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MediPoint: Trauma Fixation - South American Analysis and Market Forecasts

  • Publication Date:October 2013
  • Publisher:GlobalData
  • Product Type: Report
  • Pages:180
  • ISBN:1853477

MediPoint: Trauma Fixation - South American Analysis and Market Forecasts

MediPoint: Trauma Fixation - South American Analysis and Market Forecasts

Summary

Traumatic injury patients that come into the Emergency Room (ER) experience orthopedic injury in the form of fractures 60% to 65% of the time, based on GlobalData's conversations with key opinion leaders. Of this population, 45%-50% are operable and require fracture repair techniques in the form of external or internal fixation. As the global population continues to grow in the emerging markets, with overcrowding and economic growth, some of the drivers for trauma fixation include motor vehicle accidents and aging. GlobalData's analysis shows that while the orthopedics implant market is mature, where products have become commodities, trauma fixation is one that has room for more technological development and adoption.

Brazil accounts for a substantial part of the world market, and is extremely dependent on imported products. Brazil posts some of the strongest growth rates for both internal fixation and external fixation. Drivers in this emerging market include the growth in scooter usage and cars causing motor vehicle accidents more frequently.

Scope

- An overview of bone trauma, which includes epidemiology, etiology, symptoms, diagnosis, pathology and treatment guidelines.
- Annualized South American trauma fixation market revenue and future forecasts from 2009 to 2011, forecast for 7 years to 2018.
- Investigation of current and future market competition for trauma fixation
- Insightful review of the key industry drivers, restraints and challenges as well as predicted impact of key events.
- Competitor assessment including device approval analysis and device sales forecasts.
- Marketed and pipeline product profiles covering efficiency, safety, clinical study details, device approvals, product positioning and device sales forecast.
- Analysis of unmet needs within the market and opportunities for future players.
- Technology trends evaluation to assess strength of pipeline.
- An overview of all devices in development including clinical study details, design and material selection considerations, efficacy reports, and device approval timelines.
- Company profiles including business description, financial overview and SWOT analysis.
- Coverage of key market players.
- Strategic assessment of the trauma fixation sector through market impact analysis, future market scenario and company analysis.
- Direct quotes from Key Opinion Leaders (KOL) as well as Orthopedic Surgeons.

Reasons to buy

- Understand the trends shaping and driving the South American trauma fixation Market.
- Realize device preferences of physicians who have performed the tests already.
- Access market sizing, forecasts and quantified growth opportunities in the South American trauma fixation market through 2018.
- Quantify candidate patient populations to better design product pricing & launch plans.
- Drive revenues, formulate effective sales and marketing strategies and gain in-depth understanding of the competitive landscape.
- Perform benchmarking analysis of growth opportunities against currently marketed products.
- Assess competitiveness of products in market by understanding the strengths and weaknesses of current competition.
- Take a comprehensive look at the market's device pipeline and identify promising, paradigm-shifting products.
- Create an effective counter-strategy to gain a competitive advantage against those currently in the market.
- Organize your sales and marketing efforts by identifying the market categories and segments that present the best opportunities for growth.
- What's the next big thing in South American trauma fixation market landscape? Identify, understand and capitalize.
Table of Contents

Table of Contents 9
1.1 List of Tables 14
1.2 List of Figures 19
2 Introduction 20
2.1 Catalyst 21
3 Disease Overview 23
3.1 Anatomy and Physiology 23
3.1.1 Bone Biology 23
3.1.2 Skeletal Structure 23
3.2 Pathophysiology 26
3.2.1 Overview 26
3.2.2 Post-Traumatic Arthritis 26
3.2.3 Fracture 26
3.3 Clinical Presentation 27
3.3.1 Symptoms 27
3.3.2 Fracture Types 28
3.3.3 Fractures by Location 30
3.3.4 Hip Injury 32
3.4 Clinical Outcomes 33
3.4.1 Immobilization 33
3.4.2 Plates and Screws 34
3.4.3 Intramedullary Nails 36
3.4.4 Hip Fixation Device Options 37
3.4.5 External Fixation 39
4 Industry Overview 40
4.1 Overview 40
4.2 Procedure Trends 42
4.2.1 South America 42
4.3 Market Access 43
4.3.1 South America 43
4.4 Regulatory Issues / Recalls 47
4.4.1 Rigid FX FDA Warning Letter 47
4.4.2 DePuy Orthopedics LBS Lower Extremity Dovetail Intercalary Component Recall 47
4.5 Mergers, Acquisitions and Partnerships 47
4.5.1 Zimmer Acquires NORMED Medizin-Technik 47
4.5.2 Smith & Nephew Acquires Adler Mediequip Private Limited 47
4.5.3 Smith & Nephew plc Announces Acquisition of Brazil Distribution Business 48
4.5.4 Biomet Inc. Acquires DePuy Trauma 48
4.5.5 Zimmer Acquires ExtraOrtho XtraFix External Fixation Product Line 48
4.5.6 DePuy Orthopaedics (Johnson & Johnson) and Synthes Inc. Merge 48
4.5.7 Synthes Inc. and AO Foundation Partnership 49
4.6 Economic Impact 49
4.6.1 Developed Countries 49
4.6.2 Emerging Markets 50
4.7 Market Drivers 51
4.7.1 Rising Prevalence 51
4.7.2 Development Due to War 54
4.7.3 Bone Regeneration 55
4.7.4 Commoditization of Orthopedic Market 56
4.7.5 Patient Demand and Awareness 56
4.7.6 Technological Developments 57
4.7.7 Rising Competition and Innovation through Small Players 58
4.7.8 Materials Development 59
4.8 Market Opportunities 61
4.8.1 Mergers and Acquisitions 61
4.8.2 Emerging Markets 61
4.8.3 Extremities Growth 62
4.8.4 Capitalizing on Market Fragmentation 63
4.9 Market Barriers 64
4.9.1 Burden of Rising Regulation 64
4.9.2 Proving Efficacy 65
4.9.3 Pricing Pressures and Reimbursement 66
4.9.4 Medical Device Excise Tax 67
4.10 Substitutes 67
4.10.1 Joint Replacement 67
4.10.2 Generic Implants 68
4.10.3 External Fixation 69
5 Competitive Assessment 70
5.1 Overview 70
5.2 Global Market Share 70
5.2.1 Global Market Share 70
5.3 Marketed Products 74
5.3.1 Key Internal Fixation Products 75
5.3.2 Key External Fixation Devices 110
6 Unmet Needs 114
6.1 Addressing the Complications 114
6.2 Advanced Materials Research 114
6.3 Improving Borderline Patient Treatment Outcomes 115
6.4 Bioabsorbable Technology Development 116
6.5 Centralization 116
6.6 Cost Containment 117
6.7 Drug-Eluting Implants 118
6.8 Long-Term Clinical Data 118
6.9 Trauma Registry 120
7 Pipeline Products 122
7.1 Overview 122
7.2 Product Profiles 122
7.2.1 Drug-Releasing Screws by Bioretec 122
7.2.2 Small Bone Innovations Arthrodesis Plates 122
7.2.3 Semprus Biosciences Trauma Fixation Devices 122
7.2.4 Nanova Inc. Bioabsorbable Bone Screws 122
7.2.5 CAMBfix Ltd. Pipeline 123
7.2.6 Nutek Orthopaedics LLC External Fixation Pipeline 123
7.2.7 Innovia LLC Develops IM Nail 123
8 Clinical Trials to Watch 124
8.1 Overview 124
8.2 Orthopedic Trauma Patient Quality of Life Trial 124
8.3 Non-Operative vs. Operative Management of Olecranon Fractures 125
8.4 Smith & Nephew INTUIT Hip Fracture Study 125
8.5 Distal Radius Fracture Fixation Comparison 126
8.6 Nails versus Plates for Femur Fractures in Dar es Salaam, Tanzania 126
9 Current and Future Players 127
9.1 Trends in Corporate Strategy 127
9.2 Company Profiles 128
9.2.1 Acumed 128
9.2.2 Biomet 130
9.2.3 DePuy Synthes International 132
9.2.4 Integra LifeSciences 134
9.2.5 Orthofix 136
9.2.6 OsteoMed 138
9.2.7 Small Bone Innovations, Inc. 139
9.2.8 Smith & Nephew 141
9.2.9 Stryker 143
9.2.10 Tornier 145
9.2.11 Trimed Inc. 148
9.2.12 Wright Medical 149
9.2.13 Zimmer 151
9.2.14 Companies in Trauma 154
10 Market Outlook 159
10.1 South America 159
10.1.1 Brazil 159
11 Appendix 162
11.1 Abbreviations 162
11.2 Bibliography 164
11.3 Research Methodology 171
11.3.1 Overview 171
11.3.2 Coverage 171
11.3.3 Secondary Research 172
11.3.4 Forecasting Methodology 172
11.3.5 Primary Research - Key Opinion Leader Interviews 174
11.3.6 Primary Research - Physician Survey 174
11.3.7 Expert Panel Validation 176
11.4 Physicians and Specialists Included in this Study 176
11.4.1 Dr. Philippe Bellemère 176
11.4.2 Julio Duarte Clemente, MD, PhD. 176
11.4.3 Dr. Moussa Hamadouche 176
11.4.4 Dr. Vidhya Ravi 176
11.4.5 Robert M. Szabo, MD, MPH 176
11.4.6 Dr. Marcello Zaia Oliveira 177
11.4.7 Robert Zura, MD 177
11.5 About the Authors 177
11.5.1 Analysts 177
11.5.2 Global Head of Healthcare 178
11.6 About MediPoint 179
11.7 About GlobalData 179
11.8 Disclaimer 179



List of Tables

Table 1: Clinical Symptoms and Descriptions 27
Table 2: Fracture Locations in the Body 31
Table 3: Locking Plates vs. Non-Locking Plates Features 34
Table 4: IM Nail Technical Specifications 36
Table 5: Fixation Types for Hip Fractures 37
Table 6: Direct and Indirect Costs of Orthopedics 50
Table 7: Acumed Lower Extremity Internal Fixation Products and Screws 75
Table 8: Acumed Upper Extremity Internal Fixation Products 76
Table 9: Acumed Plate and Screw Systems SWOT 77
Table 10: Acumed IM Nail Systems SWOT 77
Table 11: Biomet Internal Fixation Plates and Screws 78
Table 12: Biomet Internal Fixation IM Nails 79
Table 13: Biomet Plate and Screw Systems SWOT 79
Table 14: Biomet IM Nail Systems SWOT 80
Table 15: Bioretec Internal Fixation Implants 81
Table 16: Bioretec Bioabsorbable Screws SWOT 81
Table 17: DePuy Synthes Plates and Screws 83
Table 18: DePuy Synthes Intramedullary Nails 84
Table 19: DePuy Synthes Plate and Screw Systems SWOT 84
Table 20: DePuy Synthes IM Nail Systems SWOT 85
Table 21: Extremity Medical Plates, Screws and Nails 85
Table 22: Extremity Medical Internal Fixation Systems SWOT 86
Table 23: Integra Life Sciences Lower Extremity Internal Fixation Products 87
Table 24: Integra Life Sciences Upper Extremity Internal Fixation Products 88
Table 25: Integra Life Sciences Internal Fixation Systems SWOT 89
Table 26: Orthofix Internal Fixation Plates and Screws 89
Table 27: Orthofix Internal Fixation IM Nails 90
Table 28: Orthofix Plate and Screw Systems SWOT 90
Table 29: Orthofix IM Nails SWOT 90
Table 30: Osteomed Internal Fixation Lower Extremity 91
Table 31: Osteomed Internal Fixation Upper Extremity 91
Table 32: Osteomed Upper Extremity Systems SWOT 92
Table 33: Osteomed Lower Extremity Systems SWOT 92
Table 34: Small Bone Innovations Internal Fixation Lower Extremity 93
Table 35: Small Bone Innovations Internal Fixation Upper Extremity 94
Table 36: SBi Upper Extremity Systems SWOT 95
Table 37: SBi Lower Extremity Systems SWOT 95
Table 38: Smith & Nephew Internal Fixation 96
Table 39: Smith & Nephew Plate and Screw Systems SWOT 96
Table 40: Stryker Internal Fixation Upper Extremity 97
Table 41: Stryker Internal Fixation Lower Extremity 98
Table 42: Stryker Internal Fixation Foot and Ankle 99
Table 43: Stryker Upper Extremity Systems SWOT 99
Table 44: Stryker Lower Extremity Systems SWOT 100
Table 45: Tornier Internal Fixation Upper Extremity 101
Table 46: Tornier Plate and Screw Systems SWOT 102
Table 47: Trimed Internal Fixation Lower Extremity 103
Table 48: Trimed Internal Fixation Upper Extremity 104
Table 49: Trimed Plate and Screw Systems SWOT 105
Table 50: Wright Medical Internal Fixation Lower Extremity Plates and Screws 106
Table 51: Wright Medical Internal Fixation Upper Extremity Plates and Screws 107
Table 52: Wright Medical Lower Extremity Plate and Screw Systems SWOT 108
Table 53: Wright Medical Upper Extremity Plate and Screw Systems SWOT 108
Table 54: Zimmer Internal Fixation Plates and Screws 109
Table 55: Zimmer Internal Fixation IM Nails 109
Table 56: Zimmer Plate and Screw Systems SWOT 109
Table 57: Zimmer IM Nail System SWOT 110
Table 58: Biomet External Fixation 110
Table 59: DePuy Synthes External Fixation 110
Table 60: Orthofix External Fixation 111
Table 61: Smith & Nephew External Fixation 112
Table 62: Stryker External Fixation 112
Table 63: Wright Medical External Fixation 113
Table 64: Zimmer External Fixation 113
Table 65: Orthopedic Trauma Patient Quality of Life Trial 124
Table 66: Non-Operative vs. Operative Management of Olecranon Fractures 125
Table 67: INTUIT Hip Fracture Outcome Study 125
Table 68: Distal Radius Fracture Fixation Comparison 126
Table 69: Nails versus Plates for Femur Fractures in Dar es Salaam, Tanzania 126
Table 70: Company Profile - Acumed LLC 128
Table 71: SWOT Analysis - Acumed LLC 129
Table 72: Company Profile - Biomet Orthopedics 130
Table 73: SWOT Analysis - Biomet Orthopedics 131
Table 74: Company Profile - DePuy Synthes International 133
Table 75: SWOT Analysis - DePuy Synthes International 134
Table 76: Company Profile - Integra LifeSciences Inc. 135
Table 77: SWOT Analysis - Integra LifeSciences Inc. 136
Table 78: Company Profile - Orthofix Inc. 137
Table 79: SWOT Analysis - Orthofix Inc. 137
Table 80: Company Profile - OsteoMed 138
Table 81: SWOT Analysis - OsteoMed 139
Table 82: Company Profile - Small Bone Innovations Inc. 140
Table 83: SWOT Analysis - Small Bone Innovations Inc. 140
Table 84: Company Profile - Smith & Nephew 141
Table 85: SWOT Analysis - Smith & Nephew 142
Table 86: Company Profile - Stryker 144
Table 87: SWOT Analysis - Stryker 145
Table 88: Company Profile - Tornier N.V. 146
Table 89: SWOT Analysis - Tornier N.V. 147
Table 90: Company Profile - Trimed, Inc. 148
Table 91: SWOT Analysis - Trimed 149
Table 92: Company Profile - Wright Medical 150
Table 93: SWOT Analysis - Wright Medical 151
Table 94: Company Profile - Zimmer Holdings Inc. 152
Table 95: SWOT Analysis - Zimmer Holdings, Inc. 153
Table 96: Trauma Companies in the Global Market 154
Table 97: Trauma Companies in APAC Market 157
Table 98: Trauma Fixation Sales ($m) Forecast for Brazil, 2010-2019 161

1.2 List of Figures
Figure 1: Skeletal Structure 24
Figure 2: Joint Structure 25
Figure 3: Fracture Types 28
Figure 4: Hip Fracture Types 32
Figure 5: Hip Fracture Distribution 37
Figure 6: Fracture by Bones, 2008 40
Figure 7: Global Product Sales Volume for Trauma Fixation, 2010-2019 41
Figure 8: South America Product Sales Volume for Trauma Fixation, 2010-2019 42
Figure 9: Sources of Orthopedic Trauma (%) 52
Figure 10: Global Market Share for Plates and Screw Systems, 2012 71
Figure 11: Global Market Share for IM Nails, 2012 72
Figure 12: Global IM Nails Breakdown, 2012 72
Figure 13: Global Market Share for External Fixation, 2012 73
Figure 14: Influencing Factors for Plate and Screw Products 74
Figure 15: Challenging Aspects in Trauma Surgery 119
Figure 16: Brazil Sales ($m) Forecast for Trauma Fixation, 2010-2019 161
Figure 17: Surgeon Location Breakdown Trauma Survey (n=103) 175
Figure 18: Surgeon Practice Setting Trauma Survey (n=103) 175



Companies Mentioned

Acumed
Biomet
DePuy Synthes International
Integra LifeSciences
Orthofix
OsteoMed
Small Bone Innovations, Inc.
Smith & Nephew
Stryker
Tornier
Trimed Inc.
Wright Medical
Zimmer
+44 20 8816 8548

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