 1: U.S. Small Joint Implant Procedure Forecast, 2007-2015
- Exhibit 5 2: U.S. Market Forecast for Small Joint Implants, 2007-2015
- Exhibit 5 3: Finger Joint Replacements, U.S. Procedure Forecast, 2007-2015
- Exhibit 5 4: Finger Arthroplasties by Joint, U.S. Procedure Forecast,
2007-2015
- Exhibit 5 5: Finger Joint Replacements, U.S. Market Forecast, 2007-2015
- Exhibit 5 6: MCP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
- Exhibit 5 7: PIP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
- Exhibit 5 8: CMC and Other Finger Joint Replacement Devices, U.S. Market
Forecast, 2007-2015
- Exhibit 5 9: Finger Joint Replacement Devices by Material, U.S. Market
Forecast, 2007-2015
- Exhibit 5 10: Wrist Replacements, U.S. Procedure Forecast, 2007-2015
- Exhibit 5 11: Wrist Replacements, U.S. Market Forecast, 2007-2015
- Exhibit 5 12: Wrist Replacements by Type, U.S. Market Forecast, 2007-2015
- Exhibit 5 13: Elbow Replacements, U.S. Procedure Forecast, 2007-2015
- Exhibit 5 14: U.S. Market Forecast for Elbow Replacement Products,
2007-2015
- Exhibit 5 15: U.S. Market Forecast for Total Elbow Replacement Devices by
Type, 2007-2015
- Exhibit 5 16: U.S. Market Forecast for Partial Elbow Replacements,
2007-2015
- Exhibit 5 17: U.S. Procedure Forecast for Shoulder Replacement, 2007-2015
- Exhibit 5 18: U.S. Procedure Forecast for Total Shoulder Replacement,
2007-2015
- Exhibit 5 19: U.S. Procedure Forecast for Partial Shoulder Replacement,
2007-2015
- Exhibit 5 20: U.S. Market Forecast for Shoulder Replacement, 2007-2015
- Exhibit 5 21: U.S. Market Forecast for Total Shoulder Replacement Systems,
2007-2015
- Exhibit 5 22: U.S. Market Forecast for Partial Shoulder Replacement
Systems, 2007-2015
- Exhibit 5 23: U.S. Procedure Forecast for Total Ankle Replacements,
2007-2015
- Exhibit 5 24: U.S. Market Forecast for Total Ankle Replacement Devices,
2007-2015
- Exhibit 5 25: U.S. Procedure Forecast for Joint Replacements of the Toes
and Foot, 2007-2015
- Exhibit 5 26: U.S. Market Forecast for Joint Replacements of the Toes and
Foot, 2007-2015
- Exhibit 5 27: U.S. Market Forecast for Toe and Foot Joint Replacements by
Type, 2007-2015
- Exhibit 5 28: Wrist Fusions, U.S. Procedure Forecast, 2007-2015
- Exhibit 5 29: Fusions/Internal Fixation for Joints of the Fingers and
Hand, U.S. Procedure Forecast, 2007-2015
- Exhibit 5 30: Fusions/Internal Fixation for Joints of the Elbow, U.S.
Procedure Forecast, 2007-2015
- Exhibit 5 31: Internal Fixation for Fractures of the Proximal Humerus,
U.S. Procedure Forecast, 2007-2015
- Exhibit 5 32: Internal Fixation for the Small Joints of the Ankle and
Foot, U.S. Procedure Forecast, 2007-2015
- Exhibit 5 33: U.S. Market Forecast, Internal Fixation for Arthrodesis and
Small Joint Repair, 2007-2015
- Exhibit 5 34: Supplier Shares in 2008
6. COMPANY PROFILES
- Exhibit 6-1: Selected Suppliers of Small Joint Implants in 2008
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