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市場調查報告書
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2017247

全球整形外科和脊椎醫療設備契約製造市場（2025-2030年）及主要100家供應商概況（第15版）

The Worldwide Orthopedic & Spine Contract Manufacturing Market Report 2025-2030 and Top 100 Supplier Profiles, 15th Edition
出版日期: | 出版商: AVICENNE | 英文 460+ Pages, 1000+ Exhibits, 150+ Company Profiles | 商品交期: 最快1-2個工作天內

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簡介目錄

概述：

本報告共460頁以上，包含1000張以上圖表，以及150家以上公司的簡介。本報告詳細說明了全球整形外科契約製造市場，並分析了以下細分市場：

  • 鍛造：髖關節柄、髖臼杯、股膝關節、脛膝關節、肩關節柄、肩胛盂、LF鋼板、LC鋼板
  • 鑄件：股骨膝關節部分、脛骨膝關節部分、髖臼杯、髖關節柄
  • 髖關節的機械加工和精加工：柄部、杯部、頭部、襯墊
  • 膝關節的機械加工與精加工：襯墊、脛骨組件、股骨組件
  • 肩關節的加工和精加工：柄部、肩胛盂腔及其他零件。
  • 脊椎加工與精加工：腰椎通用系統、脊椎板、脊椎螺絲和椎間融合器
  • 創傷治療組件的機械加工和精加工：鋼板、螺絲、髓內釘、髖關節髓內螺絲、髖關節加壓螺絲
  • 四肢的機械加工和精加工：足板、腳螺絲、手/腕/肘板、手/腕/肘螺絲
  • 器材製造與精加工：髖關節、膝關節、脊椎、創傷、肩關節、四肢
  • 箱子與托盤：髖關節、膝關節、脊椎、創傷、肩關節、四肢
  • 塗裝：柄、杯、股骨、脛骨組件
  • 陶瓷：股骨頭、髖臼襯墊
  • 標記、包裝與滅菌：髖關節、膝關節、脊椎、創傷。

本報告也詳細介紹並分析了以下幾個面向：

  • 依OEM訂單
  • 依所有細分市場和子細分市場提供的服務/產品（數量、價值）分類。
  • 契約製造市場佔有率及主要企業詳情：
    • 植入物：Tecomet、Orchid、Jabil、Viant、Precera、Avalign、Marle、Norman Noble、PCC、Paragon、Spitrex 等（提及超過 70 家公司）
    • 設備：Tecomet、Viant、Exalta、Avalign、Autocam Medical、Norwood、Orchid、Precera、Tegra 等（超過 45 家公司）
    • 箱子與托盤：Tecomet、Paragon、Viant、Avalign、Exalta、RMS、Veomed 等（超過20 家公司）
    • 塗料品牌：Lincotek、Orchid、Viant、DOT、APS Materials、Medicoat 等。
    • 陶瓷：Ceramtec、Coorstek、Kyocera、Metoxit 等。
    • 3D 列印：Stryker、Zimmer Biomet、Enovis、Adler、Lincotek、Cretex、Avalign；平台：Arcam、EOS、Concept Laser、SLM、3D Systems、Renishaw 等。
    • 包裝：Amcor、Oliver、Millstone、Nelipak 等。
    • 滅菌：Steris、Sterigenics、Ionisos 等。
    • 整形外科生物製劑：Heraeus、MTF Biologics、LifeNet Health、Vericel、Evergen、Biocomposites、Tecres、Cerapedics、Bonesupport、Teknimed 等。
  • 各細分市場市場佔有率排名前100大公司
  • 整形外科積層製造市場分析：使用者、供應商、重點產品及預測
  • 機器人技術：基於主要企業和多用戶平台的資料進行終端用戶市場分析，以及面向首席行銷長的機器人組件市場分析。

本報告的主要關注領域：

產品：髖關節、膝關節、脊椎、創傷、四肢、肩關節和骨科生技藥品

服務領域 - 鍛造、鑄造、機械加工、塗層、包裝、滅菌、陶瓷、3D列印 - 植入、手術器械、箱子和托盤

最新消息：

  • 對整形外科終端用戶市場進行全面概述：市場細分、定價、主要企業和策略趨勢。
  • ASC（非侵入性手術中心）是如何重振美國市場的？
  • 評估2024年和2025年的庫存調整及其對2026年訂單積壓的影響。
  • 整形外科3D列印：契約製造市場規模、主要企業市場佔有率和內部生產（包括2030年的預測）
  • 機器人技術：終端用戶市場分析（包括來自主要企業和多用戶平台的機器人技術資料），以及面向首席行銷長的機器人組件市場分析。
  • 四肢、脊椎、創傷和肩部疾病的契約製造：個別評估和成長基準
  • 在主要企業脊椎業務剝離之後，新興企業及其契約製造有哪些機會和策略舉措？
  • 骨科生物製品，成分分解：骨替代物、生長因子、骨水泥以及主要企業簡介
  • 提供前100 家契約製造（包括被收購公司）的廣泛戰略資訊，並使用 150 家公司的概況進行 SWOT 分析。
  • 分析併購趨勢及其對市場的影響。

目錄

研究目標和調查方法

摘要與執行摘要

I - 整形外科環境

  • 契約製造市場的價值鏈
  • 整形外科的宏觀環境：政治、經濟、社會/文化、技術、環境、法律/法規
  • 市場促進因素
  • 1950年至2050年全球人口成長及65歲以上人口
  • 市場促進因素
    • 人口統計與經濟
    • 整形外科通常較規避風險，很少有顛覆性創新，而有許多小規模的漸進式創新。
    • 創新和新產品驅動市場發展。
    • 具有創新精神的外科醫生尋找新產品。各國外科醫生比例（依類別）
  • 市場限制因素
    • 監管與認證
    • 贖回和價格管制
    • MDR（醫療設備法規）：對歐洲的影響
    • 帶有基於 MDD 的CE 標誌的產品有效期約為 5年，但在 MDD 到期之前，需要提交基於臨床支援的MDR 的檢驗申請。
    • 歐洲的時尚服飾價格呈現持續下降的趨勢。
    • 由於贖回價格的降低並不經常發生，因此從長遠來看，它們仍然是可控的。
    • 已開發國家髖關節ASP侵蝕
    • 已開發國家膝關節ASP侵蝕
    • 歐洲髖關節平均價格趨勢（2003-2025）：法國、德國、英國、義大利、歐洲平均水準
    • 價格下降預測（2025-2030年）：美國、澳洲、日本、法國
    • 歐洲（歐元）平均醫療保險償付價格趨勢，包括各國具體差異。
    • 法規、認證
    • 德國、法國和義大利的聯合採購
    • 整形外科銷售管道

II - 全球整形外科脊椎市場：主要企業、成長促進因素、阻礙因素及2025-2030年預測

  • 整形外科生態系統
  • 2025年全球整形外科市場（依產品）
  • 全球整形外科市場：成長率（2000-2010年年複合成長率、2010-2015年年複合成長率、2015-2019年年複合成長率、2015-2025年年複合成長率）
  • 2025年全球植入市場：依金額：膝關節、髖關節和脊椎植入物，依地區分類（美國、歐洲及其他地區）
  • 2025年全球人工膝關節、髖關節和脊椎移植的市場價值（十億美元）。
  • 2025年全球植入市場（創傷、肩部、四肢）的估計價值（十億美元）。
  • 依地區分類的髖關節和膝關節相關產品銷售額：美國、歐洲、日本、澳洲、韓國、其他地區
  • 每萬人和每面積的成長率（2025年）
  • 2025年全球整形外科市場：競爭格局
  • 2025年全球產品競爭格局：市場佔有率
  • 三種參與企業
  • 全球髖關節和膝關節市場前四大公司與面臨挑戰的公司之間的比較：雖然主要公司的成長仍然較為溫和，但面臨挑戰的公司以更快的速度成長。
  • 註：剔除Stryker後，結果更加清晰。過去十年，三大廠商的業績基本上持平，而其他競爭對手的年均成長率達到5.2%。
  • 髖關節、膝關節和肩關節領域的競爭對手正經歷著高於市場平均的成長：Enovis、Medacta、Corin、FX Solutions、Globus、Alphatec、Depuy Spine 和 Bonesupport。
  • 全球髖關節市場佔有率（2012-2025年）：除 COVID-19 疫情期間外，競爭對手的市場佔有率持續擴大，並且在2021年至2025年期間似乎保持穩定。
  • 2012年至2025年全球膝關節市場佔有率：除新冠感染疾病期間外，競爭對手的市場佔有率持續擴大，但在2021年至2025年期間呈現下降趨勢。Stryker是唯一一家市場佔有率持續擴大的主要公司，這得益於其在手術機器人系統方面的優勢。
  • 脊椎相關產品的全球市場佔有率（2012-2025）：大型公司透過收購競爭對手來限制市場佔有率的損失 - 新興企業經歷顯著成長。
  • 全球創傷治療市場佔有率（2012-2025年）：不包括 COVID-19感染疾病時期，競爭對手不斷擴大市場佔有率。
  • 儘管競爭對手在2018年至2025年期間不斷擴大市場佔有率，但2020年因 COVID-19 疫情的影響而成為例外。
  • 大型企業與新興企業：營收年複合成長率、市場佔有率
  • 大型企業與競爭對手：2025年展望
  • 競爭對手的成長和重大成長
  • Smith & Nephew 與 ATEC 的比較：每年平均新產品發表數量
  • （不考慮新冠疫情危機）競爭對手公司成長速度快於大型公司的原因
  • 已開發國家髖關節平均售價下降（2012-2025年）
  • 已開發國家膝關節ASP侵蝕趨勢（2012-2025年）
  • 2025年至2030年價格預測下降：美國、澳洲、日本、歐洲
  • 整形外科產品生命週期：髖關節、膝關節、脊椎和四肢關節到2030年的成長預測。
  • 2000年至2030年全球整形外科市場預測，涵蓋髖關節、膝關節、四肢、肩關節、創傷、脊椎和整形外科生技藥品。
  • 摘要：整形外科市場

III - 全球整形外科和脊椎契約製造市場、OEM策略、契約製造地位、市場佔有率及至2030年的預測

  • Zimmer Biomet：主設施詳情
  • OEM契約製造策略：Zimmer Biomet
  • OEM契約製造策略：Stryker
  • OEM契約製造策略：DePuy Synthes
  • OEM契約製造策略：Smith & Nephew
  • OEM契約製造需求：Medtronic
  • OEM契約製造需求：Globus
  • OEM契約製造需求：競爭對手
  • 契約製造流程和原料的細分：14個細分市場和 70個子細分市場
  • 鍛造契約製造市場（2025年）
  • 鍛造契約製造市場依產品分類（2012-2030年）
  • 2025年契約製造的市場佔有率：Tecomet、Marle、Precera Medical、Orchid 等。
  • 鍛造契約製造市場：原始設備製造商（OEM）與供應商之間的關係
  • 鑄造契約製造市場（2025年）
  • 鑄造契約製造市場（2012-2030年，依產品）
  • 2025年契約製造市場佔有率：Orchid、Marle、PCC 等。
  • 鑄造契約製造市場：原始設備製造商（OEM）與供應商之間的關係
  • 髖關節加工和精加工契約製造市場（2025年）
  • 髖關節機械加工和精加工契約製造市場（依產品）（2012-2030年）
  • 膝關節加工和精加工契約製造市場（2025年）
  • 膝關節加工和精加工的契約製造市場（依產品）（2012-2030年）
  • 肩部加工和精加工契約製造市場（2025年）
  • 肩部加工和精加工的契約製造市場（依產品）（2012-2030年）
  • 脊椎移植加工和精加工的契約製造市場（2025年）
  • 脊椎移植加工和精加工的契約製造市場（2012-2030年）
  • 創傷植入加工和精加工的契約製造市場（2025年）
  • 創傷植入加工和精加工的契約製造市場（2012-2030年）
  • 四肢植入加工和精加工契約製造市場（2025年）
  • 四肢植入加工和精加工的契約製造市場（2012-2030年）
  • 脊椎、創傷、四肢和肩部契約製造市場（2025-2030年）
  • 參與企業市場佔有率：2025年脊椎、創傷、四肢和肩部損傷的契約製造
  • 哪些類型的整形外科器械用於治療膝關節、髖關節、脊椎、創傷、肩關節和四肢損傷？
  • 膝關節整形外科器：功能分割
  • 膝關節整形外科器械的分類數量：150-200
  • 髖關節整形外科器材分類：80-150件
  • 脊椎外科手術器械：30-50件 - 脊椎整形外科器械 - 產品細分
  • 創傷治療工具分類：10-20項
  • 大型原始設備製造商（OEM）採用與競爭對手不同的外包策略，競爭對手幾乎將所有測量儀器外包出去。
  • 測量儀器生命週期：新的OEM計劃會帶動測量儀器的生產。如果OEM廠商推遲新計畫的推出（例如，在2008年和2011年的經濟危機、新冠感染疾病以及2024年至2025年OEM廠商的庫存削減期間），測量儀器的產量也會大幅下降。
  • 切割工具：拋棄式用品的趨勢：拋棄式工具是外科醫生的迫切需求。
  • 切割工具：拋棄式趨勢：拋棄式工具在美國和歐洲迅速成長。
  • 測量設備契約製造市場（2025年）
  • 依產品分類的測量儀器契約製造市場（2012-2030年）
  • 2025年測量儀器契約製造市場佔有率：Exalta、Tecomet、Arch、Jabil 等。
  • 整形外科醫師 - 區域首席醫療官計費
  • 美國測量設備契約製造供應商排名：前10/11 至 30/31名 - 以及測量設備收入和帳單金額
  • 2025年整形外科機器人市場：MAKO-Stryker、ROSA-Zimmer Biomet、Corin TANVI、Navio-Smith、Mazor-Medtronic、Velys-Depuy Synthes
  • 導航手術與機器人輔助手術的比較
  • Mako 收購 Stryker 重振了整形外科機器人市場，並對外科器械市場產生了重大影響。
  • 整形外科機器人手術：Stryker公司率先進入大眾市場，接著是Smith & Nephew、Zimmer Biomet、Depuy等。
  • Mako公司用於肩部和脊椎手術的下一代手術機器人：2013-2025年藍圖
  • Zimmer Biomet 與 Rosa藍圖（2013-2025）
  • Smith & Nephew 與 Navio & Cori 的2015-2025年藍圖
  • Depuy Synthes 與 Velys藍圖（2018-2025）
  • 對機器人整形外科系統進行詳細基準測試：是否基於電腦斷層掃描、技術支援等。
  • Mako、Rosa、Velys 基準營運成本/購置成本
  • 機器人輔助手術：美國在機器人手術的使用上遙遙領先。 （2014年至2030年各類機器人手術系統數量）
  • 產品基準：Mako 是臨床上經驗最豐富的機器人，但其實施成本高。
  • 美國機器人輔助膝關節手術數量（2020-2030）：美國在機器人應用上遙遙領先。膝關節手術是首要目標。
  • 美國境外進行的機器人輔助膝關節手術數量（千例，2020-2030年）
  • 澳洲一直是整形外科創新技術應用的先驅，尤其是在機器人輔助膝關節手術方面。 （德國、日本和法國的情況）
  • 美國境外機器人輔助手術：2025年至2030年間在美國境外進行的機器人膝關節手術數。
  • 什麼是整形外科器盒和矯正托盤？
  • 箱子和托盤契約製造市場（依產品分類，2012-2030年）
  • 2025年箱子和托盤契約製造市場排名前15名的公司：Tecomet、VIANT、Orchid 等。
  • 陶瓷契約製造市場（2025年）
  • 陶瓷契約製造市場（依產品）（2012-2030年）
  • 預計到2025年，Ceramtec、Coorstek、Kyocera等公司將瓜分陶瓷契約製造市場。
  • 塗層契約製造
  • 塗料契約製造市場（2025年）
  • 依產品分類的塗料契約製造市場（2012-2030年）
  • 2025年塗料契約製造市場佔有率：Orchid、DOT、APS Materials、Lincotek 等。
  • 標記、包裝和滅菌 - MPS契約製造市場（2025年）
  • 受託製造服務（MPS）市場：依產品分類，2012-2030年
  • 契約製造市場的價值鏈
  • 2025年全球整形外科契約製造收入（百萬美元）排名前25名的公司：Jabil Healthcare、Tecomet、Arch Medical、Paragon、Exalta 等。
  • 主要企業：2017年至2025年主要併購活動
  • Tecomet依地區和客戶分類的收入（2019-2025年）
  • 依地區和客戶分類的蘭花銷售情況（2019-2025年）
  • Viant依地區和客戶分類的收入（2019-2025年）
  • Avalign依地區和客戶分類的收入（2019-2025年）
  • CMO Leader：提供廣泛的服務，包括鍛造、鑄造、機械加工、塗層、測量儀器、箱子和托盤以及包裝。
  • 行銷長領導者：Tecomet、Orchid、Viant - 優勢與劣勢
  • 契約製造領域競爭對手排名及分佈：前20 強公司 / 前21-100 強公司 / 前101-1000 強以上公司
  • 整形外科器械發票（依地區和參與企業）：Jabil、Exalta、Tecomet、Arch、Paragon、Avalign、Norwood、Autocam、Viant
  • 透過收購集中整形外科契約製造業務
  • 契約製造需要更加專注。
  • 外包的增加是所有整形外科相關企業的一個主要趨勢。
  • 持續趨勢：當有機會向能夠保證供應穩定的大型可靠公司銷售設備時，就會發生 OEM 設備銷售。
  • Depuy Synthes - Jabil：出售14家工廠的戰略協議：初步藍圖
  • JABIL醫療保健簡介
  • OEM工廠出售：Depuy Synthes和Jabil在2019年至2020年的交易產生了重大影響。
  • 外包的增加是整形外科相關企業的一大趨勢。
  • 2030年轉型為有限責任公司的風險
  • 2025年契約製造價格範圍概覽
  • 整形外科產品的契約製造市場成長速度快於企業內部生產。然而，在2024年和2025年，主要整形外科公司大幅削減庫存導致訂單減少，契約製造市場成長放緩。
  • 契約製造市場的擴張速度高於整形外科市場。推動這加速成長的主要因素是：1.整形外科公司外包率不斷上升；2.資本支出減少。
  • 契約製造市場歷史收入及預測：2012-2025年 - 詳情：鍛造、鑄造、3D 列印、髖關節加工和精加工、膝關節加工和精加工、肩關節加工和精加工、脊柱關節加工和精加工、創傷關節加工和精加工、四肢關節加工和精加工、器械加工和精加工、箱子和托盤加工和精加工、陶瓷、塗層、標記、包裝、滅菌 -2012-2025年年複合成長率
  • 契約製造市場歷史收入及預測：2025-2030年 - 詳情：鍛造、鑄造、3D 列印、髖關節加工和精加工、膝關節加工和精加工、肩關節加工和精加工、脊柱關節加工和精加工、創傷關節加工和精加工、四肢關節加工和精加工、器械加工和精加工、箱子和托盤加工和精加工、陶瓷、塗層、標記、包裝、滅菌 -2025-2030年年複合成長率

IV - 整形外科中的3D列印

  • 3D列印和整形外科中的小梁結構
  • 3D列印在整形外科的歷史
  • Zimmer 與Trabecular Tantalum的故事
  • Zimmer、Trabecular Metal相關植入物
  • 3D 列印製造：技術和主要競爭對手，包括 EOS、SLM Solutions、Concept Laser（GE）和 Arcam（GE）。
  • Arcam EBM在整形外科產業的實施紀錄：Lima
  • Beijing AKM EDICAL EBM安裝基礎
  • Armac 的Implantcast EBM 機器安裝基礎
  • 代表性金屬3D列印系統列印速度與解析度比較：EBM與選擇性雷射熔融
  • Smith & Nephew利用3D列印技術製作客製化切割塊
  • Stryker 3D列印發展歷程：Stryker將投資超過4億美元興建3D列印製造廠
  • Stryker 目前使用 3D 列印技術生產的產品包括：膝關節、籠式裝置等。
  • Depuy Spine 利用 3D 列印技術為複雜的手術器械製作原型。
  • Depuy Synthes 已從 Tissue Regeneration Systems Inc. 收購了 3D 列印技術。
  • XILLOC投資顱顎顏面區域的應用。
  • 依客戶和供應商分類的整形外科設備供應商，以及已安裝設備數量：EOS、ARCAM（GE）、CONCEPT LASER（GE）、SLM Solutions、3D Systems、Trumpf、Renishaw 及其客戶
  • 數十家公司提到了他們擁有的3D列印機的數量和型號。
  • 隨著3D列印成本的降低，目標市場應該會擴大。成本曲線和複雜度曲線與目標市場密切相關。
  • 積層製造技術對於重組植入來說是一項極具吸引力的技術。
  • 使用 3D 列印技術製造的植入數量：Zimmer Biomet、Lima（Enovis）、Exactech、Adler Ortho
  • 使用 3D 列印技術的醫療設備已獲得美國 FDA核准。
  • 3D列印技術已在大眾市場廣泛應用，並應用於多種主要產品。
  • 目前，3D列印技術對植入的鍛造、鑄造和機械加工影響甚微。我們的研究表明，Stryker及其競爭對手在3D列印技術的應用方面擁有最先進的技術，尤其是在髖關節杯、脛骨膝關節板和脊椎融合器等領域。
  • 與 PEEK 或鈦合金製成的籠子相比，3D 列印的籠子獲得越來越大的市場佔有率。
  • 2025年的3D列印
  • 3D列印對植入鍛造、鑄造和加工的影響。
  • 籠狀材料：歐洲五大主要國家 PEEK、鈦和 3D 列印的比較。
  • 3D列印是植入契約製造企業的最佳選擇嗎？對植入、標準籠、特殊籠子和客製化植入的分析：主要企業、產品、優勢、促進因素和阻礙因素。
  • 3D列印是醫療設備契約製造的最佳選擇嗎？客製化切割導軌和設備的分析。
  • 對 Lincolnek 進行分析，該公司是 3D 列印領域最先進的契約製造公司之一。
  • Lincotek 3D列印活動詳情
  • 主要契約製造：3D 列印領域的投資與策略；Tecomet、Orchid、Lincolnek、Marle、C&A Tool、DRT Medical 等眾多公司。
  • 包括Orchid、Lincolnek、Marle、Paragon和Norman Noble在內的大多數大型契約製造公司都在投資3D列印技術。各公司的具體策略詳情可查閱。
  • 使用 3D 列印技術製造的最常見整形外科產品有：髖臼杯、脛骨膝關節、籠狀結構、肩胛盂。
  • 傳統製造流程與3D列印製程：成本比較（美元）
  • 主要機器供應商的安裝數量趨勢：自2015年以來，用於整形外科的3D 列印機數量每年成長 25%。 （例如 EOS、ARCAM、Concept Laser、3D Systems、SLM 和 Renishaw。）
  • 3D列印內部製造與契約製造市場：依產品（髖臼杯、膝關節脛骨、肩胛盂、脊椎融合器等）：2015-2030年
  • 依客戶分類的內部製造和委託製造市場：Depuy Synthes、Stryker、Smith & Nephew、Zimmer Biomet、Medtronic 等。
  • 2025年3D列印契約製造市場（依供應商）
  • 整形外科3D列印：執行摘要

V - Orthobiologics/鈷鉻合金/ASC

  • 骨替代材料和骨水泥的全球價值鏈。
  • 合成或天然骨替代物，或同種異體移植，需要滿足各種需求，包括可注射替代物和體積較大的同種異體移植。
  • 市面上最好的骨移植材料：注射和抗生素是主要驅動力。
  • 水泥的黏度特性和抗生素含量各不相同。
  • 整形外科水泥中使用抗生素：極需新型含抗生素水泥
  • 2025年全球整形外科生技藥品市場：骨水泥、骨替代物等。
  • 合成或天然骨替代物，或同種異體移植，需要滿足各種需求，包括可注射替代物和體積較大的同種異體移植。
  • 市面上最好的骨移植材料：注射和抗生素是主要驅動力。
  • 鈷鉻合金與歐盟法規2017/745
  • 鈷鉻合金目前廣泛應用於六大整形外科產品：股膝關節、雙動內襯、髖關節和肩關節頭、雙極杯以及脛膝關節鋼板。鈷鉻合金的使用情況因地區而異。
  • 抗鎳、鈷等過敏溶液
  • 美國門診手術中心（ASC）預測

VI - 外匯波動與關稅的影響

VII - 契約製造競爭排名、前100大公司簡介及領導企業的SWOT分析

VIII - 附錄

簡介目錄
Product Code: CM 15-2026

Overview:

This report contains 460+ pages and 1 000+ exhibits and 150+ company profiles. It detailed the worldwide orthopedic Contract Manufacturing market and analysis for the following segments:

  • Forging: Hip stem, hip cup, femoral knee, tibial knee, shoulder stem, shoulder glenoid, LF plates, LC plates
  • Casting: Femoral knee, tibial knee, hip cup, hip stem
  • Hip machining and finishing: Stem, cup, head, liner
  • Knee machining and finishing: Insert, tibial, femoral components
  • Shoulder machining and finishing: Stem, glenoid, other parts
  • Spine machining and finishing: Lumbar Universal Systems, spine plates, spine screws and cages
  • Trauma machining and finishing: Plates, screws, nails, intramedullary hip screws, compression hip screws
  • Extremities machining and finishing: Foot plates, foot screws, hand, wrist & elbow plates, hand, wrist & elbow screws
  • Instrument machining and finishing: Hip, knee, spine, trauma, shoulder, extremities
  • Cases and trays: Hip, knee, spine, trauma, shoulder, extremities
  • Coating: Stem, cup, femoral, tibial components
  • Ceramics: Femoral heads, cup liners
  • Marking, packaging and sterilization: Hip, knee, spine, trauma.

This report provides also details and analysis for the following segments:

  • By OEM orders
  • By services & products offered for all segments & sub-segments (volume, value)
  • By Contract Manufacturing market share & player details:
    • Implants: Tecomet, Orchid, Jabil, Viant, Precera, Avalign, Marle, Norman Noble, PCC, Paragon, Spitrex, etc. (Over 70 companies mentioned)
    • Instruments: Tecomet, Viant, Exalta, Avalign, Autocam Medical, Norwood, Orchid, Precera, Tegra, etc. (45+)
    • Cases & trays: Tecomet, Paragon, Viant, Avalign, Exalta, RMS, Veomed, etc. (20+)
    • Coating: Lincotek, Orchid, Viant, DOT, APS Materials, Medicoat, etc.
    • Ceramics: Ceramtec, Coorstek, Kyocera, Metoxit, etc.
    • 3D Printing: Stryker, Zimmer Biomet, Enovis, Adler, Lincotek, Cretex, Avalign as well as Arcam, EOS, Concept Laser, SLM, 3D Systems, Renishaw, for the platforms, etc.
    • Packaging : Amcor, Oliver, Millstone, Nelipack, etc.
    • Sterilization: Steris, Sterigenics, Ionisos, etc.
    • Orthobiologics: Heraeus, MTF Biologics, LifeNet Health, Vericel, Evergen, Biocomposites, Tecres, Cerapedics, Bonesupport, Teknimed, etc.
  • Top 100 players with market share in each segment
  • Orthopedics Additive Manufacturing market analysis: users, suppliers, products focused on & forecasts
  • Robotics: End-user market analysis, with data from the majors and multi-user platforms & market analysis of robotic components for CMOs

Main report focus area:

Products: hip, knee, spine, trauma, extremities, shoulder and orthobiologics

Services: forging, casting, machining, coating, packaging, sterilization, ceramics & 3D printing Segments: Implants, instruments and cases & trays.

New updates:

  • A Complete overview of the orthopedic end-user market: market segments, prices, players and strategic trends
  • How have ASCs boosted the US market?
  • Assessment of destocking in 2024 and 2025, and its impact on the backlog in 2026
  • 3D printing for orthopedics: contract manufacturing; market shares of key players; and in-house market sizes, with forecasts up to 2030.
  • Robotics: End-user market analysis, with robotics data from the majors and multi-user platforms & market analysis of robotic components for CMOs
  • Extremities, Spine, Trauma and Shoulder contract manufacturing, separate assessment and growth benchmarking
  • Opportunities and strategic moves for challengers and their contract manufacturers after spine divestment by major players?
  • Orthobiologic products, breakdown of components: bone substitutes, growth factors, cements, and profiles of the top players
  • A plethora of strategic information on the top 100 contract manufacturers, including acquired companies, and SWOT analysis with 150 profiles.
  • Analysis of M&A activity and its impact on the market.

Table of Contents

Purpose of the Survey and Methodology

Synopsis & Executive summary

  • Segmentation
  • Worldwide Orthopedic market in 2025: by product & by player
  • Worldwide Orthopedic market in 2025: Majors Vs challengers
  • Worldwide Orthopedic market in 2025: life cycle of orthopedic products and forecasts for 2030
  • Orthopedic Contract Manufacturing value chain
  • Contract Manufacturing market & trends: Forging
  • Contract Manufacturing market & trends: Casting
  • Contract Manufacturing market & trends: Instrument machining
  • Contract Manufacturing market & trends: Instruments is a highly fragmented market
  • Contract Manufacturing market & trends: Coating
  • Contract Manufacturing market & trends: Cases & trays
  • Contract Manufacturing market & trends: Ranking of top players
  • Orthopedic Contract Manufacturing market & trends: Top20, Top 21-100 and top 101 -1 000 distribution of revenues
  • Orthopedic Contract Manufacturing market & trends: consolidation by acquisition- Forecasts by service for 2030
  • The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing
  • Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for hip, knee, knee, shoulder& trauma
  • Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for spine & Additive Manufacturing machines in 2025 and usage forecasts for 2030

I- Orthopedic environment

  • Contract Manufacturing market value chain
  • Orthopedics Macro environment: Political, Economical, social/culture, technological, environment, legal & regulatory
  • Market Drivers
  • Global population growth 1950-2050 and people over 65
  • The market drivers
    • Demographic & Economic
    • Orthopedics is generally risk-averse with few disruptive innovations, many small incremental innovations
    • Innovation and new products pull the market
    • Innovative surgeons are looking for new products, % of the surgeons by category in each type of country
  • The market limiters
    • Regulatory & Certification
    • Reimbursement and pricing regulation
    • MDR (Medical Device Regulation): Impact in Europe
    • A product's CE marked under MDD will remain valid for about 5 years, which will necessitate a mandatory request for validation under MDR, backed up by clinical studies, before the MDD expiry date: details
    • Hip Price trends in Europe show regular decrease
    • Reimbursement price decreases are not frequent; hence they have been manageable over the long term
    • Hip ASP erosion in developed countries
    • Knee ASP erosion in developed countries
    • Hip average price trend in Europe 2003-2025: France, Germany, UK, Italy, Average Europe
    • Price erosion forecast 2025-2030 USA, Australia, Japan, France
    • Reimbursement HIP average price trend in Europe (Euro), including country disparities
    • Regulatory, Certification
    • Group purchasing in Germany, France and Italy
    • The orthopedic sales channels

II- Worldwide orthopedic & spine market; players, drivers & limiters and forecasts 2025 - 2030

  • Orthopedics Ecosystem
  • Worldwide orthopedic markets in 2025 by product
  • The Worldwide orthopedics market: Growth 2000 - 2010 CAGR, 2010 - 2015 CAGR, 2015 - 2019 CAGR & 2015 - 2025 CAGR
  • Worldwide implants market in 2025 by value (BUS$): Knee, hip, spine and by area, USA, Europe, Row
  • Worldwide implants market knee, hip & spine in 2025 by value (BUS$)
  • Worldwide implants market trauma, shoulder & extremities in 2025 by value (BUS$)
  • Hip & Knee sales per area: USA, Europe, Japan, Australia, Korea & Row
  • Ratio for 10,000 inhabitants & growth by area (2025)
  • Worldwide orthopedic market in 2025: competition
  • Worldwide competition by product in 2025: Market share
  • Three types of Challengers competing with the Majors
  • Top 4 vs. Challengers for hip & knee worldwide markets: Majors have small growth while challengers are growing faster
  • Note: If we exclude Stryker, the results are much more revealing: The 3 majors have been flat over 10 years, while the challengers have grown by 5.2% per year
  • Hip, knee & shoulder challengers are growing faster than the market average: Enovis, Medacta, Corin, FX Solutions, Globus, Alphatec, Depuy Spine, Bonesupport
  • Hip worldwide market shares 2012-2025: Challengers gained continuous market share, except during the Covid period, then seem to be stable between 2021 to 2025
  • Knee worldwide market shares 2012-2025: Challengers gained continuously market share, except during the Covid period, then seem decline between 2021 to 2025. Stryker is the only Major to gain market share thanks to its lead in surgical robotic systems
  • Spine worldwide market shares 2012-2025: Majors limit market share losses by buying rivals - Challengers are growing a lot!
  • Trauma worldwide market shares 2012-2025: Challengers gained continuous market share, except the Covid period
  • Challengers have continuously gained market share 2018-2025 - Except in 2020 due to Covid impact
  • Majors Vs Challengers : Revenues CAGR, market shares
  • Majors Vs Challengers: 2025 picture
  • Challengers growing Vs majors
  • Smith & Nephew and ATEC comparison: average new products launched per year
  • Reasons why Challengers are growing faster than Majors (except during Covid crisis)
  • Hip ASP erosion in developed countries 2012-2025
  • Knee ASP erosion in developed countries 2012-2025
  • Forecast Price erosion 2025 -2030: USA, Australia, Japan, Europe
  • The life cycle of orthopedic products: Growth forecasts by 2030 for hip, knee, spine, extremities
  • Worldwide orthopedic market forecasts 2000-2030 for hip, knee, extremities, shoulder, trauma, spine, orthobiologics, etc.
  • Summary: Orthopedic market

III- Worldwide orthopedic & spine Contract Manufacturing market, OEM strategies, Contract Manufacturers position, market share and forecasts to 2030

  • Zimmer Biomet: main facilities details
  • OEM contract manufacturing strategy: Zimmer Biomet
  • OEM contract manufacturing strategy: Stryker
  • OEM contract manufacturing strategy: Depuy Synthes
  • OEM contract manufacturing strategy: Smith & Nephew
  • OEM contract manufacturing needs: Medtronic
  • OEM contract manufacturing needs: Globus
  • OEM contract manufacturing needs: Challengers
  • Contract Manufacturing process segmentation & raw materials: 14 segments & 70 sub-segments
  • Forging Contract Manufacturing market 2025
  • Forging Contract Manufacturing market 2012-2030 by product
  • Forging Contract Manufacturing market share in 2025: Tecomet, Marle, Precera Medical, Orchid, etc.
  • Forging Contract Manufacturing market: OEMs relationships with their suppliers
  • Casting Contract Manufacturing market 2025
  • Casting Contract Manufacturing market 2012-2030 by product
  • Casting Contract Manufacturing market share in 2025: Orchid, Marle, PCC, etc.
  • Casting Contract Manufacturing market: OEMs relationships with their suppliers
  • Hip machining & finishing Contract Manufacturing market 2025
  • Hip machining & finishing Contract Manufacturing market 2012-2030 by product
  • Knee machining & finishing Contract Manufacturing market 2025
  • Knee machining & finishing Contract Manufacturing market 2012-2030 by product
  • Shoulder machining & finishing Contract Manufacturing market 2025
  • Shoulder machining & finishing Contract Manufacturing market 2012-2030 by product
  • Spine implants machining & finishing Contract Manufacturing market 2025
  • Spine implants machining & finishing Contract Manufacturing market 2012-2030
  • Trauma implants machining & finishing Contract Manufacturing market 2025
  • Trauma implants machining & finishing Contract Manufacturing market 2012-2030
  • Extremities implants machining & finishing Contract Manufacturing market 2025
  • Extremities implants machining & finishing Contract Manufacturing market 2012-2030
  • Spine, Trauma, Extremities & Shoulder Contract Manufacturing market 2025-2030
  • Player market shares: Spine, Trauma, Extremities & Shoulder contract manufacturing in 2025
  • What are orthopedic instruments for knee, hip, spine, trauma, shoulder & extremities?
  • Knee orthopedic instruments: functional segmentation
  • Knee orthopedic instrument segmentation: 150 to 200 pieces
  • Hip orthopedic instrument segmentation: 80 to 150 pieces
  • Spine instruments: 30 to 50 pieces - Spine orthopedic instruments - product segmentation
  • Trauma instruments segmentation: 10 to 20 pieces
  • The Major OEMs have a different outsourcing strategy Vs the challengers. The challengers outsource almost all their instruments
  • Instruments life cycle: New OEM projects lead to instruments set manufacturing. When an OEM postpones the launch of its new projects (for example during the 2008 & 2011 crisis, during Covid 19 & OEMs destocking period 2024-2025), it also drastically reduces its instruments manufacturing
  • Cutting tools: Single-use trend: Single-use is a pressing demand from surgeons
  • Cutting tools: Single-use trend: Single-use is growing rapidly in the US and Europe
  • Instruments Contract Manufacturing market 2025
  • Instruments Contract Manufacturing market 2012-2030 by product
  • Instruments Contract Manufacturing market share in 2025: Exalta, Tecomet, Arch, Jabil, etc.
  • Orthopedic instrument players - Billing of CMOs by geographical area
  • Ranking of instrument contract manufacturing suppliers: Top 10 / Top 11-30 / From 31 to - & Revenues from instruments and US billings
  • Orthopedic robotic market in 2025: MAKO - Stryker, ROSA - Zimmer Biomet, Corin TANVI, Navio - Smith, Mazor - Medtronic and Velys - Depuy Synthes
  • Navigation Vs robotic assisted surgery
  • Mako's acquisition by Stryker boosted the orthopedic robotic market and have a huge impact on instruments market
  • Orthopedic robotics surgeries: Stryker open the mass market, Smith & Nephew, Zimmer Biomet, Depuy and many others have followed
  • New generations of Mako for shoulder and spine surgery planned for the coming years - Roadmap 2013-2025
  • Zimmer Biomet with Rosa roadmap 2013-2025
  • Smith & Nephew with Navio & Cori roadmap 2015-2025
  • Depuy Synthes with Velys roadmap 2018-2025
  • Robotic orthopedic system benchmark in detail: CT scan based or not, technical support, etc.
  • Mako, Rosa, Velys and Cori benchmark Operating cost / Acquisition cost
  • Robotic assisted surgeries: USA is by far the leading country for Robotics usage. 2014-2030 procedures by robotic systems
  • Product benchmarking: Mako is the robot with the most extensive clinical track record, but the acquisition cost is high
  • US knee robotic-assisted surgeries 2020-2030 in units: the USA is by far the leading country for robotics usage. Knee surgery is the first target
  • Outside US knee surgeries performed with robotics (in K units & 2020-2030)
  • Australia was always a pioneer in the use of innovations in orthopedics especially for knee robotic-assisted surgeries. Germany and Japan and France situations
  • Robotic-assisted surgeries outside the US: Between 2025 and 2030, the number of robotic knee operations outside the USA
  • What are orthopedic cases & trays?
  • Cases & trays Contract Manufacturing market 2012-2030 by product
  • Cases & trays Contract Manufacturing top 15 market share in 2025: Tecomet, VIANT, Orchid, etc.
  • Ceramics Contract Manufacturing market 2025
  • Ceramics Contract Manufacturing market 2012-2030 by product
  • Ceramics Contract Manufacturing market share in 2025: Ceramtec, Coorstek, Kyocera , etc.
  • Coating Contract Manufacturing
  • Coating Contract Manufacturing market 2025
  • Coating Contract Manufacturing market 2012-2030 by product
  • Coating Contract Manufacturing market share in 2025: Orchid, DOT, APS Materials, Lincotek, etc.
  • Marking Packaging & Sterilization -MPS Contract Manufacturing market 2025
  • MPS- Contract Manufacturing market 2012-2030 by product
  • Contract Manufacturing market value chain
  • Contract Manufacturers worldwide orthopedics revenues in 2025 (in MUS$) - The Top 25: Jabil Healthcare, Tecomet, Arch Medical, Paragon, Exalta, etc.
  • CMO top players: 2017-2025 main M&A activity
  • Tecomet revenues by area and by customers 2019-2025
  • Orchid revenues by area and by customers 2019-2025
  • Viant revenues by area and by customers 2019-2025
  • Avalign revenues by area and by customers 2019-2025
  • CMOs leader: presence in different services: forging, casting, machining, coating, instruments, cases & trays, and packaging
  • CMOs leader: Tecomet, Orchid and Viant - Strengths & Weaknesses
  • Contract Manufacturing competitor ranking & dispersion: Top20 / Top 21-100 / Top 101 to >1,000
  • Billing for Orthopedic instruments by geographical area and by players: Jabil, Exalta, Tecomet, Arch, Paragon, Avalign, Norwood, Autocam, Viant
  • Orthopedic Contract Manufacturing concentration by acquisition
  • Contract Manufacturing industry needs more concentration
  • More outsourcing is a heavy trend for all the orthopedic companies: Outsourcing rate
  • Continuous trend: OEM facility disinvestments occur when there are opportunities to sell to a large and reliable player, who can guarantee supply security
  • Depuy Synthes - Jabil: strategic deal to disinvest 14 facilities: initial road map
  • JABIL Healthcare profile
  • OEM facility disinvestments: huge impact of Depuy Synthes - Jabil deal for 2019-2020
  • More outsourcing is a heavy trend for all the orthopedic companies
  • The risk of moving to LLC by 2030
  • Contract Manufacturing price range dashboard in 2025
  • Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing: In 2024 & 2025 significant destocking by major orthopedic companies have reduced orders and slow the growth of the contract manufacturing market.
  • Contract Manufacturing market is growing at a higher rate than the orthopedic market: Main drivers for this faster growth: 1- Growth in orthopedic company outsourcing rate 2- Facility disinvestments
  • Contract Manufacturing market historical revenues & forecasts (MUS$): 2012-2025 - In details: forging, casting, 3D Printing, hip machining & finishing, knee machining & finishing, shoulder machining & finishing, spine machining & finishing, trauma machining & finishing, extremities machining & finishing, instrument machining & finishing, cases & trays machining & finishing, ceramics, coating, marking, packaging and sterilization - CAGR 2012-2025
  • Contract Manufacturing market historical revenues & forecasts (MUS$): 2025-2030 - In details: forging, casting, 3D Printing, hip machining & finishing, knee machining & finishing, shoulder machining & finishing, spine machining & finishing, trauma machining & finishing, extremities machining & finishing, instrument machining & finishing, cases & trays machining & finishing, ceramics, coating, marking, packaging and sterilization - CAGR 2025-2030

IV- 3D Printing in Orthopedics

  • 3D Printing & Trabecular in Orthopedics
  • 3D Printing history in Orthopedics
  • Story of Zimmer and Trabecular Tantalum
  • Zimmer, Trabecular Metal related implants
  • 3D Printing Manufacturing: Technologies and major competitors, EOS, SLM Solutions, Concept Laser (GE), Arcam (GE), etc.
  • Arcam EBM installed base for orthopedic industry: Lima
  • Beijing AK MEDICAL EBM Installed base
  • Implantcast EBM machines Installed base from Arcam
  • Illustrative build-up speed and resolution of selected Metal 3D Printing systems: EBM Vs Selective Laser Melting
  • Smith & Nephew usage of 3D Printing for customized cutting blocks
  • Stryker's History of 3D Printing: STRYKER, to build a 3D printing manufacturing facility for more than $400 million
  • Stryker's current products made by 3D printing: Knee, cages, etc.
  • Depuy Spine usage of 3D Printing for prototyping of complex surgical tools
  • Depuy Synthes has acquired 3D Printing technology from Tissue Regeneration Systems Inc.
  • XILLOC invested usage for Cranio-Maxillofacial applications
  • Equipment suppliers for Orthopedics, Installed base per customer and per supplier: EOS, ARCAM (GE), CONCEPT LASER (GE), SLM Solutions, 3D Systems, Trumpf, Renishaw and their customers
  • Dozens of companies mentioned the number of 3D printing machines and type of machines
  • Addressable market should increase with lower 3D Printing cost: cost and complexity curve linked with addressable market
  • Additive Manufacturing is attractive for reconstructive implants
  • Number of implants produced using 3D Printing: Zimmer Biomet, Lima (Enovis), Exactech, Adler Ortho
  • FDA clearance for medical devices using 3D Printing in USA
  • 3D Printing has reached the mass market for a few key products
  • 3D Printing today has a slight impact on the forging, casting & machining of implants. Our research shows that Stryker and challengers are most advanced in the use of 3D printing, particularly for hip cups, tibial knee plates and spinal cages.
  • 3D printing cages are gaining in market share over Peek and Titanium cages.
  • 3D Printing in 2025
  • 3D Printing impact on forging, casting & machining of implants
  • Cages Raw Materials in the five main European countries: Peek, Titanium Vs 3D Printing
  • Is 3D Printing the right option for the implant Contract Manufacturing business? Analysis for implants, standard cages, special cages and customized implants: players, products, benefits, drivers and limiters
  • Is 3D Printing the right option for the instruments Contract Manufacturing business? Analysis of customized cutting guides and instruments
  • Analysis of one of the most advanced Contract Manufacturers in 3D Printing: Lincotek
  • Lincotek 3D Printing activities in details
  • Major Contract Manufacturers: 3D Printing investments and strategies; Tecomet, Orchid, Lincotek, Marle, C&A Tool, DRT Medical and many others
  • Most large contract manufacturers are investing in 3D printing; Orchid, Lincotek, Marle, Paragon, Norman Noble and many others: detail of strategy of each
  • The most manufactured orthopedic products by 3D Printing: cups, tibial knee, cages, shoulder glenoid,
  • Standard manufacturing process Vs 3D Printing process: cost comparison in US$
  • Trend of the installed bases of the main machine suppliers: the number of 3D Printing machines used in orthopedics has grown by 25% per year since 2015: EOS, ARCAM, Concept Laser, 3D Systems, SLM, Renishaw, etc.
  • 3D Printing In-house & Contract Manufacturing market: by products (hip cup, knee tibial, shoulder glenoid, spine cage, etc.) : 2015-2030
  • In-house and contract manufacturing market by customer: Depuy Synthes, Stryker, Smith & Nephew, Zimmer Biomet, Medtronic, etc.
  • 3D printing contract manufacturing market by supplier in 2025
  • 3D Printing for orthopedics: Executive summary

V- Orthobiologics / Cobalt Chrome / ASC

  • The global value chain of bone substitutes & cements
  • Synthetic or natural bone substitutes, allografts, must satisfy many needs: injectable substitutes or more abundant allografts
  • Top bone grafts on the market: injectables and antibiotics are the main drivers
  • Cement comes with various viscosity characteristics and antibiotic content
  • Use of antibiotics for orthopedic cements: Need for cements with new antibiotics
  • Worldwide Orthobiologic markets in 2025: cements, bone substitutes, etc.
  • Synthetic or natural bone substitutes, allografts, must satisfy many needs: injectable substitutes or more abundant allografts
  • Top bone grafts on the market: injectables and antibiotics are the main drivers
  • Cobalt-Chrome & EU Regulation 2017/745
  • Cobalt-Chrome is used today in 6 major orthopedic products: femoral knee, dual mobility liner, hip and shoulder heads, bipolar cups and tibial knee plates. The use of Co-Cr varies depending on the geographical area
  • Anti-allergic solutions against nickel, cobalt, etc.
  • Ambulatory Surgery Center - ASC forecast in the USA

VI- FX rate variation & Impact of Tariffs

  • FX rate variation from January 2018 to December 2025
  • Impact of exchange rate fluctuations on the major orthopedic companies: The Majors are impacted in terms of their revenues in Europe! Production will tend to relocate within Europe or to ROW
  • Impact of exchange rate fluctuations on orthopedic Contract Manufacturers: Majors CMO are negatively impacted on their share of sales in Europe
  • Impact of Tariffs
  • Worldwide orthopedic market forecasts
  • Opportunities and risks for orthopedic end-user market
  • Opportunities and risks for orthopedic contract manufacturing
  • Summary: Orthopedic market
  • Summary: orthopedic Contract Manufacturing market

VII- Contract manufacturing competitor ranking, Top 100 profiles and SWOT analysis of the leaders

VIII- Appendices