Conventional Hip Screws Market Size, Share, & Trends Analysis | Global | 2025-2031 | Includes: Stainless Steel Market and Titanium Market

The global conventional hip screw market was valued at $160 million in 2024. The market is expected to decrease at a compound annual growth rate (CAGR) of -1.6 percent, reaching $142 million by 2031.

This report covers the full suite of products in the conventional hip screw category, including titanium and stainless steel constructs. It quantifies unit sales, average selling prices (ASPs), market values, growth rates, and company shares. It analyzes procedure numbers, market drivers and limiters, recent mergers and acquisitions, company strategies, and technology trends. Historical data extend to 2021 with forecasts through 2031.

Market Overview

Conventional hip screws remain a familiar workhorse in proximal femoral fracture care. Although intramedullary hip nails have become the preferred choice in many intertrochanteric and subtrochanteric indications, conventional dynamic hip screw constructs continue to be used where anatomy and fracture pattern allow stable fixation with a plate and lag screw. The technique is well known to orthopedic surgeons, instrumentation is widely available, and the procedures are relatively straightforward in less comminuted cases.

The market's decline reflects a steady clinical migration to intramedullary fixation and a rising preference for arthroplasty in older and osteoporotic patients. At the same time, conventional hip screws retain a role in settings where short operating time, cost control, or surgeon familiarity carry more weight. In systems that use tender purchasing and group contracts, the lower ASP of conventional hip screws ensures continued presence on price sensitive formularies, especially when budgets limit access to premium devices.

Material selection is another factor. The majority of conventional hip screws are stainless steel due to stiffness, wide availability, and lower price. There is a gradual shift toward titanium in select settings for biocompatibility and weight related benefits. This shift is modest compared with intramedullary devices, but it influences mix and creates small pockets of premium pricing where titanium plate and screw constructs are stocked.

Across regions, utilization varies with clinical protocols, reimbursement, and surgeon training. Mature markets in North America and Western Europe show the most pronounced shift to intramedullary nails and to arthroplasty for select fracture types. Parts of Latin America, Eastern Europe, the Middle East, Africa, and segments of Asia Pacific continue to use conventional hip screws more often in hospitals where equipment availability, cost, and training guide treatment selection.

Despite the downward value trend, the category remains important to hospital supply chains and to trauma services that need a reliable and affordable option on the shelf. Vendors compete on logistics, breadth of sizes, and service response as much as on product features, which are well established. Over the forecast horizon, market performance depends on procedure mix, tender outcomes, and the relative pace of adoption for intramedullary fixation and hip replacement in each region.

Market Drivers

Surgeon Familiarity

Conventional hip screws persist due to longstanding surgeon familiarity. Training programs have taught this method for decades, and many surgeons are highly efficient with plate and lag screw constructs. In less comminuted fractures, especially stable intertrochanteric patterns, the technique can be faster than alternative options. Shorter operative time and predictable instrumentation keep conventional systems in routine use for selected cases, which supports baseline unit demand even as the market contracts overall.

Titanium Material

While stainless steel is still the dominant material in conventional hip screw systems, there is a gradual increase in titanium use. Surgeons may choose titanium for specific patient factors or for service standardization with other titanium trauma sets. Titanium's biocompatibility and lower weight are known benefits, though the higher price affects adoption in cost sensitive facilities. The shift does not reverse the total market decline, but it can help maintain price mix where titanium options are stocked, creating small offsets to price compression in stainless steel lines.

Price Competition and Budget Fit

Conventional hip screws are price competitive relative to intramedullary devices. This matters where tenders rank offers by price and where hospital budgets are tight. Because the ASP is lower than that of IM hip screws, conventional constructs remain in catalogs and in emergency kits in many institutions. Even as usage narrows to specific fracture types and patient profiles, the combination of familiarity and lower upfront implant costs helps sustain ongoing purchases.

Market Limiters

ASP Decreases

Across regions, group purchasing organizations, government tenders, and value based procurement programs continue to place downward pressure on ASPs for orthopedic implants. Hospitals consolidate purchasing to extract lower prices, standardize trays, and simplify logistics. China's national procurement changes that began at the end of 2021 are a clear example of strong price compression. Similar dynamics in Western Europe and parts of North America limit pricing power for commoditized devices. For conventional hip screws, which already sell at lower prices, the room for premium features is small, so ASP erosion translates quickly into value decline.

Alternative Therapies

Two alternatives continue to limit demand. The first is the intramedullary hip nail, which offers a load sharing construct, better control of rotational and axial stability, and strong outcomes for intertrochanteric and subtrochanteric fractures. The second is hip arthroplasty. As surgeons gain experience with partial and total hip replacement for complex fractures in older patients, and as implant designs improve, arthroplasty is selected more often. Both options reduce the pool of cases that would otherwise use conventional screws and plates.

Growth of Hip Replacement

Hip replacement has advanced in durability, fit, biocompatibility, and ease of implantation. For displaced femoral neck fractures and for some unstable patterns in elderly patients, arthroplasty may offer faster return to function. As arthroplasty outcomes and pathways improve, surgeons are more likely to select replacement over internal fixation. This clinical shift lowers addressable volume for conventional screws and keeps the overall market on a downward trajectory.

Market Coverage and Data Scope

• Time frame: Base year 2024, forecasts 2025 to 2031, historical data 2021 to 2023.
• Care settings: Hospitals and trauma centers treating proximal femoral fractures across emergency and urgent pathways.
• Methodology: Revenues modeled as units multiplied by ASP, validated against procedure volumes, tender outcomes, and replacement assumptions.

Unit mix is segmented by material type and mapped to regional procurement patterns.

Market Segmentation Summary

• Conventional Hip Screw Market - Further Segmented Into:

Stainless Steel

Titanium

• Quantitative coverage: Market size, market shares, market forecasts, growth rates, units sold, and average selling prices.
• Qualitative coverage: Market growth trends, market limiters, competitive analysis and SWOT for top competitors, mergers and acquisitions, company profiles, product portfolios, disruptive technologies, and disease overviews.
• Data sources: Primary interviews with industry leaders, government and regulatory datasets, hospital procurement inputs, import and export data, and the iData Research internal database.

Competitive Analysis

DePuy Synthes

DePuy Synthes held the leading share of the conventional hip screw market in 2024. The company's LCP(R) Dynamic Hip Screw (DHS) Blade and related plate systems are widely used and benefit from strong brand recognition in trauma. DePuy Synthes' global scale, broad sales coverage, and established preference with many hospital committees support sustained leadership. Given the company's footprint in plates and screws, its position in conventional hip screws is expected to remain stable over the forecast period.

Stryker

Stryker was the second leading competitor with the Omega3(TM) conventional hip screw system. The portfolio features current locking options for plate shaft holes and integrates with Stryker's broader trauma platform. Brand strength, efficient logistics, and training programs support account retention. Stryker's focus on higher growth segments, such as intramedullary constructs, may limit aggressive share pursuit in this smaller category, but the company is well placed to maintain its position.

Zimmer Biomet

Zimmer Biomet ranked third with the HipLoc Dynamic Compression Screw and Conventional Hip Screw (CHS) lines. Conventional hip screws are a smaller focus within the company's total trauma portfolio, and market share is expected to remain stable. Zimmer Biomet competes through dependable supply and a complementary set of trauma implants that allows the company to serve both tender contracts and private purchasers.

Other regional suppliers participate in local tenders with competitive pricing and basic plate and screw systems. While these companies can influence regional pricing, the global share structure is concentrated among the leading multinationals who meet international quality standards and maintain wide service coverage.

Technology and Practice Trends

Standardized plate systems. Conventional hip screw portfolios continue to center on predictable plate hole patterns and lag screw options that streamline alignment and compression.

Locking options. Locking screws for plate shaft holes provide improved fixation in osteoporotic bone, helping bridge the gap with more modern constructs where appropriate.

Low profile plates. Slimmer plate profiles and polished edges reduce soft tissue irritation and may reduce hardware removal rates.

Instrumentation familiarity. Well known drills, guides, and compression devices keep setup and surgical steps simple, which supports continued use in straightforward fractures.

Material choice by case mix. Stainless steel remains the default for cost sensitive procurement. Titanium is stocked where hospitals want one material standard across trauma sets or where biocompatibility is prioritized.

Bundle strategies. Vendors often position conventional hip screws within larger plate and screw bundles to protect share in tenders and to align service levels across trauma lines.

Geography

This edition provides global coverage across North America, Europe, Asia-Pacific, Latin America, the Middle East, and Africa.

Methodology Appendix and Acronym Glossary included.

Why This Report

Where the largest and fastest changing opportunities exist within conventional hip screws by material and region through 2031.

How the shift to intramedullary fixation and arthroplasty is reshaping procedure mix and implant demand.

What pricing dynamics result from GPOs, government tendering, and value based procurement programs, and how these dynamics differ by region.

Which competitors are best positioned to defend share in this mature category and how portfolio depth, logistics, and training influence account retention.

How material selection and bundle strategies can help maintain price mix and service levels in cost constrained contracts.

What clinical scenarios still favor conventional constructs and how hospitals can optimize stocking to support urgent care while managing costs.

The Global Conventional Hip Screw Market Report from iData Research answers these questions with device level sizing, company share analysis, and pricing detail.

Use it to quantify demand, plan product and pricing strategy, benchmark against competitors, and align tender responses to regional buying patterns.