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Hip and Knee Orthopedic Surgical Implants: Market Shares, Strategy, and Forecasts, Worldwide, 2016 to 2022

Published By :

Winter Green Research

Published Date : Jan 2016

Category :

Surgical Equipment

No. of Pages : 360 Pages

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.

“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.

Companies Profiled

Market Leaders

  • Johnson & Johnson / DePuy Synthes
  • Stryker
  • Smith & Nephew
  • Zimmer Biomet

Market Participants

  • B Braun / Aesculap
  • ConforMIS
  • DJO
  • Exactech
  • Corin
  • Mathys
  • Medacta
  • MicroPort Scientific
  • Shenzhen Advanced Institute Spinal Surgical Robot
  • THINK Surgical
  • Waldemar LINK GmbH & Co.
  • Wright Medical Technology

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

 

List of Table

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
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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