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REFERENCE CODE GDME206MAR | PUBLICAT ION DATE MARCH 2014
SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
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SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
Executive Summary
Arthroscopy Devices, Key Metrics in the Major Markets, 2013–2020 (2013) Arthroscopic Procedure Volume Globally
2013 Global Market Sales for Arthroscopic Implants Market ($m)
2013 Global Market Sales for Arthroscopic Capital Equipment Market ($m)
US (implants)
US (capital equipment)
5EU (implants)
5EU (capital equipment)
Asia-Pacific (implants)
Asia-Pacific (capital equipment)
Brazil (implants)
Brazil (capital equipment)
Key Events (2013–2020)
(2013) Smith & Nephew acquires ArthroCare for $1.7bn.
(2013) Smith & Nephew launches several suture anchor products in 2013, such as Healicoil.
(2013) Arthrex ordered to stop selling patent-infringing suture anchors.
(2013) Stryker launches Iconix all-suture anchor systems.
(2014) Wright Medical sheds its large joint reconstruction business and snaps up two extremity players, expanding its ankle business.
Competitive Assessment
Number of Devices in Marketing Phase
2020 Global Market Sales for Arthroscopic Implants Market ($m)
2020 Global Market Sales for Arthroscopic Capital Equipment Market ($m)
US (implants)
US (capital equipment)
5EU (implants)
5EU (capital equipment)
Asia-Pacific (implants)
Asia-Pacific (capital equipment)
Brazil (implants)
Brazil (capital equipment)
Source: GlobalData, based on primary research interviews with leading orthopedic sports medicine surgeons in 10 markets (US, France, Germany, Italy, Spain, UK, Japan, Brazil, China, and India) 5EU = France, Germany, Italy, Spain, and UK; Asia-Pacific = Japan, China, and India
Sales for the Arthroscopy Device Market
The arthroscopy device market consists of
implants and capital equipment. The total
arthroscopic implants market in 2013 was
estimated to be $XXm across the XX major
markets (XXMM) covered in this report: the US,
France, Germany, Italy, Spain, the UK, Japan,
Brazil, China, and India. Likewise, in 2013, the total
arthroscopic capital equipment market was
estimated to be $XXm across the XXMM. By the
end of the forecast period in 2020, implant sales
will grow to over $XXm at a Compound Annual
Growth Rate (CAGR) of XX%. Capital equipment
sales will grow to over $XXm at a CAGR of XX%.
The key drivers for the arthroscopy device market
during the forecast period are:
The growing prevalence of sports injury
through repetitive training and improper
biomechanics
Individuals in the aging segment of the
population with osteoarthritis, who are more
susceptible to sustaining injuries through
recreational activity
The growing number of individuals adopting
western sports in the emerging nations
The biologics and cell-based industry, for soft
tissue repair to treat sports injuries more
naturally, as opposed to metal implantations
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SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
Executive Summary
The movement towards more minimally-
invasive techniques, where patients and
physicians prefer arthroscopic treatment to
reduce costs for practices and reduce recovery
time for patients
Figure below presents the arthroscopy device
revenue by the percent share in each major market
during the forecast period.
Arthroscopy Device Revenue by Major Market, 2013–2020
2013
US France Germany Italy Spain UK Japan Brazil China India
2013
2020
2020
Source: GlobalData, based on primary research interviews and surveys with leading orthopedic sports medicine surgeons in 10 markets (US, France, Germany, Italy, Spain, UK, Japan, Brazil, China, and India) Top: 2013 Implants Market: $XXn and 2020 Implants Market: $XXbn Bottom: 2013 Capital Equipment Market: $XXn and 2020 Capital Equipment Market: $XXbn
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Table of Contents
SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
1 Table of Contents
1 Table of Contents ....................................................................................................................... 8
1.1 List of Tables .................................................................................................................... 16
1.2 List of Figures ................................................................................................................... 21
2 Introduction ............................................................................................................................... 23
2.1 Catalyst ............................................................................................................................. 24
2.2 Related Reports ................................................................................................................ 26
2.3 Upcoming Related Reports ............................................................................................... 26
3 Clinical Outcomes ..................................................................................................................... 27
3.1 Conservative Treatments .................................................................................................. 27
3.1.1 Immobilization and Bracing ........................................................................................... 28
3.1.2 Physical Therapy ........................................................................................................... 28
3.1.3 Muscle Stimulation ........................................................................................................ 29
3.2 Drug Therapy .................................................................................................................... 29
3.2.1 Nutritional Supplements ................................................................................................ 30
3.2.2 Analgesics and NSAIDs ................................................................................................ 30
3.2.3 Corticosteroids .............................................................................................................. 30
3.2.4 Viscosupplementation ................................................................................................... 30
3.3 Soft Tissue Repair ............................................................................................................ 31
3.4 Arthroscopy ....................................................................................................................... 33
3.5 Plates and Screws ............................................................................................................ 34
3.6 Joint Replacement ............................................................................................................ 34
4 Industry Overview ..................................................................................................................... 36
4.1 Overview ........................................................................................................................... 36
4.2 Procedure Trends ............................................................................................................. 37
4.2.1 US ................................................................................................................................. 37
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4.2.2 EU ................................................................................................................................. 39
4.2.3 Asia-Pacific Region ....................................................................................................... 41
4.2.4 South America............................................................................................................... 42
4.3 Market Access .................................................................................................................. 43
4.3.1 US ................................................................................................................................. 43
4.3.2 EU ................................................................................................................................. 48
4.3.3 Asia-Pacific Region ....................................................................................................... 56
4.3.4 South America............................................................................................................... 63
4.4 Disputes and Settlements ................................................................................................. 66
4.4.1 Smith & Nephew Granted an Injunction Against Arthrex ................................................ 66
4.4.2 KFx Medical and Smith & Nephew Enter Into Licensing Agreement .............................. 66
4.4.3 KFx Medical Wins Patent Infringement Lawsuit Against Arthrex .................................... 67
4.4.4 ArthroCare and Smith & Nephew Settle Legal Disputes ................................................ 67
4.5 Mergers, Acquisitions, Partnerships, and Other Deals ...................................................... 67
4.5.1 Stryker Acquires Pivot Medical ...................................................................................... 67
4.5.2 Smith & Nephew Announces Acquisition of ArthroCare ................................................. 67
4.5.3 Smith & Nephew Acquires Plato Grup Assets ............................................................... 68
4.5.4 Smith & Nephew Announces Acquisition of Its Brazil Distribution Business .................. 68
4.5.5 Kensey Nash Acquires Minority Stake in Orteq Sports Medicine ................................... 68
4.5.6 Tornier Acquires C2M Medical ...................................................................................... 68
4.5.7 Tornier Signs Licensing Agreement with T.A.G. Medical Products Corporation ............. 68
4.5.8 Biomet Acquires Cartilix ................................................................................................ 69
4.5.9 Biomet Sports Medicine Enters Into Deal With Marc Tec............................................... 69
4.6 Economic Impact .............................................................................................................. 69
4.6.1 Developed Countries ..................................................................................................... 69
4.6.2 Emerging Markets ......................................................................................................... 71
5 Unmet Needs ............................................................................................................................ 73
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5.1 Long-Term Clinical Data ................................................................................................... 73
5.1.1 Hip Arthroscopic Implants Clinical Data ......................................................................... 73
5.1.2 Rotator Cuff Injury Clinical Data .................................................................................... 73
5.2 Cartilage and Meniscal Repair Product Development ....................................................... 74
5.2.1 Knee Meniscus Treatment............................................................................................. 74
5.2.2 Hip Cartilage Product Development .............................................................................. 76
5.3 Biologics for Faster Healing .............................................................................................. 77
5.4 Standardization and Improvement of Instruments ............................................................. 78
5.4.1 Hip and Shoulder Instrumentation ................................................................................. 78
5.4.2 Screwdriver Standardization .......................................................................................... 78
5.5 Fellowship Training Programs ........................................................................................... 79
5.6 Advanced Materials Research .......................................................................................... 80
5.7 Bioabsorbable Technology Development .......................................................................... 81
5.8 Centralization .................................................................................................................... 83
5.9 Need for Cost-Containment............................................................................................... 83
5.10 Suture Anchor Product Development ................................................................................ 84
6 Market Opportunity Analysis ..................................................................................................... 86
6.1 Adding More Training Programs........................................................................................ 86
6.2 Product Line Extensions ................................................................................................... 86
6.3 Lack of Pricing Pressure in Sports Medicine ..................................................................... 87
6.4 Mergers and Acquisitions .................................................................................................. 88
6.5 Seasonality of Sports Medicine ......................................................................................... 89
6.6 Emerging Markets ............................................................................................................. 89
6.7 Minimally-Invasive Surgical Preference ............................................................................. 90
7 Market Drivers, Barriers and Substitutes ................................................................................... 91
7.1 Driver: Rising Prevalence .................................................................................................. 91
7.1.1 Sports-Related Injuries .................................................................................................. 91
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7.1.2 Aging ............................................................................................................................. 91
7.1.3 Trauma.......................................................................................................................... 92
7.2 Driver: Hip Arthroscopy ..................................................................................................... 93
7.2.1 Femoroacetabular Impingement Growth ....................................................................... 94
7.2.2 Hip Arthroscopy Fellowship Training Programs ............................................................. 95
7.3 Driver: Knee and Shoulder Arthroscopy ............................................................................ 95
7.4 Driver: Revision Surgery ................................................................................................... 96
7.5 Driver: Patient Demand and Awareness............................................................................ 97
7.6 Driver: Orthobiologics Development .................................................................................. 98
7.6.1 Bone Grafts ................................................................................................................... 98
7.6.2 Platelet-Rich Plasma ..................................................................................................... 99
7.7 Driver: Rising Competition and Innovation Through Small Players .................................... 99
7.8 Driver: Materials Development .......................................................................................... 99
7.8.1 Composite Materials and Biopolymers ........................................................................ 100
7.8.2 Bioabsorbables ........................................................................................................... 100
7.8.3 Metallic Alloys in Orthopedics ...................................................................................... 101
7.9 Barrier: Arthroscopy’s Questionable Outcomes ............................................................... 102
7.9.1 Hip Arthroscopy ........................................................................................................... 102
7.9.2 Knee Arthroscopy ........................................................................................................ 103
7.10 Barrier: Steep Learning Curve ......................................................................................... 104
7.11 Barrier: Reimbursement .................................................................................................. 104
7.12 Barrier: Burden of Rising Regulation ............................................................................... 106
7.13 Barrier: Proving Efficacy .................................................................................................. 107
7.14 Barrier: Medical Device Excise Tax ................................................................................. 108
7.15 Substitute: Open Surgery Versus Minimally-Invasive Arthroscopy .................................. 108
7.16 Substitute: Conservative Treatment Options ................................................................... 109
8 Competitive Assessment......................................................................................................... 110
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8.1 Overview ......................................................................................................................... 110
8.2 Marketed Products in Sports Medicine ............................................................................ 110
8.2.1 Arthrex ........................................................................................................................ 110
8.2.2 ArthroCare Corporation ............................................................................................... 119
8.2.3 Biomet ......................................................................................................................... 123
8.2.4 ConMed Corporation ................................................................................................... 128
8.2.5 DePuy Mitek ................................................................................................................ 133
8.2.6 Smith & Nephew ......................................................................................................... 137
8.2.7 Stryker......................................................................................................................... 139
8.2.8 Tornier......................................................................................................................... 142
9 Pipeline Assessment ............................................................................................................... 143
9.1 Overview ......................................................................................................................... 143
9.2 Product Profiles ............................................................................................................... 143
9.2.1 Bioretec Drug-Releasing Screws ................................................................................. 143
9.2.2 Nanova Bioabsorbable Bone Screws .......................................................................... 143
9.2.3 MinInvasive Arthroscopic Suture Passer ..................................................................... 143
9.2.4 SpineSmith Pipeline .................................................................................................... 144
9.2.5 DePuy Mitek FMS VUE ............................................................................................... 144
9.2.6 Pivot Medical Hip Arthroscopy System ........................................................................ 144
9.2.7 University of Florida Shoulder Labral Anchor Delivery System .................................... 144
9.2.8 University of California at San Diego Cartilage Regeneration Device .......................... 144
10 Clinical Trials to Watch ........................................................................................................... 145
10.1 Overview ......................................................................................................................... 145
10.2 Can Shoulder Arthroscopy Work (CSAW) Study ............................................................. 145
10.3 Arthroscopy in the Treatment of Degenerative Medial Meniscus Tear ............................. 145
10.4 Knee Arthroscopy Cohort Southern Denmark ................................................................. 146
10.5 Hip Arthroscopy Versus Conservative Management of Femoroacetabular Impingement 146
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10.6 Femoroacetabular Impingement Randomized Controlled Trial ........................................ 147
10.7 Multicenter ACL Revision Study (MARS) ........................................................................ 147
10.8 Arthroscopic Versus Open Stabilization for Traumatic Shoulder Instability ...................... 148
10.9 Microfracture in the Knee Study ...................................................................................... 148
10.10 Single- Versus Double-Row Suture Anchor Repair in Medium to Large Rotator Cuff Tears 149
10.11 Early Surgery Versus Conservative Therapy for Meniscal Injuries in Older Patients (ESCAPE) ....................................................................................................................... 149
10.12 Arthroscopic Rotator Cuff Repair of Full Thickness Tears With and Without Arthroscopic Acromioplasty ................................................................................................................. 150
10.13 Arthroscopic Rotator Cuff Repair With Platelet-Rich Plasma ........................................... 151
10.14 Tibial Tunnel Widening in ACL Reconstruction-Comparing Two Bioscrews .................... 151
11 Current and Future Players ..................................................................................................... 152
11.1 Trends in Corporate Strategy .......................................................................................... 152
11.2 Company Profiles ............................................................................................................ 153
11.2.1 Arthrex ........................................................................................................................ 153
11.2.2 ArthroCare Corporation ............................................................................................... 155
11.2.3 Biomet ......................................................................................................................... 157
11.2.4 ConMed Corporation ................................................................................................... 160
11.2.5 DePuy Companies ...................................................................................................... 162
11.2.6 Smith & Nephew ......................................................................................................... 164
11.2.7 Stryker......................................................................................................................... 166
11.2.8 Tornier......................................................................................................................... 168
11.2.9 Wright Medical Group .................................................................................................. 171
11.2.10 Other Key Players in Sports Medicine ......................................................................... 174
12 Market Outlook ....................................................................................................................... 180
12.1 Company Market Share .................................................................................................. 180
12.1.1 Overview ..................................................................................................................... 180
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12.1.2 US ............................................................................................................................... 180
12.1.3 EU Market Share ......................................................................................................... 181
12.1.4 Asia-Pacific Market Share ........................................................................................... 184
12.1.5 South America Market Share ...................................................................................... 186
12.2 By Market Segment......................................................................................................... 187
12.2.1 Overview ..................................................................................................................... 187
12.2.2 Arthroscopy Implants ................................................................................................... 188
12.2.3 Arthroscopic Shavers .................................................................................................. 189
12.2.4 Arthroscopes ............................................................................................................... 190
12.2.5 Arthroscopic Radio Frequency Wands ........................................................................ 191
12.2.6 Arthroscopic Visualization Systems ............................................................................. 192
12.2.7 Arthroscopic Fluid Management Systems ................................................................... 193
12.3 By Geography ................................................................................................................. 195
12.3.1 Global Overview .......................................................................................................... 195
12.3.2 US ............................................................................................................................... 198
12.3.3 EU ............................................................................................................................... 201
12.3.4 Asia-Pacific ................................................................................................................. 212
12.3.5 South America............................................................................................................. 218
13 Appendix ................................................................................................................................. 221
13.1 Bibliography .................................................................................................................... 221
13.2 Abbreviations .................................................................................................................. 231
13.3 Research Methodology ................................................................................................... 236
13.3.1 Overview ..................................................................................................................... 236
13.3.2 Coverage .................................................................................................................... 236
13.3.3 Secondary Research ................................................................................................... 236
13.4 Physicians and Specialists Included in this Study ........................................................... 238
13.4.1 Dr. Henry D.E. Atkinson .............................................................................................. 238
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13.4.2 Dr. Joshua Alpert ........................................................................................................ 238
13.4.3 Dr. Andrea Ferretti....................................................................................................... 238
13.4.4 Dr. Alejandro Gonzalez Della Valle ............................................................................. 238
13.4.5 Dr. Andreas Imhoff ...................................................................................................... 238
13.4.6 Dr. Marcello Zaia Oliveira ............................................................................................ 238
13.4.7 Dr. Vidhya Ravi ........................................................................................................... 239
13.4.8 Dr. Elvire Servien ........................................................................................................ 239
13.4.9 Dr. Yotaro Yamakado .................................................................................................. 239
13.5 Primary Research ........................................................................................................... 240
13.5.1 Primary Research – Key Opinion Leader Interviews.................................................... 240
13.5.2 Primary Research – Physician and Industry Interviews ............................................... 240
13.5.3 Expert Panel Validation ............................................................................................... 241
13.6 Forecasting Methodology ................................................................................................ 241
13.7 About the Authors ........................................................................................................... 243
13.7.1 Analysts ...................................................................................................................... 243
13.7.2 Global Head of Healthcare .......................................................................................... 244
13.8 About MediPoint .............................................................................................................. 245
13.9 About GlobalData ............................................................................................................ 245
13.10 Disclaimer ....................................................................................................................... 245
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SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
1.1 List of Tables
Table 1: Most Common Soft Tissue Injuries to the Extremities in Sports Medicine .......................................... 32
Table 2: Growth Rates for Arthroscopy by Joint in the US, 2013–2020 ........................................................... 38
Table 3: EU Growth Rate for Arthroscopy by Joint and Country, 2013–2020 .................................................. 40
Table 4: APAC Growth Rate for Arthroscopy by Joint and Country, 2013–2020.............................................. 42
Table 5: Brazil Growth Rate for Arthroscopy by Joint, 2013–2020 .................................................................. 43
Table 6: Medicare ICD-9 Diagnosis Codes for Common Sports Medicine Injuries, 2013 ................................. 46
Table 7: Medicare National Adjusted Reimbursement Rates for Common Sports Medicine Injuries for Hospital
Outpatient Treatment, 2013 ......................................................................................................... 47
Table 8: Medicare DRG Payments to Hospitals for Common Sports Medicine Injuries, 2013 .......................... 48
Table 9: Primary Differences Between FDA Approval and CE-Marking of Medical Devices ............................ 49
Table 10: Direct, Indirect, and Intangible Costs of Orthopedics ....................................................................... 71
Table 11: Potential Market for Meniscus Treatment Types ............................................................................. 75
Table 12: Metal Implant CharacteristicsThat Can Be Improved .................................................................... 101
Table 13: Arthrex Shoulder Implants ............................................................................................................ 112
Table 14: Arthrex, Shoulder Instrumentation ................................................................................................ 113
Table 15: Arthrex, Knee Sutures and Suture Anchors .................................................................................. 114
Table 16: Arthrex, Knee Graft Fixation Devices and Meniscal Products ........................................................ 115
Table 17: Arthrex, Hip Implants and Instruments .......................................................................................... 117
Table 18: Arthrex, Arthroscopy Procedure Capital Equipment ...................................................................... 118
Table 19: Arthrex, Implants SWOT Analysis ................................................................................................. 118
Table 20: Arthrex, Instrumentation SWOT Analysis ...................................................................................... 119
Table 21: Arthrocare, Suture Implants .......................................................................................................... 120
Table 22: ArthroCare, Suture Management Products ................................................................................... 121
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Table 23: ArthroCare, Cruciate Ligament Graft Fixation Products ................................................................. 122
Table 24: ArthroCare, Capital Equipment and Instruments ........................................................................... 122
Table 25: ArthroCare, Implants SWOT Analysis ........................................................................................... 123
Table 26: Arthrocare, Instruments and Capital Equipment SWOT Analysis .................................................. 123
Table 27: Biomet, Shoulder Arthroscopy Products ....................................................................................... 124
Table 28: Biomet, Knee Arthroscopy Products ............................................................................................. 126
Table 29: Biomet’s Other Joints Arthroscopy Products ................................................................................. 127
Table 30: Biomet, Capital Equipment Sports Medicine Products................................................................... 127
Table 31: Biomet Implants SWOT Analysis .................................................................................................. 128
Table 32: Biomet, Capital Equipment SWOT Analysis .................................................................................. 128
Table 33: ConMed, Shoulder Arthroscopy Products ..................................................................................... 129
Table 34: ConMed, Knee Arthroscopy Products ........................................................................................... 130
Table 35: ConMed, Small Joint and Hip Arthroscopy Products ..................................................................... 131
Table 36: ConMed, Instruments and Capital Equipment ............................................................................... 132
Table 37: ConMed, Implants SWOT Analysis ............................................................................................... 132
Table 38: ConMed, Capital Equipment SWOT Analysis ............................................................................... 133
Table 39: DePuy Mitek, Fixation Devices ..................................................................................................... 134
Table 40: DePuy, Mitek Instruments ............................................................................................................ 135
Table 41: DePuy Mitek, Capital Equipment .................................................................................................. 136
Table 42: DePuy Mitek Implants, SWOT Analysis ........................................................................................ 136
Table 43: DePuy Mitek, Capital Equipment SWOT Analysis ......................................................................... 136
Table 44: Smith & Nephew, Fixation Devices ............................................................................................... 137
Table 45: Smith & Nephew, Instruments and Capital Equipment .................................................................. 138
Table 46: Smith & Nephew Implants, SWOT Analysis .................................................................................. 139
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Table 47: Smith & Nephew, Capital Equipment SWOT Analysis ................................................................... 139
Table 48: Stryker, Fixation Devices .............................................................................................................. 140
Table 49: Stryker, Instrumentation ............................................................................................................... 140
Table 50: Stryker, Capital Equipment ........................................................................................................... 141
Table 51: Stryker, Fixation Devices SWOT Analysis .................................................................................... 141
Table 52: Stryker, Instrumentation and Capital Equipment SWOT Analysis .................................................. 141
Table 53: Tornier Sports Medicine Products ................................................................................................. 142
Table 54: Tornier, Product Family SWOT Analysis ....................................................................................... 142
Table 55: Can Shoulder Arthroscopy Work (CSAW) ..................................................................................... 145
Table 56: Arthroscopy in the Treatment of Degenerative Medial Meniscus Tear ........................................... 146
Table 57: Knee Arthroscopy Cohort Southern Denmark ............................................................................... 146
Table 58: Hip Arthroscopy Versus Conservative Management of Femoroacetabular Impingement ............... 147
Table 59: Femoroacetabular Impingement Randomized Controlled Trial ...................................................... 147
Table 60: Multicenter ACL Revision Study (MARS) ...................................................................................... 148
Table 61: Arthroscopic Versus Open Stabilization for Traumatic Shoulder Instability .................................... 148
Table 62: Results at 10 to 14 Years After Microfracture in the Knee ............................................................. 149
Table 63: Single Versus Double Row Suture Anchor Repair in Medium to Large Rotator Cuff Tears ............ 149
Table 64: Early Surgery Versus Conservative Therapy for Meniscal Injuries in Older Patients (ESCAPE)..... 150
Table 65: Arthroscopic Rotator Cuff Repair of Full Thickness Tears With and Without Arthroscopic
Acromioplasty ........................................................................................................................... 150
Table 66: Arthroscopic Rotator Cuff Repair With Platelet-Rich Plasma in Large to Massive Tears ................ 151
Table 67: Tibial Tunnel Widening in Anterior Cruciate Ligament Reconstruction Comparing Two Bioscrews. 151
Table 68: Company Profile – Arthrex ........................................................................................................... 154
Table 69: SWOT Analysis – Arthrex ............................................................................................................. 155
Table 70: Company Profile – ArthroCare Corporation .................................................................................. 156
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Table 71: SWOT Analysis – ArthroCare Corporation .................................................................................... 157
Table 72: Company Profile – Biomet ............................................................................................................ 158
Table 73: SWOT Analysis – Biomet ............................................................................................................. 159
Table 74: Company Profile – ConMed Corporation ...................................................................................... 161
Table 75: SWOT Analysis – ConMed Corporation ........................................................................................ 162
Table 76: Company Profile – DePuy Companies .......................................................................................... 163
Table 77: SWOT Analysis – DePuy Companies ........................................................................................... 164
Table 78: Company Profile – Smith & Nephew ............................................................................................. 165
Table 79: SWOT Analysis – Smith & Nephew .............................................................................................. 166
Table 80: Company Profile – Stryker ............................................................................................................ 167
Table 81: SWOT Analysis – Stryker ............................................................................................................. 168
Table 82: Company Profile – Tornier............................................................................................................ 169
Table 83: SWOT Analysis – Tornier ............................................................................................................. 170
Table 84: Company Profile – Wright Medical Group ..................................................................................... 172
Table 85: SWOT Analysis – Wright Medical Group ...................................................................................... 173
Table 86: Other Sports Medicine Companies in the US Market .................................................................... 174
Table 87: Other Sports Medicine Companies in the EU Market .................................................................... 175
Table 88: Other Sports Medicine Companies in the APAC Market................................................................ 177
Table 89: Global Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................. 187
Table 90: Global Sports Medicine Sales Forecast ($m), Arthroscopy Implants, 2011–2020 .......................... 188
Table 91: Global Sports Medicine Sales Forecast ($m), Arthroscopic Shavers, 2011–2020 .......................... 189
Table 92: Global Sports Medicine Sales Forecast ($m), Arthroscopes, 2011–2020 ...................................... 190
Table 93: Global Sports Medicine Sales Forecast ($m), Arthroscopic RF Wands, 2011–2020 ...................... 192
Table 94: Global Sports Medicine Sales Forecast ($m), Arthroscopic Visualization Systems, 2011–2020 ..... 193
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Table 95: Global Sports Medicine Sales Forecast ($m), Arthroscopic Fluid Management Systems, 2011–2020
................................................................................................................................................. 194
Table 96: Global Sports Medicine Implant and Capital Equipment Sales ($m) Forecast by Country, 2011–2020
................................................................................................................................................. 196
Table 97: US Sports Medicine Sales Forecast ($m), 2011–2020 .................................................................. 200
Table 98: EU Sports Medicine Sales Forecast ($m), 2011–2020 .................................................................. 202
Table 99: France Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................ 204
Table 100: Germany Sports Medicine Sales Forecast ($m), 2011–2020....................................................... 206
Table 101: Italy Sports Medicine Sales Forecast ($m), 2011–2020 .............................................................. 208
Table 102: Spain Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................ 210
Table 103: UK Sports Medicine Sales Forecast ($m), 2011–2020 ................................................................ 211
Table 104: Japan Sports Medicine Sales Forecast ($m), 2011–2020 ........................................................... 213
Table 105: China Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................ 215
Table 106: India Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................. 217
Table 107: Brazil Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................ 220
Table 108: Primary Research Interviews Completed in Sports Medicine ...................................................... 241
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Table of Contents
SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
1.2 List of Figures
Figure 1: Global Arthroscopic Procedure Volumes by Joint, 2011–2020 ......................................................... 36
Figure 2: US Arthroscopic Procedure Volumes, 2011–2020 ........................................................................... 37
Figure 3: US Arthroscopic Procedure Volumes by Joint, 2011–2020 .............................................................. 38
Figure 4: EU Arthroscopic Procedure Volumes, 2011–2020 ........................................................................... 39
Figure 5: EU Arthroscopic Procedure Volumes by Joint, 2011–2020 .............................................................. 40
Figure 6: APAC Region Arthroscopic Procedure Volumes, 2011–2020 .......................................................... 41
Figure 7: Brazil Arthroscopic Procedure Volumes, 2011–2020 ....................................................................... 42
Figure 8: Sources of Orthopedic Trauma (%) (n=103) .................................................................................... 93
Figure 9: US Market Share for Arthroscopy, 2012 ........................................................................................ 181
Figure 10: France Market Share for Arthroscopy, 2012 ................................................................................ 182
Figure 11: Germany Market Share for Arthroscopy, 2012 ............................................................................. 182
Figure 12: Italy Market Share for Arthroscopy, 2012 ..................................................................................... 183
Figure 13: Spain Market Share for Arthroscopy, 2012 .................................................................................. 183
Figure 14: UK Market Share for Arthroscopy, 2012 ...................................................................................... 184
Figure 15: Japan Market Share for Arthroscopy, 2012.................................................................................. 185
Figure 16: China Market Share for Arthroscopy, 2012 .................................................................................. 185
Figure 17: India Market Share for Arthroscopy, 2012 ................................................................................... 186
Figure 18: Brazil Market Share for Arthroscopy, 2012 .................................................................................. 186
Figure 19: Global Sports Medicine Sales Forecast ($m), 2011–2020............................................................ 188
Figure 20: Global Sports Medicine Sales Forecast ($m), Arthroscopy Implants, 2011–2020 ......................... 189
Figure 21: Global Sports Medicine Sales Forecast ($m), Arthroscopic Shavers, 2011–2020 ......................... 190
Figure 22: Global Sports Medicine Sales Forecast ($m), Arthroscopes, 2011–2020 ..................................... 191
Figure 23: Global Sports Medicine Sales Forecast ($m), Arthroscopic RF Wands, 2011–2020 ..................... 192
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Figure 24: Global Sports Medicine Sales Forecast ($m), Arthroscopic Visualization Systems, 2011–2020 .... 193
Figure 25: Global Sports Medicine Sales Forecast ($m), Arthroscopic Fluid Management Systems, 2011–2020
................................................................................................................................................. 194
Figure 26: Arthroscopy Implants Revenue by Major Market, 2013 and 2020................................................. 197
Figure 27: Arthroscopy Capital Equipment Revenue by Major Market, 2013 and 2020 ................................. 198
Figure 28: US Sports Medicine Sales Forecast ($m), 2011–2020 ................................................................. 200
Figure 29: EU Sports Medicine Sales Forecast ($m), 2011–2020 ................................................................. 202
Figure 30: France Sports Medicine Sales Forecast ($m), 2011–2020 ........................................................... 204
Figure 31: Germany Sports Medicine Sales Forecast ($m), 2011–2020 ....................................................... 207
Figure 32: Italy Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................... 209
Figure 33: Spain Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................. 210
Figure 34: UK Sports Medicine Sales Forecast ($m), 2011–2020 ................................................................. 212
Figure 35: Japan Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................ 214
Figure 36: China Sports Medicine Sales Forecast ($m), 2011–2020............................................................. 216
Figure 37: India Sports Medicine Sales Forecast ($m), 2011–2020 .............................................................. 218
Figure 38: Brazil Sports Medicine Sales Forecast ($m), 2011–2020 ............................................................. 220
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SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
Introduction
2 Introduction
Sports injury is a very common occurrence in orthopedics that, depending on its severity, can be
treated either surgically or medically without any open intervention. It is also something that is not
limited to professional athletes, but is also seen in young children and teenagers and the elderly.
The aging population, as they keep to their recreational activities, are also more susceptible to
bone and tissue damage due to osteoarthritis. As the emerging markets are also experiencing
healthy growth in orthopedics, there is continued adoption of minimally-invasive technology.
The sports injury market still consists primarily of conservative treatments, such as nutritional
supplements, analgesics, corticosteroids, viscosupplementation and other medications. Based on
GlobalData’s key opinion leader (KOL) research, only XX% of sports injury patients go on to have
surgical intervention. And of those who are treated surgically, XX–XX% undergo outpatient
athroscopic procedures, as these surgeries do not require overnight stays. This minimally-invasive
technique saves significant healthcare costs and also continues to bring in revenue for hospitals
and practices, as several arthroscopic cases — as many as eight to nine — can be scheduled per
day, with one procedure lasting only XX minutes.
From a clinical standpoint, over the past 10 years, there have been many clinical studies validating
the effectiveness of various arthroscopic techniques. The early treatment methods focused more
on repair, and not on reconstruction. Anatomic single-bundle reconstruction of the ligaments versus
double-bundle reconstruction has been a point of contention, with debates on which has better
outcomes. Some of these techniques have been debated in conference forums, with regional
preferences (US versus EU) on ways to treat patients.
Biologics is another area that will rapidly change the face of sports orthopedics, particularly in the
US and EU markets. Tissue banks are used to prepare tissue for ligament reconstructions, which
are done arthroscopically. With the further development of better graft materials, GlobalData
expects procedural volume growth. Finally, bioabsorbable implants will continue to see
development, and as with the other orthopedics markets, physicians are looking for clinical data to
demonstrate the controlled bioresorbability of these materials to ensure timely healing in the natural
joints.
This report focuses on the sports medicine implant fixation market and capital equipment that is
commonly used across sports injury procedures. Implant fixation products include suture anchors,
Based on GlobalData’s key opinion leader (KOL) research, only 10% of sports injury patients go on to have surgical intervention.
Sports Medicine – Global Analysis and Market Forecasts 39 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.
SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
Industry Overview
4.2.2 EU
Figure 4 illustrates the arthroscopic procedure volumes in the EU from 2011–2020. The market that
is most similar to the US in terms of the rise in the number of arthroscopic procedures and the
adoption of products is Germany. France follows Germany in terms of the number of arthroscopies
performed each year. As joint replacement growth rates begin to slow due to the austerity
measures implemented in Europe, the number of arthroscopic surgeries is set to rise.
Figure 4: EU Arthroscopic Procedure Volumes, 2011–2020
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
FranceGermanyItalySpainUK
Source: GlobalData
Figure 5 illustrates the procedure volumes for the individual joints’ arthroscopy markets in the EU
from 2011–2020. Knee arthroscopies are the most commonly performed procedures in the EU,
with shoulder being second. The shoulder market, while seeing steady growth, is not growing at the
dramatic rate as seen in the US market. The hip segment, despite its currently low numbers, is the
area to watch, with new products and indications driving its growth. The volumes are still very low
in hip arthroscopy which is the reason for high growth rates in the EU countries as adoption picks
up.
The hip segment, despite its currently low numbers, is the area to watch, with new products and indications driving its growth.
Sports Medicine – Global Analysis and Market Forecasts 187 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.
Market Outlook
SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
12.2 By Market Segment
12.2.1 Overview
According to GlobalData’s estimates, in 2013, the arthroscopic implants market was valued at $XX
billion, and the remaining capital equipment market was valued at $XX billion, amounting to a total
market value of $XX billion. By the end of the forecast period in 2020, these markets are expected
to be valued at $XX billion and $XX billion, respectively, totalling $XX billion. The implants segment
will grow at a CAGR of XX% during the forecast period, and will be the only segment of capital
equipment that is rising. The RF wands segment will grow the fastest, at a CAGR of XX%, with
shavers and arthroscopes following at CAGRs of XX% and XX%, respectively. The remaining
segments will grow at a much lower rate, signifying that fluid management and visualization
systems are of less importance.
Table 89 and Figure 19 present the global sports medicine sales forecast during 2011–2020.
Table 89: Global Sports Medicine Sales Forecast ($m), 2011–2020
Year 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 CAGR (%)
Arthroscopic Implants
Shavers
Arthroscopes
RF Wands
Visualization Systems
Fluid Management Systems
Total Sales Source: GlobalData
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Market Outlook
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Figure 19: Global Sports Medicine Sales Forecast ($m), 2011–2020
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020Year
Arthroscopic Implants Arthroscopic ShaversArthroscopes Arthroscopic RF WandsArthroscopic Visualization Systems Arthroscopic Fluid Management Systems
Source: GlobalData
12.2.2 Arthroscopy Implants
With the rapid growth in arthroscopic surgical intervention, as opposed to open surgery,
arthroscopic implants will see rapid growth during the forecast period, with a CAGR of XX%. These
implants are most often used in the shoulder and knee, and are now also increasingly being
implanted in the small joints and hip. According to GlobalData’s estimates, the global arthroscopic
implants market was worth $XX billion in 2013, and will rise to $XX billion in 2020, at a CAGR of
XX%.
Table 90 and Figure 20 present the global sports medicine sales forecast for arthroscopy implants
during 2011–2020.
Table 90: Global Sports Medicine Sales Forecast ($m), Arthroscopy Implants, 2011–2020
Year 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 CAGR (%)
Arthroscopy Implants
Source: GlobalData
With the rapid growth in arthroscopic surgical intervention, as opposed to open surgery, arthroscopic implants will see rapid growth during the forecast period, with a CAGR of XX%.
Sports Medicine – Global Analysis and Market Forecasts 221 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.
Appendix
SPORTS MEDICINE – GLOBAL ANALYSIS AND MARKET FORECASTS
13 Appendix
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Seligson D, et al. (2012). External fixation in economically disadvantaged areas. In: Seligson
D, et al., eds. External Fixation in Orthopedic Traumatology. Springer-Verlag London Limited,
London, England.
Seoul National University Hospital, Arthroscopic Rotator Cuff Repair With Platelet-Rich Plasma
(PRP) in Large to Massive Tears. Available from:
http://clinicaltrials.gov/ct2/show/NCT01238302. [Accessed February 2, 2014].
Sihvonen R, et al. (2013). Arthroscopic partial meniscectomy versus sham surgery for a
degenerative meniscal tear. New England Journal of Medicine.; 369: 2515–2524.
Smith & Nephew (2014). Product and Technical Information. Available from: http://www.smith-
nephew.com/professional/products/sports-medicine/. [Accessed January 25, 2014].
Steinmann J, et al. (2009). Surgeon Ownership in Medical Device Distribution: Economic
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Surgeons, Scientific Exhibit SE48. Available from:
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University of California, San Francisco (UCSF) (2011). Sports Medicine: Knee. University of
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13.2 Abbreviations
10MM 10 major markets (US, France, Germany, Italy, Spain, UK, Brazil, China, India,
South America)
AAOS American Association of Orthopaedic Surgeons
ABOS American Board of Orthopaedic Surgery
ACA Affordable Care Act
ACL anterior cruciate ligament
AIHS Academy for International Health Studies
ANVIS Agência Nacional de Vigilância Sanitária
AOSS American Orthopaedic Society for Sports Medicine
APC Ambulatory Payment Classification
BGMP Brazilian Good Manufacturing Practice
CAGR Compound Annual Growth Rate
CDCSO Central Drugs Standard Control Organization
CDC Centers for Disease Control and Prevention
CE Conformité Européenne
CFDA China Food and Drug Administration
CDCSO Central Drugs Standard Control Organization
CITEC Centro de Inovação Tecnológica em Cerâmica
CLAA Central License Approval Authority
CMF craniomaxillofacial
CMOS complementary metal oxide semiconductor
CMS Centers for Medicare & Medicaid Services
CO2 carbon dioxide
CoCr cobalt-chromium
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CONITEC National Commission for Incorporation of Technologies in the Unified Healthcare
System
CPT Current Procedural Terminology
CSAW Can Shoulder Arthroscopy Work study
CT computed tomography
dGEMRIC delayed gadolinium-enhanced MRO of cartilage
DPC Diagnosis Procedure Combination
DRG Diagnosis-Related Group
EC European Commission
ECG electrocardiography
ECRI Emergency Care Research Institute
EMS electrical muscle stimulation
ENT ear, nose, and throat
FAI femoroacetabular impingement
FDA Food and Drug Administration
GDP Gross Domestic Product
G-DRG German Diagnosis-Related Group
GMP Good Manufacturing Practice
HA hydroxy apatite
HD high-definition
HRG Healthcare Resource Group
HTA Health Technology Assessments
HTAC Health Technology Assessment Committee
HSS Hospital for Special Surgery
ICAC Indian Conformity Assessment Certificate
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ICD-9 International Classification of Diseases, Ninth Revision
IM intramedullary
IMDRA Indian Medical Devices Regulatory Authority
INMETRO Instituto Nacional de Metrologia, Normalizacao e Qualidade Industrial
ISO International Organization for Standardization
ISPOR International Society for Pharmacoeconomics and Outcomes Research
ITA International Trade Administration
J&J Johnson & Johnson
KOL key opinion leader
LCL lateral collateral ligament
LED light-emitting diode
LHU Local Health Units
LSE London Stock Exchange
M&A merger and acquisition
MARS Multicenter ACL Revision Study
MCL medial collateral ligament
MERCOSUR Mercado Común del Sur
MHLW Ministry of Health, Labour and Welfare
MOH Ministry of Health
MTF Musculoskeletal Transplant Foundation
N Newtons
NASDAQ National Association of Securities Dealers Automated Quotations
NDRC National Development and Reform Commission
NHS National Health Service
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NIAMS National Institute of Arthritis and Musculoskeletal and Skin Diseases
NICE National Institute for Health and Care Excellence
NSAID non-steroidal anti-inflammatory drug
NUB New Diagnostic and Treatment Method
NYSE New York Stock Exchange
OB/GYN obstetrics and gynecology
OMS National Health Agency
ORIF open reduction and internal fixation
OTC over the counter
PCL Posterior Cruciate Ligament
PCP primary care physician
PEEK polyether ether ketone
PGA polyglycolic acid
PLDLA poly-L/D-lactide
PLLA poly-L-lactic acid
PMA Premarket Approval
PMDA Pharmaceutical and Medical Devices Agency
PVS polyvinyl siloxane
PRP platelet-rich plasma
R&D research and development
RF radiofrequency
SD standard-definition
SEC Securities and Exchange Commission
SET sports, extremities, trauma
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SHI Statutory Health Insurance
SSN Servizio Sanitario Nazionale
SUS Sistema Único de Saúde
SWOT strengths, weaknesses, opportunities, threats
TCM Traditional Chinese Medicine
TCP beta tricalcium phosphate
Ti titanium
UCL ulnar collateral ligament
UHMWPE ultra-high-molecular-weight polyethylene
USCF University of California, San Francisco
VEO valgus extension overload
VHI Voluntary Health Insurance
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13.3 Research Methodology
13.3.1 Overview
GlobalData’s dedicated research and analysis teams consist of experienced professionals with
extensive experience in marketing and market research, consulting backgrounds in the medical
device industry, and advanced statistical expertise.
GlobalData adheres to the Codes of Practice of the Market Research Society (www.mrs.org.uk)
and the Strategic and Competitive Intelligence Professionals (www.scip.org). All GlobalData
databases are continuously updated and revised. The following research methodology is followed
for all databases and reports.
13.3.2 Coverage
GlobalData’s coverage is designed to ensure that it represents the most up-to-date vision of the
industry possible. Changes to industry taxonomy are based on extensive research of companies,
associations, and competitors. Company coverage is based on three key factors: revenues,
products, and media attention/innovation/market potential.
The estimated revenues of all major companies, including private and governmental, are
gathered and used to prioritize coverage.
Companies that are making the news, or that are of particular interest due to their innovative
approach, are prioritized.
GlobalData aims to provide coverage on all major news events and deals in the medical device
industry, updated on a daily basis. The coverage is further streamlined and strengthened with
additional input from GlobalData’s panel of experts (see below).
13.3.3 Secondary Research
The research process begins with exhaustive secondary research into internal and external
sources to gather qualitative and quantitative information relating to each market.
The secondary research sources that are typically referred to include, but are not limited to:
Reports and databases published by national and international agencies, such as the
American Academy of Orthopaedic Surgeons, International Trade Administration, Orthopaedic
Trauma Association, Orthopedic News Network ,and World Health Organization.
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National government documents and databases from the Centers for Disease Control and
Prevention, Centers for Medicare & Medicaid Services, US Food and Drug Administration,
National Institute for Health and Care Excellence, and National Health Service. Population
figures were attained through the US Census Bureau database.
Scientific journals, such as Journal of Bone and Joint Surgery, The Burden of Musculoskeletal
Diseases in the United States, Open Orthopaedic Journal, and other technical literature.
Company websites, annual reports, financial reports, investor presentations, and SEC filings.
Relevant regulatory and device approval databases, such as the FDA 510(k) and Premarket
Approval databases.
News articles, press releases, and webcasts relating to companies operating in the market.
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13.4 Physicians and Specialists Included in this Study
13.4.1 Dr. Henry D.E. Atkinson
Orthopedic Surgeon
Department of Trauma and Orthopaedics and North London Sports Orthopaedics
North Middlesex University Hospital, London, UK
13.4.2 Dr. Joshua Alpert
Orthopedic Surgeon
Midwest Bone and Joint Institute, Chicago Suburbs, Illinois, US
13.4.3 Dr. Andrea Ferretti
Professor and Chairman of Orthpaedics
Department of Orthopaedics and Traumatology, Kirk Kilgour Sports Injury Center
Sant’ Andrea Hospital
Sapienza University of Rome, Rome, Italy
13.4.4 Dr. Alejandro Gonzalez Della Valle
Associate Attending Orthopedic Surgeon, Hospital for Special Surgery
Associate Professor of Orthopedic Surgery, Weill Cornell Medical College, NY, US
13.4.5 Dr. Andreas Imhoff
Professor
Sports Orthopaedics Department and Clinic, Rechts der Isar Hospital
Technical University of Munich, Munich, Germany
13.4.6 Dr. Marcello Zaia Oliveira
Orthopedic Surgeon
Hospital Universitario do Parana
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13.4.7 Dr. Vidhya Ravi
Orthopedic Surgeon
Maruti Hospital, Tiruchirappalli, Tamil Nadu, India
13.4.8 Dr. Elvire Servien
Professor of Department of Orthopaedic Surgery
Centre Albert Trillat, Groupe Hospitalier Nord, Hospices Civils de Lyon, France
13.4.9 Dr. Yotaro Yamakado
Orthopedic Surgeon
Department of Sports Medicine and Orthopaedics, Fukui General Hospital, Fukui, Japan
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13.5 Primary Research
13.5.1 Primary Research – Key Opinion Leader Interviews
GlobalData conducts hundreds of primary interviews a year with industry participants and
commentators in order to validate its data and analysis. A typical research interview fulfills the
following functions:
Provides first-hand information on factors such as market size, market trends, growth trends,
competitive landscape, and future outlook
Helps in validating and strengthening the secondary research findings.
Further develops the analysis team’s expertise and market understanding.
Primary research involves e-mail interactions and telephone interviews for each market,
category, segment, and sub-segment across different geographies.
The participants who typically take part in interviews include, but are not limited to:
Key opinion leaders (KOLs): Trauma and sports orthopedic surgeons who specialize in treating
patients with sports injuries. Some of the surgeons are also often extremity specialists.
Industry participants: CEOs, VPs, marketing/product managers, market intelligence managers,
and national sales managers.
13.5.2 Primary Research – Physician and Industry Interviews
A total of 224 interviews with orthopedic surgeons and the supply side (companies and distributors)
have been completed for the markets included in this report. The physicians targeted for these
interviews are orthopedic surgeons with a subspecialty in sports medicine. And the supply side
interviews consisted of product managers, marketing professionals, sales professionals, and other
industry participants from the sports medicine market. The interviews involved contributed in
validating market forecast, unmet needs and other trends in the sports medicine market. Table 108
provides a complete breakdown of the primary research interview participants in this study.
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Table 108: Primary Research Interviews Completed in Sports Medicine
Arthroscopy Unique Model Overall
Physicians Companies/Distributors Overall
Arthroscopy Implants 23 19 42
Arthroscopic Shavers 22 14 36
Arthroscopes 20 16 36
Arthroscopy Fluid Management Systems 12 20 32
Arthroscopy Visualization Systems 15 25 40
Arthroscopy Radiofrequency Systems 23 15 38
Total Count 115 109 224 Source: GlobalData
13.5.3 Expert Panel Validation
GlobalData uses a panel of experts to cross-verify its databases and forecasts. GlobalData’s expert
panel consists of marketing managers, product specialists, international sales managers from
medical device companies, academics from research universities, KOLs from hospitals,
consultants from venture capital funds, and distributors/suppliers of pharmaceuticals and related
supplies. Historic data and forecasts undergo scrutiny from GlobalData’s expert panel and are
adjusted in accordance with their feedback.
13.6 Forecasting Methodology
GlobalData uses a patient-based forecasting model to determine the market size for therapeutic
indications. Estimates are based on a number of sources, including primary research – KOL
interviews and physician surveys – and secondary research, such as company reports, press
releases, published articles, proprietary databases, and general news media. The base year and
the forecast years of the model are grounded in the market parameters listed below.
Procedural Data
The total number of arthroscopic procedures in the primary joints of interest were estimated and
forecast across the 10 markets. This procedural data was validated by both physician and industry
input through interviews. The procedure population represents the total number of cases during a
given year. The procedural numbers were obtained through medical literature, government
sources, disease foundations, and other recently published GlobalData reports.
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Product Volume Sales
Once the procedure volume in a given country is established, GlobalData’s analysts carve out the
portion of that population that receives fixation devices and then determines the number of implants
per procedure. Likewise, for all the capital equipment forecast, the number of procedures done per
equipment was estimated from interviews, and the market value was determined using the average
selling price from the primary and secondary sources listed above.
Average selling price (ASP)
The average selling price of the products for arthroscopy were obtained from secondary research
articles from technical journals as well as Key Opinion Leaders and industry participants. Product
price breakdowns used in the forecast include implants for bony and soft tissue repair and various
instruments used during arthroscopy procedures. The ASP for the US, EU and APAC regions were
obtained through primary research interviews.
Market share
For the base year market, GlobalData’s analysts forecast volumes of arthroscopy implants,
shavers, arthroscopes, radiofrequency wands, advanced visualization systems, and fluid
management systems, which are all products used in the sports medicine surgical setting.
Company market share was then estimated based on revenue for the regional markets within this
report.
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13.7 About the Authors
13.7.1 Analysts
13.7.1.1 Priya Radhakrishnan, MS, MBA, Senior Analyst, Medical Devices
Priya Radhakrishnan is a Senior Analyst and covers the Orthopedic Devices market at GlobalData
in Boston. Prior to GlobalData, she worked in the non-profit sector and has experience as a
consultant advising French life science firms on assessing business development opportunities in
the US. She has led consulting engagements and created biotech market research reports, as well
as worked at Boston Scientific in a marketing function. Prior to that, she worked as a product
development engineer at an NIH-funded SBIR firm working on gastrointestinal biopsy and
orthopedic devices. Through this experience she developed experience working on animal studies.
And during her Master’s research, she developed an understanding of the mechanical properties of
bone and tissue.
Priya received a B.S. in Biomedical Engineering from Boston University and an M.S. in
Bioengineering with a focus in Biomechanics from the University of Illinois at Chicago. She also
holds an MBA from Boston University’s Graduate School of Management.
13.7.1.2 Derek Archila, MBA, Head of Medical Devices
Derek Archila currently serves as the Head of the Medical Devices team at GlobalData in Boston.
His primary responsibilities include managing the production and quality of the medical databases
and reports, liaising with clients to identify their satisfaction with existing database offerings and
prioritizing critical unmet needs, and supporting GlobalData teams with consulting opportunities. He
is a Board-Certified Medical Technologist with the American Society of Clinical Pathology and
spent the last seven years in the healthcare and medical device industries. Prior to joining
GlobalData, Derek worked as a Senior Medical Technologist at Brigham and Women’s Hospital in
Boston, Massachusetts, where he focused on hematological malignancies and blood disorders.
Derek has worked in various market research and sales roles at DePuy Mitek, Bayer Diagnostics,
LabCorp, and Mettler Toledo. Derek holds a B.S. in Medical Technology and an MBA from
Northeastern’s D’Amore-McKim School of Business.
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13.7.2 Global Head of Healthcare
13.7.2.1 Bonnie Bain, Ph.D.
Bonnie Bain, PhD, is Global Head of Healthcare for GlobalData in Boston, managing the Medical
and Pharmaceutical arms of the business. Prior to this role, she was Vice President and Global
Research & Analysis Director for Informa, where she oversaw the global strategy and operations
for Datamonitor Healthcare’s syndicated business. Bonnie has over 15 years of experience in the
healthcare sector and a proven track record of developing innovative solutions on both the client
and vendor sides of the business. Prior to joining Informa, she was Director of Product
Development at Wood Mackenzie, where she oversaw the development and management of two
product lines. Bonnie also worked for several years at Decision Resources as an Analyst and
Project Manager. On the client side of the industry, she worked for several years as a Senior
Manager in Marketing Strategy and Analytics at Boston Scientific, where her work contributed to
the successful commercialization of the first-ever Access and Visualization Platform at the
company. She has a PhD in Biochemistry and Molecular Biology from Purdue University, and was
a postdoctoral fellow in molecular pharmacology at the University of Miami School of Medicine.
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13.8 About MediPoint
MediPoint is the flagship product for GlobalData’s Medical team. Each MediPoint report is built
from the ground up by our team of healthcare analysts in the US and UK. Each report includes
input from experienced physicians and leading Key Opinion Leaders (KOL). Running throughout
each report in the series, “What Do Physicians Think?” quotes provide a unique insight into how
healthcare professionals are reacting to events within the industry, and what their responses could
mean for industry strategists.
13.9 About GlobalData
GlobalData is a leading global provider of business intelligence in the healthcare industry.
GlobalData provides its clients with up-to-date information and analysis on the latest developments
in drug research, disease analysis, and clinical research and development. Our integrated business
intelligence solutions include a range of interactive online databases, analytical tools, reports, and
forecasts. Our analysis is supported by a 24/7 client support and analyst team.
GlobalData has offices in New York, San Francisco, Boston, London, India, Korea, Japan,
Singapore, and Australia.
13.10 Disclaimer
All Rights Reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any
form by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior
permission of the publisher, GlobalData.