2009 U.S. SMALL JOINT IMPLANT MARKETS

Table of Contents

1. EXECUTIVE SUMMARY

• 1.1 Product Segments
  • 1.1.1 Shoulder
  • 1.1.2 Internal Fixation Products to Fuse or Stabilize the Small Joints
  • 1.1.3 Ankle and Foot
  • 1.1.4 Elbow
  • 1.1.5 Fingers and Hand
  • 1.1.6 Wrist

• Exhibit 1 1: U.S. Small Joint Implant Market Forecast, 2007-2015
• Exhibit 1 2: U.S. Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 1 3: U.S. Market Forecast, Internal Fixation for Arthrodesis and Small Joint Repair, 2007-2015
• Exhibit 1 4: U.S. Market Forecast for Total Ankle Replacement Devices, 2007-2015
• Exhibit 1 5: U.S. Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 1 6: U.S. Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 1 7: Finger Joint Replacements, U.S. Market Forecast, 2007-2015
• Exhibit 1 8: Wrist Replacements, U.S. Market Forecast, 2007-2015

2. OVERVIEW

• 2.1 Disease Prevalence
• 2.2 Economic Factors

• Exhibit 2 1: Factors Driving the U.S. Market for Small Joint Implants
• Exhibit 2 2: Selected Studies of OA Prevalence in the U.S.

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 SMALL JOINT FUSION & 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 Internal Fixation Products

5. U.S. PROCEDURE VOLUMES AND MARKET FORECASTS

• 5.1 Joint Replacements
  • 5.1.1 Fingers and Hand
    • 5.1.1.1 Procedure Volumes
    • 5.1.1.2 Market Analysis
  • 5.1.2 Wrist
    • 5.1.2.1 Procedure Forecast
    • 5.1.2.2 Market Analysis
  • 5.1.3 Elbow
    • 5.1.3.1 Procedure Forecast
    • 5.1.3.2 Market Analysis
  • 5.1.4 Shoulder
    • 5.1.4.1 Procedure Forecast
    • 5.1.4.2 Market Analysis
  • 5.1.5 Ankle
    • 5.1.5.1 Procedure Forecast
    • 5.1.5.2 Market Analysis
  • 5.1.6 Other Joints in the Foot
    • 5.1.6.1 Procedure Forecast
    • 5.1.6.2 Market Analysis
• 5.2 Internal Fixation for Arthrodesis and Small Joint Repair
  • 5.2.1 Procedure Forecast
  • 5.2.2 Market Analysis
• 5.3 Company Analysis

• Exhibit 5 1: U.S. Small Joint Implant Procedure Forecast, 2007-2015
• Exhibit 5 2: U.S. Market Forecast for Small Joint Implants, 2007-2015
• Exhibit 5 3: Finger Joint Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 4: Finger Arthroplasties by Joint, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 5: Finger Joint Replacements, U.S. Market Forecast, 2007-2015
• Exhibit 5 6: MCP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5 7: PIP Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5 8: CMC and Other Finger Joint Replacement Devices, U.S. Market Forecast, 2007-2015
• Exhibit 5 9: Finger Joint Replacement Devices by Material, U.S. Market Forecast, 2007-2015
• Exhibit 5 10: Wrist Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 11: Wrist Replacements, U.S. Market Forecast, 2007-2015
• Exhibit 5 12: Wrist Replacements by Type, U.S. Market Forecast, 2007-2015
• Exhibit 5 13: Elbow Replacements, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 14: U.S. Market Forecast for Elbow Replacement Products, 2007-2015
• Exhibit 5 15: U.S. Market Forecast for Total Elbow Replacement Devices by Type, 2007-2015
• Exhibit 5 16: U.S. Market Forecast for Partial Elbow Replacements, 2007-2015
• Exhibit 5 17: U.S. Procedure Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5 18: U.S. Procedure Forecast for Total Shoulder Replacement, 2007-2015
• Exhibit 5 19: U.S. Procedure Forecast for Partial Shoulder Replacement, 2007-2015
• Exhibit 5 20: U.S. Market Forecast for Shoulder Replacement, 2007-2015
• Exhibit 5 21: U.S. Market Forecast for Total Shoulder Replacement Systems, 2007-2015
• Exhibit 5 22: U.S. Market Forecast for Partial Shoulder Replacement Systems, 2007-2015
• Exhibit 5 23: U.S. Procedure Forecast for Total Ankle Replacements, 2007-2015
• Exhibit 5 24: U.S. Market Forecast for Total Ankle Replacement Devices, 2007-2015
• Exhibit 5 25: U.S. Procedure Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5 26: U.S. Market Forecast for Joint Replacements of the Toes and Foot, 2007-2015
• Exhibit 5 27: U.S. Market Forecast for Toe and Foot Joint Replacements by Type, 2007-2015
• Exhibit 5 28: Wrist Fusions, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 29: Fusions/Internal Fixation for Joints of the Fingers and Hand, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 30: Fusions/Internal Fixation for Joints of the Elbow, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 31: Internal Fixation for Fractures of the Proximal Humerus, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 32: Internal Fixation for the Small Joints of the Ankle and Foot, U.S. Procedure Forecast, 2007-2015
• Exhibit 5 33: U.S. Market Forecast, Internal Fixation for Arthrodesis and Small Joint Repair, 2007-2015
• Exhibit 5 34: Supplier Shares in 2008

6. COMPANY PROFILES

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