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MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts - Product Image

MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts

  • ID: 2706396
  • June 2013
  • Region: Global
  • 349 Pages
  • GlobalData

FEATURED COMPANIES

  • Arthrex
  • DePuy Synthes
  • Exactech
  • Lima Corporate S.p.a.
  • Smith & Nephew
  • Tornier N.V.
  • MORE

Compared with the more mature reconstruction markets, such as hip and knee replacements, shoulder reconstruction is developing as a specialty. Current market growth in shoulder reconstruction is mainly driven by total shoulder replacement (TSR), which comprises anatomic total and reverse total shoulder replacements. Although sluggish economic growth has hindered the large-joint replacement market in the United States and Europe, the global TSR market has seen a promising growth rate in the past few years. This healthy growth can be attributed to an increasing patient population, an improved surgeon adoption of reverse shoulder implants, as well as evolving insurance and reimbursement landscape. This report focuses on TSR market in 10 countries: the US, France, Germany, Italy, Spain, the UK, Japan, Brazil, China and India. GlobalData evaluated currently marketed TSR prostheses, identified the unmet needs in the market, and provided an understanding of surgeon perception of the latest advances within the shoulder community. Over the forecast period, despite the dampening effect of downward pricing pressure, the TSR market is expected to enjoy healthy growth, primarily driven by the trend READ MORE >

FEATURED COMPANIES

  • Arthrex
  • DePuy Synthes
  • Exactech
  • Lima Corporate S.p.a.
  • Smith & Nephew
  • Tornier N.V.
  • MORE

1 Table of Contents
1.1 List of Tables
1.2 List of Figures

2 Introduction
2.1 Catalyst
2.2 Related Reports

3 Disease Overview
3.1 Anatomy and Physiology
3.2 Pathophysiology
3.2.1 Overview
3.2.2 Primary Osteoarthritis
3.2.3 Rotator Cuff Tear Arthropathy
3.2.4 Post-Traumatic Arthritis
3.2.5 Proximal Humerus Fracture
3.2.6 Avascular Necrosis
3.2.7 Rheumatoid Arthritis
3.3 Clinical Presentation
3.3.1 Diagnosis
3.4 Clinical Outcomes
3.4.1 Overview
3.4.2 Conservative Treatments
3.4.3 Joint-Preserving Treatments
3.4.4 Joint Replacement
3.5 Epidemiology
3.5.1 Shoulder Arthritis
3.5.2 Proximal Humerus Fractures
3.6 Economic Impact
3.6.1 Shoulder Arthritis
3.6.2 Rotator Cuff Diseases
3.6.3 Proximal Humerus Fractures
3.6.4 Cost-Effectiveness of Total Shoulder Replacement
3.6.5 Cost-Effectiveness of Reverse Total Shoulder Replacement

4 Competitive Assessment
4.1 Overview
4.2 Global Market Share
4.3 Anatomic Total Shoulder Replacement
4.3.1 Univers II (Arthrex)
4.3.2 Comprehensive (Biomet)
4.3.3 Comprehensive Fracture (Biomet)
4.3.4 Global Advantage (DePuy Synthes)
4.3.5 Global Fx (DePuy Synthes)
4.3.6 Global AP (DePuy Synthes)
4.3.7 Global Unite (DePuy Synthes)
4.3.8 Turon (DJO Surgical)
4.3.9 Equinoxe (Exactech)
4.3.10 TITAN (Integra LifeSciences)
4.3.11 SMR (Lima Corporate)
4.3.12 Cofield 2 (Smith & Nephew)
4.3.13 Neer 3 (Smith & Nephew)
4.3.14 Promos Standard (Smith & Nephew)
4.3.15 Solar (Stryker)
4.3.16 ReUnion (Stryker)
4.3.17 Aequalis Primary (Tornier)
4.3.18 Aequalis Fracture (Tornier)
4.3.19 Affiniti (Tornier)
4.3.20 Aequalis Ascend (Tornier)
4.3.21 Bigliani/Flatow (Zimmer)
4.3.22 Anatomical (Zimmer)
4.3.23 Trabecular Metal (Zimmer)
4.4 Anatomic Stemless Total Shoulder Replacement
4.4.1 Eclipse (Arthrex)
4.4.2 T.E.S.S. (Total Evolutive Shoulder System) Anatomic (Biomet)
4.4.3 Comprehensive Nano (Biomet)
4.4.4 Simpliciti (Tornier)
4.4.5 InSpyre (Tornier)
4.4.6 Sidus (Zimmer)
4.5 Reverse Total Shoulder Replacement
4.5.1 Univers Revers (Arthrex)
4.5.2 T.E.S.S. (Total Evolutive Shoulder System) Reverse (Biomet)
4.5.3 Comprehensive Reverse (Biomet)
4.5.4 Delta Xtend (DePuy Synthes)
4.5.5 Reverse Shoulder Prosthesis (RSP) (DJO Surgical)
4.5.6 Equinoxe Reverse (Exactech)
4.5.7 SMR Reverse (Lima Corporate)
4.5.8 Promos Reverse (Smith & Nephew)
4.5.9 Aequalis Reversed II (Tornier)
4.5.10 Aequalis Reversed Fracture (Tornier)
4.5.11 Ascend Flex (Tornier)
4.5.12 Anatomical Reverse (Zimmer)
4.5.13 Trabecular Metal Reverse (Zimmer)

5 Unmet Needs
5.1 Durable Glenoid Components
5.2 Augmented Glenoid Components
5.3 Grammont-Style versus Frankle-Style
5.4 Addressing Complications of Reverse Shoulder Replacement
5.5 Bone-Sparing Stemless Designs: Pros and Cons
5.6 Revision Systems
5.7 Long-Term Follow-Up
5.8 Patient Awareness in Emerging Markets

6 Pipeline Products
6.1 Overview
6.2 aSpire Total Shoulder Replacement System (Shoulder Options)
6.2.1 Overview
6.2.2 SWOT Analysis
6.3 Luna Stemless Humeral Prosthesis (Shoulder Options)
6.3.1 Overview
6.3.2 SWOT Analysis
6.4 AFT Proximal Humerus Fracture Prosthesis (Shoulder Options)
6.4.1 Overview
6.4.2 SWOT Analysis
6.5 Others
6.5.1 Stryker's Reverse Shoulder Implant
6.5.2 Tornier's Patient-Specific Image-Driven Glenoid Replacement Device
6.5.3 Integra's Reverse Shoulder Implant
6.5.4 Integra's PYROHEMI

7 Industry Overview
7.1 Procedure Trends
7.1.1 US
7.1.2 Europe
7.1.3 Asia-Pacific
7.1.4 South America
7.2 Market Access
7.2.1 US
7.2.2 Europe
7.2.3 Asia-Pacific
7.2.4 South America
7.3 Reimbursement Trends
7.3.1 US
7.3.2 Europe
7.3.3 Asia-Pacific
7.3.4 South America
7.4 Regulatory Issues/Recalls
7.4.1 Lima Corporate's SMR Anatomic Polyethylene Liner
7.5 Mergers & Acquisitions/Key Partnerships
7.5.1 Integra LifeSciences Acquires Ascension Orthopedics

8 Current and Future Players
8.1 Trends in Corporate Strategy
8.2 Company Profiles
8.2.1 DePuy Synthes
8.2.2 Tornier N.V.
8.2.3 Biomet
8.2.4 Zimmer Holdings
8.2.5 Exactech
8.2.6 Smith & Nephew
8.2.7 Stryker
8.2.8 DJO Global
8.2.9 Arthrex
8.2.10 Lima Corporate S.p.a.
8.2.11 Integra LifeSciences
8.2.12 Mathys Ltd Bettlach
8.2.13 Wright Medical Group
8.2.14 Other Companies

9 Market Drivers & Opportunities
9.1 Market Drivers
9.1.1 Rising Prevalence of Shoulder Diseases
9.1.2 Expanded Indications of Reverse Shoulder Replacement
9.1.3 Increased Patient Awareness
9.1.4 Availability of Long-Term Clinical Data
9.1.5 Corporate Promotions and Medical Education
9.1.6 Expected Launch of New Devices in the US
9.2 Opportunities
9.2.1 Pyrocarbon
9.2.2 Revision Instrumentation
9.2.3 Demand for a Comprehensive Shoulder Reconstruction Portfolio
9.2.4 Computer-Assisted Navigation
9.2.5 Procedure-Specific Patient Education Platform
9.2.6 Emerging Markets
9.3 Market Barriers
9.3.1 Postoperative Complications
9.3.2 Steep Learning Curve
9.3.3 Cost
9.3.4 Reimbursement
9.3.5 Medical Device Excise Tax
9.3.6 Substitutes

10 Country Outlooks & Forecasts
10.1 Major Markets Overview
10.2 US
10.3 France
10.4 Germany
10.5 Italy
10.6 Spain
10.7 UK
10.8 Japan
10.9 Brazil
10.10 China
10.11 India

11 Appendix
11.1 Abbreviations
11.2 Bibliography
11.3 Report Methodology
11.3.1 Overview
11.3.2 Coverage
11.3.3 Secondary Research
11.3.4 Forecasting Methodology
11.3.5 Primary Research - Key Opinion Leader Interviews
11.3.6 Expert Panel Validation
11.4 Physicians and Specialists Included in this Study
11.5 About the Authors
11.5.1 Analysts
11.5.2 Bonnie Bain, Ph.D., Global Head of Healthcare
11.6 About MediPoint
11.7 About Us
11.8 Disclaimer

1.1 List of Tables
Table 1: Walch Classification of Glenoid Wear Associated with Primary Osteoarthritis
Table 2: Clinical Symptoms and Descriptions
Table 3: Major Indications and Contraindications for Humeral Head Resurfacing
Table 4: Major Indications and Contraindications for Stemmed Partial Shoulder Replacement
Table 5: Major Indications and Contraindications for Anatomic Total Shoulder Replacement
Table 6: Major Indications and Contraindications for Anatomic Total Shoulder Replacement
Table 7: Shoulder Arthritis Prevalence in 10 Countries (2013-2019)
Table 8: Proximal Humerus Fracture Prevalence in 10 Countries (2013-2019)
Table 9: Direct and Indirect Costs of Arthritis
Table 10: Currently Marketed Anatomic Total Shoulder Replacement Implants
Table 11: Currently Marketed Anatomic Stemless Shoulder Replacement Implants
Table 12: Currently Marketed Reverse Total Shoulder Replacement Implants
Table 13: Product Profile - Univers II
Table 14: SWOT Analysis - Univers II
Table 15: Product Profile - Comprehensive
Table 16: SWOT Analysis - Comprehensive
Table 17: Product Profile - Comprehensive Fracture
Table 18: List of Clinical Studies - Comprehensive Fracture
Table 19: SWOT Analysis - Comprehensive Fracture
Table 20: Product Profile - Global Advantage
Table 21: List of Clinical Studies - Global Anchor Peg Glenoid
Table 22: SWOT Analysis - Global Advantage
Table 23: Product Profile - Global Fx
Table 24: SWOT Analysis - Global Fx
Table 25: Product Profile - Global AP
Table 26: List of Clinical Studies - Global AP
Table 27: SWOT Analysis - Global AP
Table 28: Product Profile - Global Unite
Table 29: SWOT Analysis - Global Unite
Table 30: Product Profile - Turon
Table 31: SWOT Analysis - Turon
Table 32: Product Profile - Equinoxe
Table 33: SWOT Analysis - Equinoxe
Table 34: Product Profile - TITAN
Table 35: SWOT Analysis - TITAN
Table 36: Product Profile - SMR
Table 37: List of Clinical Studies - SMR
Table 38: SWOT Analysis - SMR
Table 39: Product Profile - Cofield 2
Table 40: List of Clinical Studies - Cofield 2
Table 41: SWOT Analysis - Cofield 2
Table 42: Product Profile - Neer 3
Table 43: SWOT Analysis - Neer 3
Table 44: Product Profile - Promos Standard
Table 45: List of Clinical Studies - Promos Standard
Table 46: SWOT Analysis - Promos Standard
Table 47: Product Profile - Solar
Table 48: SWOT Analysis - Solar
Table 49: Product Profile - ReUnion
Table 50: SWOT Analysis - ReUnion
Table 51: Product Profile - Aequalis Primary
Table 52: List of Clinical Studies - Aequalis Primary
Table 53: SWOT Analysis - Aequalis Primary
Table 54: Product Profile - Aequalis Fracture
Table 55: List of Clinical Studies - Aequalis Fracture
Table 56: SWOT Analysis - Aequalis Fracture
Table 57: Product Profile - Affiniti
Table 58: List of Clinical Studies - Affiniti
Table 59: SWOT Analysis - Affiniti
Table 60: Product Profile - Aequalis Ascend
Table 61: SWOT Analysis - Aequalis Ascend
Table 62: Product Profile - Bigliani/Flatow
Table 63: List of Clinical Studies - Bigliani/Flatow
Table 64: SWOT Analysis - Bigliani/Flatow
Table 65: Product Profile - Anatomical
Table 66: SWOT Analysis - Anatomical
Table 67: Product Profile - Trabecular Metal
Table 68: List of Clinical Studies - Trabecular Metal
Table 69: SWOT Analysis - Trabecular Metal
Table 70: Product Profile - Eclipse
Table 71: List of Clinical Studies - Eclipse
Table 72: SWOT Analysis - Eclipse
Table 73: Product Profile - T.E.S.S. Anatomic
Table 74: List of Clinical Studies - T.E.S.S. Anatomic
Table 75: SWOT Analysis - T.E.S.S. Anatomic
Table 76: Product Profile - Comprehensive Nano
Table 77: SWOT Analysis - Compressive Nano
Table 78: Product Profile - Simpliciti
Table 79: List of Clinical Studies - Simpliciti
Table 80: SWOT Analysis - Simpliciti
Table 81: Product Profile - InSpyre
Table 82: SWOT Analysis - InSpyre
Table 83: Product Profile - Sidus
Table 84: List of Clinical Studies - Sidus
Table 85: SWOT Analysis - Sidus
Table 86: Product Profile - Univers Revers
Table 87: List of Clinical Studies - Univers Revers
Table 88: SWOT Analysis - Univers Reverse
Table 89: Product Profile - T.E.S.S. Reverse
Table 90: List of Clinical Studies - T.E.S.S. Reverse
Table 91: SWOT Analysis - T.E.S.S. Reverse
Table 92: Product Profile - Comprehensive Reverse
Table 93: SWOT Analysis - Comprehensive Reverse
Table 94: Product Profile - Delta Xtend
Table 95: List of Clinical Studies - Delta Xtend
Table 96: SWOT Analysis - Delta Xtend
Table 97: Product Profile - Reverse Shoulder Prosthesis (RSP)
Table 98: List of Clinical Studies - Reverse Shoulder Prosthesis (RSP)
Table 99: SWOT Analysis - Reverse Shoulder Prosthesis (RSP)
Table 100: Product Profile - Equinoxe Reverse
Table 101: List of Clinical Studies - Equinoxe Reverse
Table 102: SWOT Analysis - Equinoxe Reverse
Table 103: Product Profile - SMR Reverse
Table 104: List of Clinical Studies - SMR Reverse
Table 105: SWOT Analysis - SMR Reverse
Table 106: Product Profile - Promos Reverse
Table 107: List of Clinical Studies - Promos Reverse
Table 108: SWOT Analysis - Promos Reverse
Table 109: Product Profile - Aequalis Reversed II
Table 110: List of Clinical Studies - Aequalis Reversed II
Table 111: SWOT Analysis - Aequalis Reversed II
Table 112: Product Profile - Aequalis Reversed Fracture
Table 113: List of Clinical Studies - Aequalis Reversed Fracture
Table 114: SWOT Analysis - Aequalis Reversed Fracture
Table 115: Product Profile - Ascend Flex
Table 116: SWOT Analysis - Ascend Flex
Table 117: Product Profile - Anatomical Reverse
Table 118: SWOT Analysis - Anatomical Reverse
Table 119: Product Profile - Trabecular Metal Reverse
Table 120: List of Clinical Studies - Trabecular Metal Reverse
Table 121: SWOT Analysis - Trabecular Metal Reverse
Table 122: Currently Marketed Grammont-Style and Frankle-Style Reverse Shoulder Implants
Table 123: Major Pipeline Products in Total Shoulder Replacement Market, 2013
Table 124: Product Profile - aSpire
Table 125: SWOT Analysis - aSpire
Table 126: Product Profile - Luna
Table 127: SWOT Analysis - Luna
Table 128: Product Profile - AFT
Table 129: SWOT Analysis - AFT
Table 130: Medicare Coding Guide for Shoulder Arthroplasty - 2013
Table 131: 2013 Medicare National Payment Average for Shoulder Arthroplasty
Table 132: Company Profile - DePuy Synthes
Table 133: DePuy Synthes' Shoulder Portfolio Assessment, 2013
Table 134: DePuy Synthes' SWOT Analysis, 2013
Table 135: Company Profile - Tornier N.V.
Table 136: Tornier's Shoulder Portfolio Assessment, 2013
Table 137: Tornier's SWOT Analysis, 2013
Table 138: Company Profile - Biomet
Table 139: Biomet's Shoulder Portfolio Assessment, 2013
Table 140: Biomet's SWOT Analysis, 2013
Table 141: Company Profile - Zimmer Holdings
Table 142: Zimmer Holdings' Shoulder Portfolio Assessment, 2013
Table 143: Zimmer Holdings' SWOT Analysis, 2013
Table 144: Company Profile - Exactech
Table 145: Exactech's Shoulder Portfolio Assessment, 2013
Table 146: Exactech's SWOT Analysis, 2013
Table 147: Company Profile - Smith & Nephew
Table 148: Smith & Nephew's Shoulder Portfolio Assessment, 2013
Table 149: Smith & Nephew's SWOT Analysis, 2013
Table 150: Company Profile - Stryker
Table 151: Stryker's Shoulder Portfolio Assessment, 2013
Table 152: Stryker's SWOT Analysis, 2013
Table 153: Company Profile - DJO Global
Table 154: DJO Global's Shoulder Portfolio Assessment, 2013
Table 155: DJO Global's SWOT Analysis, 2013
Table 156: Company Profile - Arthrex
Table 157: Arthrex's Shoulder Portfolio Assessment, 2013
Table 158: Arthrex's SWOT Analysis, 2013
Table 159: Company Profile - Lima Corporate S.p.a.
Table 160: Lima Corporate S.p.a.'s Shoulder Portfolio Assessment, 2013
Table 161: Lima Corporate S.p.a.'s SWOT Analysis, 2013
Table 162: Company Profile - Integra LifeSciences
Table 163: Integra LifeSciences' Shoulder Portfolio Assessment, 2013
Table 164: Integra LifeSciences' SWOT Analysis, 2013
Table 165: Company Profile - Mathys Ltd Bettlach
Table 166: Mathys Ltd Bettlach's Shoulder Portfolio Assessment, 2013
Table 167: Mathys Ltd Bettlach's SWOT Analysis, 2013
Table 168: Company Profile - Wright Medical Group
Table 169: Wright Medical Group's Shoulder Portfolio Assessment, 2013
Table 170: Wright Medical Group's SWOT Analysis, 2013
Table 171: Other Companies in the Global Shoulder Replacement Market, 2013
Table 172: Global Sales Forecasts for TSR in 10 Countries (2012-2019)
Table 173: Sales Forecasts for TSR in the US (2012-2019)
Table 174: Sales Forecasts for TSR in France (2012-2019)
Table 175: Sales Forecasts for TSR in Germany (2012-2019)
Table 176: Sales Forecasts for TSR in Italy (2012-2019)
Table 177: Sales Forecasts for TSR in Spain (2012-2019)
Table 178: Sales Forecasts for TSR in the UK (2012-2019)
Table 179: Sales Forecasts for TSR in Japan (2012-2019)
Table 180: Sales Forecasts for TSR in Brazil (2012-2019)
Table 181: Sales Forecasts for TSR in China (2012-2019)
Table 182: Sales Forecasts for TSR in India (2012-2019)

1.2 List of Figures
Figure 1: Schematic Diagram of Shoulder Anatomy
Figure 2: Schematic Diagram of Rotator Cuff
Figure 3: Wide Spectrum of Disease Seen in Rotator Cuff Tear Arthropathy
Figure 4: Neer Classification of Proximal Humerus Fractures
Figure 5: Four-Part and Three-Part Proximal Humerus Fractures
Figure 6: An Example of Humeral Head Resurfacing
Figure 7: An Example of Stemmed Partial Shoulder Replacement
Figure 8: An Example of Anatomic Total Shoulder Replacement
Figure 9: An Example of Reverse Total Shoulder Replacement
Figure 10: Shoulder Arthritis Prevalence in 10 Countries
Figure 11: Proximal Humerus Fracture Prevalence in 10 Countries
Figure 12: TSR Global Market Share (2013)
Figure 13: Product Image - Univers II
Figure 14: Product Image - Univers Glenoid Components
Figure 15: Product Image - Comprehensive
Figure 16: Product Image - Comprehensive Fracture
Figure 17: Product Image - Global Advantage
Figure 18: Product Image - Global Steptech Anchor Peg Glenoid
Figure 19: Product Image - Global Fx
Figure 20: Product Image - Global AP
Figure 21: Product Image - Global Unite
Figure 22: Product Image - Turon
Figure 23: Product Image - Equinoxe Primary
Figure 24: Product Image - Equinoxe Fracture
Figure 25: Product Image - TITAN
Figure 26: Product Image - SMR (Anatomic and Fracture)
Figure 27: Product Image - Cofield 2
Figure 28: Product Image - Neer 3
Figure 29: Product Image - Promos Standard
Figure 30: Product Image - Solar
Figure 31: Product Image - ReUnion
Figure 32: Product Image - Aequalis Primary
Figure 33: Product Image - Aequalis Fracture
Figure 34: Product Image - Affiniti
Figure 35: Product Image - Cortiloc Glenoid
Figure 36: Product Image - Aequalis Ascend
Figure 37: Product Image - Bigliani/Flatow
Figure 38: Product Image - Anatomical Primary
Figure 39: Product Image - Anatomical Fracture
Figure 40: Product Image - Trabecular Metal
Figure 41: Product Image - Eclipse
Figure 42: Product Image - T.E.S.S. Anatomic
Figure 43: Product Image - Comprehensive Nano
Figure 44: Product Image - Simpliciti
Figure 45: Product Image - InSpyre
Figure 46: Product Image - Sidus
Figure 47: Product Image - Univers Revers
Figure 48: Product Image - T.E.S.S. Reverse
Figure 49: Product Image - Comprehensive Reverse
Figure 50: Product Image - Delta Xtend
Figure 51: Product Image - Reverse Shoulder Prosthesis (RSP)
Figure 52: Product Image - RSP Monoblock
Figure 53: Product Image - Equinoxe Reverse
Figure 54: Product Image - SMR Reverse and SMR Reverse HP
Figure 55: Product Image - Promos Reverse
Figure 56: Product Image - Aequalis Reversed II
Figure 57: Product Image - Aequalis Reversed Fracture
Figure 58: Product Image - Ascend Flex
Figure 59: Product Image - Anatomical Reverse
Figure 60: Product Image - Trabecular Metal Reverse
Figure 61: Product Image - aSpire
Figure 62: Product Image - Luna
Figure 63: Product Image - Luna Anchored
Figure 64: Product Image - AFT
Figure 65: Shoulder Replacement Procedure Volume in the US (1993-2008)
Figure 66: Shoulder Replacement Procedure Volume in the US (2010-2019)
Figure 67: Anatomic and Reverse Total Shoulder Replacement Procedure Volumes in the US (2010-2019)
Figure 68: Shoulder Replacement Procedure Volume in 5EU (2010-2019)
Figure 69: Total Shoulder Replacement Procedure Volume in 5EU (2010-2019)
Figure 70: Anatomic and Reverse Total Shoulder Replacement Procedure Volume in 5EU (2010-2019)
Figure 71: Shoulder Replacement Procedure Volume in Asia-Pacific (2010-2019)
Figure 72: Total Shoulder Replacement Procedure Volume in Asia-Pacific (2010-2019)
Figure 73: Anatomic and Reverse Total Shoulder Replacement Procedure Volume in Asia-Pacific (2010-2019)
Figure 74: Shoulder Replacement Procedure Volume in Brazil (2010-2019)
Figure 75: Anatomic and Reverse Total Shoulder Replacement Procedure Volume in Brazil (2010-2019)
Figure 76: Adoption Trend of Shoulder Replacement in the US, 2013 and 2019
Figure 77: Adoption Trend of Shoulder Replacement in the EU, 2013 and 2019
Figure 78: Adoption Trend of Shoulder Replacement in APAC, 2013 and 2019
Figure 79: Adoption Trend of Shoulder Replacement in Brazil, 2013 and 2019
Figure 80: Changes in Implant Cost, Surgeon and Hospital Reimbursement for Total Shoulder Replacement (2008-2013)
Figure 81: Global Sales Forecasts for TSR Market (2010-2019)
Figure 82: 10 Market Sales for TSR by Region (2012-2019)
Figure 83: Sales Forecasts for TSR Market in the US (2010-2019)
Figure 84: US TSR Market Competitive Landscape, 2013
Figure 85: Sales Forecasts for TSR Market in France (2010-2019)
Figure 86: Sales Forecasts for TSR Market in Germany (2010-2019)
Figure 87: Sales Forecasts for TSR Market in Italy (2010-2019)
Figure 88: Sales Forecasts for TSR Market in Spain (2010-2019)
Figure 89: Sales Forecasts for TSR Market in the UK (2010-2019)
Figure 90: Sales Forecasts for TSR Market in Japan (2010-2019)
Figure 91: Sales Forecasts for TSR Market in Brazil (2010-2019)
Figure 92: Sales Forecasts for TSR Market in China (2010-2019)
Figure 93: Sales Forecasts for TSR Market in India (2010-2019)

FEATURED COMPANIES

  • Arthrex
  • DePuy Synthes
  • Exactech
  • Lima Corporate S.p.a.
  • Smith & Nephew
  • Tornier N.V.
  • MORE

Total Shoulder Replacement Market to Almost Double by 2019

The global Total Shoulder Replacement (TSR) market will reach a value of US$959m by 2019, due primarily to a climbing number of shoulder arthritis and fracture sufferers, according to a new report from research and consulting firm The authors.

The new report* states that in 2012, the market for TSR across 10 key countries (US, France, Germany, Italy, Spain, Japan, Brazil, China, India and the UK) was estimated at US$526m, but increasing demand will see this total climb significantly in the foreseeable future.

As of 2013, the US is estimated to comprise a majority of the market share, with 69.6%, and will continue to contribute a substantial amount to the global TSR market. Meanwhile, Germany is expected to remain the dominant figure in the European market in the near future, followed by France and Italy.

The authors reports that the growth is being driven by increasing numbers of symptomatic shoulder arthritis and proximal humerus fracture cases among aging populations. The rise of reverse TSR devices in the US and EU markets is cited as an important contributing factor, along with expanded medical education and the adoption of TSR among surgeons in developing countries.

Linda Tian, orthopedic devices analyst with The authors, states: “Thanks to manufacturers' commitment to medical education, the shoulder community has witnessed an increased surgeon uptake of reverse shoulder replacements.

“With a robust pipeline and increasing patient awareness of the latest shoulder replacement techniques, the market should see solid growth in the number of TSR procedures in the coming years.”

However, despite the clinical success of reverse shoulder systems so far in alleviating pain and restoring function, their widespread use remains limited by a number of significant complications. Although some of these have already been resolved with improvements in design and surgical technique, issues such as dislocation, infection, acromial fractures and scapular notching are yet to be addressed.

In addition to the wave of enthusiasm towards reverse shoulder replacement, Tian also believes there to be market potential for stemless shoulder prostheses:

“So far only a few manufacturers have launched stemless shoulder implants into the European market. Therefore, ample opportunities exist for those who hope to capitalize on this growing market,” explains Tian.

* MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts

This report focuses on the TSR market in the US, the 5EU (France, Germany, Italy, Spain and the UK), Brazil and the APAC regions, including Japan, China and India, and identifies unmet needs in the market. It also discusses expectations concerning the healthy growth of the TSR market, primarily driven by the trend of active aging, continuous medical education efforts from the supply side, the introduction of additional reverse shoulder implants and the FDA's approval of modern stemless designs.

This report was built using data and information sourced from proprietary databases, primary and secondary research, and in-house analysis conducted by The authors's team of industry experts.

DePuy Synthes
Tornier N.V.
Biomet
Zimmer Holdings
Exactech
Smith & Nephew
Stryker
DJO Global
Arthrex
Lima Corporate S.p.a.
Integra LifeSciences
Mathys Ltd Bettlach
Wright Medical Group

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