Market Research Report

European Markets for Orthopedic Soft Tissue Solutions 2012

cover Published by Millennium Research Group
Published Product code 239844
Price

Introduction

Abstract

The European orthopedic soft tissue solutions market is comprised of shoulder suture anchors, knee ligament reconstruction fixation devices, knee cartilage repair, meniscus repair devices, and rotator cuff reinforcement grafts in France, Germany, Italy, Spain, and the UK. Revenue growth will be primarily fuelled by increasing procedure volumes, which in turn are driven by the aging population, increasing physical activity and participation in sports, and supportive clinical data in some segments. The over-50 demographic is more prone to soft tissue injuries due to degenerative conditions and as they become more active; therefore, the rising proportion of this demographic relative to the general population will spur procedure growth and subsequent demand for orthopedic soft tissue solutions. Additionally, the increasing adoption of premium-priced devices such as those made from composite materials will positively impact average selling prices (ASPs) across the region. Pressures on ASPs attributed to cost-containment measures in health care will, however, serve to limit the market to some extent. Additionally, a lack of reimbursement - often related to limited or unfavorable clinical data - particularly in the rotator cuff reinforcement graft market, will result in hospitals and surgeons being less likely to use these devices. Nevertheless, the combination of the aforementioned factors will result in moderate revenue growth over the forecast period.

METHODOLOGY

RESEARCH METHODOLOGY

This 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
    • Food and Drug Administration and patent filings
    • National Center for Health Statistics data
  • Orthopedic soft tissue solutions companies:
    • Annual reports, product brochures, corporate profiles, etc.
  • Internal databases and reports:
    • Previous reports on similar/related sources
  • 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 either discarded or marked as high- or low-priority and 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 orthopedic soft tissue solutions 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 - unit sales, average selling prices [ASPs], and revenues - as well as market shares).

Step 3: At this stage, the research is in position for its most important primary phase - expert interviews. Throughout the secondary research phase, industry and medical experts are identified.

These experts are then 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 each 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 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 to 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.

FORECAST METHODOLOGY

In addition to the research methodology outlined above, the following “bottom-up” methodology is used to develop forecast assumptions for the report.

A comprehensive breakdown of various orthopedic soft tissue solutions procedures and unit sales is prepared using data from several sources, including professional associations, government statistics, and private research/media sources. Industry experts and practitioners are consulted to ensure accuracy and verify observed trends. As a cross-check, total industry revenues available through annual reports and other sources are compared against modeled industry revenues.

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

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

Companies mentioned in this report:

  • Aesculap (a division of B. Braun)
  • Arthrex
  • ArthroCare
  • Arthro Kinetics
  • Biomet Sports Medicine
  • BioSyntech
  • Bio-Tissue
  • Carticept Medical
  • citieffe
  • co.don
  • ConMed Linvatec
  • DePuy Mitek
  • FH ORTHOPEDICS
  • Fidia Advanced Biopolymers (acquired by Anika Therapeutics)
  • Finceramica
  • Geistlich
  • Genzyme Biosurgery (acquired by Sanofi)
  • ISYS/Biovation
  • J. K. Orthomedic
  • KARL STORZ
  • Kensey Nash
  • Matricel
  • Orthogen
  • Regenerative Medical Services
  • SaluMedica
  • Smith & Nephew
  • Stryker
  • TiGenix
  • Tornier
  • Wright Medical Technology
  • Zimmer

Table of Contents

Table of Contents

TABLE OF CONTENTS

LIST OF FIGURES AND TABLES

EXECUTIVE SUMMARY

1.0 CLINICAL LANDSCAPE

  • 1.1. Background
    • 1.1.1. Conditions
      • 1.1.1.1. Osteoarthritis
      • 1.1.1.2. Osteochondritis Dissecans
      • 1.1.1.3. Loose Bodies
    • 1.1.2. Injuries
      • 1.1.2.1. Shoulder and Rotator Cuff Injuries
      • 1.1.2.2. Knee Ligament Injuries
      • 1.1.2.3. Knee Cartilage Injuries
      • 1.1.2.4. Meniscus Tears
  • 1.2. Diagnosis and Referral Patterns
  • 1.3. Procedure Overview
    • 1.3.1. Orthopedic Soft Tissue Procedures
      • 1.3.1.1. Shoulder Fixation and Rotator Cuff Reinforcement
        • Rotator Cuff Repair
        • Glenohumeral Instability Repair
      • 1.3.1.2. Knee Ligament Reconstruction
        • By Material
        • Autografts
        • Allografts
        • Other
        • By Anatomy
        • Anterior Cruciate Ligament-Only Reconstruction
        • Multiple Ligament Reconstruction
      • 1.3.1.3. Knee Cartilage Repair
        • Debridement and Microfracture
        • Osteochondral Autograft Transplantation
        • Osteochondral Allograft Transplantation
        • Autologous Chondrocyte Implantation
        • Single-Step Procedures
        • Synthetic Implantation
      • 1.3.1.4. Meniscus Repair
        • Meniscectomy
        • Meniscus Tear Repair
    • 1.3.2. Competing Treatments
  • 1.4. Clinical Guidelines
  • 1.5. Country Overviews
    • 1.5.1. France
      • 1.5.1.1. Demographics and Economy
      • 1.5.1.2. Health Care System
      • 1.5.1.3. Regulatory Environment
    • 1.5.2. Germany
      • 1.5.2.1. Demographics and Economy
      • 1.5.2.2. Health Care System
      • 1.5.2.3. Regulatory Environment
    • 1.5.3. Italy
      • 1.5.3.1. Demographics and Economy
      • 1.5.3.2. Health Care System
      • 1.5.3.3. Regulatory Environment
    • 1.5.4. Spain
      • 1.5.4.1. Demographics and Economy
      • 1.5.4.2. Health Care System
      • 1.5.4.3. Regulatory Environment
    • 1.5.5. UK
      • 1.5.5.1. Demographics and Economy
      • 1.5.5.2. Health Care System
      • 1.5.5.3. Regulatory Environment
    • 1.5.6 Standardization of Advanced Medical Therapy Medicinal Products in the European Union
    • 1.5.7. European Manufacturing and Distribution

2.0 PRODUCTS

  • 2.1. Overview
    • 2.1.1. Products Covered
  • 2.2. Shoulder Suture Anchors
    • 2.2.1. Functions
    • 2.2.2. Differentiating Features
    • 2.2.3. Emerging Products
  • 2.3. Knee Ligament Reconstruction Fixation Devices
    • 2.3.1. Functions
    • 2.3.2. Differentiating Features
    • 2.3.3. Emerging Products
  • 2.4. Knee Cartilage Repair Products
    • 2.4.1. Functions
    • 2.4.2. Emerging Products
      • 2.4.2.1. DePuy Mitek's Cartilage Autograft Implantation System
      • 2.4.2.2. TiGenix's ChondroCelect
      • 2.4.2.3. BioSyntech's BST-CarGel
  • 2.5. Meniscus Repair Devices
    • 2.5.1 Functions
    • 2.5.2 Emerging Products
  • 2.6. Rotator Cuff Reinforcement Grafts
    • 2.6.1. Functions
    • 2.6.2. Differentiating Features
    • 2.6.3. Emerging Products
  • 2.7. Emerging Technologies

3.0 CLINICAL TRIALS

  • 3.1. Completed Clinical Trials
  • 3.2. Ongoing Clinical Trials

4.0 BRANDS AND COMPETITIVE ANALYSIS

  • 4.1. Overview
    • 4.1.1. Competitive Snapshot
    • 4.1.2. Detailed Competitive Landscape
    • 4.1.3. Market Shares
    • 4.1.4. Recent Events
  • 4.2. Shoulder Suture Anchor Market
    • 4.2.1. Competitive Snapshot
    • 4.2.2. Current Market Shares
  • 4.3. Knee Ligament Reconstruction Fixation Device Market
    • 4.3.1. Competitive Snapshot
    • 4.3.2. Current Market Shares
  • 4.4. Knee Cartilage Repair Market
    • 4.4.1. Competitive Snapshot
    • 4.4.2. Current Market Shares
  • 4.5. Meniscus Repair Device Market
    • 4.5.1. Competitive Snapshot
    • 4.5.2. Current Market Shares
  • 4.6. Rotator Cuff Reinforcement Graft Market
    • 4.6.1. Competitive Snapshot
    • 4.6.2. Current Market Shares

5.0 ORTHOPEDIC SOFT TISSUE SOLUTIONS MARKET OUTLOOK

  • 5.1. Market Snapshot
  • 5.2. Detailed Market Overview

6.0 SHOULDER SUTURE ANCHOR MARKET OUTLOOK

  • 6.1. Market Snapshot
  • 6.2. Detailed Market Overview
    • 6.2.1. Procedure Outlook
    • 6.2.2. Market Outlook
  • 6.3. French Market Outlook
  • 6.4. German Market Outlook
  • 6.5. Italian Market Outlook
  • 6.6. Spanish Market Outlook
  • 6.7. UK Market Outlook

7.0 KNEE LIGAMENT RECONSTRUCTION FIXATION DEVICE MARKET OUTLOOK

  • 7.1. Market Snapshot
  • 7.2. Detailed Market Overview
    • 7.2.1. Procedure Outlook by Anatomy
    • 7.2.2. Procedure Outlook by Material
    • 7.2.3. Procedure Outlook by Material Group
    • 7.2.4. Market Outlook
  • 7.3. French Market Outlook
  • 7.4. German Market Outlook
  • 7.5. Italian Market Outlook
  • 7.6. Spanish Market Outlook
  • 7.7. UK Market Outlook

8.0 KNEE CARTILAGE REPAIR MARKET OUTLOOK

  • 8.1. Market Snapshot
  • 8.2. Detailed Market Overview
    • 8.2.1. Debridement and Microfracture (Procedures Only)
    • 8.2.2. Autologous Chondrocyte Implantation Market
    • 8.2.3. Single-Step Technology Market
    • 8.2.4. Osteochondral Autograft Market
    • 8.2.5. Osteochondral Allograft Market
    • 8.2.6. Synthetic Implant Market
  • 8.3. French Market Outlook
  • 8.4. German Market Outlook
  • 8.5. Italian Market Outlook
  • 8.6. Spanish Market Outlook
  • 8.7. UK Market Outlook

9.0 MENISCUS REPAIR DEVICE MARKET

  • 9.1. Market Snapshot
  • 9.2. Detailed Market Overview
  • 9.3. French Market Outlook Tables
  • 9.4. German Market Outlook Tables
  • 9.5. Italian Market Outlook Tables
  • 9.6. Spanish Market Outlook Tables
  • 9.7. UK Market Outlook Tables

10.0 ROTATOR CUFF REINFORCEMENT GRAFT MARKET OUTLOOK

  • 10.1. Market Snapshot
  • 10.2. Detailed Market Overview
  • 10.3. French Market Outlook
  • 10.4. German Market Outlook
  • 10.5. Italian Market Outlook
  • 10.6. Spanish Market Outlook
  • 10.7. UK Market Outlook

APPENDIX A: METHODOLOGY

APPENDIX B: MRG ACRONYMS AND INITIALISMS

APPENDIX C: BIBLIOGRAPHY

LIST OF FIGURES AND TABLES

TABLE OF CONTENTS

LIST OF FIGURES AND TABLES

EXECUTIVE SUMMARY

  • Figure 1: Orthopedic Soft Tissue Solutions Market, by Country, Europe (US$), 2010 - 2016
  • Table 1: Orthopedic Soft Tissue Solutions Market Landscape, Europe (US$), 2011 and 2016
  • Table 2: Orthopedic Soft Tissue Solutions Market Leaders, by Product Type and Revenue, Europe, 2011
  • Table 3: Most Promising Emerging Technologies in the Orthopedic Soft Tissue Solutions Market, Europe, 2011 - 2016
  • Table 4: Expected Key Events in the Orthopedic Soft Tissue Solutions Market, Europe, 2012 - 2016
  • Table 5: Factors Impacting the Orthopedic Soft Tissue Solutions Market, by Product Type, Europe, 2011 - 2016
  • Table 6: Companies Mentioned in This Report
  • Table 7: Key Report Updates, 2012

1.0 CLINICAL LANDSCAPE

  • Table 8: BTB Autograft Advantages and Disadvantages
  • Table 9: Soft Tissue Autograft Advantages and Disadvantages
  • Table 10: Key Health and Economic Indicators, France
  • Table 11: Key Health and Economic Indicators, Germany
  • Table 12: Key Health and Economic Indicators, Italy
  • Table 13: Key Health and Economic Indicators, Spain
  • Table 14: Key Health and Economic Indicators, UK

2.0 PRODUCTS

  • Table 15: Orthopedic Soft Tissue Solutions Market, by Product Type, Europe
  • Table 16: Advantages and Disadvantages of Suture Anchors, by Product Type
  • Table 17: Advantages and Disadvantages of Suture Anchors, by Material
  • Table 18: Knee Ligament Reconstruction Fixation Device Functions, by Product Type
  • Table 19: Advantages and Disadvantages of Interference Screws, by Material
  • Table 20: Knee Cartilage Repair Products, by Procedure Type
  • Table 21: Meniscus Repair Device Functions, by Product Type
  • Table 22: Rotator Cuff Reinforcement Grafts, by Material
  • Table 23: Advantages and Disadvantages of Rotator Cuff Reinforcement Grafts, by Material

3.0 CLINICAL TRIALS

  • Table 24: Summary of Single-Row versus Double-Row Rotator Cuff Repair: Charge-Analysis and Outcomes Assessment
  • Table 25: Summary of Prospective Comparison of Isolated Anteromedial Bundle and Posterolateral Bundle ACL Augmentation
  • Table 26: Summary of 10 to 16 Years Follow Up of Autologous Chondrocyte Implantation and Survivorship Analysis
  • Table 27: Summary of Knee Preservation with Combined High Tibial Osteotomy and Matrix Induced Autologous Chondrocyte Implantation Trial
  • Table 28: Summary of Long-Term Outcomes Following Allograft Anterior Cruciate Ligament Reconstruction
  • Table 29: Summary of New Suture Method for Radial Tear of Meniscus Using a Cross-Suture Technique Trial
  • Table 30: Summary of Cartilage Autograft Implantation System for the Repair of Knee Cartilage Through Cartilage Regeneration Trial
  • Table 31: Summary of SLAP Lesions; A Comparison of Conservative and Operative Treatment
  • Table 32: Summary of Conexa Trial
  • Table 33: Summary of Comparison of Three Methods for Anterior Cruciate Ligament Reconstruction

4.0 BRANDS AND COMPETITIVE ANALYSIS

  • Table 34: Leading Competitors in the Orthopedic Soft Tissue Solutions Market, by Product Type, as a % of Total, Europe, 2011
  • Table 35: Leading Competitors in the Orthopedic Soft Tissue Solutions Market, by Country, as a % of Total, Europe, 2011
  • Table 36: Recent Events in the Orthopedic Soft Tissue Solutions Market, Europe
  • Table 37: Leading Competitors in the Shoulder Suture Anchor Market, by Country, as a % of Total, Europe, 2011
  • Table 38: Leading Competitors in the Knee Ligament Reconstruction Fixation Device Market, by Country, as a % of Total, Europe, 2011
  • Table 39: Leading Competitors in the Knee Cartilage Repair Market, by Country, as a % of Total, Europe, 2011
  • Table 40: Leading Competitors in the Meniscus Repair Device Market, by Country, as a % of Total, Europe, 2011
  • Table 41: Leading Competitors in the Rotator Cuff Reinforcement Graft Market, as a % of Total, Europe, 2011

5.0 ORTHOPEDIC SOFT TISSUE SOLUTIONS MARKET OUTLOOK

  • Figure 2: Orthopedic Soft Tissue Solutions Market, by Product Type, Europe (US$), 2010 - 2016
  • Table 42: Factors Impacting the Orthopedic Soft Tissue Solutions Market, by Product Type, Europe, 2011-2016
  • Table 43: Orthopedic Soft Tissue Procedures, by Procedure Type, Europe, 2010 - 2016
  • Table 44: Orthopedic Soft Tissue Procedures, by Country, Europe, 2010 - 2016
  • Table 45: Orthopedic Soft Tissue Solutions Market, by Product Type, Europe (US$ and € ), 2010 - 2016
  • Table 46: Orthopedic Soft Tissue Solutions Market, by Country, Europe (US$, € , and £), 2010 - 2016

6.0 SHOULDER SUTURE ANCHOR MARKET OUTLOOK

  • Figure 3: Shoulder Suture Anchor Market, by Product Type, as a % of Total, Europe, 2011 and 2016
  • Table 47: Shoulder Fixation Procedures, by Country, Europe, 2010 - 2016
  • Table 48: Shoulder Fixation Procedures, by Procedure Type, Europe, 2010 - 2016
  • Table 49: Rotator Cuff Repairs, by Approach, Europe, 2010 - 2016
  • Table 50: Rotator Cuff Repairs, by Technique, Europe, 2010 - 2016
  • Table 51: Glenohumeral Joint Repairs, by Approach, Europe, 2010 - 2016
  • Table 52: Shoulder Suture Anchor Market, by Country, Europe (US$, € , and £), 2010 - 2016
  • Table 53: Shoulder Suture Anchor Market, by Product Type, Europe (US$ and € ), 2010 - 2016
  • Table 54: Shoulder Suture Anchor Market Growth, by Product Type, Europe, 2011 - 2016
  • Table 55: Shoulder Suture Anchor Market, by Product Type, as a % of Total, Europe, 2010 - 2016
  • Table 56: Shoulder Suture Anchor Market, by Material, Europe (US$ and € ), 2010 - 2016
  • Table 57: Shoulder Suture Anchor Market Growth, by Material, Europe, 2011 - 2016
  • Table 58: Shoulder Suture Anchor Market, by Material, as a % of Total, Europe, 2010 - 2016
  • Table 59: Shoulder Fixation Procedures, by Procedure Type, France, 2010 - 2016
  • Table 60: Rotator Cuff Repairs, by Approach, France, 2010 - 2016
  • Table 61: Rotator Cuff Repairs, by Technique, France, 2010 - 2016
  • Table 62: Glenohumeral Joint Repairs, by Approach, France, 2010 - 2016
  • Table 63: Shoulder Suture Anchor Market, by Product Type, France (US$ and € ), 2010 - 2016
  • Table 64: Shoulder Suture Anchor Market Growth, by Product Type, France, 2011 - 2016
  • Table 65: Shoulder Suture Anchor Market, by Product Type, as a % of Total, France, 2010 - 2016
  • Table 66: Shoulder Suture Anchor Market, by Material, France (US$ and € ), 2010 - 2016
  • Table 67: Shoulder Suture Anchor Market Growth, by Material, France, 2011 - 2016
  • Table 68: Shoulder Suture Anchor Market, by Material, as a % of Total, France, 2010 - 2016
  • Table 69: Shoulder Fixation Procedures, by Procedure Type, Germany, 2010 - 2016
  • Table 70: Rotator Cuff Repairs, by Approach, Germany, 2010 - 2016
  • Table 71: Rotator Cuff Repairs, by Technique, Germany, 2010 - 2016
  • Table 72: Glenohumeral Joint Repairs, by Approach, Germany, 2010 - 2016
  • Table 73: Shoulder Suture Anchor Market, by Product Type, Germany (US$ and € ), 2010 - 2016
  • Table 74: Shoulder Suture Anchor Market Growth, by Product Type, Germany, 2011 - 2016
  • Table 75: Shoulder Suture Anchor Market, by Product Type, as a % of Total, Germany, 2010 - 2016
  • Table 76: Shoulder Suture Anchor Market, by Material, Germany (US$ and € ), 2010 - 2016
  • Table 77: Shoulder Suture Anchor Market Growth, by Material, Germany, 2011 - 2016
  • Table 78: Shoulder Suture Anchor Market, by Material, as a % of Total, Germany, 2010 - 2016
  • Table 79: Shoulder Fixation Procedures, by Procedure Type, Italy, 2010 - 2016
  • Table 80: Rotator Cuff Repairs, by Approach, Italy, 2010 - 2016
  • Table 81: Rotator Cuff Repairs, by Technique, Italy, 2010 - 2016
  • Table 82: Glenohumeral Joint Repairs, by Approach, Italy, 2010 - 2016
  • Table 83: Shoulder Suture Anchor Market, by Product Type, Italy (US$ and € ), 2010 - 2016
  • Table 84: Shoulder Suture Anchor Market Growth, by Product Type, Italy, 2011 - 2016
  • Table 85: Shoulder Suture Anchor Market, by Product Type, as a % of Total, Italy, 2010 - 2016
  • Table 86: Shoulder Suture Anchor Market, by Material, Italy (US$ and € ), 2010 - 2016
  • Table 87: Shoulder Suture Anchor Market Growth, by Material, Italy, 2011 - 2016
  • Table 88: Shoulder Suture Anchor Market, by Material, as a % of Total, Italy, 2010 - 2016
  • Table 89: Shoulder Fixation Procedures, by Procedure Type, Spain, 2010 - 2016
  • Table 90: Rotator Cuff Repairs, by Approach, Spain, 2010 - 2016
  • Table 91: Rotator Cuff Repairs, by Technique, Spain, 2010 - 2016
  • Table 92: Glenohumeral Joint Repairs, by Approach, Spain, 2010 - 2016
  • Table 93: Shoulder Suture Anchor Market, by Product Type, Spain (US$ and € ), 2010 - 2016
  • Table 94: Shoulder Suture Anchor Market Growth, by Product Type, Spain, 2011 - 2016
  • Table 95: Shoulder Suture Anchor Market, by Product Type, as a % of Total, Spain, 2010 - 2016
  • Table 96: Shoulder Suture Anchor Market, by Material, Spain (US$ and € ), 2010 - 2016
  • Table 97: Shoulder Suture Anchor Market Growth, by Material, Spain, 2011 - 2016
  • Table 98: Shoulder Suture Anchor Market, by Material, as a % of Total, Spain, 2010 - 2016
  • Table 99: Shoulder Fixation Procedures, by Procedure Type, UK, 2010 - 2016
  • Table 100: Rotator Cuff Repairs, by Approach, UK, 2010 - 2016
  • Table 101: Rotator Cuff Repairs, by Technique, UK, 2010 - 2016
  • Table 102: Glenohumeral Joint Repairs, by Approach, UK, 2010 - 2016
  • Table 103: Shoulder Suture Anchor Market, by Product Type, UK (US$, € , and £), 2010 - 2016
  • Table 104: Shoulder Suture Anchor Market Growth, by Product Type, UK, 2011 - 2016
  • Table 105: Shoulder Suture Anchor Market, by Product Type, as a % of Total, UK, 2010 - 2016
  • Table 106: Shoulder Suture Anchor Market, by Material, UK (US$, € , and £), 2010 - 2016
  • Table 107: Shoulder Suture Anchor Market Growth, by Material, UK, 2011 - 2016
  • Table 108: Shoulder Suture Anchor Market, by Material, as a % of Total, UK, 2010 - 2016

7.0 KNEE LIGAMENT RECONSTRUCTION FIXATION DEVICE MARKET OUTLOOK

  • Figure 4: Knee Ligament Reconstruction Procedures, by Anatomy, Europe, 2010 - 2016
  • Table 109: Knee Ligament Reconstruction Procedures, by Country, Europe, 2010 - 2016
  • Table 110: Knee Ligament Reconstruction Procedures, by Anatomy, Europe, 2010 - 2016
  • Table 111: Knee Ligament Reconstruction Procedures, by Material, Europe, 2010 - 2016
  • Table 112: Knee Ligament Reconstruction Procedures, by Material Group, Europe, 2010 - 2016
  • Table 113: Knee Ligament Reconstruction Fixation Device Market, by Country, Europe (US$, € , and £), 2010 - 2016
  • Table 114: Knee Ligament Reconstruction Fixation Device Market, by Product Type, Europe (US$ and € ), 2010 - 2016
  • Table 115: Interference Screw Market, by Product Feature, Europe (US$ and € ), 2010 - 2016
  • Table 116: Knee Ligament Reconstruction Procedures, by Anatomy, France, 2010 - 2016
  • Table 117: Knee Ligament Reconstruction Procedures, by Material, France, 2010 - 2016
  • Table 118: Knee Ligament Reconstruction Procedures, by Material Group, France, 2010 - 2016
  • Table 119: Knee Ligament Reconstruction Fixation Device Market, by Product Type, France (US$ and € ), 2010 - 2016
  • Table 120: Knee Ligament Reconstruction Fixation Device Market Growth, by Product Type, France, 2011 - 2016
  • Table 121: Knee Ligament Reconstruction Fixation Device Market, by Product Type, as a % of Total, France, 2010 - 2016
  • Table 122: Interference Screw Market, by Product Feature, France (US$ and € ), 2010 - 2016
  • Table 123: Knee Ligament Reconstruction Procedures, by Anatomy, Germany, 2010 - 2016
  • Table 124: Knee Ligament Reconstruction Procedures, by Material, Germany, 2010 - 2016
  • Table 125: Knee Ligament Reconstruction Procedures, by Material Group, Germany, 2010 - 2016
  • Table 126: Knee Ligament Reconstruction Fixation Device Market, by Product Type, Germany (US$ and € ), 2010 - 2016
  • Table 127: Knee Ligament Reconstruction Fixation Device Market Growth, by Product Type, Germany, 2011 - 2016
  • Table 128: Knee Ligament Reconstruction Fixation Device Market, by Product Type, as a % of Total, Germany, 2010 - 2016
  • Table 129: Interference Screw Market, by Product Feature, Germany (US$ and € ), 2010 - 2016
  • Table 130: Knee Ligament Reconstruction Procedures, by Anatomy, Italy, 2010 - 2016
  • Table 131: Knee Ligament Reconstruction Procedures, by Material, Italy, 2010 - 2016
  • Table 132: Knee Ligament Reconstruction Procedures, by Material Group, Italy, 2010 - 2016
  • Table 133: Knee Ligament Reconstruction Fixation Device Market, by Product Type, Italy (US$ and € ), 2010 - 2016
  • Table 134: Knee Ligament Reconstruction Fixation Device Market Growth, by Product Type, Italy, 2011 - 2016
  • Table 135: Knee Ligament Reconstruction Fixation Device Market, by Product Type, as a % of Total, Italy, 2010 - 2016
  • Table 136: Interference Screw Market, by Product Feature, Italy (US$ and € ), 2010 - 2016
  • Table 137: Knee Ligament Reconstruction Procedures, by Anatomy, Spain, 2010 - 2016
  • Table 138: Knee Ligament Reconstruction Procedures, by Material, Spain, 2010 - 2016
  • Table 139: Knee Ligament Reconstruction Procedures, by Material Group, Spain, 2010 - 2016
  • Table 140: Knee Ligament Reconstruction Fixation Device Market, by Product Type, Spain (US$ and € ), 2010 - 2016
  • Table 141: Knee Ligament Reconstruction Fixation Device Market Growth, by Product Type, Spain, 2011 - 2016
  • Table 142: Knee Ligament Reconstruction Fixation Device Market, by Product Type, as a % of Total, Spain, 2010 - 2016
  • Table 143: Interference Screw Market, by Product Feature, Spain (US$ and € ), 2010 - 2016
  • Table 144: Knee Ligament Reconstruction Procedures, by Anatomy, UK, 2010 - 2016
  • Table 145: Knee Ligament Reconstruction Procedures, by Material, UK, 2010 - 2016
  • Table 146: Knee Ligament Reconstruction Procedures, by Material Group, UK, 2010 - 2016
  • Table 147: Knee Ligament Reconstruction Fixation Device Market, by Product Type, UK (US$, € , and £), 2010 - 2016
  • Table 148: Knee Ligament Reconstruction Fixation Device Market Growth, by Product Type, UK, 2011 - 2016
  • Table 149: Knee Ligament Reconstruction Fixation Device Market, by Product Type, as a % of Total, UK, 2010 - 2016
  • Table 150: Interference Screw Market, by Product Feature, UK (US$, € , and £), 2010 - 2016

8.0 KNEE CARTILAGE REPAIR MARKET OUTLOOK

  • Figure 5: Knee Cartilage Repair Market, by Procedure Type, Europe (US$), 2010 - 2016
  • Table 151: Knee Cartilage Repairs, by Country, Europe, 2010 - 2016
  • Table 152: Knee Cartilage Repairs, by Procedure Type, Europe, 2010 - 2016
  • Table 153: Knee Cartilage Repair Market, by Country, Europe (US$, € , and £), 2010 - 2016
  • Table 154: Knee Cartilage Repair Market, by Procedure Type, Europe (US$), 2010 - 2016
  • Table 155: Knee Cartilage Repair Market, by Procedure Type, Europe (€ ), 2010 - 2016
  • Table 156: Knee Cartilage Repair Market Growth, by Procedure Type, Europe, 2011 - 2016
  • Table 157: Knee Cartilage Repair Market, by Procedure Type, as a % of Total, Europe, 2010 - 2016
  • Table 158: Knee Cartilage Repairs, by Procedure Type, France, 2010 - 2016
  • Table 159: Knee Cartilage Repair Market, by Procedure Type, France (US$), 2010 - 2016
  • Table 160: Knee Cartilage Repair Market, by Procedure Type, France (€ ), 2010 - 2016
  • Table 161: Knee Cartilage Repair Market Growth, by Procedure Type, France, 2011 - 2016
  • Table 162: Knee Cartilage Repair Market, by Procedure Type, as a % of Total, France, 2010 - 2016
  • Table 163: Knee Cartilage Repairs, by Procedure Type, Germany, 2010 - 2016
  • Table 164: Knee Cartilage Repair Market, by Procedure Type, Germany (US$), 2010 - 2016
  • Table 165: Knee Cartilage Repair Market, by Procedure Type, Germany (€ ), 2010 - 2016
  • Table 166: Knee Cartilage Repair Market Growth, by Procedure Type, Germany, 2011 - 2016
  • Table 167: Knee Cartilage Repair Market, by Procedure Type, as a % of Total, Germany, 2010 - 2016
  • Table 168: Knee Cartilage Repairs, by Procedure Type, Italy, 2010 - 2016
  • Table 169: Knee Cartilage Repair Market, by Procedure Type, Italy (US$), 2010 - 2016
  • Table 170: Knee Cartilage Repair Market, by Procedure Type, Italy (€ ), 2010 - 2016
  • Table 171: Knee Cartilage Repair Market Growth, by Procedure Type, Italy, 2011 - 2016
  • Table 172: Knee Cartilage Repair Market, by Procedure Type, as a % of Total, Italy, 2010 - 2016
  • Table 173: Knee Cartilage Repairs, by Procedure Type, Spain, 2010 - 2016
  • Table 174: Knee Cartilage Repair Market, by Procedure Type, Spain (US$), 2010 - 2016
  • Table 175: Knee Cartilage Repair Market, by Procedure Type, Spain (€ ), 2010 - 2016
  • Table 176: Knee Cartilage Repair Market Growth, by Procedure Type, Spain, 2011 - 2016
  • Table 177: Knee Cartilage Repair Market, by Procedure Type, as a % of Total, Spain, 2010 - 2016
  • Table 178: Knee Cartilage Repairs, by Procedure Type, UK, 2010 - 2016
  • Table 179: Knee Cartilage Repair Market, by Procedure Type, UK (US$), 2010 - 2016
  • Table 180: Knee Cartilage Repair Market, by Procedure Type, UK (€ ), 2010 - 2016
  • Table 181: Knee Cartilage Repair Market, by Procedure Type, UK (£), 2010 - 2016
  • Table 182: Knee Cartilage Repair Market Growth, by Procedure Type, UK, 2011 - 2016
  • Table 183: Knee Cartilage Repair Market, by Procedure Type, as a % of Total, UK, 2010 - 2016

9.0 MENISCUS REPAIR DEVICE MARKET

  • Figure 6: Meniscus Procedures, by Procedure Type, Europe, 2010 - 2016
  • Table 184: Meniscus Procedures, by Country, Europe, 2010 - 2016
  • Table 185: Meniscus Procedures, by Procedure Type, Europe, 2010 - 2016
  • Table 186: Meniscus Repairs, by Technique, Europe, 2010 - 2016
  • Table 187: Meniscus Repair Device Market, by Country, Europe (US$, € , and £), 2010 - 2016
  • Table 188: Meniscus Repair Device Market, by Product Type, Europe (US$ and € ), 2010 - 2016
  • Table 189: Meniscus Repair Device Market Growth, by Product Type, Europe, 2011 - 2016
  • Table 190: Meniscus Repair Device Market, by Product Type, as a % of Europe, 2010 - 2016
  • Table 191: Meniscus Procedures, by Procedure Type, France, 2010 - 2016
  • Table 192: Meniscus Repairs, by Technique, France, 2010 - 2016
  • Table 193: Meniscus Repair Device Market, by Product Type, France (US$ and € ), 2010 - 2016
  • Table 194: Meniscus Repair Device Market Growth, by Product Type, France, 2011 - 2016
  • Table 195: Meniscus Repair Device Market, by Product Type, as a % of Total, France, 2010 - 2016
  • Table 196: Meniscus Procedures, by Procedure Type, Germany, 2010 - 2016
  • Table 197: Meniscus Repairs, by Technique, Germany, 2010 - 2016
  • Table 198: Meniscus Repair Device Market, by Product Type, Germany (US$ and € ), 2010 - 2016
  • Table 199: Meniscus Repair Device Market Growth, by Product Type, Germany, 2011 - 2016
  • Table 200: Meniscus Repair Device Market, by Product Type, as a % of Total, Germany, 2010 - 2016
  • Table 201: Meniscus Procedures, by Procedure Type, Italy, 2010 - 2016
  • Table 202: Meniscus Repairs, by Technique, Italy, 2010 - 2016
  • Table 203: Meniscus Repair Device Market, by Product Type, Italy (US$ and € ), 2010 - 2016
  • Table 204: Meniscus Repair Device Market Growth, by Product Type, Italy, 2011 - 2016
  • Table 205: Meniscus Repair Device Market, by Product Type, as a % of Total, Italy, 2010 - 2016
  • Table 206: Meniscus Procedures, by Procedure Type, Spain, 2010 - 2016
  • Table 207: Meniscus Repairs, by Technique, Spain, 2010 - 2016
  • Table 208: Meniscus Repair Device Market, by Product Type, Spain (US$ and € ), 2010 - 2016
  • Table 209: Meniscus Repair Device Market Growth, by Product Type, Spain, 2011 - 2016
  • Table 210: Meniscus Repair Device Market, by Product Type, as a % of Total, Spain, 2010 - 2016
  • Table 211: Meniscus Procedures, by Procedure Type, UK, 2010 - 2016
  • Table 212: Meniscus Repairs, by Technique, UK, 2010 - 2016
  • Table 213: Meniscus Repair Device Market, by Product Type, UK (US$, £, and € ), 2010 - 2016
  • Table 214: Meniscus Repair Device Market Growth, by Product Type, UK, 2011 - 2016
  • Table 215: Meniscus Repair Device Market, by Product Type, as a % of Total, UK, 2010 - 2016

10.0 ROTATOR CUFF REINFORCEMENT GRAFT MARKET OUTLOOK

  • Figure 7: Rotator Cuff Reinforcement Graft Market, by Country, Europe (US$), 2010 - 2016
  • Table 216: Rotator Cuff Reinforcement Graft Units, by Country, Europe, 2010 - 2016
  • Table 217: Rotator Cuff Reinforcement Graft Market, by Country, Europe (US$, € , and £), 2010 - 2016
  • Table 218: Rotator Cuff Reinforcement Graft Market, France, (US$ and € ), 2010 - 2016
  • Table 219: Rotator Cuff Reinforcement Graft Market, Germany, (US$ and € ), 2010 - 2016
  • Table 220: Rotator Cuff Reinforcement Graft Market, Italy, (US$ and € ), 2010 - 2016
  • Table 221: Rotator Cuff Reinforcement Graft Market, Spain, (US$ and € ), 2010 - 2016
  • Table 222: Rotator Cuff Reinforcement Graft Market, UK, (US$, € , and £), 2010 - 2016

APPENDIX A: METHODOLOGY

  • Table 223: Average Currency Exchange Rates, 2012

APPENDIX B: MRG ACRONYMS AND INITIALISMS

  • MRG Acronyms and Initialisms

APPENDIX C: BIBLIOGRAPHY

European Markets for Orthopedic Soft Tissue Solutions 2012 published by Millennium Research Group in March 31, 2012. This report price starts from US $ 6195.

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Press Release

European Soft Tissue Solutions Market Close to $320 Million by 2016, Premium-Priced Devices Support Revenues

May 22nd, 2012

Global Information Inc. would like to present a new market research report, "European Markets for Orthopedic Soft Tissue Solutions 2012" by Millennium Research Group.

Despite downward pricing pressures from poor economies and tight healthcare reimbursement, rising procedure volumes will enable the European soft tissue solutions market to grow to a value of nearly $320 million by 2016.

The orthopedic soft tissue solutions market is largely driven by elective procedures, so the negative impact of economic conditions on household disposable income has a strong effect on growth and will continue to limit the market through 2016. However, the growing over-50 population, with its increased susceptibility to degenerative conditions, will be the primary driver of procedure volumes and combined with factors such as increasing levels of obesity and increasing participation in sports, will ensure that procedure volumes continue to grow.

The overall market will be supported by several high-growth segments. For example, Europe-wide approval for premium-priced autologous chondrocyte implantation, mediated by the European Medicines Agencys standardized regulatory framework for tissue-engineered products, set to take effect in 2013, will encourage penetration of these products and is expected to boost the knee cartilage repair segment of the market through 2016.

In addition, arthroscopic techniques, which result in less patient pain and faster recovery times and therefore will encourage people to seek treatment for injuries, are becoming increasingly available in Europe and newer surgeons are likely to receive training to perform surgeries using these techniques.

"While there is continued downward pressure on average selling prices by cash-strapped healthcare facilities and patients, the growing adoption of premium-priced devices such as resorbable shoulder suture anchors and composite interference screws will support revenue growth," said MRG Analyst Rene Azeez. "Shoulder suture anchors and knee ligament reconstruction devices will be the two largest revenue segments in the European orthopedic soft tissue solutions market through 2016. The growing adoption of premium-priced devices in those segments will thus have a strong stimulating effect on the market overall."

Millennium Research Groups European Markets for Orthopedic Soft Tissue Solutions 2012 report includes procedure, unit, average selling price and revenue information, along with market drivers and limiters and competitive landscape for shoulder suture anchors, knee ligament reconstruction devices, knee cartilage repair devices, meniscus repair devices, and rotator cuff reinforcement grafts sold in France, Germany, Italy, Spain and the United Kingdom.

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