Global Market Study on Orthopedic Trauma Devices: External Fixator to Witness Highest Growth by 2020


  • Published On : Jul-2014 |
  • Pages : 91 Pages |
  • Format :

Orthopedic trauma is referred to a severe injury to the musculoskeletal system including bone or joints. Treatment of this injury usually requires an orthopedic trauma surgery, which involves various fixation devices, such as internal and external fixators to fix the fractures. Some of the internal fixators include Intramedullary Nails (IM Nails), IM Screws and plate and screw system. IM Nail is an orthopedic device that is used to treat fractured and broken bones. It is most commonly used device for treatment for tibia and femoral shaft injuries. Plate and screw system is used for stabilizing and fixation of long bone fractures. There are various types of plates and screw systems available, such as straight plates, T-plates, tubular plates, buttress plates, H-plates, Y-plates, and cloverleaf plates. Trauma fixators may be made of metals and its alloys or bioabsorbable materials. Titanium alloys are  currently the most widely used trauma fixation devices, followed by alloys of stainless steel. Bioabsorbable materials are new to the market and have gained much popularity. Various compounds, such as polyglycolide and polylactide, are used to manufacture orthopedic implants which can be absorbed within the body.

On the basis of the type of fixator, internal fixator holds the largest market in the global orthopedic trauma fixation devices market.  North America has the largest market for orthopedic trauma fixation devices followed by the Asia and Europe. Asia has the fastest growing market for trauma fixation device market. 

Increase in incidence of fractures, increase healthcare expenditure and positive clinical outcomes involved act as some of major key drivers for the global orthopedic trauma fixation devices market. In addition, rising number of sports injuries and lack of availability of substitutes are also expected to drive the market for orthopedic trauma fixation devices. According to Healthcare Cost and Utilization Project (HCUP), by Agency for Healthcare Research and Quality (AHRQ), in the U.S., the number of fracture cases treated in hospitals had increased about 2% from 2008 to 2009 and reached to 1.93 million fractures in 2009. 

High cost of surgery, lack of awareness, absence of health insurance in the developing countries and risk of double surgery involved are some of the major restrains in the market for orthopedic trauma fixation devices. In addition, a chance of infection is also one of the major restrains faced by trauma fixation device market. 

Increase in aging population, rising number of road accidents and increased government funding holds immense potential for orthopedic trauma fixation device market. Orthopedic trauma fixation device market is one of the fastest growing segments of the global medical devices market.

The report segments the market under four geographies: North America, Europe, Asia Pacific and Rest of the World (RoW). The report provides the market size and forecast for the different segments under these geographies for the period of 2009 to 2020. The report provides Porters Five Forces Analysis and competitive benchmarking of global orthopedic trauma fixation device market for the period of 2009 to 2020.

Globally, the orthopaedic trauma fixation devices market is witnessing a significant growth due to increase in incidence of fractures cases and increasing demand for better facility in orthopedic trauma surgeries. As a result the market is expected to grow at a CAGR of about 7.2% during 2014-2020.

Some of the major driving factors for the orthopedic trauma fixation device market are increase participation in sports and increase in aged population. In addition, government and multinational companies are increasing their investments in this industry and the increasing demand for better healthcare facilities in trauma surgeries has setup the positive growth rate of orthopedic trauma fixation devices market. However, various factors such as double surgery and absence of health insurance in developing countries impede the market for orthopedic trauma devices. Factors such as high cost involved and less awareness are some of the major restrains for orthopaedic trauma fixation devices market.

North America, including the U.S. holds the largest market of orthopedic trauma fixation devices. As compared to other regions, Asia is witnessing the fastest growth of orthopedic trauma fixation devices market. Some of the fastest growing markets for orthopedic trauma devices are China, Japan, India and other countries in Southeast Asia and the Eastern Mediterranean. 

On the basis of the type of fixator, internal fixator holds the largest market in the global orthopedic trauma fixation devices market and is expected to grow at a CAGR of about 6.8% during 2014-2020. Internal fixators, involves plate and screw system are mostly used. Plate and screw system market is expected to grow at a CAGR of about 7.1% during 2014-2020. On the basis of material, metallic fixators are widely used. However, bioabsorbable fixators are new to the market and are gaining popularity.

DePuy Synthes, a Johnson & Johnson company is a leading player in global market for orthopedic trauma fixation device market followed by Stryker Corporation, Zimmer Holding Inc., Smith & Nephew, Orthofix Holding Inc. and others.

Some of the major players operating in the orthopedic trauma fixation devices market:

  • DePuy Synthes.
  • Johnson & Johnson company.

Others major companies operating in the market:

  • Medtronic, Inc.
  • CONMED, Tornier, Inc.
  • Arthrex, Inc.
  • Smith & Nephew and Stryker. 
  • Other

Table of Content

Chapter 1 Preface 9

1.1 Report Description 9

1.2 Report Methodology 10

1.3 Assumptions 10

Chapter 2 Market Synopsis 11

Chapter 3 Porter Five Forces Analysis 13

3.1 Bargaining power of suppliers 13

3.2 Bargaining power of buyers 14

3.3 Threat of new entrants 14

3.4 Threat of substitutes 14

3.5 Intensity of rivalry 14

Chapter 4 Industry Overview 15

4.1 Market Definition 15

4.2 Market Drivers 16

      4.2.1 Increasing incidence of fractures 17

      4.2.2 New procedure techniques and positive clinical outcome 17

      4.2.3 Increased healthcare expenditure 18

      4.2.4 Increase in sport injuries 19

      4.2.5 Lack of substitutes 19

4.3 Impact Analysis of Market Drivers 20

4.4 Market Restrains 20

      4.4.1 High cost of surgery 21

      4.4.2 Lack of awareness 22

      4.4.3 Double Surgery 22

      4.4.4 Absence of health insurance in the developing countries 23

4.5 Impact Analysis of Market Restrains 23

4.6 Market Trends 24

      4.6.1 Rising number of collaborations and partnerships 24

      4.6.2 Shifting of internal fixators from metallic to bioabsorbable (non-metallic) material 25

      4.6.3 Increasing number of mergers and acquisitions 26

Chapter 5 Market Size and Forecast by Type of Fixator 28

5.1 Internal Fixator 29

5.2 External Fixator 31

Chapter 6 Market Size and Forecast by Type of Internal Fixator 33

6.1 Intramedullary Nail 34

6.2 Intramedullary Screw 36

6.3 Plate and Screw System 37

Chapter 7 Market Size and Forecast by Composition 39

7.1 Metallic Fixators 40

7.2 Bioabsorbable Fixators 42

Chapter 8 Market Size and Forecast by Geography 44

8.1 Global 44

8.2 North America 46

8.3 Europe 48

8.4 Asia 50

8.5 Rest of the World 52

Chapter 9 Competitive Scenario 53

9.1 Market Share Analysis 53

9.2 Competitive Benchmarking 54

Chapter 10 Company Profiles 55

10.1 Johnson & Johnson Services, Inc. 55

      10.1.1 Company Overview 55

      10.1.2 Products and Services 56

      10.1.3 Financial Performance 57

      10.1.4 Recent Developments 57

10.2 Tornier, Inc. 58

      10.2.1 Company Overview 58

      10.2.2 Products and Services 58

      10.2.3 Financial Performance 60

      10.2.4 Recent Developments 60

10.3 Wright Medical Technology, Inc 61

      10.3.1 Company Overview 61

      10.3.2 Products and Services 61

      10.3.3 Financial Performance 63

      10.3.4 Recent Developments 63

10.4 B. Braun Melsungen AG 64

      10.4.1 Company Overview 64

      10.4.2 Products and Services 65

      10.4.3 Financial Performance 66

      10.4.4 Recent Developments 67

10.5 Orthofix Holding Inc. 67

      10.5.1 Company Overview 67

      10.5.2 Products and Services 67

      10.5.3 Financial Performance 69

      10.5.4 Recent Developments 69

10.6 CONMED 70

      10.6.1 Company Overview 70

      10.6.2 Products and Services 70

      10.6.3 Financial Performance 72

      10.6.4 Recent Developments 72

10.7 Smith & Nephew 73

      10.7.1 Company Overview 73

      10.7.2 Products and Services 73

      10.7.3 Financial Performance 74

      10.7.4 Recent Developments 75

10.8 Medtronic, Inc. 76

      10.8.1 Company Overview 76

      10.8.2 Products and Services 76

      10.8.3 Financial Performance 77

      10.8.4 Recent Developments 78

10.9 Arthrex, Inc. 78

      10.9.1 Company Overview 78

      10.9.2 Products and Services 79

      10.9.3 Financial Performance 79

      10.9.4 Recent Developments 80

10.10 Stryker Corporation 80

      10.10.1 Company Overview 80

      10.10.2 Products and Services 81

      10.10.3 Financial Performance 82

      10.10.4 Recent Developments 82

10.11 Zimmer Holdings, Inc. 83

      10.11.1 Company Overview 83

      10.11.2 Products and Services 84

      10.11.3 Financial Performance 85

      10.11.4 Recent Developments 85

10.12 Integra LifeSciences Holdings Corporation 86

      10.12.1 Company Overview 86

      10.12.2 Products and Services 87

      10.12.3 Financial Performance 89

      10.12.4 Recent Developments 89


List of Tables

TABLE 1 Market Snapshot: Global Orthopedic Trauma Fixation Devices Market (2014 & 2020) 12

TABLE 2 Global healthcare expenditure data by region, (2010-2012) 18

TABLE 3 Drivers for global orthopedic trauma fixation devices market: Impact analysis 20

TABLE 4 Cost comparison of different internal fixators by key players 21

TABLE 5 Out of pocket expenditure of developing and developed countries 23

TABLE 6 Restraints for global orthopedic trauma fixation devices market: Impact analysis 24

TABLE 7 Some collaborations and partnerships by orthopedic trauma fixation devices companies (June 2011-May 2014) 25

TABLE 8 Some of the mergers and acquisitions in orthopedic trauma fixation devices market (2010-Februrary 2014) 26

TABLE 9 Global Orthopedic Trauma Fixation Devices Market, by Type of Fixator 2009-2013 (USD Million) 29

TABLE 10 Global Orthopedic Trauma Fixation Devices Market, by Type of Fixator 2014-2020 (USD Million) 29

TABLE 11 Orthopedic Trauma Internal Fixators Market, by Region 2009-2012 (USD Million) 30

TABLE 12 Orthopedic Trauma External Fixators Market, by Region 2014-2020 (USD Million) 30

TABLE 13 Orthopedic Trauma External Fixators Market, by Region 2009-2013 (USD Million) 31

TABLE 14 Orthopedic Trauma External Fixators Market, by Region 2014-2020 (USD Million) 32

TABLE 15 Global Orthopedic Trauma Internal Fixators Market, by Type 2009-2013 (USD Million) 33

TABLE 16 Global Orthopedic Trauma Internal Fixators Market, by Type 2014-2020 (USD Million) 34

TABLE 17 Orthopedic Trauma IM Nails Market, by Region 2009-2013 (USD Million) 35

TABLE 18 Orthopedic Trauma IM Nails Market, by Region 2014-2020 (USD Million) 35

TABLE 19 Orthopedic Trauma IM Screws Market, by Region 2009-2013 (USD Million) 36

TABLE 20 Orthopedic Trauma IM Screws Market, by Region 2014-2020 (USD Million) 37

TABLE 21 Orthopedic Trauma Plate and Screw Systems Market, by Region 2009-2013 (USD Million) 38

TABLE 22 Orthopedic Trauma Plate and Screw Systems Market, by Region, 2014-2020 (USD Million) 38

TABLE 23 Global Orthopedic Trauma Fixation Devices Market, by Composition, 2009-2013 (USD Million) 39

TABLE 24 Global Orthopedic Trauma Fixation Devices Market, by Composition, 2014-2020 (USD Million) 40

TABLE 25 Orthopedic Trauma Metallic Fixators Market, by Region, 2009-2013 (USD Million) 41

TABLE 26 Orthopedic Trauma Metallic Fixators Market, by Region, 2014-2020 (USD Million) 41

TABLE 27 Orthopedic Trauma Bioabsorbable Fixators Market, by Region, 2009-2013 (USD Million) 42

TABLE 28 Orthopedic Trauma Bioabsorbable Fixators Market, by Region, 2014-2020 (USD Million) 43

TABLE 29 Global Orthopedic Trauma Fixation Devices Market, by Region, 2009-2013 (USD Million) 45

TABLE 30 Global Orthopedic Trauma Fixation Devices Market, by Region, 2014-2020 (USD Million) 45

TABLE 31 North American Orthopedic Trauma Fixation Devices Market, by Country, 2009-2013 (USD Million) 47

TABLE 32 North American Orthopedic Trauma Fixation Devices Market, by Country, 2014-2020 (USD Million) 48

TABLE 33 European Orthopedic Trauma Fixation Devices Market, by Country, 2009-2013 (USD Million) 49

TABLE 34 European Orthopedic Trauma Fixation Devices Market, by Country 2014-2020 (USD Million) 50

TABLE 35 Asian Orthopedic Trauma Fixation Devices Market, by Country, 2009-2013 (USD Million) 51

TABLE 36 Asian Orthopedic Trauma Fixation Devices Market, by Country, 2014-2020 (USD Million) 52

TABLE 37 Johnson & Johnson Services, Inc.’s Product Categories 56

TABLE 38 Tornier, Inc.’s Product Categories 59

TABLE 39 Wright Medical Technology, Inc.’s Product Categories 61

TABLE 40 B. Braun Melsungen AG’s Product Categories 65

TABLE 41 Orthofix Holding Inc.’s Product categories 68

TABLE 42 CONMED’s Product Categories 71

TABLE 43 Smith & Nephew’s Product Categories 73

TABLE 44 Medtronic, Inc.’s Product Categories 76

TABLE 45 Arthrex, Inc.’s Product Categories 79

TABLE 46 Stryker Corporation’s Product Categories 81

TABLE 47 Zimmer Holding, Inc.’s Product Categories 84

TABLE 48 Integra LifeSciences Holdings Corporation’s Product Categories 87


List of Figures 

FIG. 1 Orthopedic Trauma Fixation Devices Market: Porter’s Five Force Analysis 13

FIG. 2 Hierarchy of Orthopedic Trauma Fixation Devices 16

FIG. 3 Global Orthopedic Trauma Fixation Devices Market, by Type of Fixator 2013 (% Share) 28

FIG. 4 Global Orthopedic Trauma Internal Fixators Market, by Type 2013 (% Share) 33

FIG. 5 Global Orthopedic Trauma Fixation Devices Market, by Composition, 2013 (% Share) 39

FIG. 6 Global Orthopedic Trauma Fixators Market, by Region, 2013 (% Share) 44

FIG. 7 North American Orthopedic Trauma Fixation Devices Market, by Country, 2013 (% Share) 47

FIG. 8 European Orthopedic Trauma Fixation Devices Market, by Country 2013 (% Share) 49

FIG. 9 Asian Orthopedic Trauma Fixation Devices Systems Market, by Country, 2013 (% Share) 51

FIG. 10 Global Orthopedic Trauma Fixation Devices Market, by Company, 2013 (% Share) 53

FIG. 11 Competitive Landscape of Orthopedic Trauma Fixation Devices Providers (2013) 54

FIG. 12 Johnson & Johnson Services, Inc. Total Sales and Net Earnings, 2011-2013 (USD Million) 57

FIG. 13 Tornier, Inc.’s Revenue and Net Loss 2011-2013 (USD Million) 60

FIG. 14 Wright Medical Technology, Inc.’s Net Sales and Net Loss, 2011-2013 (USD Million) 63

FIG. 15 B. Braun Melsungen AG’s Sales and Net Profit, 2011-2013 (USD Million) 66

FIG. 16 Orthofix Holding Inc.’s Net Sales and Net Income, 2011-2013 (USD Million) 69

FIG. 17 CONMED’s Net Sales and Net Income, 2010-2012 (USD Million) 72

FIG. 18 Smith & Nephew’s Revenue and Profit, 2011-2013 (USD Million) 74

FIG. 19 Medtronic, Inc.’s Net Sales and Net Earnings, 2011-2013 (USD Million) 77

FIG. 20 Stryker’s Revenue and Net Earnings, 2011-2013 (USD Million) 82

FIG. 21 Zimmer Holding, Inc.’s Net Sales and Net Earnings, 2011-2013 (USD Million) 85

FIG. 22 Integra LifeSciences Holdings Corporation’s Total Revenue and Net Income, 2011-2013 (USD Million) 89

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