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Japanese Market for Orthopedic Large Joint Reconstruction Devices
Published on March 2013

                                                                                                           Report Summary

The Japanese orthopedic large joint reconstruction device market is expected to exceed $2.3 billion over the 2012'2019 forecast
period. The orthopedic large joint reconstruction device market includes hip and knee implants, as well as bone cements used to help
adhere the implants to bone. Demand is increasing for large joint arthroplasty, which is attributed to the aging Japanese population
and a higher number of highly active individuals. Procedure growth will rise again over the forecast period as patients are no longer
able to postpone the elective joint replacement procedure.


Knee reconstruction will continue to outpace hip reconstruction growth throughout the forecast period. Both the knee and hip markets
experienced a slowdown in growth in 2012, caused by reimbursement protocols instituted by the Japanese government, which limited
ASP growth. Unit volumes will continue to grow steadily over the forecast period due to the growing demand for arthroplasty as the
aging Japanese population continues to grow.


Scope:


This report pertains to a forecast period of 10 years (2009 - 2019) for Japan


Report Contents:


Competitor Analysis
Identified Strategic Opportunities
Market Overview by Segment & Country
Trend Analysis by Segment & Country
Market Drivers & Limiters
Mergers & Acquisitions
Customer Feedback and Market Monitoring


Main Segments Included:


Knee Reconstruction Device Market
Hip Reconstruction Device Market
Bone Cement Market
Subsegments Included: (partial list)
Computer-Assisted Navigation Systems
Total Knee Replacement
Partial Knee Replacement
Patellofemoral Replacement
Interpositional Knee Implants
Knee Revision
Fixation Method
Bearing Surface
Fixed versus Mobile Bearings



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Total Knee Reconstruction Device Market by Cementation Type
Total Knee Reconstruction Market by Cruciate Construction
Total Knee Reconstruction Device Market by Bearing Type
Total Hip Joint Replacement
Partial Hip Joint Replacement
Resurfacing Hip Joint Replacement
Fixation Method
Implant Material
Bearing Surface Technology
Total Hip Reconstruction Device Market by Cementation Type
Total Hip Implant Market by Bearing Type
Ceramic-on-Highly Cross-Linked Polyethylene Bearing Market


Companies Included:


Biomet
Smith & Nephew
JMDM
Zimmer
Nakashima Medical
Stryker
DePuy Synthes
Kyocera
Wright Medical
B.Braun
Fujian Prosthetics Center
Exactech


Reasons To Buy:


This report analyzes and evaluates the current state of the market including existing and potential markets, product average selling
prices, and unit volumes. The report also highlights the opportunities and potential hazards involved, and presents strategies for
successfully navigating the market landscape. Furthermore, it seeks to identify the trends and technologies that will affect the future of
each market segment and prepares an unbiased critical assessment of such market drivers and limiters based on our 'bottom up'
approach, which includes primary and secondary research methods.




                                                                                                              Table of Content

TABLE OF CONTENTS                            I


LIST OF FIGURES                         VI


LIST OF CHARTS                    IX




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EXECUTIVE SUMMARY                                1


1.1 ORTHOPEDIC LARGE JOINT RECONSTRUCTION DEVICE MARKET                                                  1
1.2 TOTAL KNEE RECONSTRUCTION DEVICE MARKET BY FIXATION TYPE                                                     2
1.3 PARTIAL KNEE RECONSTRUCTION PROCEDURES                                                 3
1.4 TOTAL HIP REPLACEMENT MARKET BY FIXATION TYPE                                                    4
1.5 HIP REPLACEMENT MARKET BY BEARING TYPE                                             5
1.6 LARGE JOINT REVISION MARKET BY SEGMENT                                             6
1.7 LARGE JOINT RECONSTRUCTION DEVICE AVERAGE SELLING PRICES                                                 7
1.8 BONE CEMENT MARKET                                    8
1.9 LEADING COMPETITORS                               9


RESEARCH METHODOLOGY                                      10


2.1 RESEARCH SCOPE                             10
2.2 IDATA'S 9-STEP METHODOLOGY                                      10
Step 1: Project Initiation & Team Selection                                11
Step 2: Prepare Data Systems and Perform Secondary Research                                     13
Step 3: Preparation for Interviews & Questionnaire Design                              14
Step 4: Performing Primary Research                            15
Step 5: Research Analysis: Establishing Baseline Estimates                                 17
Step 6: Market Forecast and Analysis                           18
Step 7: Identify Strategic Opportunities                            20
Step 8: Final Review and Market Release                                   21
Step 9: Customer Feedback and Market Monitoring                                  21


JAPANESE MARKET FOR ORTHOPEDIC LARGE JOINT RECONSTRUCTION DEVICES .22


3.1 INTRODUCTION                          22
3.1.1 Anatomy and Pathology                          22
3.1.2 Treatment             24
3.1.3 Treatment Complications                    24
3.1.4 General Product Classifications                          25
3.1.5 Implant Wear and Durability                              26
3.1.6 Patient-Specific Products and Consumer Awareness                                         26
3.1.7 Press-Fitted versus Cemented Implantation                                   26
3.1.8 Simultaneous Bilateral Implantation                                 27
3.1.9 Minimally Invasive Surgery                     27
3.1.10 Computer-Assisted Navigation Systems                               28
3.1.11 Emerging Technologies                    28
3.2 CURRENCY EXCHANGE RATE                                 29
3.3MARKET OVERVIEW                        30
3.4 TREND ANALYSIS BY SEGMENT                                        36
3.5MARKET DRIVERS AND LIMITERS                                      38
3.5.1 Market Drivers                 38
3.5.2 Market Limiters                     39
3.6 COMPETITIVE ANALYSIS                                   41
3.6.1 Overview            41



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3.6.2 Leading Competitors                       41
3.6.3 Other Notable Competitors                       43
3.6.4 Market Concentration                            48
3.7MERGERS AND ACQUISITIONS                                    50


KNEE RECONSTRUCTION DEVICE MARKET                                               51


4.1 INTRODUCTION                          51
4.1.1 Anatomy                51
4.1.2 Pathology            51
4.1.3 Treatment             51
4.1.4 Implant Types                       52
4.1.4.1 Total Knee Replacement                       52
4.1.4.2 Partial Knee Replacement                          52
4.1.4.3 Patellofemoral Replacement                                   52
4.1.4.4 Interpositional Knee Implants                           52
4.1.4.5 Knee Revision                      53
4.1.5 Fixation Method                      53
4.1.6 Bearing Surface                     53
4.1.7 Fixed versus Mobile Bearings                                  53
4.2MARKET OVERVIEW                        55
4.3MARKET ANALYSIS AND FORECAST                                           57
4.3.1 Total Knee Reconstruction Device Market by Cementation Type                                    57
4.3.1.1 Cemented Total Knee Implant Market                                61
4.3.1.2 Cementless Total Knee Implant Market                               62
4.3.1.3 Hybrid Cemented Total Knee Implant Market                                     63
4.3.1.4 Total Knee Reconstruction Market by Cruciate Construction                               64
4.3.1.5 Cruciate-Retaining Device Market                                   68
4.3.1.6 Cruciate-Sacrificing Device Market                                     69
4.3.2 Total Knee Reconstruction Device Market by Bearing Type                                   70
4.3.2.1 Fixed-Bearing Total Knee Replacement Market                                   74
4.3.2.2 Mobile-Bearing Total Knee Replacement Market                                       75
4.3.3 Partial Knee Implant Market                               76
4.3.3.1 Revision Knee Implant Market                             78
4.4MARKET DRIVERS AND LIMITERS                                       80
4.4.1 Market Drivers                 80
4.4.2 Market Limiters                     81
4.5 COMPETITIVE ANALYSIS                                       83
4.5.1 Leading Competitors                       83


HIP RECONSTRUCTION DEVICE MARKET                                           88


5.1 INTRODUCTION                          88
5.1.1 Anatomy                88
5.1.2 Pathology            88
5.1.3 Treatment             88
5.1.4 Implant Types                       88
5.1.4.1 Total Hip Joint Replacement                                 88



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5.1.4.2 Partial Hip Joint Replacement                          89
5.1.4.3 Resurfacing Hip Joint Replacement                                   89
5.1.4.4 Revision            89
5.1.5 Fixation Method                      90
5.1.6 Implant Material                   90
5.1.7 Bearing Surface Technology                          90
5.1.7.1 Polyethylene Bearings                        90
5.1.7.2 Highly Cross-Linked Polyethylene                                   90
5.1.7.3 Metal Bearings                 91
5.1.7.4 Ceramic Bearings                        91
5.2MARKET OVERVIEW                        92
5.3MARKET ANALYSIS & FORECAST                                   94
5.3.1 Total Hip Reconstruction Device Market by Cementation Type                              94
5.3.1.1 Cemented Total Hip Reconstruction Device Market                                 98
5.3.1.2          98
5.3.1.3 Cementless Total Hip Reconstruction Device Market                              99
5.3.1.4 Hybrid Cemented Total Hip Reconstruction Device Market                               100
5.3.2 Total Hip Implant Market by Bearing Type                                   101
5.3.2.1 Metal-on-Highly Cross-Linked Polyethylene Bearing Market                              105
5.3.2.2 Metal-on-Metal Bearing Market                           106
5.3.2.3 Ceramic-on-Ceramic Bearing Market                            107
5.3.2.4 Ceramic-on-Highly Cross-Linked Polyethylene Bearing Market                                  108
5.3.3 Combined Partial Hip Implant Market                           109
5.3.3.1 Bipolar Partial Hip Implant Market                           113
5.3.3.2 Unipolar Partial Hip Implant Market                         114
5.3.3.3 Resurfacing Hip Implant Market                              115
5.3.3.4 Revision Hip Implant Market                        117
5.4MARKET DRIVERS AND LIMITERS                                      119
5.4.1 Market Drivers                    119
5.4.2 Market Limiters                121
5.5 COMPETITIVE ANALYSIS                              123
5.5.1 Leading Competitors                            123
5.5.2 Other Notable Competitors                      124


BONE CEMENT MARKET                         128


6.1 INTRODUCTION                      128
6.2MARKET ANALYSIS AND FORECAST                                       130
6.3MARKET DRIVERS AND LIMITERS                                      132
6.3.1 Market Drivers                    132
6.3.2 Market Limiters                133
6.4 COMPETITIVE ANALYSIS                              136
6.4.1 Leading Competitors                            136


ABBREVIATIONS                               140




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Japanese Market for Orthopedic Large Joint Reconstruction Devices

  • 1. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Japanese Market for Orthopedic Large Joint Reconstruction Devices Published on March 2013 Report Summary The Japanese orthopedic large joint reconstruction device market is expected to exceed $2.3 billion over the 2012'2019 forecast period. The orthopedic large joint reconstruction device market includes hip and knee implants, as well as bone cements used to help adhere the implants to bone. Demand is increasing for large joint arthroplasty, which is attributed to the aging Japanese population and a higher number of highly active individuals. Procedure growth will rise again over the forecast period as patients are no longer able to postpone the elective joint replacement procedure. Knee reconstruction will continue to outpace hip reconstruction growth throughout the forecast period. Both the knee and hip markets experienced a slowdown in growth in 2012, caused by reimbursement protocols instituted by the Japanese government, which limited ASP growth. Unit volumes will continue to grow steadily over the forecast period due to the growing demand for arthroplasty as the aging Japanese population continues to grow. Scope: This report pertains to a forecast period of 10 years (2009 - 2019) for Japan Report Contents: Competitor Analysis Identified Strategic Opportunities Market Overview by Segment & Country Trend Analysis by Segment & Country Market Drivers & Limiters Mergers & Acquisitions Customer Feedback and Market Monitoring Main Segments Included: Knee Reconstruction Device Market Hip Reconstruction Device Market Bone Cement Market Subsegments Included: (partial list) Computer-Assisted Navigation Systems Total Knee Replacement Partial Knee Replacement Patellofemoral Replacement Interpositional Knee Implants Knee Revision Fixation Method Bearing Surface Fixed versus Mobile Bearings Japanese Market for Orthopedic Large Joint Reconstruction Devices (From Slideshare) Page 1/7
  • 2. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Total Knee Reconstruction Device Market by Cementation Type Total Knee Reconstruction Market by Cruciate Construction Total Knee Reconstruction Device Market by Bearing Type Total Hip Joint Replacement Partial Hip Joint Replacement Resurfacing Hip Joint Replacement Fixation Method Implant Material Bearing Surface Technology Total Hip Reconstruction Device Market by Cementation Type Total Hip Implant Market by Bearing Type Ceramic-on-Highly Cross-Linked Polyethylene Bearing Market Companies Included: Biomet Smith & Nephew JMDM Zimmer Nakashima Medical Stryker DePuy Synthes Kyocera Wright Medical B.Braun Fujian Prosthetics Center Exactech Reasons To Buy: This report analyzes and evaluates the current state of the market including existing and potential markets, product average selling prices, and unit volumes. The report also highlights the opportunities and potential hazards involved, and presents strategies for successfully navigating the market landscape. Furthermore, it seeks to identify the trends and technologies that will affect the future of each market segment and prepares an unbiased critical assessment of such market drivers and limiters based on our 'bottom up' approach, which includes primary and secondary research methods. Table of Content TABLE OF CONTENTS I LIST OF FIGURES VI LIST OF CHARTS IX Japanese Market for Orthopedic Large Joint Reconstruction Devices (From Slideshare) Page 2/7
  • 3. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! EXECUTIVE SUMMARY 1 1.1 ORTHOPEDIC LARGE JOINT RECONSTRUCTION DEVICE MARKET 1 1.2 TOTAL KNEE RECONSTRUCTION DEVICE MARKET BY FIXATION TYPE 2 1.3 PARTIAL KNEE RECONSTRUCTION PROCEDURES 3 1.4 TOTAL HIP REPLACEMENT MARKET BY FIXATION TYPE 4 1.5 HIP REPLACEMENT MARKET BY BEARING TYPE 5 1.6 LARGE JOINT REVISION MARKET BY SEGMENT 6 1.7 LARGE JOINT RECONSTRUCTION DEVICE AVERAGE SELLING PRICES 7 1.8 BONE CEMENT MARKET 8 1.9 LEADING COMPETITORS 9 RESEARCH METHODOLOGY 10 2.1 RESEARCH SCOPE 10 2.2 IDATA'S 9-STEP METHODOLOGY 10 Step 1: Project Initiation & Team Selection 11 Step 2: Prepare Data Systems and Perform Secondary Research 13 Step 3: Preparation for Interviews & Questionnaire Design 14 Step 4: Performing Primary Research 15 Step 5: Research Analysis: Establishing Baseline Estimates 17 Step 6: Market Forecast and Analysis 18 Step 7: Identify Strategic Opportunities 20 Step 8: Final Review and Market Release 21 Step 9: Customer Feedback and Market Monitoring 21 JAPANESE MARKET FOR ORTHOPEDIC LARGE JOINT RECONSTRUCTION DEVICES .22 3.1 INTRODUCTION 22 3.1.1 Anatomy and Pathology 22 3.1.2 Treatment 24 3.1.3 Treatment Complications 24 3.1.4 General Product Classifications 25 3.1.5 Implant Wear and Durability 26 3.1.6 Patient-Specific Products and Consumer Awareness 26 3.1.7 Press-Fitted versus Cemented Implantation 26 3.1.8 Simultaneous Bilateral Implantation 27 3.1.9 Minimally Invasive Surgery 27 3.1.10 Computer-Assisted Navigation Systems 28 3.1.11 Emerging Technologies 28 3.2 CURRENCY EXCHANGE RATE 29 3.3MARKET OVERVIEW 30 3.4 TREND ANALYSIS BY SEGMENT 36 3.5MARKET DRIVERS AND LIMITERS 38 3.5.1 Market Drivers 38 3.5.2 Market Limiters 39 3.6 COMPETITIVE ANALYSIS 41 3.6.1 Overview 41 Japanese Market for Orthopedic Large Joint Reconstruction Devices (From Slideshare) Page 3/7
  • 4. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! 3.6.2 Leading Competitors 41 3.6.3 Other Notable Competitors 43 3.6.4 Market Concentration 48 3.7MERGERS AND ACQUISITIONS 50 KNEE RECONSTRUCTION DEVICE MARKET 51 4.1 INTRODUCTION 51 4.1.1 Anatomy 51 4.1.2 Pathology 51 4.1.3 Treatment 51 4.1.4 Implant Types 52 4.1.4.1 Total Knee Replacement 52 4.1.4.2 Partial Knee Replacement 52 4.1.4.3 Patellofemoral Replacement 52 4.1.4.4 Interpositional Knee Implants 52 4.1.4.5 Knee Revision 53 4.1.5 Fixation Method 53 4.1.6 Bearing Surface 53 4.1.7 Fixed versus Mobile Bearings 53 4.2MARKET OVERVIEW 55 4.3MARKET ANALYSIS AND FORECAST 57 4.3.1 Total Knee Reconstruction Device Market by Cementation Type 57 4.3.1.1 Cemented Total Knee Implant Market 61 4.3.1.2 Cementless Total Knee Implant Market 62 4.3.1.3 Hybrid Cemented Total Knee Implant Market 63 4.3.1.4 Total Knee Reconstruction Market by Cruciate Construction 64 4.3.1.5 Cruciate-Retaining Device Market 68 4.3.1.6 Cruciate-Sacrificing Device Market 69 4.3.2 Total Knee Reconstruction Device Market by Bearing Type 70 4.3.2.1 Fixed-Bearing Total Knee Replacement Market 74 4.3.2.2 Mobile-Bearing Total Knee Replacement Market 75 4.3.3 Partial Knee Implant Market 76 4.3.3.1 Revision Knee Implant Market 78 4.4MARKET DRIVERS AND LIMITERS 80 4.4.1 Market Drivers 80 4.4.2 Market Limiters 81 4.5 COMPETITIVE ANALYSIS 83 4.5.1 Leading Competitors 83 HIP RECONSTRUCTION DEVICE MARKET 88 5.1 INTRODUCTION 88 5.1.1 Anatomy 88 5.1.2 Pathology 88 5.1.3 Treatment 88 5.1.4 Implant Types 88 5.1.4.1 Total Hip Joint Replacement 88 Japanese Market for Orthopedic Large Joint Reconstruction Devices (From Slideshare) Page 4/7
  • 5. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! 5.1.4.2 Partial Hip Joint Replacement 89 5.1.4.3 Resurfacing Hip Joint Replacement 89 5.1.4.4 Revision 89 5.1.5 Fixation Method 90 5.1.6 Implant Material 90 5.1.7 Bearing Surface Technology 90 5.1.7.1 Polyethylene Bearings 90 5.1.7.2 Highly Cross-Linked Polyethylene 90 5.1.7.3 Metal Bearings 91 5.1.7.4 Ceramic Bearings 91 5.2MARKET OVERVIEW 92 5.3MARKET ANALYSIS & FORECAST 94 5.3.1 Total Hip Reconstruction Device Market by Cementation Type 94 5.3.1.1 Cemented Total Hip Reconstruction Device Market 98 5.3.1.2 98 5.3.1.3 Cementless Total Hip Reconstruction Device Market 99 5.3.1.4 Hybrid Cemented Total Hip Reconstruction Device Market 100 5.3.2 Total Hip Implant Market by Bearing Type 101 5.3.2.1 Metal-on-Highly Cross-Linked Polyethylene Bearing Market 105 5.3.2.2 Metal-on-Metal Bearing Market 106 5.3.2.3 Ceramic-on-Ceramic Bearing Market 107 5.3.2.4 Ceramic-on-Highly Cross-Linked Polyethylene Bearing Market 108 5.3.3 Combined Partial Hip Implant Market 109 5.3.3.1 Bipolar Partial Hip Implant Market 113 5.3.3.2 Unipolar Partial Hip Implant Market 114 5.3.3.3 Resurfacing Hip Implant Market 115 5.3.3.4 Revision Hip Implant Market 117 5.4MARKET DRIVERS AND LIMITERS 119 5.4.1 Market Drivers 119 5.4.2 Market Limiters 121 5.5 COMPETITIVE ANALYSIS 123 5.5.1 Leading Competitors 123 5.5.2 Other Notable Competitors 124 BONE CEMENT MARKET 128 6.1 INTRODUCTION 128 6.2MARKET ANALYSIS AND FORECAST 130 6.3MARKET DRIVERS AND LIMITERS 132 6.3.1 Market Drivers 132 6.3.2 Market Limiters 133 6.4 COMPETITIVE ANALYSIS 136 6.4.1 Leading Competitors 136 ABBREVIATIONS 140 Japanese Market for Orthopedic Large Joint Reconstruction Devices (From Slideshare) Page 5/7
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