In 2008, the combined market for small joint, small bone and extremity devices was valued at $673.8 million. Small bone and joint applications has been one of the fastest growing areas in orthopedics. This sector of the market has outpaced the more established areas of orthopedics, especially large joint reconstruction which showed a marked slowing of growth at the end of 2008 and 2009.

LIST OF FIGURES

LIST OF CHARTS

EXECUTIVE SUMMARY

1.1 OVERALL SMALL JOINT MARKET
1.2 EFFECT OF ECONOMIC DOWNTURN
1.3 MARKET SEGMENTS
1.4 REVERSED SHOULDER MARKET
1.5 ANKLE ARTHROPLASTY MARKET
1.6 DIGIT REPLACEMENT MARKET
1.7 NERVE CONDUIT MARKET
1.8 SEGMENT OVERLAP
1.9 COMPETITIVE ANALYSIS
1.10 MARKET CONCENTRATION

RESEARCH METHODOLOGY

2.1 RESEARCH SCOPE
2.2 IDATA' S 9-STEP METHODOLOGY
- 2.2.1 Step 1: Project Initiation & Team Selection
- 2.2.2 Step 2: Prepare Data Systems and Perform Secondary Research
- 2.2.3 Step 3: Preparation for Interviews & Questionnaire Design
- 2.2.4 Step 4: Performing Primary Research
- 2.2.5 Step 5: Research Analysis: Establishing Baseline Estimates
- 2.2.6 Step 6: Market Forecast and Analysis
- 2.2.7 Step 7: Identify Strategic Opportunities
- 2.2.8 Step 8: Final Review and Market Release
- 2.2.9 Step 9: Customer Feedback and Market Monitoring

OVERVIEW OF COMBINED ORTHOPEDIC SMALL JOINT MARKET

3.1 INTRODUCTION
- 3.1.1.1 Anatomy and Pathology
- 3.1.1.2 Treatment
- 3.1.2 Shoulder Joint Reconstruction Devices
- 3.1.3 Elbow Joint Reconstruction
- 3.1.4 Hand and Wrist Devices
- 3.1.5 Foot and Ankle Devices
- 3.1.6 Digit Replacement
- 3.1.7 Nerve Conduits
- 3.1.8 Cannulated Screws and Plate Fixation Devices
3.2 MARKET FORECAST AND ANALYSIS
- 3.2.1 Combined Small Joint Market
3.3 MARKET DRIVERS AND LIMITERS
- 3.3.1 Market Drivers
- 3.3.1.1 Aging Population
- 3.3.1.2 Maturity of Large Joint Markets
- 3.3.1.3 Product Innovation
- 3.3.1.4 Prevalence of Diabetes
- 3.3.1.5 Podiatric Surgeons
- 3.3.2 Market Limiters
- 3.3.2.1 Product Approval
- 3.3.2.2 Anatomy
- 3.3.2.3 Surgical Capacity
3.4 COMPETITIVE ANALYSIS
- 3.4.1 Leading Competitors
- 3.4.2 Market Concentration
3.5 MERGERS AND ACQUISITIONS

SHOULDER RECONSTRUCTION MARKET

4.1 OVERVIEW
- 4.1.1 Introduction
- 4.1.1.1 Anatomy
- 4.1.1.2 Pathology
- 4.1.2 Joint Reconstruction Devices
- 4.1.2.1 Total Shoulder Implants
- 4.1.2.2 Reversed-Shoulder Implants
- 4.1.2.3 Partial Shoulder Implants
- 4.1.2.4 Resurfacing Implants
- 4.1.2.5 Shoulder Revision
4.2 MARKET ANALYSIS AND FORECAST
- 4.2.1 Combined Shoulder Market
- 4.2.2 Total Shoulder Implant Market
- 4.2.3 Partial Shoulder Implant Market
- 4.2.4 Resurfacing Shoulder Implant Market
- 4.2.5 Reversed-Shoulder Implant Market
- 4.2.6 Revision Shoulder Market
4.3 DRIVERS AND LIMITERS
- 4.3.1 Drivers
- 4.3.2 Limiters
4.4 COMPETITIVE ANALYSIS

ELBOW RECONSTRUCTION MARKET

5.1 OVERVIEW
- 5.1.1 Introduction
- 5.1.1.1 Anatomy
- 5.1.1.2 Pathology
- 5.1.2 Device Types
- 5.1.2.1 Total Elbow Devices
- 5.1.2.2 Radial Head Elbow Devices
- 5.1.2.3 Contraindications
5.2 MARKET ANALYSIS AND FORECAST
- 5.2.1 Combined Elbow Reconstruction Market
- 5.2.2 Combined Total Elbow Implant Market
- 5.2.3 Semi-Constrained Total Elbow Implant Market
- 5.2.4 Unconstrained Total Elbow Implant Market
- 5.2.5 Radial Head Implant Market
5.3 DRIVERS AND LIMITERS
- 5.3.1 Market Drivers
- 5.3.2 Market Limiters
5.4 COMPETITIVE ANALYSIS

HAND AND WRIST DEVICE MARKET

6.1 OVERVIEW
- 6.1.1 Introduction
- 6.1.1.1 Anatomy
- 6.1.1.2 Pathology
- 6.1.1.3 Treatment
- 6.1.1.4 Device Types
6.2 MARKET ANALYSIS AND FORECAST
- 6.2.1 Combined Hand and Wrist Reconstruction Market
- 6.2.2 Total Wrist Implant Market
- 6.2.3 Wrist Fusion Market
- 6.2.4 Distal Radius Plate Market
- 6.2.5 Ulnar Head Replacement Market
6.3 DRIVERS AND LIMITERS
- 6.3.1 Market Drivers
- 6.3.2 Market Limiters
6.4 COMPETITIVE ANALYSIS

FOOT AND ANKLE DEVICE MARKET

7.1 OVERVIEW
- 7.1.1 Introduction
- 7.1.2 Treatment
7.2 MARKET ANALYSIS AND FORECAST
- 7.2.1 Combined Foot and Ankle Reconstruction Market
- 7.2.2 Total Ankle Replacement Device Implant Market
- 7.2.3 Foot and Ankle Arthrodesis Market
- 7.2.3.1 Foot Arthrodesis Market by Segment
- 7.2.3.2 Ankle Fusion Market
7.3 DRIVERS AND LIMITERS
- 7.3.1 Total Ankle Replacement
- 7.3.1.1 Market Drivers
- 7.3.1.2 Market Limiters
7.4 COMPETITIVE ANALYSIS

DIGIT REPLACEMENT MARKET

8.1 INTRODUCTION
- 8.1.1 Hand Treatment
- 8.1.2 Foot Treatment
8.2 MARKET FORECAST AND ANALYSIS
- 8.2.1 Combined Market for Digit Implants
- 8.2.1.1 Digit Implant Procedures
- 8.2.2 Market for Hand Digit Implants
- 8.2.3 Market for Foot Digit Implants
8.3 DRIVERS AND LIMITERS
- 8.3.1 Divers
- 8.3.2 Limiters
8.4 COMPETITIVE ANALYSIS

NERVE CONDUIT MARKET

9.1 INTRODUCTION
- 9.1.1 Overview
- 9.1.2 Product Types
9.2 MARKET ANALYSIS AND FORECAST
9.3 DRIVERS AND LIMITERS
- 9.3.1 Drivers
- 9.3.2 Limiters
9.4 COMPETITIVE ANALYSIS

APPENDIX 1:ABBREVIATIONS

APPENDIX 2: SMALL CANNULATED SCREW MARKET

11.1 INTRODUCTION
- 11.1.1 Product Description
- 11.1.2 Definitional Distinction from Other Markets
11.2 MARKET FORECAST AND ANALYSIS
- 11.2.1 Total Cannulated Screw Market
- 11.2.1.1 Small Cannulated Screws (Diameter < 4mm)
11.3 MARKET DRIVERS AND LIMITERS
- 11.3.1 Market Drivers
- 11.3.2 Market Limiters
11.4 COMPETITIVE ANALYSIS

APPENDIX 3: SMALL AND MINI FRAGMENT PLATE AND SCREW MARKET

12.1 INTRODUCTION
- 12.1.1 History
- 12.1.2 Fracture Rates
12.2 OVERVIEW
- 12.2.1.1 Product Description
- 12.2.1.2 Locking Plates
- 12.2.2 Plate and Screw Unit Trends
12.3 MARKET FORECAST AND ANALYSIS
- 12.3.1 Total Plates and Screw Market
- 12.3.2 Plates and Screws by Fragment Size
- 12.3.2.1 Combined Small and Mini Fragment Market
- 12.3.2.2 Total Small Fragment Market
- 12.3.2.3 Standard Small Fragment by Material
- 12.3.2.4 Total Mini Fragment Plate and Screw Market
- 12.3.2.5 Standard Mini Fragment Plate and Screw Market by Material
12.4 MARKET DRIVERS AND LIMITERS
- 12.4.1 Market Drivers
- 12.4.2 Market Limiters
12.5 COMPETITIVE ANALYSIS
- 12.5.1 Total Plate and Screw Leading Competitors

APPENDIX 4: WRIST AND ANKLE EXTERNAL FIXATION

13.1 INTRODUCTION
13.2 MARKET FORECAST AND ANALYSIS
- 13.2.1 External Wrist Fixator Market
- 13.2.2 External Ankle Fixator Market

LIST OF FIGURES

EXECUTIVE SUMMARY

RESEARCH METHODOLOGY

OVERVIEW OF COMBINED ORTHOPEDIC SMALL JOINT MARKET

Figure 3-1: Combined Small Joint and Bone Device Market, 2005 - 2015
Figure 3-2: Market Drivers and Limiters, Orthopedic Small Joint and Bones, 2008
Figure 3-4: Leading Competitors, Combined Orthopedic Small Joint Market, 2008
Figure 3-5: Market Concentration, Orthopedic Small Joint Market, 2008

SHOULDER RECONSTRUCTION MARKET

Figure 4-1: Combined Shoulder Market, U.S. 2005 - 2015
Figure 4-2: Combined Shoulder Market by Segment, U.S. 2005 - 2015
Figure 4-3: Total Shoulder Market, U.S. 2005 - 2015
Figure 4-4: Partial Shoulder Market, U.S. 2005 - 2015
Figure 4-5: Resurfacing Shoulder Market, U.S. 2005 - 2015
Figure 4-6: Reversed Shoulder Market, U.S. 2005 - 2015
Figure 4-7: Revision Shoulder Market, U.S. 2005 - 2015
Figure 4-8: Drivers and Limiters for Combined Shoulder Implant Market, U.S., 2007
Figure 4-9: Leading Competitors, Shoulder Reconstruction Market, 2008

ELBOW RECONSTRUCTION MARKET

Figure 5-1: Combined Elbow Market, U.S., 2005 - 2015
Figure 5-2: Combined Elbow Market by Segment, U.S., 2005 - 2015
Figure 5-3: Combined Total Elbow Device Market, U.S., 2005 - 2015
Figure 5-4: Semi-Constrained Total Elbow Device Market, U.S., 2005 - 2015
Figure 5-5: Unconstrained Total Elbow Device Market, U.S., 2005 - 2015
Figure 5-6: Radial Head Implant Market, U.S., 2005 -2015
Figure 5-7: Drivers and Limiters for Combined Elbow Implant Market, U.S. 2008
Figure 5-8: Leading Competitors, Elbow Reconstruction Market, 2008

HAND AND WRIST DEVICE MARKET

Figure 6-1: Combined Hand and Wrist Market by Segment, U.S., 2005 - 2015
Figure 6-2: Total Wrist Replacement Device Market, U.S., 2005 - 2015
Figure 6-3: Wrist Fusion Market, U.S., 2005 - 2015
Figure 6-4: Distal Radius Plate Market, U.S., 2005 - 2015
Figure 6-5: Ulnar Head Replacement Market, U.S., 2005 - 2015
Figure 6-6: Drivers and Limiters, Total Wrist Replacement Market, U.S., 2008
Figure 6-7: Hand and Wrist Device Market, 2008
Figure 6-8: Leading Competitors Total Wrist Replacement Market, 2008
Figure 6-9: Leading Competitors, Distal Radius Market, 2008
Figure 6-10: Leading Competitors, Ulnar Head Replacement Market, 2008

FOOT AND ANKLE DEVICE MARKET

Figure 7-1: Combined Foot and Ankle Market by Segment, U.S., 2005 - 2015
Figure 7-2: Total Ankle Replacement Device Market, U.S., 2005 - 2015
Figure 7-3: Combined Foot Arthrodesis Market, 2005 - 2015
Figure 7-4: Ankle Fusion Market, U.S., 2005 - 2015
Figure 7-5: Market Drivers and Limiters, Total Ankle Replacement Market, U.S., 2008
Figure 7-6: Leading Competitors, Combined Foot and Ankle Arthroplasty Market, 2008
Figure 7-7: Leading Competitors, Total Ankle Replacement Market, 2008
Figure 7-8: Leading Competitors, Combined Foot and Ankle Fusion Market, 2008

DIGIT REPLACEMENT MARKET

Figure 8-1: Hand Digit Arthroplasty Procedures, 2005 - 2015
Figure 8-2: Combined Market for Digit Implants, U.S., 2005 - 2015
Figure 8-3: Combined Digit Implant Procedures, U.S., 2008
Figure 8-4: Hand Digit Implant Market, U.S., 2005 - 2015
Figure 8-5: Foot Digit Implant Market, U.S., 2005 - 2015
Figure 8-6: Drivers and Limiters, Digit Replacement Market, 2008
Figure 8-7: Leading Competitors, Digit Replacement Market, 2008

NERVE CONDUIT MARKET

Figure 9-1: Nerve Conduit Market, U.S., 2005 - 2015
Figure 9-2: Drivers and Limiters, Nerve Conduit Market, 2008
Figure 9-3: Leading Competitors, Nerve Conduit Market

APPENDIX 1:ABBREVIATIONS

APPENDIX 2: SMALL CANNULATED SCREW MARKET.

Figure 11-1: Combined Cannulated Screw Market, U.S., 2005 - 2015
Figure 11-2: Combined Cannulated Screw Market by Size, U.S., 2005 - 2015
Figure 11-3: Small Cannulated Screw Market, U.S., 2005 - 2015
Figure 11-4: Market Driver and Limiters, Cannulated Screws, U.S., 2008
Figure 11-5 Leading Competitors, Cannulated Screw Market, U.S., 2008

APPENDIX 3: SMALL AND MINI FRAGMENT PLATE AND SCREW MARKET

Figure 12-1: Plate and Screw Fragment Sizes
Figure 12-2: Total Plate and Screw Market, U.S., 2005 - 2015
Figure 12-3: Total Plate and Screw Units by Segment, U.S., 2005 - 2015
Figure 12-4: Small and Mini Fragment Plate and Screw Markets by Segment, 2005 - 2015
Figure 12-5: Locking Small Fragment Market, 2005 - 2015
Figure 12-6: Standard Small Fragment Market, 2005 - 2015
Figure 12-7: Stainless Steel Standard Small Fragment Market, 2005 - 2015
Figure 12-8: Titanium Standard Small Fragment Market, 2005 - 2015
Figure 12-9: Locking Mini Fragment Market, 2005 - 2015
Figure 12-10: Standard Mini Fragment Market, 2005 - 2015
Figure 12-11: Steel Standard Mini Fragment Market, 2005 - 2015
Figure 12-12: Titanium Standard Mini Fragment Market, 2005 - 2015
Figure 12-13: Market Drivers and Limiters for Plates and Screws, U.S., 2008
Figure 12-14: Leading Competitors, Total Plate and Screw Market, U.S., 2008

APPENDIX 4: WRIST AND ANKLE EXTERNAL FIXATION

Figure 13-1: External Wrist Fixator Market, U.S., 2005 - 2015
Figure 13-2: External Ankle Fixator Market, U.S., 2005 - 2015

LIST OF CHARTS

EXECUTIVE SUMMARY

Chart 1-1: Combined Small Joint and Bone Market, U.S., 2005 - 2015
Chart 1-2: Segment Growth Rates, Small Joint and Bone Device Markets, 2005 - 2015
Chart 1-3: Small Joint and Bone Market By Segment, 2008
Chart 1-4: Shoulder Reconstruction Market By Segment, 2008
Chart 1-5: Market Value of Ankle Replacement Verses Ankle Fusion, 2005 - 2015
Chart 1-6: Digit Replacement Market, 2005 - 2015
Chart 1-7: Nerve Conduit Market, 2005 - 2015
Chart 1-8: Overlap Between Device Segments, Small Joints and Bones, 2008
Chart 1-9: Leading Competitors, Small Joint and Bone Device Market, 2008
Chart 1-10: Market Concentration, Small Joint and Bone Device Market, 2008

RESEARCH METHODOLOGY

OVERVIEW OF COMBINED ORTHOPEDIC SMALL JOINT MARKET

Chart 3-1: Combined Small Joint and Bone Device Market Segments, 2008
Chart 3-2: Combined Small Joint and Bone Device Market, 2005 - 2015
Chart 3-3: Market Segment Growth Rates, Orthopedic Small Joint Market, 2005 - 2015
Chart 3-4: Leading Competitors, Combined Orthopedic Small Joint Market, 2008
Chart 3-5: Market Concentration, Orthopedic Small Joint Market, 2008

SHOULDER RECONSTRUCTION MARKET

Chart 4-1: Combined Shoulder Market, U.S. 2005 - 2015
Chart 4-2: Shoulder Procedures per Million by Country, 2008
Chart 4-3: Total Shoulder Market, U.S. 2005 - 2015.
Chart 4-4: Partial Shoulder Market, U.S. 2005 - 2015
Chart 4-5: Resurfacing Shoulder Market, U.S. 2005 - 2015
Chart 4-6: Reversed Shoulder Market, U.S. 2005 - 2015
Chart 4-7: Revision Shoulder Market, U.S. 2005 - 2015
Chart 4-8: Leading Competitors, Shoulder Reconstruction Market, 2008

ELBOW RECONSTRUCTION MARKET

Chart 5-1: Combined Elbow Market, U.S., 2005 - 2015
Chart 5-2: Combined Total Elbow Device Market, U.S., 2005 - 2015
Chart 5-3: Semi-constrained Total Elbow Device Market, U.S., 2005 - 2015
Chart 5-4: Unconstrained Total Elbow Device Market, U.S., 2005 - 2015
Chart 5-5: Radial Head Implant Market, U.S., 2005 - 2015
Chart 5-6: Leading Competitors, Elbow Reconstruction Market, 2008

HAND AND WRIST DEVICE MARKET

Chart 6-1: Combined Hand and Wrist Market, U.S., 2005 - 2015
Chart 6-2: Total Wrist Replacement Device Market, Market, U.S., 2005 - 2015
Chart 6-3: Wrist Fusion Market, U.S., 2005 - 2015
Chart 6-4: Distal Radius Plate Market, U.S., 2005 - 2015
Chart 6-5: Ulnar Head Replacement Market, U.S., 2005 - 2015
Chart 6-6: Hand and Wrist Device Market, 2008
Chart 6-7: Leading Competitors Total Wrist Replacement Market, 2008
Chart 6-8: Leading Competitors, Distal Radius Market, 2008
Chart 6-9: Leading Competitors, Ulnar Head Replacement Market, 2008

FOOT AND ANKLE DEVICE MARKET

Chart 7-1: Combined Foot and Ankle Market, U.S., 2005 - 2015
Chart 7-2: Total Ankle Replacement Device Market, U.S., 2005 - 2015
Chart 7-3: Combined Foot Arthrodesis Market, 2005 - 2015
Chart 7-4: Ankle Fusion Market, U.S., 2005 - 2015
Chart 7-5: Leading Competitors, Combined Foot and Ankle Arthroplasty Market, 2008
Chart 7-6: Leading Competitors, Total Ankle Replacement Market, 2008
Chart 7-7: Leading Competitors, Combined Foot and Ankle Fusion Market, 2008

DIGIT REPLACEMENT MARKET

Chart 8-1: Combined Market for Digit Implants, U.S., 2005 - 2015
Chart 8-2: Combined Digit Implant Procedures, U.S., 2008
Chart 8-3: Hand Digit Implant Market, U.S., 2005 - 2015
Chart 8-4: Foot Digit Implant Market, U.S., 2005 - 2015
Chart 8-5: Leading Competitors, Digit Replacement Market, 2008

NERVE CONDUIT MARKET

Chart 9-1: Nerve Conduit Market, U.S., 2005 - 2015

APPENDIX 1:ABBREVIATIONS

APPENDIX 2: SMALL CANNULATED SCREW MARKET.

Chart 11-1: Combined Cannulated Screw Market, U.S., 2005 - 2015
Chart 11-2: Small Cannulated Screw Market, U.S., 2005 - 2015
Chart 11-3 Leading Competitors, Cannulated Screw Market, U.S., 2008

APPENDIX 3: SMALL AND MINI FRAGMENT PLATE AND SCREW MARKET

Chart 12-1: Percentage of Units Sold, Plate and Screw Fixation Systems, 2008
Chart 12-2: Fragment Sizes as a Percentage of Total Market Value - Plate and Screw Market, 2008
Chart 12-3 Total Plate and Screw Market, U.S., 2004 - 2014
Chart 12-4: Small and Mini Fragment Plate and Screw Markets by Segment, 2005 - 2015
Chart 12-5: Leading Competitors, Plate and Screw Market, 2008

APPENDIX 4: WRIST AND ANKLE EXTERNAL FIXATION

Chart 13-1: External Wrist Fixator Market, U.S., 2005 - 2015
Chart 13-2: External Ankle Fixator Market, U.S., 2005 - 2015

Introduction
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U.S. Market for Small Bone & Joint Orthopedic Devices 2009

Introduction

Abstract

Table of Contents

LIST OF FIGURES

LIST OF CHARTS

EXECUTIVE SUMMARY

RESEARCH METHODOLOGY

OVERVIEW OF COMBINED ORTHOPEDIC SMALL JOINT MARKET

SHOULDER RECONSTRUCTION MARKET

ELBOW RECONSTRUCTION MARKET

HAND AND WRIST DEVICE MARKET

FOOT AND ANKLE DEVICE MARKET

DIGIT REPLACEMENT MARKET

NERVE CONDUIT MARKET

APPENDIX 1:ABBREVIATIONS

APPENDIX 2: SMALL CANNULATED SCREW MARKET

APPENDIX 3: SMALL AND MINI FRAGMENT PLATE AND SCREW MARKET

APPENDIX 4: WRIST AND ANKLE EXTERNAL FIXATION

LIST OF FIGURES

EXECUTIVE SUMMARY

RESEARCH METHODOLOGY

OVERVIEW OF COMBINED ORTHOPEDIC SMALL JOINT MARKET

SHOULDER RECONSTRUCTION MARKET

ELBOW RECONSTRUCTION MARKET

HAND AND WRIST DEVICE MARKET

FOOT AND ANKLE DEVICE MARKET

DIGIT REPLACEMENT MARKET

NERVE CONDUIT MARKET

APPENDIX 1:ABBREVIATIONS

APPENDIX 2: SMALL CANNULATED SCREW MARKET.

APPENDIX 3: SMALL AND MINI FRAGMENT PLATE AND SCREW MARKET

APPENDIX 4: WRIST AND ANKLE EXTERNAL FIXATION

LIST OF CHARTS

EXECUTIVE SUMMARY

RESEARCH METHODOLOGY

OVERVIEW OF COMBINED ORTHOPEDIC SMALL JOINT MARKET

SHOULDER RECONSTRUCTION MARKET

ELBOW RECONSTRUCTION MARKET

HAND AND WRIST DEVICE MARKET

FOOT AND ANKLE DEVICE MARKET

DIGIT REPLACEMENT MARKET

NERVE CONDUIT MARKET

APPENDIX 1:ABBREVIATIONS

APPENDIX 2: SMALL CANNULATED SCREW MARKET.

APPENDIX 3: SMALL AND MINI FRAGMENT PLATE AND SCREW MARKET

APPENDIX 4: WRIST AND ANKLE EXTERNAL FIXATION

Related Reports

Joint Implant Report

Medical Device Market Report by iData Research Inc.