PUBLISHER: iData Research Inc. | PRODUCT CODE: 1847179
PUBLISHER: iData Research Inc. | PRODUCT CODE: 1847179
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The U.S. orthopedic soft tissue repair market was valued at over $2.3 billion in 2024. The market is expected to grow to reach nearly $3.4 billion by 2031.
This report covers Achilles tendon repair and reconstruction devices, rotator cuff repair and reconstruction devices, shoulder labrum repair devices, biceps tenodesis devices, ACL and PCL reconstruction products, meniscal repair devices, and hip arthroscopy devices.
It quantifies units, average selling prices, market values, growth rates, and company shares, and analyzes procedure volumes, growth drivers and limiters, mergers and acquisitions, and portfolio changes across hospitals, ambulatory surgery centers, specialty clinics, and select home or rehab settings where device use applies.
The framework reflects how orthopedic and sports medicine teams evaluate fixation constructs, grafts, anchors, and arthroscopic tool sets that improve outcomes and surgical efficiency.
Market Overview
Soft tissue repair remains a core focus in U.S. orthopedic and sports medicine practice. Demand is broad across shoulder, knee, hip, and foot and ankle procedures and is supported by an active patient population that seeks to return to activity.
Rotator cuff repair remains the largest revenue driver, while hip arthroscopy is growing faster as diagnostic awareness increases and more surgeons adopt consistent access and closure techniques. In knee procedures, ACL and PCL reconstruction continue to rely on diverse fixation methods and graft choices that can be matched to patient risk and lifestyle.
Meniscal preservation is gaining favor, although meniscectomy still accounts for a large share of procedures. Biceps tenodesis remains a more selective choice compared with tenotomy but is supported by specific cosmetic and functional goals.
Across segments, the market reflects ongoing movement toward knotless and all-suture approaches and broader options in graft reinforcement.
Market Drivers
Sports participation and care pathways. Competitive and recreational sports contribute to steady procedure volumes, and partnerships between manufacturers and professional organizations support training, clinical studies, and technique refinement.
Multi-use anchors and grafts. Suture anchors and graft reinforcement products can be used across multiple joints and procedures, which supports procurement efficiency, surgeon familiarity, and vendor standardization.
Technique and material advances. Growth in all-suture anchors and PEEK carbon fiber implants reflects a search for secure fixation with smaller footprints and controlled bone interaction. Technique choices such as double-row rotator cuff repair and augmentation strategies can improve fixation and support faster rehabilitation in appropriate patients.
Evolving knee reconstruction practice. Adjustable-loop suspensory buttons and next-generation intratunnel devices are widely used. Quadriceps tendon autograft has expanded as a versatile option across age groups. In higher-risk patients, selective use of lateral extra-articular tenodesis and internal brace constructs aims to lower failure.
Growing adoption of hip arthroscopy. Improved imaging and better understanding of labral pathology are lifting volumes. Early results from labral reconstruction and augmentation support continued interest.
Market Limiters
Cost sensitivity in outpatient settings. Ambulatory surgery centers place a high priority on cost control and supply predictability. This can limit uptake of higher cost grafts or reinforcement materials even when clinically attractive.
Reimbursement and policy constraints. Payment levels do not always reward the use of advanced devices or combined approaches, which can lead facilities to standardize around fewer device types.
Non-surgical management. Many tendon and ligament injuries can be managed with therapy, NSAIDs, and corticosteroids, which delays or displaces surgery for a portion of patients.
Bundled procedures. Combining procedures in one session, such as meniscal repair with ACL reconstruction or rotator cuff repair with biceps tenodesis, can reduce device units per episode and can put pressure on pricing through kit standardization.
Evidence variability. While biologic augmentation and primary repair solutions are under investigation, they remain limited to narrow indications. Adoption depends on clear outcome data, consistent technique guidance, and aligned reimbursement.
Market Coverage and Data Scope
Quantitative coverage. Market size, market shares, market forecasts, growth rates, units sold, average selling prices, and procedure numbers.
Qualitative coverage. Growth trends, market limiters, competitive analysis and SWOT for top competitors, mergers and acquisitions, company profiles and product portfolios, FDA recalls, disruptive technologies, and disease overviews that shape demand and procedure selection.
Time frame. Base year 2024, forecasts 2025 to 2031, historical data 2021 to 2023.
Data sources. Primary interviews with industry leaders, government physician and procedure data, regulatory data, hospital private data, import and export data, and the iData Research internal database.
Method note. Revenue is modeled from units multiplied by ASP, validated with procedure and utilization inputs, and checked against setting-level and facility-level adoption for the relevant devices and anchors.
Markets Covered and Segmentation
Achilles Tendon Repair and Reconstruction
Device type. Graft, suture anchor.
Rotator Cuff Repair and Reconstruction
Device type. Graft, suture anchor.
Device subtype. Knotless and knotted configurations for unit analysis.
Shoulder Labrum Repair
Device type. PLA, biocomposite, PEEK, PEEK carbon fiber, metal, all-suture.
Device subtype. Knotless and knotted configurations for unit analysis.
Biceps Tenodesis
Device type. Suture anchor, screw.
ACL and PCL Reconstruction
Device type. Allograft and fixation device categories.
Fixation landscape. Adjustable-loop suspensory buttons and intratunnel devices are widely used. Quadriceps tendon autograft is a growing choice. In higher risk cases, extra-articular tenodesis and internal brace constructs may be used to support graft protection.
Meniscal Repair
Device type. Implant, suture, and hybrid.
Preservation trend. Repair rates are increasing relative to removal, but meniscectomy remains common.
Hip Arthroscopy
Device type. Radiofrequency probe, banana blade, hip access kit, suture anchor, disposable kit, allograft.
Adoption trend. Detection of labral tears and refinement of access tools support growth.
Scapholunate Ligament Repair
This market is discussed qualitatively.
Competitive Analysis
Arthrex led the U.S. orthopedic soft tissue and sports medicine market in 2024 with strong presence in rotator cuff and ACL or PCL reconstruction and broad coverage in meniscal repair and hip arthroscopy.
Smith & Nephew held the second-largest share with strength in meniscal repair and top three positions in shoulder, ACL or PCL, and hip segments.
DePuy Synthes ranked third with strong participation in rotator cuff and shoulder labrum and balanced positions in knee and hip.
Other suppliers compete in selected niches or settings. The field is active and rewards dependable portfolios, training support, and efficient kits that help teams run predictable, low-variance procedures.
Technology and Practice Trends
Knotless and all-suture fixation. Wider use across shoulder and hip supports smaller footprints and controlled tensioning.
Reinforcement and augmentation. Synthetic grafts and patches can add repair strength in selected patients and techniques.
Standardized kits. Hospitals and ASCs adopt kits and disposable sets that shorten setup, help control inventory, and align with purchasing.
Arthroscopic workflow. Better access tools, RF management, and closure methods drive predictable case flow.
Care Settings
Coverage includes hospitals, ambulatory surgery centers, specialty clinics, and relevant post-acute or home settings where products are used or charged. The shift to outpatient care continues and influences pricing, kit design, and vendor service needs.
Geography
This edition covers the United States.
Methodology Appendix and Acronym Glossary for terminology and modeling.
Where is the largest and fastest growing opportunity within U.S. orthopedic soft tissue repair and how do shoulder, knee, hip, and Achilles segments contribute to growth over the forecast period.
How does the market relate to the broader U.S. economy and to hospital and ASC operations, including hiring, scheduling, implant standardization, and supply chain.
What forces will shape the market going forward, including changes in reimbursement, the pace of ASC migration, the role of reinforcement and augmentation, and the shift toward knotless and all-suture fixation.
Which techniques and materials are gaining traction in rotator cuff, labrum, ACL or PCL, meniscal, biceps, hip, and Achilles procedures and how do those choices affect units, ASPs, and procedural time.
How are ACL and PCL reconstruction strategies evolving, including the use of adjustable-loop buttons, intratunnel fixation, quadriceps tendon autograft, and selective adjuncts such as lateral extra-articular tenodesis and internal brace constructs.
What is the trajectory for meniscal preservation, and how might repair versus removal choices shape product demand and pricing.
Where does hip arthroscopy fit within the overall growth picture, given improved imaging, labral repair, and reconstruction practices.
How can commercial teams plan for cost sensitive ASC environments and align kit designs, price points, and service models with outpatient constraints.
What evidence gaps or policy issues slow adoption of premium devices or biologic augmentation and how should product strategy respond.
How should suppliers position training and education so that surgeons and OR teams can reduce variation and speed safe adoption of new devices or techniques.
The U.S. orthopedic soft tissue repair market report from iData Research answers these questions with procedure aware models, company share analysis, pricing and unit detail, and coverage that maps technique choices to device demand.
Use it to quantify opportunity by category, plan product roadmaps, set pricing and contracting targets, and prioritize training and support programs that improve consistency across settings.
Table Of Contents
List Of Figures
List Of Charts
U.S. Orthopedic Soft Tissue Repair Market Overview
Competitive Analysis
Emerging Markets And Technologies
Market Developments
Market Trends
Procedure Segmentation
Procedure Codes Investigated
Market Segmentation
Key Analysis Updates
Version History
Research Methodology
Impact Of Global Tariffs
U.S. Orthopedic Soft Tissue Repair Market Overview
Procedure Numbers
Achilles Tendon Repair & Reconstruction Market
Rotator Cuff Repair & Reconstruction Market
Shoulder Labrum Repair Market
Biceps Tenodesis Market
Acl/Pcl Reconstruction Market
Meniscal Repair Market
Hip Arthroscopy Market
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