肩関節置換術市場：手技タイプ別、インプラント設計別、インプラント材料別、地域別、2024年～2031年

肩関節置換術市場の評価、2024年～2031年

個人と政府によるヘルスケア支出の増加により、高度な医療がより手頃な価格で受けられるようになっています。保険適用範囲と償還ガイドラインの拡大は、患者の肩関節置換術へのアクセスを増加させ、市場拡大を後押ししています。このように、ヘルスケア支出の増加は、2024年に19億5,000万米ドルを超え、2031年には33億米ドルの評価額に達する市場規模の成長を加速させています。

肥満や座りっぱなしのライフスタイルなどのライフスタイル要因は、変形性関節症のような肩関節疾患の蔓延に寄与しています。特に肥満は関節にさらなる負担をかけ、関節の劣化を加速させ、肩関節置換術の必要性を高めます。このように、肥満と座りがちなライフスタイルが、2024年から2031年にかけてCAGR 7.50%での市場成長を可能にしています。

肩関節置換術市場定義/概要

肩関節置換術は、肩関節の骨を一般にインプラントと呼ばれる人工関節部品で置換する手術です。この手術は、肩甲上腕関節の損傷の程度に応じて、部分的または完全に行われます。肩関節置換術に使用される人工インプラントは、一般的に金属とポリエチレンで構成されています。肩関節置換術は、変形性関節症やその他の肩の衰弱に悩む人にとって、特に非外科的治療で効果が得られなかった場合に有効な治療法であることが証明されています。

人工肩関節全置換術は、関節炎になった肩に快適さと機能を回復させることを目的とした、確立された外科手術です。この手術の間、肩関節の関節球は滑らかな金属球に置き換えられ、骨の中に収まるステムを使って腕の骨（上腕骨）に固定されます。関節炎のソケット（関節窩）は、高密度ポリエチレン製の人工関節で表面置換されます。様々な手術方法がある中で、肩関節置換術は、関節炎に冒された肩の快適性と機能の両面で、最も迅速かつ包括的な改善を提供します。

肩関節置換術の成功は、手術の技術的な正確さと、望ましい可動域を達成するためにデザインされた術後の運動プログラムへの患者の取り組みに大きく依存しています。計画的なリハビリ計画に従うことで、患者は手術の恩恵を最大限に受けることができ、痛みの大幅な緩和と肩の可動性の顕著な改善を達成することができます。全体として、肩関節置換術は重度の肩関節の問題に悩む人々にとって非常に効果的な治療法であり、関節の機能性を向上させることで新たな生活の質を提供します。

高齢人口の増加と肩関節損傷の頻度の増加は、どのように肩関節置換術市場の成長を急増させるのでしょうか？

世界の高齢化人口の増加は、肩関節置換術市場にとって好都合です。人々が長生きするにつれて、関節リウマチや変形性関節症のような加齢に関連した肩の障害がより蔓延するようになります。肩関節の変性にかかりやすい高齢者は、痛みを管理し、可動性を回復するために、ますます肩関節置換術を必要とするようになっています。加齢に関連した症状に加えて、外傷、スポーツ活動、仕事に関連したリスクによる肩の怪我の頻度の増加が、市場の成長に寄与しています。これらの怪我はしばしば慢性的な痛みや機能障害につながり、関節機能を回復させ不快感を和らげるために肩関節置換術を必要とします。例えば

国立健康統計センター

米国では、成人の上肢痛の有病率は年齢とともに増加し、18～29歳の16.2％から30～44歳の24.1％に上昇します。45～64歳では37.9％、65歳以上では42.0％に達します。

インプラント技術の進歩も人工肩関節市場の成長に貢献しています。インプラントの設計、材料、手術手技の絶え間ない革新が、治療結果の改善と患者の満足度向上に繋がっています。最新のインプラントはより優れた安定性、寿命、可動域を提供し、肩関節置換術をより効果的で患者にとって魅力的なものにしています。さらに、肩関節置換術の利点に対する患者の意識も高まっています。人々が肩の機能障害や痛みに対する治療をより積極的に求めるようになるにつれて、このような手術に対する需要が高まっているのです。患者は、肩関節置換術が可動性を大幅に改善し、痛みを軽減し、全体的な生活の質を高めることができるということを、ますます認識するようになっています。

手術器具や器械の技術的進歩も肩関節置換術市場の成長に貢献しています。ロボット支援手術、ナビゲーション・システム、手術器具の革新は、肩関節置換術の精度と正確性を高めています。これらの技術は、外科医が低侵襲手術を行うことを可能にし、その結果、組織の損傷が少なく、回復にかかる時間も短縮されるため、これらの手術に対する患者の受け入れと採用が増加しています。特に新興国におけるヘルスケア・インフラの拡充が、市場の成長をさらに後押ししています。ヘルスケア施設の改善、熟練した医療従事者の増加、医療費の増加により、肩関節置換術を含む先進医療へのアクセスが向上しています。

肩関節置換術の高額費用と感染、血栓のリスクがどのように肩関節置換術市場の成長を阻害しているか？

肩関節置換術は高価な手術であり、インプラントそのもの以外の費用も含まれます。患者は、入院費、外科医費用、リハビリ、鎮痛剤などに関連する多額の出費に直面し、特に保険適用が限られている患者にとっては、経済的に大きな負担となります。例えば、ハイデラバードでは、肩関節置換術の平均費用は、一般的に3,000万円から8,000万円程度です。この費用のばらつきは、手術の種類、症状の重さ、病院の設備の質、外科医の熟練度など、いくつかの要因に左右されます。潜在的な利点があるにもかかわらず、肩関節置換術を含むあらゆる手術に付随する固有のリスクと合併症は、一部の患者を躊躇させる可能性があります。これらのリスクには、感染症、血栓、神経損傷、インプラントのゆるみなどがあり、これらは手術の成功を損ない、さらなる医療介入につながる可能性があります。

さらに、肩関節置換術は多くの症例で良好な結果を示しているが、インプラントの耐久性や様々な手術手技の有効性に関する長期的なデータの入手可能性は依然として限られています。このような包括的な長期的エビデンスの欠如は、患者と外科医の双方に不確実性をもたらし、意思決定プロセスに影響を与えます。さらに、肩関節置換術は誰にでも適しているわけではありません。年齢、全体的な健康状態、関節損傷の重症度などの要因が、手術の適応を決定する上で重要な役割を果たすため、潜在的な市場規模は限られています。

疼痛管理、理学療法、コルチゾン注射のような非外科的選択肢は、肩の痛みを経験している一部の患者に救済を提供します。これらの選択肢は、外科的介入の必要性を遅らせたり、場合によってはなくしたりすることができ、肩関節置換術の需要にさらに影響を与えます。さらに、肩関節置換術の成功は、厳格なリハビリプログラムに大きく依存します。手術後、患者は筋力、可動性、可動域を回復するために、専用の理学療法に専念しなければなりません。このような大規模なリハビリの必要性は、特にリハビリに専念することが困難な患者や、一貫した理学療法を受けることが困難な患者にとっては、大きなハードルとなりうる。

目次

第1章 イントロダクション

• 市場の定義
• 市場セグメンテーション
• 調査手法

第2章 エグゼクティブサマリー

• 主な調査結果
• 市場概要
• 市場ハイライト

第3章 市場概要

• 市場規模と成長の可能性
• 市場動向
• 市場促進要因
• 市場抑制要因
• 市場機会
• ポーターのファイブフォース分析

第4章 肩関節置換術市場：手技タイプ別

• 肩関節全置換術（TSA）
• 部分的肩関節置換術（半関節置換術）

第5章 肩関節置換術市場：インプラント設計別

• 解剖学的肩関節置換術
• リバース型肩関節置換術

第6章 肩関節置換術市場：インプラント材料別

• 金属インプラント
• ポリエチレンインプラント

第7章 地域別分析

• 北米
• 米国
• カナダ
• メキシコ
• 欧州
• 英国
• ドイツ
• フランス
• イタリア
• アジア太平洋
• 中国
• 日本
• インド
• オーストラリア
• ラテンアメリカ
• ブラジル
• アルゼンチン
• チリ
• 中東・アフリカ
• 南アフリカ
• サウジアラビア
• アラブ首長国連邦

第8章 市場力学

• 市場促進要因
• 市場抑制要因
• 市場機会
• COVID-19の市場への影響

第9章 競合情勢

• 主要企業
• 市場シェア分析

第10章 企業プロファイル

• Johnson & Johnson
• Stryker Corporation
• Zimmer Biomet
• Exactech
• Waldemar Link GmbH & Co. KG
• Arthrex, Inc.
• Aesculap AG（subsidiary of B. Braun SE）
• DJO Global, Inc.
• Osteonics Corporation

第11章 市場の展望と機会

• 新興技術
• 今後の市場動向
• 投資機会

第12章 付録

• 略語リスト
• 出典と参考文献

Shoulder Replacement Market Valuation - 2024-2031

Rising healthcare spending by both individuals and governments is making sophisticated medical treatments more affordable. Expanded insurance coverage and reimbursement guidelines are increasing patient access to shoulder replacement surgeries, propelling market expansion. Thus, increasing healthcare spending is surging the growth of market size surpassing USD 1.95 Billion in 2024 to reach a valuation of USD 3.3 Billion by 2031.

Lifestyle factors such as obesity and sedentary lifestyles are contributing to the prevalence of shoulder conditions like osteoarthritis. Obesity, in particular, places additional stress on joints, accelerating joint deterioration and the need for shoulder replacement surgery. Thus, obesity and sedentary lifestyles are enabling the growth of market to grow at aCAGR of 7.50% from 2024 to 2031.

Shoulder Replacement Market: Definition/ Overview

Shoulder replacement surgery involves substituting the bones of the shoulder joint with artificial joint components, commonly referred to as implants. This procedure can be performed either partially or completely, depending on the extent of damage to the glenohumeral joint. The prosthetic implants used in shoulder replacement are typically composed of metal and polyethylene. Shoulder joint replacement has proven to be an effective treatment for individuals suffering from osteoarthritis and other debilitating shoulder conditions, especially when nonsurgical treatments have failed to provide relief.

Total shoulder replacement arthroplasty is a well-established surgical procedure aimed at restoring comfort and function to an arthritic shoulder. During this surgery, the arthritic ball of the shoulder joint is replaced with a smooth metal ball that is fixed to the arm bone (humerus) using a stem that fits within the bone. The arthritic socket (glenoid) is resurfaced with a high-density polyethylene prosthesis. Among the various surgical options available, total shoulder replacement offers the most rapid and comprehensive improvement in both comfort and function for shoulders affected by arthritis.

The success of shoulder replacement surgery relies heavily on the technical precision of the procedure and the patient's commitment to a postoperative exercise program designed to achieve the desired range of motion. By following a structured rehabilitation plan, patients can maximize the benefits of the surgery, attaining significant relief from pain and a marked improvement in shoulder mobility. Overall, shoulder replacement surgery stands out as a highly effective intervention for those struggling with severe shoulder joint issues, offering a renewed quality of life through enhanced joint functionality.

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How do the Rising Geriatric Population and Increasing Frequency of Shoulder Injuries Surge the Growth of the Shoulder Replacement Market?

The increasing aging population globally acts as a boon for the shoulder replacement market. As people live longer, age-related shoulder disorders such as rheumatoid arthritis and osteoarthritis become more prevalent. Older adults, who are more susceptible to shoulder joint degeneration, increasingly require shoulder replacement surgeries to manage pain and restore mobility. In addition to age-related conditions, the rising frequency of shoulder injuries due to trauma, sports activities, and work-related risks is contributing to market growth. These injuries often lead to chronic pain and functional impairment, necessitating shoulder replacement surgery to restore joint function and alleviate discomfort. For instance, according to the

National Center for Health Statistics

, in the United States, the prevalence of upper limb pain among adults increases with age, rising from 16.2% in the 18-29 age group to 24.1% among those aged 30-44. This percentage further increases to 37.9% for individuals aged 45-64 and reaches 42.0% for those aged 65 and older.

Advancements in implant technology are also contributing to the growth of the shoulder replacement market. Continuous innovation in implant design, materials, and surgical techniques has led to improved outcomes and higher patient satisfaction. Modern implants offer better stability, longevity, and range of motion, making shoulder replacement surgeries more effective and appealing to patients. Furthermore, there is a growing awareness among patients about the benefits of shoulder replacement surgeries. As people become more proactive in seeking treatment for shoulder dysfunction and pain, the demand for these procedures is increasing. Patients are increasingly aware that shoulder replacement surgeries can significantly improve mobility, reduce pain, and enhance overall quality of life.

Technological advancements in surgical tools and instruments have also contributed to the growth of the shoulder replacement market. Innovations in robotic-assisted surgery, navigation systems, and surgical instruments have enhanced the precision and accuracy of shoulder replacement procedures. These technologies enable surgeons to perform minimally invasive surgeries, which result in less tissue damage and quicker recovery times, thereby increasing patient acceptance and adoption of these procedures. The expansion of healthcare infrastructure, particularly in emerging economies, has further fueled market growth. Improved healthcare facilities, a greater number of skilled medical professionals, and increased healthcare expenditures have enhanced access to advanced medical treatments, including shoulder replacement surgeries.

How the High Cost of Shoulder Replacement Surgery and the Risk of Infection, and Blood Clots is Impeding the Growth of the Shoulder Replacement Market?

Shoulder replacement surgery is an expensive procedure, encompassing costs beyond just the implant itself. Patients face substantial expenses related to hospital stays, surgeon fees, rehabilitation, and pain medication, which can pose a significant financial burden, particularly for those with limited insurance coverage. For instance, in Hyderabad, the average cost of shoulder replacement surgery generally ranges from ₹3 lakhs to ₹8 lakhs. This variation in cost depends on several factors, including the type of procedure, the severity of the condition, the quality of hospital amenities, and the proficiency of the surgeon. Despite the potential benefits, the inherent risks and complications associated with any surgery, including shoulder replacement, can deter some patients. These risks include infection, blood clots, nerve damage, and implant loosening, which can compromise the surgery's success and lead to further medical interventions.

Additionally, while shoulder replacement surgery has demonstrated positive outcomes in many cases, the availability of long-term data on implant durability and the effectiveness of various surgical techniques remains limited. This lack of comprehensive long-term evidence can create uncertainty for both patients and surgeons, influencing the decision-making process. Moreover, shoulder replacement is not suitable for everyone. Factors such as age, overall health, and the severity of joint damage play a critical role in determining candidacy for the procedure, thereby limiting the potential market size.

Non-surgical alternatives, such as pain management, physical therapy, and cortisone injections, offer relief for some patients experiencing shoulder pain. These options can delay or, in some cases, eliminate the need for surgical intervention, further impacting the demand for shoulder replacement surgery. Furthermore, the success of shoulder replacement surgery heavily depends on a rigorous rehabilitation program. Following the procedure, patients must commit to dedicated physical therapy to regain strength, mobility, and range of motion. This requirement for extensive rehabilitation can be a significant hurdle, particularly for those who may struggle with the commitment or face barriers to accessing consistent physical therapy.

Category-Wise Acumens

How the Degenerative Joint Diseases of Shoulder and Advancements in Implants are Surging the Growth of the Anatomic Shoulder Replacement Segment?

Anatomic Shoulder Replacement is showing significant growth in the Shoulder Replacement Market. Arthroplasty has proven to be one of the most reliable treatment options for degenerative joint diseases of the shoulder. Over the past 60 years, there have been significant advancements in implant designs to address initial challenges in arthroplasty, such as restoring function and preventing implant loosening. For instance, according to

the University of North Carolina

report among individuals with osteoarthritis (OA), 43% are aged 65 or older, and 88% are aged 45 or older. The annual incidence of knee OA is highest among those aged 55 to 64. Notably, more than half of individuals with symptomatic knee OA are younger than 65.

Despite the rise of reverse shoulder arthroplasty (RSA) as the most commonly performed type of shoulder replacement in major countries like the United States and the United Kingdom, total anatomical shoulder arthroplasty (TSA) remains a well-established treatment for osteoarthritis in patients with a competent rotator cuff. Patients with osteoarthritis who undergo TSA now expect lasting and significant improvements in pain and function. The demonstrated efficacy of anatomical shoulder arthroplasty suggests that it will gain more attention in the future.

How the Increasing Demand for Surgery's effectiveness Fostering the Growth of the Reverse Shoulder Arthroplasty Segment?

The Reverse Shoulder Arthroplasty (RSA) segment has emerged as the dominant force in the Shoulder Replacement Market. This rise in popularity is attributed to the surgery's effectiveness and its ability to preserve the deltoid muscle, which is crucial for shoulder function. RSA utilizes a specific class of artificial joints designed to restore function to shoulders that have been severely damaged. These prostheses consist of three main components: a stem that is inserted into the humerus bone, a glenoid or socket, and an upper arm component. Unlike anatomic shoulder replacements, where the ball joint is positioned behind the shoulder, RSA places the ball joint above the shoulder. This unique design significantly enhances the stability of the shoulder and provides a wider range of motion for the arm, making it a preferred choice for patients with severe shoulder issues. The ability of RSA to improve functionality and mobility in patients who might otherwise have limited options has solidified its position as a leading treatment in shoulder arthroplasty.

Country/Region-wise Acumens

How the Robust Infrastructure and Sophisticated Surgical Procedures are Surging the Growth of the Shoulder Replacement Market in North America?

The North American region leads the Shoulder Replacement Market and is projected to maintain its dominance throughout the forecast period. This leadership is driven by the presence of major international companies within the medical device industry, positioning the United States and Canada as key hotspots for medical innovation and development. The advanced healthcare systems in these countries further fuel market growth by providing the infrastructure necessary to support sophisticated surgical procedures.

The rising healthcare expenditure in North America. Both the United States and Canada allocate a substantial portion of their GDP to healthcare, facilitating greater investment in advanced medical technologies such as joint replacements. This financial commitment enables the adoption of cutting-edge implants and surgical techniques, enhancing the overall quality and accessibility of shoulder replacement procedures.

Moreover, the emphasis on maintaining active lifestyles across North America, even into older age, has increased the demand for shoulder replacement surgeries. Many individuals prioritize mobility and physical activity, and shoulder replacement surgery allows them to regain function and engage in their desired activities. This focus on active living drives the adoption of surgical interventions to treat debilitating shoulder conditions.

Technological advancements also play a crucial role in the growth of the shoulder replacement market in North America. Continuous innovations in implant design, the development of minimally invasive surgical techniques, and improvements in pain management protocols significantly enhance surgical outcomes and patient recovery. These advancements make shoulder replacement surgery a more attractive and viable option for patients, thereby boosting market growth.

How the Rising Healthcare Expenditures and Increasing Geriatric Population is Escalating the Growth of Shoulder Replacement Market in Asia Pacific?

Asia Pacific is emerging as the fastest-growing region in the Shoulder Replacement Market, fueled by increased healthcare spending and favorable demographic trends. The region's rising healthcare expenditures are translating into significant growth opportunities for both multinational corporations (MNCs) and local medical device players. This trend is supported by an aging population and rising disposable incomes, which have transformed the Asia Pacific into a burgeoning hub for various industries, particularly healthcare.

Moreover, the region's attractiveness is amplified by the growing trend of medical tourism, driven by lower treatment costs compared to Western countries and supportive government regulations that incentivize domestic companies. This environment has enhanced the appeal of Asia Pacific as a lucrative market for shoulder replacement surgeries, particularly in the category of implant types.

The increasing prevalence of chronic diseases and musculoskeletal disorders among the aging population has heightened the demand for advanced orthopedic treatments like shoulder replacements across the Asia Pacific. As healthcare infrastructure continues to develop and regulatory frameworks evolve to support innovation, foreign investments in the region's medical device sector are expected to expand further.

Competitive Landscape

The shoulder replacement market is a dynamic space driven by innovation, value-based care, and strategic partnerships. While major medical device companies hold a dominant position, emerging players with niche solutions and a focus on cost-effectiveness can carve out a space in this competitive landscape.

The organizations are focusing on innovating their product line to serve the vast population in diverse regions. Some of the prominent players operating in the shoulder replacement market include:

• Johnson & Johnson
• Stryker Corporation
• Zimmer Biomet
• Exactech
• Waldemar Link GmbH & Co. KG
• Arthrex, Inc.
• Aesculap AG (a subsidiary of B. Braun SE)
• DJO Global, Inc.
• Osteonics Corporation
• Shoulder Replacement Market Latest Developments
• In August 2021, Smith Nephew announced the launch of new total ankle and total shoulder replacement technologies as well as showcase its freshly enlarged extremities portfolio during the American Academy of Orthopaedic Surgeons' 2021 Annual Meeting in San Diego.
• In July 2021, Stryker's Tornier shoulder arthroplasty portfolio was announced, together with the Tornier Perform Humeral System.
• In March 2023, Geisinger Health Plan and Medacta Group SA, a Swiss business that specializes in sustainable joint replacement, sports medicine, and spine treatments, announced the first-ever lifetime guarantee for a lumbar spinal fusion procedure.
• In August 2021, The American Academy of Orthopedic Surgeons' 2021 Annual Meeting will be held in San Diego. Smith Nephew will display its newly expanded extremities range, as well as innovative ankle and shoulder replacement technologies.
• In August 2021, Johnson and Johnson revealed the ENHANCE Shoulder System, a fully integrated shoulder arthroplasty system. It enables doctors to simply swap between stemless and stemmed implants during surgical procedures.

TABLE OF CONTENTS

1. Introduction

• Market Definition
• Market Segmentation
• Research Methodology

2. Executive Summary

• Key Findings
• Market Overview
• Market Highlights

3. Market Overview

• Market Size and Growth Potential
• Market Trends
• Market Drivers
• Market Restraints
• Market Opportunities
• Porter's Five Forces Analysis

4. Shoulder Replacement Market, By Procedure Type

• Total Shoulder Arthroplasty (TSA)
• Partial Shoulder Arthroplasty (Hemiarthroplasty)

5. Shoulder Replacement Market, By Implant Design

• Anatomic Shoulder Replacement
• Reverse Shoulder Replacement

6. Shoulder Replacement Market, By Implant Material

• Metal Implants
• Polyethylene Implants

7. Regional Analysis

• North America
• United States
• Canada
• Mexico
• Europe
• United Kingdom
• Germany
• France
• Italy
• Asia-Pacific
• China
• Japan
• India
• Australia
• Latin America
• Brazil
• Argentina
• Chile
• Middle East and Africa
• South Africa
• Saudi Arabia
• UAE

8. Market Dynamics

• Market Drivers
• Market Restraints
• Market Opportunities
• Impact of COVID-19 on the Market

9. Competitive Landscape

• Key Players
• Market Share Analysis

10. Company Profiles

• Johnson & Johnson
• Stryker Corporation
• Zimmer Biomet
• Exactech
• Waldemar Link GmbH & Co. KG
• Arthrex, Inc.
• Aesculap AG (subsidiary of B. Braun SE)
• DJO Global, Inc.
• Osteonics Corporation

11. Market Outlook and Opportunities

• Emerging Technologies
• Future Market Trends
• Investment Opportunities

12. Appendix

• List of Abbreviations
• Sources and References