Small Bone and Joint Devices Market Size, Share & Trends Analysis | Global | 2025-2031 | Includes: Shoulder Reconstruction Devices, Elbow Repair Device, and 2 more

Description

List of Tables

The global small bone and joint orthopedic device market was valued at nearly $5.6 billion in 2024. It is expected to grow at a compound annual growth rate (CAGR) of 5.6%, reaching over $8.1 billion by 2031.

This comprehensive report covers shoulder reconstruction, elbow repair, hand and wrist, and foot and ankle devices. Each anatomical category is further segmented by implant type, ranging from total joint reconstruction to internal fixation and bone fusion systems.

The analysis quantifies unit sales, average selling prices (ASPs), market values, and growth rates, alongside detailed competitive analysis, company shares, and forecasts through 2031, with historical data back to 2021.

Growth in this market is fueled by the global expansion of outpatient orthopedic care, minimally invasive procedures, and patient-specific implant technologies. These innovations, combined with an aging yet active population, are reshaping the landscape of extremity reconstruction and fixation.

Market Overview

The global small bone and joint orthopedic device market includes medical implants and instruments designed to restore function to the shoulder, elbow, hand, wrist, foot, and ankle. While each sub-segment has its own unique procedural profile, the market shares a common trend: a shift toward anatomically optimized, low-profile, and minimally invasive solutions.

Technological innovation continues to redefine how small joint surgery is performed. Surgeons are adopting 3D preoperative planning, patient-specific instrumentation, and intraoperative imaging to enhance accuracy and predictability. These tools enable more efficient soft-tissue management and improved implant alignment.

Another major change is the migration of procedures from hospitals to ambulatory surgery centers (ASCs). Outpatient facilities offer lower costs and faster recovery for patients, making them ideal for small joint procedures that require shorter anesthesia times and minimal hospital stays. As reimbursement systems adjust to reward efficiency, this shift is expected to accelerate.

Market value is further supported by a rising number of younger patients seeking surgical solutions that allow them to remain active. Unlike large-joint replacements, small joint surgeries often aim to preserve bone and maintain motion, aligning with modern lifestyle expectations. The convergence of precision implants, improved fixation materials, and motion-preserving designs is driving this segment's steady expansion.

Market Drivers

Aging Global Population

The population aged 65 and older is the fastest-growing demographic worldwide. These individuals remain more active than previous generations, leading to a higher incidence of degenerative and traumatic joint conditions in the upper and lower extremities. As a result, demand for reconstructive and fixation procedures is increasing across all small joint categories.

This demographic trend has especially benefited the shoulder reconstruction and foot and ankle segments, where arthroplasty and fusion procedures are rising steadily. Aging patients with rotator cuff arthropathy, osteoarthritis, or post-traumatic degeneration represent a reliable procedural base, while improved implant survival rates support confidence in surgical intervention.

Technological Advancements

Innovation remains a defining force. Minimally invasive surgical techniques, 3D preoperative planning, low-profile anatomic plates, and advanced fixation systems are improving precision and reducing recovery times.

The use of CT-based implant design and additive manufacturing (3D printing) allows for patient-specific implants and cutting guides that match individual bone geometry. These advances enable more accurate alignment and reduce the risk of soft-tissue irritation.

Shift Toward Outpatient Settings

As surgical instruments become more compact and procedures less invasive, small joint operations are increasingly performed in ASCs. This trend is driven by healthcare cost containment and by patient preference for outpatient recovery. Procedures such as reverse shoulder arthroplasty and total ankle replacement, once confined to inpatient environments, are now routinely done in outpatient settings with equal or better outcomes.

Market Limiters

Regulatory Stringency

Orthopedic device manufacturers face increasingly rigorous global approval standards. Agencies such as the U.S. FDA, European Medicines Agency (EMA), and national authorities in emerging markets continue to raise clinical evidence requirements.

Longer approval timelines, non-harmonized documentation standards, and region-specific testing protocols add cost and complexity to product launches. This dynamic can delay market entry for innovative technologies and limit early adoption in smaller regions.

Surgeon Training and Availability

Small joint procedures demand specialized expertise that differs from large joint surgery. A limited number of trained extremity surgeons-especially in developing markets-constrains procedural volume. The steep learning curve for advanced operations, such as reverse shoulder arthroplasty, total wrist arthroplasty, and total ankle replacement, can slow the pace of adoption even where demand exists.

Clinical Need Constraints

The total addressable market for small joint surgeries remains smaller than for hip or knee replacements. Conditions such as shoulder arthritis, elbow degeneration, or wrist collapse are less prevalent, resulting in lower procedural counts per capita. Although unit growth is steady, it is inherently capped by a narrower disease base.

Pricing and Reimbursement Pressure

Reimbursement structures vary widely by country. In many regions, the reimbursement for small joint procedures is less favorable than for large joint surgery, which pressures hospitals and suppliers to maintain affordability.

At the same time, procurement consolidation and group purchasing organizations (GPOs) in mature markets continue to limit price increases, keeping ASP growth modest even amid technology advancement.

Market Coverage and Data Scope

Quantitative coverage: Market size, market shares, market forecasts, growth rates, units sold, and ASPs.
Qualitative coverage: Growth trends, market limiters, competitive analysis, SWOT for leading competitors, mergers and acquisitions, company profiles, product portfolios, disruptive technologies, and disease overviews.
Time frame: Base year 2024, forecasts to 2031, historical data 2021-2023.
Data sources: Primary interviews with orthopedic industry leaders, surgeon surveys, regulatory data, hospital procurement databases, and iData Research's internal MedTech repository.
Method note: Market revenue is modeled as units X ASP, validated with procedural data and replacement cycle assumptions

Care settings include hospitals, orthopedic specialty centers, and ambulatory surgery centers (ASCs) across major global regions.

Markets Covered and Segmentation

Shoulder Reconstruction Device Market

Device type: Total shoulder implant, reversed shoulder implant, hemi shoulder implant, resurfacing shoulder implant, revision shoulder implant, proximal humerus plate and screw.

Elbow Repair Device Market

Device type: Primary elbow implant, radial head implant, elbow plate and screw.

Hand and Wrist Device Market

Device type: Wrist replacement, wrist fusion, ulnar head replacement, hand digit implant, distal radius plate and screw.

Foot and Ankle Device Market

Device type: Primary ankle replacement, ankle fusion, midfoot fixation, bunion treatment, hindfoot, foot digit implant, hammertoe, syndesmotic repair, calcaneal osteotomy.

Each segment is analyzed by unit volume, ASP, and market value, with historical and forecast data.

Competitive Analysis

Stryker led the global small bone and joint orthopedic device market in 2024. The company maintained dominant shares across shoulder, elbow, hand, wrist, and foot and ankle segments.

Stryker's leadership is driven by advanced joint replacement platforms, including the Infinity(TM) Total Ankle System and the Perform(R) Shoulder System, which are widely used for both primary and revision procedures. The company's focus on streamlined instrumentation and ASC compatibility continues to strengthen its market position.

DePuy Synthes ranked second globally, with particularly strong performance in the elbow, hand, and foot and ankle device markets. Its Variable Angle Locking Compression Plate (VA LCP(TM)) systems remain the benchmark for distal radius fixation and forefoot stabilization. The company's extensive distribution network and procedural training programs reinforce its brand across developed and emerging markets.

Zimmer Biomet held the third-largest share of the global small joint device market in 2024. The company's Comprehensive(R) Shoulder System and APTIS(R) Total Wrist Arthroplasty System are key platforms in upper extremity reconstruction. Zimmer Biomet's early investment in stemless shoulder implants and motion-preserving wrist technologies reflects its strategy to align with the growing motion preservation trend.

Other notable participants include Arthrex, Smith+Nephew, Integra LifeSciences, and Exactech, each maintaining strong positions in specific product categories. The market remains moderately concentrated but highly innovative, driven by continuous product refresh cycles, surgeon feedback, and procedural refinement.

Technology and Practice Trends

Patient-specific implants: 3D planning and additive manufacturing enable tailored solutions that enhance fit and alignment.
Minimally invasive fixation: Smaller incisions and low-profile implants reduce soft-tissue disruption and recovery time.
Outpatient migration: ASCs are capturing an increasing share of shoulder and ankle arthroplasty cases.
Advanced materials: Titanium, polyether ether ketone (PEEK), and bioabsorbable composites improve biocompatibility and load distribution.
Digital integration: Navigation, robotics, and augmented reality tools assist in implant positioning and reduce revision risk.
Motion preservation: Preference for implants that maintain natural biomechanics is reshaping long-term product development.

These innovations collectively drive market growth, emphasizing precision, recovery, and reproducibility in surgical outcomes.

Geography

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

Why This Report

Where are the largest and fastest-growing opportunities in the global small bone and joint device market?

Which technologies and implant categories are expected to gain the most share through 2031?

How are 3D planning, robotics, and patient-specific implants influencing procedural outcomes?

What are the pricing and regulatory challenges shaping product launches in emerging markets?

How are ASC adoption and outpatient migration impacting procurement strategies?

Which companies lead in each segment, and what are their innovation roadmaps?

What are the key risks to growth, including regulatory delays, surgeon shortages, and reimbursement constraints?

How can suppliers align portfolios and training programs to meet the next wave of demand?

The Global Small Bone and Joint Orthopedic Device Market Report from iData Research answers these questions with procedure-based models, company share analysis, and detailed pricing data. Use it to quantify demand, benchmark competitors, and plan for growth across all small joint categories.

Product Code: iDATA_GLSJ25_MS

TABLE OF CONTENT

Table Of Contents

List Of Figures

List Of Charts

Global Small Bone And Joint Orthopedic Device Market Overview

Competitive Analysis

Market Developments

Market Trends

Procedure Segmentation

Market Segmentation

Key Report Updates

Version History

Research Methodology

Step 1 - Project Initiation And Team Selection
Step 2 - Prepare Data Systems And Perform Secondary Research
Step 3 - Preparation For Interviews And Questionnaire Design
Step 4 - Performing Primary Research
Step 5 - Research Analysis: Establishing Baseline Estimates
Step 6 - Market Forecast And Analysis
Step 7 - Identify Strategic Opportunities
Step 8 - Final Review And Market Release
Step 9 - Customer Feedback And Market Monitoring

Impact Of Global Tariffs

Global Small Bone And Joint Orthopedic Device Market Overview

3.1 Introduction
- 3.1.1 Anatomy And Pathology
  - 3.1.1.1 Osteoarthritis
  - 3.1.1.2 Inflammatory Arthritis
  - 3.1.1.3 Osteoarthritis And Inflammatory Arthritis Comparison
- 3.1.2 Treatment
  - 3.1.2.1 Arthroplasty
  - 3.1.2.2 Ostectomy
- 3.1.3 Shoulder Joint Reconstruction Devices
- 3.1.4 Elbow Joint Reconstruction
- 3.1.5 Hand And Wrist Devices
- 3.1.6 Foot And Ankle Devices
3.2 Market Overview And Trend Analysis
- 3.2.1 By Segment
- 3.2.2 By Region
3.3 Drivers And Limiters
- 3.3.1 Market Drivers
- 3.3.2 Market Limiters
3.4 Competitive Market Share Analysis
3.5 Mergers And Acquisitions

Shoulder Reconstruction Device Market

4.1 Executive Summary
- 4.1.1 Global Shoulder Reconstruction Device Market Overview
- 4.1.2 Competitive Analysis
- 4.1.3 Procedure Segmentation
- 4.1.4 Market Segmentation
- 4.1.5 Regions Included
4.2 Introduction
- 4.2.1 Anatomy
- 4.2.2 Pathology
- 4.2.3 Joint Reconstruction Devices
  - 4.2.3.1 Anatomic Shoulder Implants
  - 4.2.3.2 Reversed Shoulder Implants
  - 4.2.3.3 Hemi Shoulder Implants
  - 4.2.3.4 Resurfacing Implants
  - 4.2.3.5 Shoulder Revision
  - 4.2.3.6 Proximal Humerus Plates And Screws
4.3 Procedure Numbers
- 4.3.1 Total Shoulder Procedures
- 4.3.2 Total Shoulder Replacement Procedures
- 4.3.3 Reversed Shoulder Replacement Procedures
- 4.3.4 Hemi Shoulder Replacement Procedures
- 4.3.5 Shoulder Resurfacing Procedures
- 4.3.6 Shoulder Revision Procedures
- 4.3.7 Proximal Humerus Orif Procedures
4.4 Market Overview
- 4.4.1 By Segment
- 4.4.2 By Region
4.5 Market Analysis And Forecast
- 4.5.1 Total Shoulder Reconstruction Device Market
- 4.5.2 Total Shoulder Implant Market
  - 4.5.2.1 Stemmed Total Shoulder Implant Market
  - 4.5.2.2 Stemless Total Shoulder Implant Market
- 4.5.3 Reversed Shoulder Implant Market
- 4.5.4 Hemi Shoulder Implant Market
  - 4.5.4.1 Stemmed Hemi Shoulder Implant Market
  - 4.5.4.2 Stemless Hemi Shoulder Implant Market
- 4.5.5 Resurfacing Shoulder Implant Market
- 4.5.6 Revision Shoulder Implant Market
- 4.5.7 Proximal Humerus Plate And Screw Market
4.6 Drivers And Limiters
- 4.6.1 Market Drivers
- 4.6.2 Market Limiters
4.7 Competitive Market Share Analysis

Elbow Repair Device Market

5.1 Segment Summary
- 5.1.1 Global Elbow Repair Device Market Overview
- 5.1.2 Competitive Analysis
- 5.1.3 Procedure Segmentation
- 5.1.4 Market Segmentation
- 5.1.5 Regions Included
5.2 Introduction
5.3 Procedure Numbers
- 5.3.1 Total Elbow Procedures
- 5.3.2 Primary Elbow Replacement Procedures
- 5.3.3 Radial Head Replacement Procedures
- 5.3.4 Elbow Orif Procedures
5.4 Market Overview
- 5.4.1 By Segment
- 5.4.2 By Region
5.5 Market Analysis And Forecast
- 5.5.1 Total Elbow Repair Device Market
- 5.5.2 Primary Elbow Implant Market
- 5.5.3 Radial Head Implant Market
- 5.5.4 Elbow Plate And Screw Market
5.6 Drivers And Limiters
- 5.6.1 Market Drivers
- 5.6.2 Market Limiters
5.7 Competitive Market Share Analysis

Hand And Wrist Market

6.1 Executive Summary
- 6.1.1 Global Hand And Wrist Device Market Overview
- 6.1.2 Competitive Analysis
- 6.1.3 Procedure Segmentation
- 6.1.4 Market Segmentation
- 6.1.5 Regions Included
6.2 Introduction
- 6.2.1 Anatomy
- 6.2.2 Pathology
- 6.2.3 Treatment
- 6.2.4 Device Types
  - 6.2.4.1 Total Wrist Implants
  - 6.2.4.2 Wrist Fusion
  - 6.2.4.3 Hand Digit Implants
  - 6.2.4.4 Distal Radius Plates And Screws
6.3 Procedure Numbers
- 6.3.1 Total Hand And Wrist Procedures
- 6.3.2 Wrist Replacement Procedures
- 6.3.3 Wrist Fusion Procedures
- 6.3.4 Ulnar Head Replacement Procedures
- 6.3.5 Hand Digit Implant Procedures
- 6.3.6 Distal Radius Plate And Screw Procedures
6.4 Market Overview
- 6.4.1 By Segment
- 6.4.2 By Region
6.5 Market Analysis And Forecast
- 6.5.1 Total Hand And Wrist Device Market
- 6.5.2 Wrist Replacement Market
- 6.5.3 Wrist Fusion Market
- 6.5.4 Ulnar Head Replacement Market
- 6.5.5 Hand Digit Implant Market
- 6.5.6 Distal Radius Plate And Screw Market
6.6 Drivers And Limiters
- 6.6.1 Market Drivers
- 6.6.2 Market Limiters
6.7 Competitive Market Share Analysis

Foot And Ankle Device Market

7.1 Executive Summary
- 7.1.1 Global Foot And Ankle Device Market Overview
- 7.1.2 Competitive Analysis
- 7.1.3 Procedure Segmentation
- 7.1.4 Market Segmentation
- 7.1.5 Regions Included
7.2 Introduction
- 7.2.1 Challenges In Defining The Market
- 7.2.2 Ankle Treatments
  - 7.2.2.1 Total Ankle Fusion
  - 7.2.2.2 Primary Ankle Joint Replacement
- 7.2.3 Foot Treatments
  - 7.2.3.1 Hammertoe Correction Procedures
  - 7.2.3.2 Bunion Treatment
7.3 Procedure Numbers
- 7.3.1 Total Foot And Ankle Procedures
- 7.3.2 Primary Ankle Replacement Procedures
- 7.3.3 Ankle Fusion Procedures
- 7.3.4 Midfoot Fixation Procedures
- 7.3.5 Bunion Treatment Procedures
- 7.3.6 Hindfoot Procedures
  - 7.3.6.1 Orif Hindfoot Procedures
  - 7.3.6.2 Subtalar Fusion Hindfoot Procedures
- 7.3.7 Foot Digit Implant Procedures
  - 7.3.7.1 First Metatarsal Phalangeal Implant Procedures
  - 7.3.7.2 First Metatarsal Phalangeal Hemi Implant Procedures
  - 7.3.7.3 Lesser Toe Foot Digit Implant Procedures
- 7.3.8 Hammertoe Correction Procedures
  - 7.3.8.1 Hammertoe Correction Implant Procedures
  - 7.3.8.2 K-Wire Hammertoe Correction Procedures
- 7.3.9 Syndesmotic Repair Procedures
- 7.3.10 Calcaneal Osteotomy Procedures
7.4 Market Overview
- 7.4.1 By Segment
- 7.4.2 By Region
7.5 Market Analysis And Forecast
- 7.5.1 Total Foot And Ankle Device Market
- 7.5.2 Primary Ankle Market
- 7.5.3 Ankle Fusion Market
  - 7.5.3.1 Cannulated Screw Market
  - 7.5.3.2 Plate And Screw Market
  - 7.5.3.3 Intramedullary Nail Market
  - 7.5.3.4 Fibular Nail Market
- 7.5.4 Midfoot Fixation Market
  - 7.5.4.1 Cannulated Screw Midfoot Fixation Market
  - 7.5.4.2 Plate And Screw Midfoot Fixation Market
- 7.5.5 Bunion Treatment Market
- 7.5.6 Hindfoot Market
  - 7.5.6.1 Cannulated Screw Hindfoot Market
  - 7.5.6.2 Subtalar Implant Hindfoot Market
- 7.5.7 Foot Digit Implant Market
  - 7.5.7.1 First Metatarsal Phalangeal Implant Market
  - 7.5.7.2 First Metatarsal Phalangeal Hemi Implant Market
  - 7.5.7.3 Lesser Toe Implant Market
- 7.5.8 Hammertoe Correction Market
  - 7.5.8.1 Hammertoe Correction Implant Market
  - 7.5.8.2 K-Wire Hammertoe Correction Market
- 7.5.9 Syndesmotic Repair Market
- 7.5.10 Calcaneal Osteotomy Market
7.6 Drivers And Limiters
- 7.6.1 Market Drivers
- 7.6.2 Market Limiters
7.7 Competitive Market Share Analysis

Abbreviations