Japanese Markets for Large-Joint Reconstructive Implants 2010

Japanese Markets for Large-Joint Reconstructive Implants 2010 published by Millennium Research Group in November, 2009. This report price starts from US $ 4197.

Introduction

Abstract

The market for large-joint reconstructive implants in Japan has exhibited steady growth for many years. Despite a dip in procedure volume expansion as a result of the 2008 financial crisis, strong growth is expected to resume as the economy recovers and patients decide to stop delaying needed surgeries. Revenue increases in this market will continue to be driven by the aging Japanese population, as well as by substantial efforts by manufacturers to educate patients on the benefits of large-joint replacement as they try to dispel the cultural opposition to invasive surgery that is common in Japan. The factor most significantly curtailing this market is the Japanese government' s effort to reduce health care costs by reducing reimbursement levels for reconstructive implants on a biennial basis, which forces manufacturers to continually lower selling prices. Perhaps the most intriguing trend in this market is the effect of unique Japanese bone morphology. Surgeons have found that current hip resurfacing implants and unicondylar knee implants are poorly suited to the common Japanese conditions of hip dysplasia and bowleggedness. With the largest proportion of people over 65 in the world, Japan will continue to be a source of steady revenues in the large-joint reconstructive implant market over the forecast period.

Methodology

The following report uses a number of methodologies to gather and present data and analysis. At the outset, a large survey of secondary sources is conducted. These sources act as the basis for the primary research stage, which builds and enhances the quantitative and qualitative attributes of the early research.

Secondary sources include:

• Government Sources:
  • Securities and Exchange Commission filings
  • Japanese Ministry of Health, Labour and Welfare Reimbursement Guide
  • Japanese National Institute of Population and Social Security Research
• Large-Joint Reconstructive Implant Companies:
  • Annual reports, product brochures, corporate profiles, etc.
• Internal Databases and Reports:
  • Previous reports on similar/related sources
  • Millennium Research Group' s US Orthopedic Reconstructive Implant Marketrack
• General Internet Searches, Medical Literature, and Newspaper/Magazine Searches:
  • Identifying various centers of specialization and articles that might provide leads for primary research.

The secondary research stage builds the foundation for the primary research.

The primary research methodology has four steps:

Step 1: The first step involves an impartial scan of all the information gathered during the secondary research stage to determine its utility based on the specific requirements of this report. Each piece of information is, thus, either discarded or marked as high or low priority. It is then organized appropriately as determined by the structure and sectioning of the report.

Step 2: At this stage, early assumptions are formed as to the implications of the information for the various reconstructive implant market segments. These assumptions are then used to determine hypotheses using both inductive and deductive approaches. On the quantitative front, these hypotheses result in full historical and projected market data sets (market sizes [units and US$] and market shares).

Step 3: At this stage, the research is in position for its most important primary phase - expert interviews. Throughout the secondary research, industry and medical experts are identified. These experts are now contacted by telephone and asked to participate in interviews on recent trends and developments in the industry. Interviews are either conducted at the time of the initial call or scheduled at the convenience of the expert. Interview questions are tailored to the expertise of the particular interviewee, although in most cases, the most important questions are asked of all experts. The questions are largely based on the assumptions and hypotheses developed in Step 2, which are then either augmented, discarded, or adjusted, based on the views and positions put forth. Attempts are made, whenever possible, to cross-check the views of various experts against each other and reach positions of consensus on issues and market numbers.

Step 4: The final stage of primary research involves individual and group analysis by Millennium Research Group. All research results are assessed and cross-checked thoroughly to determine their validity, relevance, and weight. From this process, qualitative conclusions are reached and data points finalized.

In addition to Steps 1 through 4 (as outlined above), the following “bottom-up” methodology was followed in developing forecast assumptions for this report. A comprehensive breakdown of various reconstructive large-joint procedures was prepared using data from several sources including professional associations, government statistics, and private research/media sources. Industry experts and practitioners were consulted to ensure accuracy and verify observed trends. As a cross-check, total industry revenues available through 10-Ks and other sources were compared against modeled industry revenues.

Using the best estimates of industry experts, practitioners, private research/media sources, and in-house experts, year-by-year growth rates and average selling prices were applied individually to each subcategory to derive forecasts. These estimates were cross-checked by industry experts (marketing managers, product managers, CEOs, etc.) and further refined.

Overall findings were compared against market and procedure forecasts published by other sources to ensure reasonable estimates.

Table of Contents

TABLE OF CONTENTS

LIST OF EXHIBITS

EXECUTIVE SUMMARY

METHODOLOGY

• 1.0 LARGE-JOINT RECONSTRUCTIVE IMPLANT OVERVIEW
• 1.1 Overview of Bone and Joint Anatomy
  • 1.1.1 Bone Formation
  • 1.1.2 Bone Disorders and Diseases
    • 1.1.2.1 Fractures
    • 1.1.2.2 Osteoporosis
    • 1.1.2.3 Arthritis
• 1.2 Treatment Options
  • 1.2.1 Fracture Management
  • 1.2.2 Internal Fixation
  • 1.2.3 External Fixation
  • 1.2.4 Bone Growth Stimulation
  • 1.2.5 Joint Arthroplasty
• 1.3 Selected Joints of the Anatomy
  • 1.3.1 The Hip Joint
  • 1.3.2 The Knee Joint
• 1.4 Reconstructive Implants
  • 1.4.1 Hip Implants
    • 1.4.1.1 Partial Hip Implants
    • 1.4.1.2 Primary Total Hip Arthroplasty Implants
    • 1.4.1.3 Revision Hip Implants
    • 1.4.1.4 Resurfacing Hip Implants
  • 1.4.2 Knee Implants
    • 1.4.2.1 Primary Total Knee Arthroplasty Implants
    • 1.4.2.2 Unicondylar Knee Implants
    • 1.4.2.3 Revision Knee Implants

2.0 JAPANESE LARGE-JOINT RECONSTRUCTIVE IMPLANT MARKET

• 2.1 Market Overview
• 2.2 Market Analysis
  • 2.2.1 Economic Assumptions for the Forecast Period
  • 2.2.2 Procedures
  • 2.2.3 Market Forecast
  • 2.2.4 Market Drivers and Limiters
    • 2.2.4.1 Market Drivers
    • 2.2.4.2 Market Limiters
• 2.3 Competitive Analysis
  • 2.3.1 Competitive Landscape
  • 2.3.2 Market Shares
  • 2.3.3 Competitor Discussions (in Alphabetical Order)
    • Biomet
    • DePuy
    • Japan Medical Materials
    • Smith & Nephew
    • Stryker
    • Zimmer
    • Other

3.0 RECONSTRUCTIVE HIP IMPLANT MARKET

• 3.1 Market Overview
• 3.2 Market Analysis
  • 3.2.1 Procedures
  • 3.2.2 Market Forecast
    • 3.2.2.1 Partial Hip Implant Market
    • 3.2.2.2 Primary Total Hip Arthroplasty Implant Market
    • 3.2.2.3 Revision Hip Implant Market
    • 3.2.2.4 Resurfacing Hip Implant Market
• 3.3 Competitive Analysis
  • 3.3.1 Market Shares

4.0 RECONSTRUCTIVE KNEE IMPLANT MARKET

• 4.1 Market Overview
• 4.2 Market Analysis
  • 4.2.1 Procedures
  • 4.2.2 Market Forecast
    • 4.2.2.1 Primary Total Knee Arthroplasty Implant Market
      • Primary Total Knee Arthroplasty Implant Market by Fixation Type
      • Primary Total Knee Arthroplasty Implant Market by Bearing Type
    • 4.2.2.2 Unicondylar Knee Implant Market
    • 4.2.2.3 Revision Knee Implant Market
• 4.3 Competitive Analysis
  • 4.3.1 Market Shares

APPENDIX A: MRG ACRONYMS AND INITIALISMS

APPENDIX B: SUPPLEMENTAL EXHIBITS

List of Exhibits

EXECUTIVE SUMMARY

• Exhibit 1: Large-Joint Reconstructive Implant Market, by Segment, Japan (US$), 2008 - 2014
• Exhibit 2: Reconstructive Hip Implant Market, by Type, Japan (US$), 2008 - 2014
• Exhibit 3: Reconstructive Knee Implant Market, by Type, Japan (US$), 2008 - 2014
• Exhibit 4: Leading Competitors in the Large-Joint Reconstructive Implant Market, Japan, 2009

METHODOLOGY

• Exhibit 5: Currency Exchange Rates, 2009

CHAPTER 1: LARGE-JOINT RECONSTRUCTIVE IMPLANT OVERVIEW

• Exhibit 6: Common Types of Bone Fractures
• Exhibit 7: Primary Advantages and Disadvantages of MBK Implants

CHAPTER 2: JAPANESE LARGE-JOINT RECONSTRUCTIVE IMPLANT MARKET

• Exhibit 8: Large-Joint Reconstructive Implant Market, by Segment, Japan (US$), 2008 - 2014
• Exhibit 9: Large-Joint Reconstructive Implant Procedures, by Segment, Japan, 2008 - 2014 (Graphical Format)
• Exhibit 10: Large-Joint Reconstructive Implant Procedures, by Segment, Japan, 2008 - 2014 (Tabular Format)
• Exhibit 11: Population and Large-Joint Reconstructive Implant Procedures, by Segment, Japan, 2008 - 2014
• Exhibit 12: Large-Joint Reconstructive Implant Market, by Segment, Japan (US$ and ¥), 2008 - 2014
• Exhibit 13: Large-Joint Reconstructive Implant Market Growth, by Segment, Japan, 2009 - 2014
• Exhibit 14: Large-Joint Reconstructive Implant Market, by Segment, as a % of Total, Japan, 2008 - 2014
• Exhibit 15: Drivers and Limiters of the Large-Joint Reconstructive Implant Market, Japan
• Exhibit 16: Leading Competitors in the Large-Joint Reconstructive Implant Market, as a % of Total, Japan, 2009
• Exhibit 17: Leading Competitors in the Large-Joint Reconstructive Implant Market, by Segment, as a % of Total, Japan, 2009

CHAPTER 3: RECONSTRUCTIVE HIP IMPLANT MARKET

• Exhibit 18: Reconstructive Hip Implant Market, by Type, Japan (US$), 2008 - 2014 (Graphical Format)
• Exhibit 19: Reconstructive Hip Implant Procedures, by Type, Japan, 2008 - 2014 (Graphical Format)
• Exhibit 20: Reconstructive Hip Implant Procedures, by Type, Japan, 2008 - 2014 (Tabular Format)
• Exhibit 21: Reconstructive Hip Implant Units, by Type, Japan, 2008 - 2014
• Exhibit 22: Reconstructive Hip Implant Market, by Type, Japan (US$), 2008 - 2014 (Tabular Format)
• Exhibit 23: Reconstructive Hip Implant Market, by Type, Japan (¥), 2008 - 2014
• Exhibit 24: Reconstructive Hip Implant Market Growth, by Type, Japan, 2009 - 2014
• Exhibit 25: Reconstructive Hip Implant Market, by Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 26: Partial Hip Implant Market, by Device Type, Japan (US$), 2008 - 2014
• Exhibit 27: Partial Hip Implant Market, by Device Type, Japan (¥), 2008 - 2014
• Exhibit 28: Partial Hip Implant Market Growth, by Device Type, Japan, 2009 - 2014
• Exhibit 29: Partial Hip Implant Market, by Device Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 30: Primary THA Implant Market, by Fixation Type, Japan (US$), 2008 - 2014
• Exhibit 31: Primary THA Implant Market, by Fixation Type, Japan (¥), 2008 - 2014
• Exhibit 32: Primary THA Implant Market Growth, by Fixation Type, Japan, 2009 - 2014
• Exhibit 33: Primary THA Implant Market, by Fixation Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 34: Primary THA Implant Component Market, by Fixation Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 35: Revision Hip Implant Market, Japan (US$ and ¥), 2008 - 2014
• Exhibit 36: Resurfacing Hip Implant Market, by Device Type, Japan (US$), 2008 - 2014
• Exhibit 37: Resurfacing Hip Implant Market, by Device Type, Japan (¥), 2008 - 2014
• Exhibit 38: Resurfacing Hip Implant Market Growth, by Device Type, Japan, 2009 - 2014
• Exhibit 39: Resurfacing Hip Implant Market, by Device Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 40: Leading Competitors in the Reconstructive Hip Implant Market, as a % of Total, Japan, 2009

CHAPTER 4: RECONSTRUCTIVE KNEE IMPLANT MARKET

• Exhibit 41: Reconstructive Knee Implant Market, by Type, Japan (US$), 2008 - 2014 (Graphical Format)
• Exhibit 42: Reconstructive Knee Implant Procedures, by Type, Japan, 2008 - 2014 (Graphical Format)
• Exhibit 43: Reconstructive Knee Implant Procedures, by Type, Japan, 2008 - 2014 (Tabular Format)
• Exhibit 44: Reconstructive Knee Implant Units, by Type, Japan, 2008 - 2014
• Exhibit 45: Reconstructive Knee Implant Market, by Type, Japan (US$), 2008 - 2014 (Tabular Format)
• Exhibit 46: Reconstructive Knee Implant Market, by Type, Japan (¥), 2008 - 2014
• Exhibit 47: Reconstructive Knee Implant Market Growth, by Type, Japan, 2009 - 2014
• Exhibit 48: Reconstructive Knee Implant Market, by Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 49: Primary TKA Implant Market, by Fixation Type, Japan (US$), 2008 - 2014
• Exhibit 50: Primary TKA Implant Market, by Fixation Type, Japan (¥), 2008 - 2014
• Exhibit 51: Primary TKA Implant Market Growth, by Fixation Type, Japan, 2009 - 2014
• Exhibit 52: Primary TKA Implant Market, by Fixation Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 53: Primary TKA Implant Component Market, by Fixation Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 54: Primary TKA Implant Market, by Bearing Type, Japan (US$), 2008 - 2014
• Exhibit 55: Primary TKA Implant Market, by Bearing Type, Japan (¥), 2008 - 2014
• Exhibit 56: Primary TKA Implant Market Growth, by Bearing Type, Japan, 2009 - 2014
• Exhibit 57: Primary TKA Implant Market, by Bearing Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 58: Unicondylar Knee Implant Market, Japan (US$ and ¥), 2008 - 2014
• Exhibit 59: Revision Knee Implant Market, Japan (US$ and ¥), 2008 - 2014
• Exhibit 60: Leading Competitors in the Reconstructive Knee Implant Market, as a % of Total, Japan, 2009

APPENDIX B: SUPPLEMENTAL EXHIBITS

• Exhibit 61: Large-Joint Reconstructive Implant Market, by Segment, Japan (US$), 2008 - 2014 (Detailed Format)
• Exhibit 62: Reconstructive Hip Implant Market, by Type, Japan (US$), 2008 - 2014 (Detailed Format)
• Exhibit 63: Reconstructive Knee Implant Market, by Type, Japan (US$), 2008 - 2014 (Detailed Format)

Related Reports