2009 GLOBAL SMALL JOINT IMPLANT MARKETS

Table of Contents

1. EXECUTIVE SUMMARY

• 1.1 Regional Analysis
  • 1.1.1 The United States
  • 1.1.2 Europe
  • 1.1.3 AP & ROW
• 1.2 Product Analysis
  • 1.2.1 Fingers and Hand
  • 1.2.2 Wrist
  • 1.2.3 Elbow
  • 1.2.4 Shoulder
  • 1.2.5 Ankle and Foot
  • 1.2.6 Other Small Joint Implants
• Exhibit 1-1: Small Joint Implant Revenues by Region, 2007-2015
• Exhibit 1-2: U.S. Small Joint Implant Market Forecast, 2007-2015
• Exhibit 1-3: European Market Forecast for Small Joint Implants, 2007-2015
• Exhibit 1-4: AP & ROW Small Joint Implant Market Forecast, 2007-2015
• Exhibit 1-5: Global Small Joint Implant Revenues by Product Segment, 2007-2015

2. OVERVIEW

• 2.1 U.S.
  • 2.1.1 Disease Prevalence
  • 2.1.2 Economic Factors
• 2.2 Europe
  • 2.2.1 Disease Prevalence
  • 2.2.2 Economic Factors
• 2.3 AP & ROW
  • 2.3.1 Disease Prevalence
  • 2.3.2 Economic Factors
• Exhibit 2-1: Regional Differences in Factors Contributing to Small Joint Implant Procedures
• Exhibit 2-2: Selected Studies of OA Prevalence in the U.S.
• Exhibit 2-3: Selected Studies of OA Prevalence and Incidence in Europe
• Exhibit 2-4: Selected Studies of OA Prevalence and Incidence in AP & ROW Countries

3. JOINT REPLACEMENT PRODUCTS

• 3.1 Replacement Products for the Joints of the Fingers and Hand
  • 3.1.1 Clinical Results
  • 3.1.2 Companies and Products
• 3.2 Replacement Products for the Wrist and Distal Radioulnar Joint
  • 3.2.1 Clinical Results
  • 3.2.2 Companies and Products
• 3.3 Elbow Replacement Products
  • 3.3.1 Clinical Results
  • 3.3.2 Companies and Products
• 3.4 Shoulder Replacement Products
  • 3.4.1 Clinical Results
  • 3.4.2 Companies and Products
• 3.5 Replacement Products for the Ankle and Foot
  • 3.5.1 Ankle Arthroplasty
  • 3.5.1.1 Ankle Replacement Products
  • 3.5.2 Foot Arthroplasty
  • 3.5.3 Companies and Products
• Exhibit 3-1: Small Joint Implants by Type
• Exhibit 3-2: Features of Finger Joint Implants
• Exhibit 3-3: Clinical Studies of Replacement Products in the Fingers and Hand
• Exhibit 3-4: Selected Finger Joint Replacement Products in 2008
• Exhibit 3-5: Advantages and Disadvantages of Wrist and DRUJ Implants
• Exhibit 3-6: Clinical Studies of Wrist and DRUJ Arthroplasty
• Exhibit 3-7: Selected Wrist and DRUJ Replacement Products in 2008
• Exhibit 3-8: Features of Elbow Replacement Products
• Exhibit 3-9: Clinical Studies of Total Elbow Replacement
• Exhibit 3-10: Selected Elbow Replacement Products in 2008
• Exhibit 3-11: Shoulder Replacement Products by Type
• Exhibit 3-12: Selected Studies of Shoulder Replacement
• Exhibit 3-13: Selected Shoulder Replacement Products in 2008
• Exhibit 3-14: Selected Joint Replacement Devices for the Ankle and Foot in 2008

4. INTERNAL FIXATION FOR FUSION & SMALL JOINT STABILIZATION

• 4.1 Internal Fixation Products for Small Joints of the Upper Extremities
  • 4.1.1 Fingers
  • 4.1.2 Wrist & Hand
  • 4.1.3 Elbow
  • 4.1.4 Shoulder
• 4.2 Internal Fixation Products for Small Joints of the Lower Extremities
  • 4.2.1 Products and Suppliers
• Exhibit 4-1: Internal Fixation Products by Type
• Exhibit 4-2: Shoulder Fracture by Type
• Exhibit 4-3: Selected Fixation Products

5. SMALL JOINT PROCEDURE VOLUMES AND MARKET FORECASTS

• 5.1 U.S. Procedure Volumes and Market Forecasts
  • 5.1.1 Small Joint Replacements
    • 5.1.1.1 Fingers and Hand
      • 5.1.1.1.1 Procedure Volumes
      • 5.1.1.1.2 Market Analysis
    • 5.1.1.2 Wrist
      • 5.1.1.2.1 Procedure Forecast
      • 5.1.1.2.2 Market Analysis
    • 5.1.1.3 Elbow
      • 5.1.1.3.1 Procedure Forecast
      • 5.1.1.3.2 Market Analysis
    • 5.1.1.4 Shoulder
      • 5.1.1.4.1 Procedure Forecast
      • 5.1.1.4.2 Market Analysis
    • 5.1.1.5 Ankle
      • 5.1.1.5.1 Procedure Forecast
      • 5.1.1.5.2 Market Analysis
    • 5.1.1.6 Other Joints in the Foot
      • 5.1.1.6.1 Procedure Forecast
      • 5.1.1.6.2 Market Analysis
  • 5.1.2 Internal Fixation for Arthrodesis and Small Joint Repair
    • 5.1.2.1 Procedure Forecast
    • 5.1.2.2 Market Analysis
  • 5.1.3 Company Analysis
• 5.2 International Regions - Procedure Volumes and Market Forecasts
  • 5.2.1 Europe
    • 5.2.1.1 Fingers and Hand
      • 5.2.1.1.1 Procedure Forecast
      • 5.2.1.1.2 Market Analysis
    • 5.2.1.2 Wrist
      • 5.2.1.2.1 Procedure Forecast
      • 5.2.1.2.2 Market Analysis
    • 5.2.1.3 Elbow
      • 5.2.1.3.1 Procedure Forecast
      • 5.2.1.3.2 Market Analysis
    • 5.2.1.4 Shoulder
      • 5.2.1.4.1 Procedure Forecast
      • 5.2.1.4.2 Market Analysis
    • 5.2.1.5 Ankle
      • 5.2.1.5.1 Procedure Forecast
      • 5.2.1.5.2 Market Analysis
    • 5.2.1.6 Other Joints in the Foot
      • 5.2.1.6.1 Procedure Forecast
      • 5.2.1.6.2 Market Analysis
    • 5.2.1.7 Internal Fixation for Arthrodesis and Small Joint Repair
      • 5.2.1.7.1 Procedure Forecast
      • 5.2.1.7.2 Market Analysis
  • 5.2.2 AP & ROW
    • 5.2.2.1 Finger and Hand
      • 5.2.2.1.1 Procedure Forecast
      • 5.2.2.1.2 Market Analysis
    • 5.2.2.2 Wrist
    • 5.2.2.3 Elbow
      • 5.2.2.3.1 Procedure Forecast
      • 5.2.2.3.2 Market Analysis
    • 5.2.2.4 Shoulder
      • 5.2.2.4.1 Procedure Forecast
      • 5.2.2.4.2 Market Forecast
    • 5.2.2.5 Ankle
    • 5.2.2.6 Other Joints in the Foot
      • 5.2.2.6.1 Procedure Forecast
      • 5.2.2.6.2 Market Analysis
    • 5.2.2.7 Internal Fixation for Arthrodesis and Small Joint Repair
      • 5.2.2.7.1 Procedure Forecast
      • 5.2.2.7.2 Market Analysis
    • 5.2.2.8 Company Analysis
• Exhibit 5-1: Small Joint Implant Revenues by Region, 2007-2015
• Exhibit 5-2: Small Joint Implant Revenues by Product Segment, 2007-2015
• Exhibit 5-3: U.S. Small Joint Implant Procedure Forecast, 2007-2015
• Exhibit 5-4: U.S. Market Forecast for Small Joint Implants, 2007-2015
• Exhibit 5-5: Finger Joint Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-6: Finger Arthroplasties by Joint, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-7: Finger Joint Replacements, U.S. Market Forecast, 2007-2015
• Exhibit 5-8: MCP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5-9: PIP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5-10: CMC and Other Finger Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5-11: Finger Joint Replacement Devices by Material, U.S. Market Forecast, 2007-2015
• Exhibit 5-12: Wrist Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-13: Wrist Replacements, U.S. Market Forecast, 2007-2015
• Exhibit 5-14: Elbow Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-15: U.S. Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 5-16: U.S. Market Forecast for Total Elbow Replacement Devices by Type, 2007-2015
• Exhibit 5-17: U.S. Market Forecast for Partial Elbow Replacements, 2007-2015
• Exhibit 5-18: U.S. Procedure Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-19: U.S. Procedure Forecast for Total Shoulder Replacement, 2007-2015
• Exhibit 5-20: U.S. Procedure Forecast for Partial Shoulder Replacement, 2007-2015
• Exhibit 5-21: U.S. Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-22: U.S. Market Forecast for Total Shoulder Replacement Systems, 2007-2015
• Exhibit 5-23: U.S. Market Forecast for Partial Shoulder Replacement Systems, 2007-2015
• Exhibit 5-24: U.S. Procedure Forecast for Total Ankle Replacements, 2007-2015
• Exhibit 5-25: U.S. Market Forecast for Total Ankle Replacement Devices, 2007-2015
• Exhibit 5-26: U.S. Procedure Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-27: U.S. Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-28: U.S. Market Forecast for Toe and Foot Joint Replacements by Type, 2007-2015
• Exhibit 5-29: Wrist Fusions, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-30: Fusions/Internal Fixation for Joints of the Fingers and Hand, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-31: Fusions/Internal Fixation for Joints of the Elbow, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-32: Internal Fixation for Fractures of the Proximal Humerus, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-33: Internal Fixation for the Small Joints of the Ankle and Foot, U.S. Procedure Forecast, 2007-2015
• Exhibit 5-34: U.S. Market Forecast, Internal Fixation for Arthrodesis and Small Joint Repair, 2007-2015
• Exhibit 5-35: Supplier Shares in 2008
• Exhibit 5-36: Small Joint Implants, European Procedure Forecast, 2007-2015
• Exhibit 5-37: Small Joint Implants, European Market Forecast, 2007-2015
• Exhibit 5-38: Finger Joint Replacements, European Procedure Forecast, 2007-2015
• Exhibit 5-39: Finger Arthroplasties by Joint, European Procedure Forecast, 2007-2015
• Exhibit 5-40: Finger Joint Replacements, European Market Forecast, 2007-2015
• Exhibit 5-41: MCP Joint Replacement Devices, European Market Forecast, 2007-2015
• Exhibit 5-42: PIP Joint Replacement Devices, European Market Forecast, 2007-2015
• Exhibit 5-43: CMC and Other Finger Joint Replacement Devices, European Market Forecast, 2007-2015
• Exhibit 5-44: Finger Joint Replacement Devices by Material, European Market Forecast, 2007-2015
• Exhibit 5-45: Wrist Replacements, European Procedure Forecast, 2007-2015
• Exhibit 5-46: Wrist Replacements, European Market Forecast, 2007-2015
• Exhibit 5-47: Elbow Replacements, European Procedure Forecast, 2007-2015
• Exhibit 5-48: European Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 5-49: European Market Forecast for Total Elbow Replacement Devices by Type, 2007-2015
• Exhibit 5-50: European Procedure Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-51: European Procedure Forecast for Total Shoulder Replacement, 2007-2015
• Exhibit 5-52: European Procedure Forecast for Partial Shoulder Replacement, 2007-2015
• Exhibit 5-53: European Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-54: European Market Forecast for Total Shoulder Replacement Systems, 2007-2015
• Exhibit 5-55: European Market Forecast for Partial Shoulder Replacement Systems, 2007-2015
• Exhibit 5-56: European Procedure Forecast for Total Ankle Replacements, 2007-2015
• Exhibit 5-57: European Market Forecast for Total Ankle Replacement Devices, 2007-2015
• Exhibit 5-58: European Procedure Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-59: European Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-60: European Market Forecast for Toe and Foot Joint Replacements by Type, 2007-2015
• Exhibit 5-61: Wrist Fusions, European Procedure Forecast, 2007-2015
• Exhibit 5-62: Fusions/Internal Fixation for Joints of the Fingers and Hand, European Procedure Forecast, 2007-2015
• Exhibit 5-63: Fusions/Internal Fixation for Joints of the Elbow, European Procedure Forecast, 2007-2015
• Exhibit 5-64: Internal Fixation for Fractures of the Proximal Humerus, European Procedure Forecast, 2007-2015
• Exhibit 5-65: Internal Fixation for the Small Joints of the Ankle and Foot, European Procedure Forecast, 2007-2015
• Exhibit 5-66: European Market Forecast, Internal Fixation for Arthrodesis and Small Joint Repair, 2007-2015
• Exhibit 5-67: AP & ROW Small Joint Implants, Procedure Forecast, 2007-2015
• Exhibit 5-68: AP & ROW Small Joint Implants, Market Forecast, 2007-2015
• Exhibit 5-69: Finger Joint Replacements, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-70: Finger Arthroplasties by Joint, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-71: Finger Joint Replacements, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-72: MCP Joint Replacement Devices, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-73: PIP Joint Replacement Devices, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-74: CMC and Other Finger Joint Replacement Devices, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-75: Finger Joint Replacement Devices by Material, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-76: Wrist Replacements, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-77: Wrist Replacements, AP & ROW Market Forecast, 2007-2015
• Exhibit 5-78: Elbow Replacements, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-79: AP & ROW Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 5-80: AP & ROW Market Forecast for Total Elbow Replacement Devices by Type, 2007-2015
• Exhibit 5-81: AP & ROW Procedure Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-82: AP & ROW Procedure Forecast for Total Shoulder Replacement, 2007-2015
• Exhibit 5-83: AP & ROW Procedure Forecast for Partial Shoulder Replacement, 2007-2015
• Exhibit 5-84: AP & ROW Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5-85: AP & ROW Market Forecast for Total Shoulder Replacement Systems, 2007-2015
• Exhibit 5-86: AP & ROW Market Forecast for Partial Shoulder Replacement Systems, 2007-2015
• Exhibit 5-87: AP & ROW Procedure and Market Forecast for Total Ankle Replacements, 2007-2015
• Exhibit 5-88: AP & ROW Procedure Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-89: AP & ROW Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5-90: AP & ROW Market Forecast for Toe and Foot Joint Replacements by Type, 2007-2015
• Exhibit 5-91: Wrist Fusions, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-92: Fusions/Internal Fixation for Joints of the Fingers and Hand, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-93: Fusions/Internal Fixation for Joints of the Elbow, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-94: Internal Fixation for Fractures of the Proximal Humerus, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-95: Internal Fixation for the Small Joints of the Ankle and Foot, AP & ROW Procedure Forecast, 2007-2015
• Exhibit 5-96: Supplier Shares in Europe and AP & ROW, 2008

6. COMPANY PROFILES

• Exhibit 6-1: Selected Suppliers of Small Joint Implants in 2008