US Market Report for Shoulder Reconstruction Device 2017 - MedCore

  • ID: 4397053
  • Report
  • Region: Global, United States
  • 418 Pages
  • iData Research
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The shoulder is a highly mobile joint that is also inherently unstable to allow for range of motion. This joint is anchored by muscular attachment to the spine in the back and to the sternum (breastbone) through the clavicle (collarbone). The shoulder is not involved in direct load bearing articulation with the axial skeleton.

General Report Contents:

  • Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
  • Market Drivers & Limiters for each chapter segment
  • Competitive Analysis for each chapter segment
  • Section on recent mergers & acquisitions

A total reconstruction of the shoulder involves replacement of the glenoid fossa and the humeral head, thus replacing both sides of the joint. Anatomic shoulder implant procedures had been the most popular in the United States, but were surpassed by reversed shoulder implants. Reversed-shoulder implants are a variation of anatomic devices. Conventionally, anatomic implants mimic the body’s anatomy as they are built as ball and socket joints with the glenoid side operating as the socket. As the name implies, reversed-shoulder devices switch the ball and socket arrangement. Reversed devices place the socket on the humeral side rather than the glenoid side.

This arrangement provides greater stability than a conventional implant and allows the larger deltoid muscle to play a greater role in lifting the arm over the rotator cuff muscles. Hemi shoulder reconstruction, also known as a partial shoulder reconstruction, replaces the humeral side of the joint leaving the glenoid intact. Hemi reconstruction is most often used for humeral head fractures in the absence of glenohumeral arthritis. Many of the components used in hemi systems are the same as those used for total joint replacements. Press-fitting an implant is possible if the quality of existing bone is sufficient; otherwise, the use of bone cement is required for fixation. Similar to other resurfacing procedures, shoulder resurfacing aims to reduce the amount of tissue disruption and replacement. The implant is shaped like a cap with a short stem. To a certain extent, it covers rather than replaces the humeral head, providing a new articulating surface for the shoulder joint. This makes it suitable for arthritic conditions, but not appropriate for cases where the rotator cuff is damaged.

Few shoulder devices are sold specifically for the purposes of revising worn primary implants. All-polyethylene glenoid components anchored by pegs tend to have the best durability. Keel anchors tend to fare slightly worse. Metal-backed polyethylene devices implanted with cement historically have had the lowest levels of durability. This is because of the incompatibility in strength and elasticity between the bone and the metal component and because these components are typically used for patients with lesser quality bone stock. The newer generation of these devices has focused on improving the metal bone interface, with porous tantalum being the most promising material.

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Executive Summary
U.S. Small Bone And Joint Orthopedic Device Market Overview
Competitive Analysis
Market Trends
Market Developments
Procedure Numbers
Procedure Codes Investigated
Markets Included
Key Report Updates
Version History

1. RESEARCH METHODOLOGY
1.1 RESEARCH SCOPE
1.2 9-STEP METHODOLOGY
Step 1: Project Initiation & Team Selection
Step 2: Prepare Data Systems and Perform Secondary Research
Step 3: Preparation for Interviews & Questionnaire Design
Step 4: Performing Primary Research
Step 5: Research Analysis: Establishing Baseline Estimates
Step 6: Market Forecast and Analysis
Step 7: Identify Strategic Opportunities
Step 8: Final Review and Market Release
Step 9: Customer Feedback and Market Monitoring

2. DISEASE OVERVIEW
2.1 BASIC ANATOMY
2.1.11 Elbow
2.1.12 Foot and Ankle
2.1.13 Hand and Wrist
2.1.14 Shoulder
2.2 DISEASE TREATMENTS AND DIAGNOSTICS
2.2.1 Arthritis
2.2.2 Osteoarthritis
2.2.3 Traumatic Injuries
2.2.4 Avascular Necrosis
2.2.5 Congenital Bone Disorder
2.3 PATIENT DEMOGRAPHICS
2.3.1 General Statistics
2.3.2 Osteoporosis Incidence
2.3.3 Arthritis Incidence

3. PRODUCT ASSESSMENT
3.1 PRODUCT PORTFOLIOS
3.1.1 Shoulder Reconstruction Device Market
3.2 REGULATORY ISSUES AND RECALLS
3.2.1 Acumed
3.2.1.1 Plates and screws
3.2.2 Arthrosurface
3.2.2.1 Various small joint Implants and related tools
3.2.3 DePuy
3.2.3.1 Elbow
3.2.3.2 Hand and Wrist
3.2.3.3 Plates and screws
3.2.3.4 Various small joint Implants and related tools
3.2.4 Exatech
3.2.4.1 Various small joint Implants and related tools
3.2.5 Integra LifeScience
3.2.5.1 Foot and Ankle
3.2.5.2 Plates and screws
3.2.5.3 Various small joint Implants and related tools
3.2.6 Lima Corporate
3.2.6.1 Shoulder
3.2.9 Smith and Nephew
3.2.9.1 Plates and screws
3.2.10 Stryker
3.2.10.1 Elbow
3.2.10.2 Various fixation devices
3.2.10.3 Various small joint Implants and related tools
3.2.11 Wright Medical
3.2.11.1 Foot and Ankle
3.2.11.2 Plates and screws
3.2.12 Zimmer Biomet
3.2.12.1 Elbow
3.2.12.2 Foot and Ankle
3.2.12.4 Plates and screws
3.2.12.5 Shoulder
3.2.12.6 Various fixation devices
3.2.12.7 Various small joint Implants and related tools
3.2.13 Other companies
3.2.13.1 Elbow
3.2.13.2 Foot and Ankle
3.2.13.3 Hand and Wrist
3.2.13.4 Plates and screws
3.3 CLINICAL TRIALS
3.3.1 Arthrex
3.3.1.1 Foot and Ankle
3.3.1.2 Plates and Screws
3.3.1.3 Shoulder
3.3.2 DePuy Synthes
3.3.2.1 Plates and Screws
3.3.2.2 Shoulder
3.3.3 Integra LifeScience
3.3.3.1 Foot and Ankle
3.3.3.2 Staples Fixation
3.3.3.3 Hand and Wrist
3.3.3.4 Plates and Screws
3.3.3.5 Shoulder
3.3.4 Smith and Nephew
3.3.4.1 Shoulder
3.3.5 Stryker
3.3.5.1 Shoulder
3.3.6 Zimmer Biomet
3.3.6.1 Elbow
3.3.6.2 Foot and Ankle
3.3.6.3 Plates and Screws
3.3.6.4 Shoulder
3.3.7 Wright Medical
3.3.7.1 Foot and Ankle
3.3.7.2 Shoulder
3.3.8 Other companies
3.3.8.1 Elbow
3.3.8.2 Foot and Ankle
3.3.8.3 Plates and Screws
3.3.8.4 Hand and Wrist
3.3.8.5 Plates and screws

4. SHOULDER RECONSTRUCTION DEVICE MARKET
4.1 INTRODUCTION
4.1.1 Anatomy
4.1.1.1 Pathology
4.1.2 Joint Reconstruction Devices
4.1.2.1 Anatomic Shoulder Implant
4.1.2.2 Reversed-Shoulder Implants
4.1.2.3 Hemi Shoulder Implants
4.1.2.4 Resurfacing Implants
4.1.2.5 Shoulder Revision
4.2 MARKET OVERVIEW
4.3 MARKET ANALYSIS AND FORECAST
4.3.1 Anatomic Shoulder Implant Market
4.3.2 Reversed Shoulder Implant Market
4.3.3 Hemi Shoulder Implant Market
4.3.4 Resurfacing Shoulder Implant Market
4.3.5 Revision Shoulder Implant Market
4.4 DRIVERS AND LIMITERS
4.4.1 Market Drivers
4.4.2 Market Limiters
4.5 COMPETITIVE MARKET SHARE ANALYSIS

ABBREVIATIONS
APPENDIX: COMPANY PRESS RELEASES

List of Charts:
Chart 1 1: Small Bone and Joint Orthopedic Device Market by Segment, U.S., 2013 - 2023
Chart 1 2: Small Bone and Joint Orthopedic Device Market Overview, U.S., 2016 & 2023
Chart 4 1: Shoulder Reconstruction Device Market by Segment, U.S., 2013 - 2023
Chart 4 2: Shoulder Reconstruction Device Market Breakdown by Segment, U.S., 2016
Chart 4 3: Shoulder Reconstruction Device Market Breakdown by Segment, U.S., 2023
Chart 4 4: Anatomic Shoulder Implant Market, U.S., 2013 - 2023
Chart 4 5: Reversed Shoulder Implant Market, U.S., 2013 - 2023
Chart 4 6: Hemi Shoulder Implant Market, U.S., 2013 - 2023
Chart 4 7: Resurfacing Shoulder Implant Market, U.S., 2013 - 2023
Chart 4 8: Revision Shoulder Implant Market, U.S., 2013 - 2023
Chart 4 9: Leading Competitors, Shoulder Reconstruction Device Market, U.S., 2016

List of Figures:
Figure 1 1: Small Bone and Joint Orthopedic Device Market Share Ranking by Segment, U.S., 2016 (1 of 2)
Figure 1 2: Small Bone and Joint Orthopedic Device Market Share Ranking by Segment, U.S., 2016 (2 of 2)
Figure 1 3: Companies Researched in this Report, U.S., 2016
Figure 1 4: Factors Impacting the Small Bone and Joint Orthopedic Device Market by Segment, U.S.
Figure 1 5: Recent Events in the Small Bone and Joint Orthopedic Device Market, U.S.,  2014 - 2016
Figure 1 6: Small Bone and Joint Orthopedic Device Procedures Covered, U.S., 2016
Figure 1 7: Procedure Codes Investigated, U.S., 2016 (1 of 2)
Figure 1 8: Procedure Codes Investigated, U.S., 2016 (2 of 2)
Figure 1 9: Small Bone and Joint Orthopedic Device Markets Covered, U.S., 2016 (1 of 2)
Figure 1 10: Small Bone and Joint Orthopedic Device Markets Covered, U.S., 2016 (2 of 2)
Figure 1 11: Key Report Updates
Figure 1 12: Version History
Figure 3 1: Shoulder Reconstruction Device Market Products by Company (1 of 5)
Figure 3 2: Shoulder Reconstruction Device Market Products by Company (2 of 5)
Figure 3 3: Shoulder Reconstruction Device Market Products by Company (3 of 5)
Figure 3 4: Shoulder Reconstruction Device Market Products by Company (4 of 5)
Figure 3 5: Shoulder Reconstruction Device Market Products by Company (5 of 5)
Figure 3 6: Class 2 Device Recall Acumed Tension Band Pin
Figure 3 7: Class 2 Device Recall The HemiCAP Contoured Articular Prosthetic
Figure 3 8: Class 2 Device Recall Synthes Radial Head Prosthesis System
Figure 3 9: Class 2 Device Recall Synthes Radial Head Prosthesis: Trial Radial Head
Figure 3 10: Class 2 Device Recall Synthes LCP DiaphysealMetaphyseal Volar Distal Radius Plate
Figure 3 11: Class 2 Device Recall Synthes Variable Angle LCP Dorsal Distal Radius System
Figure 3 12: Class 2 Device Recall Synthes 2.4mm Titanium Locking Screws SelfTapping with Stardrive Recess 12mm
Figure 3 13: Class 2 Device Recall 4.0 mm Cortex Screw
Figure 3 14: Class 2 Device Recall Synthes Titanium Small Reconstruction Plate
Figure 3 15: Class 2 Device Recall 2.7 MM Locking Screw SLFTPNG with T8 Stardrive Recess 12MM
Figure 3 16: Class 2 Device Recall Orthopedic Devices
Figure 3 17: Class 2 Device Recall Synthes 2.7mm LCP Ulna Osteotomy System
Figure 3 18: Class 2 Device Recall Synthes 2.4 mm LCDCP Plate 6 Holes/51mm
Figure 3 19: Class 2 Device Recall Synthes Midfoot Fusion Bolt
Figure 3 20: Class 2 Device Recall Synthes Trauma ExFix System
Figure 3 21: Class 2 Device Recall Glenosphere Orientation Guide for the Delta XTEND Reverse Shoulder System
Figure 3 22: Class 2 Device Recall Torque Defining Screw and Screwdriver
Figure 3 23: Class 2 Device Recall Equinoxe
Figure 3 24: Class 2 Device Recall Integra Cadence Total Ankle System
Figure 3 25: Class 2 Device Recall Cadence Size 5 Left Tibial Tray Implant
Figure 3 26: Class 2 Device Recall SURFIX Fixed Angle Locking Screw
Figure 3 27: Class 2 Device Recall TS Series Depth Gauge for Integra Ti6 Internal Fixation System 2.0/2.5mm Screws
Figure 3 28: Class 2 Device Recall Integra Titan Reverse Shoulder System
Figure 3 29: Class 2 Device Recall Surgical Instrument for SMR Anatomic and Reverse Shoulder Prosthesis
Figure 3 30: Class 2 Device Recall SMR glenosphere impactor/extractor
Figure 3 31: Class 2 Device Recall Trial Humeral Head
Figure 3 32: Class 2 Device Recall Trial Adaptor Head
Figure 3 33: Unclassified Correction or Removal Periloc Volar Distal Radius right 3h std head locking plate
Figure 3 34: Class 2 Device Recall PeriLoc(R) VLP 3.5 mm x 6 mm selftapping cortex screw
Figure 3 35: Class 2 Device Recall Small Bone Innovations (see also Product Description), SBi
Figure 3 36: Class 2 Device Recall Stryker Howmedica Osteonics
Figure 3 37: Class 2 Device Recall Stryker T2 Supracondylar Nail System
Figure 3 38: Class 2 Device Recall Osteonics Shoulder Glenoid Spanner
Figure 3 39: Class 2 Device Recall Salto Talaris Tibial Guide
Figure 3 40: Class 2 Device Recall CrossCHECK Locking Screw
Figure 3 41: Class 2 Device Recall CROSSCHECK(R) plating system
Figure 3 42: Class 2 Device Recall Claw(R) II straight plate Ortholoc(tm)
Figure 3 43: Class 2 Device Recall Coonrad/ Morrey Elbow Pin/ Bushing Replacement size Kit Extra Small
Figure 3 44: Class 2 Device Recall Elbow Humeral Trial
Figure 3 45: Class 2 Device Recall Discovery Elbow (since 2015 - DJO)
Figure 3 46: Class 2 Device Recall ExploR 7x26mm Modular Radial Stem
Figure 3 47: Class 2 Device Recall Construx Alum Ankle Clamp
Figure 3 48: Class 2 Device Recall Zimmer Trabecular Metal Total Ankle Tibial Base and Talar Components
Figure 3 49: Class 2 Device Recall Smith & Nephew Periloc Volar Distal Radius Plate Standard 3 Hole
Figure 3 50: Class 2 Device Recall Biomet Inc., Biomet Sports Medicine, and Biomet
Figure 3 51: Class 2 Device Recall DVR ePAK
Figure 3 52: Class 2 Device Recall Zimmer
Figure 3 53: Class 2 Device Recall Zimmer Universal Locking System
Figure 3 54: Class 2 Device Recall Biomet A.L.P.S. 4.0mm Cancellous Locking Screws
Figure 3 55: Class 2 Device Recall A.L.P.S
Figure 3 56: Class 2 Device Recall low profile Nonlock screw
Figure 3 57: Class 2 Device Recall Trauma Tubes and Plates
Figure 3 58: Class 2 Device Recall Zimmer Periarticular Locking Plate System
Figure 3 59: Class 2 Device Recall Distal Radius Fracture Repair System
Figure 3 60: Class 1 Device Recall Biomet Comprehensive Reverse Shoulder Humeral
Figure 3 61: Class 2 Device Recall Anatomical Shoulder Domelock
Figure 3 62: Class 3 Device Recall BIOMET Comprehensive Shoulder System
Figure 3 63: Class 2 Device Recall Comprehensive Reverse Shoulder Glenosphere Mini Baseplate 25mm with Taper Adaptor
Figure 3 64: Class 2 Device Recall Trabecular Metal
Figure 3 65: Class 2 Device Recall Bigliani/Flatow Complete Shoulder Solution
Figure 3 66: Class 2 Device Recall Zimmer Anatomical Shoulder
Figure 3 67: Class 2 Device Recall Trabecular Metal Reverse Shoulder Liner 40mm
Figure 3 68: Class 2 Device Recall Biomet Inc., Biomet Sports Medicine, and Biomet
Figure 3 69: Unclassified Correction or Removal Fem and Tibial IM Nail
Figure 3 70: Class 2 Device Recall various polyethylene implants
Figure 3 71: Class 2 Device Recall Align Radial Stem, Skeletal Dynamics
Figure 3 72: Class 2 Device Recall ExploR 7x26mm Modular Radial Stem, Skeletal Dynamics
Figure 3 73: Class 2 Device Recall Vilex, Inc., FUZE 10.0 mm x 200 mm, Product FZ100200T25, Vilex Inc.
Figure 3 74: Class 2 Device Recall DRP Screw, In2Bones, SAS
Figure 3 75: Class 2 Device Recall TriMed SemiTubular Plate, Trimed Inc.
Figure 3 76: Class 2 Device Recall 7, 9, and 11Hole VL Gridlock Fibula Plating System, Trilliant Surgical Ltd.
Figure 3 77: Class 2 Device Recall Gridlock Screw Driver Bit, Trilliant Surgical Ltd.
Figure 3 78: Class 2 Device Recall Orthopediatrics PediLoc Tibial Plate System, OrthoPediatrics Corp
Figure 3 79: Static Implant Versus Dynamic Implant in the Surgical Treatment on Ankle Syndesmosis Rupture
Figure 3 80: TMT Fusion Plate vs. Two Crossed Screws (TMT)
Figure 3 81: Humeral Head Implants: Radiological and Clinical Evaluation
Figure 3 82: Plate Fixation of Distal Femur Fractures: A Protocol for a Study of Two Plate Options
Figure 3 83: Effectiveness of Hemi- Versus Total Shoulder Arthroplasty Using Implants of the ""Epoca"" System (Epoca H vs T)
Figure 3 84: Long-term Clinical Effectiveness of the Delta Xtend Reverse Total Shoulder
Figure 3 85: DePuy Global Unite Shoulder System
Figure 3 86: Ankle Joint Replacement Outcomes Study
Figure 3 87: Short Term Follow-up of Patient Implanted With the Metatarso-Phalangeal Prosthesis METIS®
Figure 3 88: Short Term Follow-up of Patient Implanted With the Proximal Interphalangeal Implant
Figure 3 89: Follow-up of Patient Implanted With the Staple ASTUS®
Figure 3 90: Ascension® Post- Approval Study; PyroCarbon Metacarpophalangeal Total Joint Prosthesis (MCP)
Figure 3 91: Short Term Follow-up of Patient Implanted With the Proximal Interphalangeal Implant
Figure 3 92: Short Term Follow-up of Patent Implanted With the B-BOP Lock Plate
Figure 3 93: TITAN™ Reverse Shoulder System
Figure 3 94: A Multi-center Outcomes Clinical Study of the PyroTITAN™ HRA Shoulder Implant in Humeral Head Resurfacing (CHRA)
Figure 3 95: A Comparison Between a Pyrocarbon and a CoCr Shoulder Resurfacing Implant
Figure 3 96: Ascension® Humeral Resurfacing Arthroplasty Follow-Up Study
Figure 3 97: Patient Benefit From the New Modular Shoulder Prosthesis PROMOS (Promos)
Figure 3 98: Multicenter Clinical Observation PROMOS®
Figure 3 99: Comparing The Outcome of Large-Diameter vs Small-Diameter Glenospheres in Primary Reverse Shoulder Arthroplasty
Figure 3 100: ExploR™ Modular Radial Head Data Collection
Figure 3 101: Zimmer Trabecular Metal Total Ankle
Figure 3 102: Zimmer® MotionLoc® in Distal Tibia Fractures
Figure 3 103: Sidus(TM) Post Market Clinical Follow-up (PMCF) Study
Figure 3 104: Clinical Experience With the Zimmer Trabecular Metal (TM) Glenoid in Total Shoulder Arthroplasty (TMGlenoid)
Figure 3 105: UK Infinity, Post-Market Clinical Follow-up Study
Figure 3 106: Aequalis Resurfacing Head Study
Figure 3 107: Clinical Outcomes in Shoulder Hemi-arthroplasty Using a PyC Spherical Interpositional Implant
Figure 3 108: Safety and Effectiveness of the Tornier Simpliciti™ Shoulder System in Shoulder Arthroplasty
Figure 3 109: Multi-Center Trial to Evaluate an Internal Joint Stabilizer - Elbow
Figure 3 110: Comparing Ankle Fusion to Ankle Replacement
Figure 3 111: Agili-CTM Implant Performance Evaluation in the Treatment of Osteoarthritis of the Great Toe
Figure 3 112: Post Approval Study to Evaluate the Effectiveness and Safety of Cartiva Implant in the Treatment of OA of the Great Toe
Figure 3 113: Evaluation of CyclaPlex Implant for Correction of First Inter Metatarsal Angle in Subjects Suffering From Hallux Valgus Deformity
Figure 3 114: Buried Intramedullary K-wire Fixation Compared With Plate and Screw Fixation in Unstable Extra-Articular Metacarpal Fractures
Figure 3 115: Fibular Fixation in Ankle Fractures:Plate Verses Nail.
Figure 3 116: A Prospective Randomized Pilot Study to Compare Open Versus Percutaneous Syndesmosis Repair of Unstable Ankle Fractures
Figure 3 117: Comparing Stability and Cost-Effectiveness of 3 Bicortical Screws Vs Adjustable Plate and 2 Bicortical Screws in Fixation of BSSRO
Figure 3 118: Motec Versus Remotion Total Wrist Arthroplasty - A Prospective Study
Figure 3 119: Patient Perceived Outcome After Total Wrist Arthroplasty With a New Total Wrist Arthroplasty Implant
Figure 3 120: Comparison of Three Fixation Techniques for Displaced Distal Radius Fractures (DRF)
Figure 3 121: Plate Fixation of Distal Femur Fractures: A Protocol for a Study of Two Plate Options
Figure 3 122: Lateral Mini Approach vs Anterior Approach for Plating of Proximal Humerus Fracture (HURA)
Figure 4 1: Shoulder Reconstruction Device Market by Segment, U.S., 2013 - 2023 (US$M)
Figure 4 2: Anatomic Shoulder Implant Market, U.S., 2013 - 2023
Figure 4 3: Reversed Shoulder Implant Market, U.S., 2013 - 2023
Figure 4 4: Hemi Shoulder Implant Market, U.S., 2013 - 2023
Figure 4 5: Resurfacing Shoulder Implant Market, U.S., 2013 - 2023
Figure 4 6: Revision Shoulder Implant Market, U.S., 2013 - 2023
Figure 4 7: Drivers and Limiters, Shoulder Reconstruction Device Market, U.S., 2016
Figure 4 8: Leading Competitors, Shoulder Reconstruction Device Market, U.S., 2016
Figure 6 1: Press Release Summary

Note: Product cover images may vary from those shown
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  • Acumed
  • Aptis Medical
  • Arthrex
  • BioPro
  • DePuy Synthes
  • DJO
  • Exactech
  • Exatech
  • GraMedica
  • Integra LifeScience
  • Lima Corporate
  • Medartis
  • Nutek
  • Orthofix
  • Skeletal Dynamics
  • Smith & Nephew
  • Stryker
  • Wright Medical
  • Zimmer Biomet
Note: Product cover images may vary from those shown
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