MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts - NBC Right Now/KNDO/KNDU Tri-Cities, Yakima, WA |

MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts

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LONDON, March 10, 2014 /PRNewswire/ -- Reportbuyer.com just published a new market research report:

MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts

MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts

Summary

Compared with the more mature reconstruction markets, such as hip and knee replacements, shoulder reconstruction is developing as a specialty. Current market growth in shoulder reconstruction is mainly driven by total shoulder replacement (TSR), which comprises anatomic total and reverse total shoulder replacements. Although sluggish economic growth has hindered the large-joint replacement market in the United States and Europe, the global TSR market has seen a promising growth rate in the past few years. This healthy growth can be attributed to an increasing patient population, an improved surgeon adoption of reverse shoulder implants, as well as evolving insurance and reimbursement landscape. This report focuses on TSR market in 10 countries: the US, France, Germany, Italy, Spain, the UK, Japan, Brazil, China and India. GlobalData evaluated currently marketed TSR prostheses, identified the unmet needs in the market, and provided an understanding of surgeon perception of the latest advances within the shoulder community. Over the forecast period, despite the dampening effect of downward pricing pressure, the TSR market is expected to enjoy healthy growth, primarily driven by the trend of active aging, continuous medical education efforts from the supply side, the introduction of additional reverse shoulder implants and the FDA's approval of modern stemless designs. In particular, the market size of reverse TSR is expected to grow at a much faster pace compared with anatomic TSR.

Highlights

Key Questions Answered

- Shoulder arthritis and proximal humerus fracture incidences are expected to increase during the forecast period. (Q).How will changing demographics and lifestyles affect the incidence of shoulder diseases?
- Total shoulder replacement has been gaining extensive interest among both surgeons and medtech manufacturers. While the technology has developed greatly, there is still much room for technological advancement. (Q).Which features of TSR devices are most desirable by surgeons? What are the unmet needs? How can device manufacturers differentiate themselves from the competition?
- Reverse total shoulder replacement is receiving a great deal of attention in the US since it is the country's newest shoulder implant, despite the fact that it has been implanted in Europe for more than 20 years. (Q).What are surgeons' attitudes about the wave of enthusiasm towards reverse shoulder implants? What is their perception of currently marketed reverse shoulder implants?
- As the number of TSR procedures has increased exponentially over the last 10 years, GlobalData expects a more prominent role for revision surgeries in the future. (Q).What efforts do surgeons expect from the supply side on refining instrumentations and delivering revision-specific systems?
- At this point, the global TSR market comprises a range of companies, but is dominated by a couple of major orthopedic devices companies. Who are the current and future players in this market? (Q).How will they leverage their platform technologies to compete against each other in the next five years?

Scope

- Overview of shoulder diseases, including epidemiology, etiology, diagnosis, pathology, treatment guidelines and economic impact.
- Competitive Assessment: Currently marketed TSR devices and evolving competitive landscape
- Pipeline analysis: Emerging TSR devices and design rationales
- Other Key topics covered include identification of unmet needs, procedural trends, market access, reimbursement considerations, and implications for the TSR market
- Analysis of the current and future market competition in the global TSR market. Insightful review of the key industry drivers, opportunities, restraints and challenges. Each trend is independently researched to provide qualitative analysis of its implications
- Annualized TSR procedure volume and market revenue by type of TSR implants (anatomic and reverse) from 2010-2012 and forecast to 2019

Reasons to buy

- "What Do Physicians Think" quotes provide a unique insight into how healthcare professionals are reacting to events within the industry, and what their responses could mean for industry strategists. This information is essential for all strategic decision makers in every organization allowing them to act on high quality information.

Table of Contents

1 Table of Contents 8
1.1 List of Tables 15
1.2 List of Figures 23
2 Introduction 27
2.1 Catalyst 28
2.2 Related Reports 28
3 Disease Overview 29
3.1 Anatomy and Physiology 29
3.2 Pathophysiology 31
3.2.1 Overview 31
3.2.2 Primary Osteoarthritis 31
3.2.3 Rotator Cuff Tear Arthropathy 32
3.2.4 Post-Traumatic Arthritis 34
3.2.5 Proximal Humerus Fracture 34
3.2.6 Avascular Necrosis 36
3.2.7 Rheumatoid Arthritis 37
3.3 Clinical Presentation 38
3.3.1 Diagnosis 38
3.4 Clinical Outcomes 39
3.4.1 Overview 39
3.4.2 Conservative Treatments 39
3.4.3 Joint-Preserving Treatments 40
3.4.4 Joint Replacement 42
3.5 Epidemiology 53
3.5.1 Shoulder Arthritis 53
3.5.2 Proximal Humerus Fractures 55
3.6 Economic Impact 57
3.6.1 Shoulder Arthritis 57
3.6.2 Rotator Cuff Diseases 59
3.6.3 Proximal Humerus Fractures 59
3.6.4 Cost-Effectiveness of Total Shoulder Replacement 60
3.6.5 Cost-Effectiveness of Reverse Total Shoulder Replacement 60
4 Competitive Assessment 61
4.1 Overview 61
4.2 Global Market Share 65
4.3 Anatomic Total Shoulder Replacement 66
4.3.1 Univers II (Arthrex) 66
4.3.2 Comprehensive (Biomet) 68
4.3.3 Comprehensive Fracture (Biomet) 70
4.3.4 Global Advantage (DePuy Synthes) 73
4.3.5 Global Fx (DePuy Synthes) 77
4.3.6 Global AP (DePuy Synthes) 79
4.3.7 Global Unite (DePuy Synthes) 82
4.3.8 Turon (DJO Surgical) 84
4.3.9 Equinoxe (Exactech) 87
4.3.10 TITAN (Integra LifeSciences) 89
4.3.11 SMR (Lima Corporate) 91
4.3.12 Cofield 2 (Smith & Nephew) 94
4.3.13 Neer 3 (Smith & Nephew) 97
4.3.14 Promos Standard (Smith & Nephew) 100
4.3.15 Solar (Stryker) 102
4.3.16 ReUnion (Stryker) 104
4.3.17 Aequalis Primary (Tornier) 106
4.3.18 Aequalis Fracture (Tornier) 109
4.3.19 Affiniti (Tornier) 111
4.3.20 Aequalis Ascend (Tornier) 114
4.3.21 Bigliani/Flatow (Zimmer) 116
4.3.22 Anatomical (Zimmer) 119
4.3.23 Trabecular Metal (Zimmer) 121
4.4 Anatomic Stemless Total Shoulder Replacement 125
4.4.1 Eclipse (Arthrex) 125
4.4.2 T.E.S.S. (Total Evolutive Shoulder System) Anatomic (Biomet) 127
4.4.3 Comprehensive Nano (Biomet) 130
4.4.4 Simpliciti (Tornier) 132
4.4.5 InSpyre (Tornier) 135
4.4.6 Sidus (Zimmer) 137
4.5 Reverse Total Shoulder Replacement 140
4.5.1 Univers Revers (Arthrex) 140
4.5.2 T.E.S.S. (Total Evolutive Shoulder System) Reverse (Biomet) 142
4.5.3 Comprehensive Reverse (Biomet) 145
4.5.4 Delta Xtend (DePuy Synthes) 147
4.5.5 Reverse Shoulder Prosthesis (RSP) (DJO Surgical) 150
4.5.6 Equinoxe Reverse (Exactech) 153
4.5.7 SMR Reverse (Lima Corporate) 156
4.5.8 Promos Reverse (Smith & Nephew) 159
4.5.9 Aequalis Reversed II (Tornier) 161
4.5.10 Aequalis Reversed Fracture (Tornier) 164
4.5.11 Ascend Flex (Tornier) 166
4.5.12 Anatomical Reverse (Zimmer) 168
4.5.13 Trabecular Metal Reverse (Zimmer) 170
5 Unmet Needs 173
5.1 Durable Glenoid Components 173
5.2 Augmented Glenoid Components 176
5.3 Grammont-Style versus Frankle-Style 177
5.4 Addressing Complications of Reverse Shoulder Replacement 179
5.5 Bone-Sparing Stemless Designs: Pros and Cons 181
5.6 Revision Systems 184
5.7 Long-Term Follow-Up 185
5.8 Patient Awareness in Emerging Markets 186
6 Pipeline Products 187
6.1 Overview 187
6.2 aSpire Total Shoulder Replacement System (Shoulder Options) 188
6.2.1 Overview 188
6.2.2 SWOT Analysis 189
6.3 Luna Stemless Humeral Prosthesis (Shoulder Options) 190
6.3.1 Overview 190
6.3.2 SWOT Analysis 192
6.4 AFT Proximal Humerus Fracture Prosthesis (Shoulder Options) 193
6.4.1 Overview 193
6.4.2 SWOT Analysis 194
6.5 Others 195
6.5.1 Stryker's Reverse Shoulder Implant 195
6.5.2 Tornier's Patient-Specific Image-Driven Glenoid Replacement Device 195
6.5.3 Integra's Reverse Shoulder Implant 195
6.5.4 Integra's PYROHEMI 195
7 Industry Overview 196
7.1 Procedure Trends 196
7.1.1 US 196
7.1.2 Europe 200
7.1.3 Asia-Pacific 203
7.1.4 South America 206
7.2 Market Access 208
7.2.1 US 208
7.2.2 Europe 212
7.2.3 Asia-Pacific 215
7.2.4 South America 218
7.3 Reimbursement Trends 220
7.3.1 US 221
7.3.2 Europe 226
7.3.3 Asia-Pacific 231
7.3.4 South America 234
7.4 Regulatory Issues/Recalls 235
7.4.1 Lima Corporate's SMR Anatomic Polyethylene Liner 235
7.5 Mergers & Acquisitions/Key Partnerships 236
7.5.1 Integra LifeSciences Acquires Ascension Orthopedics 236
8 Current and Future Players 237
8.1 Trends in Corporate Strategy 237
8.2 Company Profiles 238
8.2.1 DePuy Synthes 238
8.2.2 Tornier N.V. 242
8.2.3 Biomet 246
8.2.4 Zimmer Holdings 250
8.2.5 Exactech 254
8.2.6 Smith & Nephew 257
8.2.7 Stryker 260
8.2.8 DJO Global 263
8.2.9 Arthrex 266
8.2.10 Lima Corporate S.p.a. 268
8.2.11 Integra LifeSciences 270
8.2.12 Mathys Ltd Bettlach 273
8.2.13 Wright Medical Group 275
8.2.14 Other Companies 278
9 Market Drivers & Opportunities 279
9.1 Market Drivers 279
9.1.1 Rising Prevalence of Shoulder Diseases 279
9.1.2 Expanded Indications of Reverse Shoulder Replacement 280
9.1.3 Increased Patient Awareness 281
9.1.4 Availability of Long-Term Clinical Data 282
9.1.5 Corporate Promotions and Medical Education 283
9.1.6 Expected Launch of New Devices in the US 283
9.2 Opportunities 284
9.2.1 Pyrocarbon 284
9.2.2 Revision Instrumentation 285
9.2.3 Demand for a Comprehensive Shoulder Reconstruction Portfolio 286
9.2.4 Computer-Assisted Navigation 286
9.2.5 Procedure-Specific Patient Education Platform 287
9.2.6 Emerging Markets 288
9.3 Market Barriers 289
9.3.1 Postoperative Complications 289
9.3.2 Steep Learning Curve 290
9.3.3 Cost 291
9.3.4 Reimbursement 292
9.3.5 Medical Device Excise Tax 293
9.3.6 Substitutes 293
10 Country Outlooks & Forecasts 295
10.1 Major Markets Overview 295
10.2 US 298
10.3 France 301
10.4 Germany 303
10.5 Italy 305
10.6 Spain 307
10.7 UK 309
10.8 Japan 311
10.9 Brazil 313
10.10 China 315
10.11 India 317
11 Appendix 319
11.1 Abbreviations 319
11.2 Bibliography 321
11.3 Report Methodology 339
11.3.1 Overview 339
11.3.2 Coverage 339
11.3.3 Secondary Research 340
11.3.4 Forecasting Methodology 340
11.3.5 Primary Research - Key Opinion Leader Interviews 342
11.3.6 Expert Panel Validation 342
11.4 Physicians and Specialists Included in this Study 343
11.5 About the Authors 346
11.5.1 Analysts 346
11.5.2 Bonnie Bain, Ph.D., Global Head of Healthcare 347
11.6 About MediPoint 348
11.7 About GlobalData 348
11.8 Disclaimer 348

List of Tables

Table 1: Walch Classification of Glenoid Wear Associated with Primary Osteoarthritis 32
Table 2: Clinical Symptoms and Descriptions 38
Table 3: Major Indications and Contraindications for Humeral Head Resurfacing 43
Table 4: Major Indications and Contraindications for Stemmed Partial Shoulder Replacement 46
Table 5: Major Indications and Contraindications for Anatomic Total Shoulder Replacement 49
Table 6: Major Indications and Contraindications for Anatomic Total Shoulder Replacement 52
Table 7: Shoulder Arthritis Prevalence in 10 Countries (2013-2019) 53
Table 8: Proximal Humerus Fracture Prevalence in 10 Countries (2013-2019) 55
Table 9: Direct and Indirect Costs of Arthritis 58
Table 10: Currently Marketed Anatomic Total Shoulder Replacement Implants 63
Table 11: Currently Marketed Anatomic Stemless Shoulder Replacement Implants 64
Table 12: Currently Marketed Reverse Total Shoulder Replacement Implants 64
Table 13: Product Profile - Univers II 67
Table 14: SWOT Analysis - Univers II 68
Table 15: Product Profile - Comprehensive 69
Table 16: SWOT Analysis - Comprehensive 70
Table 17: Product Profile - Comprehensive Fracture 71
Table 18: List of Clinical Studies - Comprehensive Fracture 72
Table 19: SWOT Analysis - Comprehensive Fracture 72
Table 20: Product Profile - Global Advantage 75
Table 21: List of Clinical Studies - Global Anchor Peg Glenoid 76
Table 22: SWOT Analysis - Global Advantage 76
Table 23: Product Profile - Global Fx 78
Table 24: SWOT Analysis - Global Fx 79
Table 25: Product Profile - Global AP 80
Table 26: List of Clinical Studies - Global AP 81
Table 27: SWOT Analysis - Global AP 81
Table 28: Product Profile - Global Unite 83
Table 29: SWOT Analysis - Global Unite 84
Table 30: Product Profile - Turon 86
Table 31: SWOT Analysis - Turon 86
Table 32: Product Profile - Equinoxe 88
Table 33: SWOT Analysis - Equinoxe 89
Table 34: Product Profile - TITAN 90
Table 35: SWOT Analysis - TITAN 91
Table 36: Product Profile - SMR 92
Table 37: List of Clinical Studies - SMR 93
Table 38: SWOT Analysis - SMR 93
Table 39: Product Profile - Cofield 2 95
Table 40: List of Clinical Studies - Cofield 2 95
Table 41: SWOT Analysis - Cofield 2 96
Table 42: Product Profile - Neer 3 98
Table 43: SWOT Analysis - Neer 3 99
Table 44: Product Profile - Promos Standard 101
Table 45: List of Clinical Studies - Promos Standard 101
Table 46: SWOT Analysis - Promos Standard 102
Table 47: Product Profile - Solar 103
Table 48: SWOT Analysis - Solar 104
Table 49: Product Profile - ReUnion 105
Table 50: SWOT Analysis - ReUnion 105
Table 51: Product Profile - Aequalis Primary 107
Table 52: List of Clinical Studies - Aequalis Primary 108
Table 53: SWOT Analysis - Aequalis Primary 108
Table 54: Product Profile - Aequalis Fracture 110
Table 55: List of Clinical Studies - Aequalis Fracture 110
Table 56: SWOT Analysis - Aequalis Fracture 111
Table 57: Product Profile - Affiniti 113
Table 58: List of Clinical Studies - Affiniti 113
Table 59: SWOT Analysis - Affiniti 114
Table 60: Product Profile - Aequalis Ascend 115
Table 61: SWOT Analysis - Aequalis Ascend 116
Table 62: Product Profile - Bigliani/Flatow 117
Table 63: List of Clinical Studies - Bigliani/Flatow 118
Table 64: SWOT Analysis - Bigliani/Flatow 118
Table 65: Product Profile - Anatomical 120
Table 66: SWOT Analysis - Anatomical 121
Table 67: Product Profile - Trabecular Metal 123
Table 68: List of Clinical Studies - Trabecular Metal 123
Table 69: SWOT Analysis - Trabecular Metal 124
Table 70: Product Profile - Eclipse 126
Table 71: List of Clinical Studies - Eclipse 126
Table 72: SWOT Analysis - Eclipse 127
Table 73: Product Profile - T.E.S.S. Anatomic 128
Table 74: List of Clinical Studies - T.E.S.S. Anatomic 129
Table 75: SWOT Analysis - T.E.S.S. Anatomic 130
Table 76: Product Profile - Comprehensive Nano 131
Table 77: SWOT Analysis - Compressive Nano 132
Table 78: Product Profile - Simpliciti 133
Table 79: List of Clinical Studies - Simpliciti 134
Table 80: SWOT Analysis - Simpliciti 134
Table 81: Product Profile - InSpyre 136
Table 82: SWOT Analysis - InSpyre 136
Table 83: Product Profile - Sidus 138
Table 84: List of Clinical Studies - Sidus 138
Table 85: SWOT Analysis - Sidus 139
Table 86: Product Profile - Univers Revers 141
Table 87: List of Clinical Studies - Univers Revers 141
Table 88: SWOT Analysis - Univers Reverse 142
Table 89: Product Profile - T.E.S.S. Reverse 143
Table 90: List of Clinical Studies - T.E.S.S. Reverse 144
Table 91: SWOT Analysis - T.E.S.S. Reverse 144
Table 92: Product Profile - Comprehensive Reverse 146
Table 93: SWOT Analysis - Comprehensive Reverse 147
Table 94: Product Profile - Delta Xtend 148
Table 95: List of Clinical Studies - Delta Xtend 149
Table 96: SWOT Analysis - Delta Xtend 149
Table 97: Product Profile - Reverse Shoulder Prosthesis (RSP) 151
Table 98: List of Clinical Studies - Reverse Shoulder Prosthesis (RSP) 152
Table 99: SWOT Analysis - Reverse Shoulder Prosthesis (RSP) 153
Table 100: Product Profile - Equinoxe Reverse 154
Table 101: List of Clinical Studies - Equinoxe Reverse 155
Table 102: SWOT Analysis - Equinoxe Reverse 155
Table 103: Product Profile - SMR Reverse 157
Table 104: List of Clinical Studies - SMR Reverse 158
Table 105: SWOT Analysis - SMR Reverse 158
Table 106: Product Profile - Promos Reverse 160
Table 107: List of Clinical Studies - Promos Reverse 160
Table 108: SWOT Analysis - Promos Reverse 161
Table 109: Product Profile - Aequalis Reversed II 162
Table 110: List of Clinical Studies - Aequalis Reversed II 163
Table 111: SWOT Analysis - Aequalis Reversed II 163
Table 112: Product Profile - Aequalis Reversed Fracture 165
Table 113: List of Clinical Studies - Aequalis Reversed Fracture 165
Table 114: SWOT Analysis - Aequalis Reversed Fracture 166
Table 115: Product Profile - Ascend Flex 167
Table 116: SWOT Analysis - Ascend Flex 168
Table 117: Product Profile - Anatomical Reverse 169
Table 118: SWOT Analysis - Anatomical Reverse 170
Table 119: Product Profile - Trabecular Metal Reverse 171
Table 120: List of Clinical Studies - Trabecular Metal Reverse 172
Table 121: SWOT Analysis - Trabecular Metal Reverse 172
Table 122: Currently Marketed Grammont-Style and Frankle-Style Reverse Shoulder Implants 178
Table 123: Major Pipeline Products in Total Shoulder Replacement Market, 2013 187
Table 124: Product Profile - aSpire 188
Table 125: SWOT Analysis - aSpire 189
Table 126: Product Profile - Luna 191
Table 127: SWOT Analysis - Luna 192
Table 128: Product Profile - AFT 193
Table 129: SWOT Analysis - AFT 194
Table 130: Medicare Coding Guide for Shoulder Arthroplasty - 2013 221
Table 131: 2013 Medicare National Payment Average for Shoulder Arthroplasty 223
Table 132: Company Profile - DePuy Synthes 238
Table 133: DePuy Synthes' Shoulder Portfolio Assessment, 2013 240
Table 134: DePuy Synthes' SWOT Analysis, 2013 241
Table 135: Company Profile - Tornier N.V. 242
Table 136: Tornier's Shoulder Portfolio Assessment, 2013 244
Table 137: Tornier's SWOT Analysis, 2013 245
Table 138: Company Profile - Biomet 246
Table 139: Biomet's Shoulder Portfolio Assessment, 2013 248
Table 140: Biomet's SWOT Analysis, 2013 249
Table 141: Company Profile - Zimmer Holdings 251
Table 142: Zimmer Holdings' Shoulder Portfolio Assessment, 2013 252
Table 143: Zimmer Holdings' SWOT Analysis, 2013 253
Table 144: Company Profile - Exactech 254
Table 145: Exactech's Shoulder Portfolio Assessment, 2013 255
Table 146: Exactech's SWOT Analysis, 2013 256
Table 147: Company Profile - Smith & Nephew 258
Table 148: Smith & Nephew's Shoulder Portfolio Assessment, 2013 259
Table 149: Smith & Nephew's SWOT Analysis, 2013 259
Table 150: Company Profile - Stryker 260
Table 151: Stryker's Shoulder Portfolio Assessment, 2013 261
Table 152: Stryker's SWOT Analysis, 2013 262
Table 153: Company Profile - DJO Global 263
Table 154: DJO Global's Shoulder Portfolio Assessment, 2013 264
Table 155: DJO Global's SWOT Analysis, 2013 265
Table 156: Company Profile - Arthrex 266
Table 157: Arthrex's Shoulder Portfolio Assessment, 2013 267
Table 158: Arthrex's SWOT Analysis, 2013 267
Table 159: Company Profile - Lima Corporate S.p.a. 268
Table 160: Lima Corporate S.p.a.'s Shoulder Portfolio Assessment, 2013 269
Table 161: Lima Corporate S.p.a.'s SWOT Analysis, 2013 269
Table 162: Company Profile - Integra LifeSciences 270
Table 163: Integra LifeSciences' Shoulder Portfolio Assessment, 2013 271
Table 164: Integra LifeSciences' SWOT Analysis, 2013 272
Table 165: Company Profile - Mathys Ltd Bettlach 273
Table 166: Mathys Ltd Bettlach's Shoulder Portfolio Assessment, 2013 273
Table 167: Mathys Ltd Bettlach's SWOT Analysis, 2013 274
Table 168: Company Profile - Wright Medical Group 276
Table 169: Wright Medical Group's Shoulder Portfolio Assessment, 2013 276
Table 170: Wright Medical Group's SWOT Analysis, 2013 277
Table 171: Other Companies in the Global Shoulder Replacement Market, 2013 278
Table 172: Global Sales Forecasts for TSR in 10 Countries (2012-2019) 296
Table 173: Sales Forecasts for TSR in the US (2012-2019) 298
Table 174: Sales Forecasts for TSR in France (2012-2019) 301
Table 175: Sales Forecasts for TSR in Germany (2012-2019) 303
Table 176: Sales Forecasts for TSR in Italy (2012-2019) 305
Table 177: Sales Forecasts for TSR in Spain (2012-2019) 307
Table 178: Sales Forecasts for TSR in the UK (2012-2019) 309
Table 179: Sales Forecasts for TSR in Japan (2012-2019) 312
Table 180: Sales Forecasts for TSR in Brazil (2012-2019) 313
Table 181: Sales Forecasts for TSR in China (2012-2019) 316
Table 182: Sales Forecasts for TSR in India (2012-2019) 317

1.2 List of Figures
Figure 1: Schematic Diagram of Shoulder Anatomy 29
Figure 2: Schematic Diagram of Rotator Cuff 30
Figure 3: Wide Spectrum of Disease Seen in Rotator Cuff Tear Arthropathy 33
Figure 4: Neer Classification of Proximal Humerus Fractures 35
Figure 5: Four-Part and Three-Part Proximal Humerus Fractures 36
Figure 6: An Example of Humeral Head Resurfacing 43
Figure 7: An Example of Stemmed Partial Shoulder Replacement 46
Figure 8: An Example of Anatomic Total Shoulder Replacement 49
Figure 9: An Example of Reverse Total Shoulder Replacement 50
Figure 10: Shoulder Arthritis Prevalence in 10 Countries 54
Figure 11: Proximal Humerus Fracture Prevalence in 10 Countries 56
Figure 12: TSR Global Market Share (2013) 65
Figure 13: Product Image - Univers II 66
Figure 14: Product Image - Univers Glenoid Components 67
Figure 15: Product Image - Comprehensive 69
Figure 16: Product Image - Comprehensive Fracture 71
Figure 17: Product Image - Global Advantage 74
Figure 18: Product Image - Global Steptech Anchor Peg Glenoid 74
Figure 19: Product Image - Global Fx 77
Figure 20: Product Image - Global AP 80
Figure 21: Product Image - Global Unite 82
Figure 22: Product Image - Turon 85
Figure 23: Product Image - Equinoxe Primary 87
Figure 24: Product Image - Equinoxe Fracture 88
Figure 25: Product Image - TITAN 90
Figure 26: Product Image - SMR (Anatomic and Fracture) 92
Figure 27: Product Image - Cofield 2 94
Figure 28: Product Image - Neer 3 98
Figure 29: Product Image - Promos Standard 100
Figure 30: Product Image - Solar 103
Figure 31: Product Image - ReUnion 104
Figure 32: Product Image - Aequalis Primary 106
Figure 33: Product Image - Aequalis Fracture 109
Figure 34: Product Image - Affiniti 112
Figure 35: Product Image - Cortiloc Glenoid 112
Figure 36: Product Image - Aequalis Ascend 115
Figure 37: Product Image - Bigliani/Flatow 117
Figure 38: Product Image - Anatomical Primary 119
Figure 39: Product Image - Anatomical Fracture 120
Figure 40: Product Image - Trabecular Metal 122
Figure 41: Product Image - Eclipse 125
Figure 42: Product Image - T.E.S.S. Anatomic 128
Figure 43: Product Image - Comprehensive Nano 131
Figure 44: Product Image - Simpliciti 133
Figure 45: Product Image - InSpyre 135
Figure 46: Product Image - Sidus 137
Figure 47: Product Image - Univers Revers 140
Figure 48: Product Image - T.E.S.S. Reverse 142
Figure 49: Product Image - Comprehensive Reverse 146
Figure 50: Product Image - Delta Xtend 148
Figure 51: Product Image - Reverse Shoulder Prosthesis (RSP) 150
Figure 52: Product Image - RSP Monoblock 151
Figure 53: Product Image - Equinoxe Reverse 154
Figure 54: Product Image - SMR Reverse and SMR Reverse HP 156
Figure 55: Product Image - Promos Reverse 159
Figure 56: Product Image - Aequalis Reversed II 162
Figure 57: Product Image - Aequalis Reversed Fracture 164
Figure 58: Product Image - Ascend Flex 167
Figure 59: Product Image - Anatomical Reverse 169
Figure 60: Product Image - Trabecular Metal Reverse 171
Figure 61: Product Image - aSpire 188
Figure 62: Product Image - Luna 190
Figure 63: Product Image - Luna Anchored 191
Figure 64: Product Image - AFT 193
Figure 65: Shoulder Replacement Procedure Volume in the US (1993-2008) 196
Figure 66: Shoulder Replacement Procedure Volume in the US (2010-2019) 197
Figure 67: Anatomic and Reverse Total Shoulder Replacement Procedure Volumes in the US (2010-2019) 199
Figure 68: Shoulder Replacement Procedure Volume in 5EU (2010-2019) 200
Figure 69: Total Shoulder Replacement Procedure Volume in 5EU (2010-2019) 201
Figure 70: Anatomic and Reverse Total Shoulder Replacement Procedure Volume in 5EU (2010-2019) 202
Figure 71: Shoulder Replacement Procedure Volume in Asia-Pacific (2010-2019) 204
Figure 72: Total Shoulder Replacement Procedure Volume in Asia-Pacific (2010-2019) 205
Figure 73: Anatomic and Reverse Total Shoulder Replacement Procedure Volume in Asia-Pacific (2010-2019) 205
Figure 74: Shoulder Replacement Procedure Volume in Brazil (2010-2019) 206
Figure 75: Anatomic and Reverse Total Shoulder Replacement Procedure Volume in Brazil (2010-2019) 207
Figure 76: Adoption Trend of Shoulder Replacement in the US, 2013 and 2019 209
Figure 77: Adoption Trend of Shoulder Replacement in the EU, 2013 and 2019 213
Figure 78: Adoption Trend of Shoulder Replacement in APAC, 2013 and 2019 216
Figure 79: Adoption Trend of Shoulder Replacement in Brazil, 2013 and 2019 219
Figure 80: Changes in Implant Cost, Surgeon and Hospital Reimbursement for Total Shoulder Replacement (2008-2013) 222
Figure 81: Global Sales Forecasts for TSR Market (2010-2019) 295
Figure 82: 10 Market Sales for TSR by Region (2012-2019) 297
Figure 83: Sales Forecasts for TSR Market in the US (2010-2019) 299
Figure 84: US TSR Market Competitive Landscape, 2013 300
Figure 85: Sales Forecasts for TSR Market in France (2010-2019) 302
Figure 86: Sales Forecasts for TSR Market in Germany (2010-2019) 304
Figure 87: Sales Forecasts for TSR Market in Italy (2010-2019) 306
Figure 88: Sales Forecasts for TSR Market in Spain (2010-2019) 308
Figure 89: Sales Forecasts for TSR Market in the UK (2010-2019) 310
Figure 90: Sales Forecasts for TSR Market in Japan (2010-2019) 312
Figure 91: Sales Forecasts for TSR Market in Brazil (2010-2019) 314
Figure 92: Sales Forecasts for TSR Market in China (2010-2019) 316
Figure 93: Sales Forecasts for TSR Market in India (2010-2019) 318

Companies Mentioned

DePuy Synthes
Tornier N.V.
Biomet
Zimmer Holdings
Exactech
Smith & Nephew
Stryker
DJO Global
Arthrex
Lima Corporate S.p.a.
Integra LifeSciences
Mathys Ltd Bettlach
Wright Medical Group

Read the full report:
MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts
http://www.reportbuyer.com/pharma_healthcare/treatments/orthopaedic/medipoint_total_shoulder_replacement_global_analysis_market_forecasts.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Orthopedic

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