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整形外科產業策略（2025-2030）：髖關節、膝關節、脊椎、創傷、肩關節、四肢、骨科生物製品－200家領先企業概況（第四版）

Orthopedic Industry Strategic Report 2025-2030: Hip, Knee, Spine, Trauma, Shoulder, Extremities, Orthobiologics & Profile of 200 key players, 4th Edition

出版日期: 2026年06月30日 | 出版商:

AVICENNE | 英文 400+ Pages, 550 Exhibits & Profiles | 商品交期: 最快1-2個工作天內

價格

簡介目錄

概述：

本報告分析了200家整形外科相關企業，這些企業佔了價值550億美元的整形外科終端用戶市場90%以上的佔有率。主要內容包括區域整形外科市場及市場預測、競爭格局及各細分領域的公司排名、整形外科領域的創新和新技術（機器人技術、REACH法規和鈷鉻合金（Co-Cr）的影響、骨科生物製劑、拋棄式醫療器械、美國門診手術中心）、美國關稅的影響，以及對主要整形外科公司庫存水準和盈利的詳細分析。

200家主要公司簡介：

六大公司
70家北美公司
75家歐洲公司
來自亞洲和拉丁美洲的50家公司

整形外科的宏觀環境：政治、經濟、社會/文化、技術、環境和法律法規。
風險：監管負擔、平均售價停滯或下降，以及整形外科終端用戶市場對儀器和CNC工具機的大量資本投資。
整形外科產業的主要趨勢：重大收購、召回、資產剝離和新參與企業。
過去20年的產品召回案例
市場促進因素
市場促進因素

第2章整形外科與脊椎市場預測：依地區分類

美國、澳洲、日本、歐洲髖關節和膝關節產品價格預測
整形外科產品的促進因素與抑制因素
全球植入市場：依地區分類的市場規模 - 膝關節、髖關節、脊椎、美國、歐洲及其他地區
全球植入市場：依地區分類的市場規模 - 創傷、肩部、四肢、美國、歐洲及其他地區
髖關節與膝關節市場：依地區分類 - 美國、歐洲、日本、澳洲、韓國等地區
依地區分類的髖關節和膝關節手術率及每萬人CAGR
脊椎與創傷市場：依地區分類
脊椎外科：融合術（創傷、畸形、退化）、非融合術（動態脊椎治療）、椎體成形術/後凸畸形重建。肩部和四肢市場：依地區分類 - 美國、歐洲、日本、澳洲、韓國及其他地區。
整形外科產品生命週期：髖關節、膝關節、脊椎、創傷、肢體生長預測。
全球整形外科市場及預測：髖關節、膝關節、脊椎、創傷、肩關節、四肢、骨科生物製劑及其他
第3章子公司業務策略：競爭格局、公司排名和分銷
- 與大型企業競爭的挑戰者分為三類：第一類（全國領導企業）、第二類（國內公司）、第三類（區域供應商）。
- 髖關節、膝關節和肩關節領域挑戰者公司的成長：Corin、Medacta、Enovis 和 FX Solutions 的銷售資料。
- 脊椎和骨科生物領域的挑戰者公司從老牌企業手中奪取市場佔有率，並崛起成為主要企業：Globus、Alphatec Spine、Depuy「Spine & other」、Bonesupport 的銷售額。
- 除了2020年受到 COVID-19 疫情影響外，挑戰者公司的市場佔有率持續擴張：髖關節、膝關節、脊椎、創傷和整形外科的市場佔有率急劇下降。
- 大型企業與挑戰者企業的比較：大型企業維持了利潤率，而挑戰者企業則實現了成長，比較了各公司的市場佔有率以及整形外科和脊椎相關產品的銷售額成長。
- 2019年至2024年企業發展趨勢：在主要參與者中，只有 Stryker 從2019年開始以 6.5%的年化成長率成長，這得益於 Globus 和 NuVasive 的合併；其他主要參與者的成長緩慢或下降；挑戰者公司整體成長適中；許多公司實現了兩位數的成長。
- 為什麼挑戰者型公司比大型公司成長速度更快？
- 高度集中的髖植入市場及前四大公司：排名和市場分散情況
- 高度集中的膝關節移植市場及前四大公司：排名和市場佔有率分佈
- 脊椎移植市場高度集中，前四大公司：排名和市場多元化
- 創傷植入市場高度集中：排名和市場多元化。
- 高度集中的肩關節關節移植市場：排名和市場多元化
- 肢體植入市場集中度適中，四大主要廠商：排名與市場多元化
- 骨科生物製劑市場集中度適中，四大領導企業：排名與市場多元化
第4章整形外科的創新與新技術
- 顛覆性創新史：陶瓷、髖關節雙活動杯、短柄、前路手術、髖關節 3D 列印、無骨水泥產品、機器人技術、膝關節專用陶瓷零件、肩關節反向植入、人工椎間盤、脊椎 3D 列印籠。
- 市場促進因素：整形外科市場缺乏顛覆性創新，且有規避風險的傾向，創新主要來自小規模企業和眾多漸進式創新。
- Alphatec Spine：新產品佔銷售額的82%。
- Smith & Nephew：每年平均產品推出數量
- Smith & Nephew和Alphatec Spine創新水準比較
整形外科機器人

3D列印

REACH法規與鈷鉻合金的影響

骨科生物製劑

通貨膨脹的影響

關稅的影響

一次使用

門診手術中心（ASC）：美國

第5章公司簡介

6家主要公司
銷售額在1億美元至10億美元之間的公司
銷售額在 4,000萬美元至 1億美元之間的公司
銷售額在2000萬美元至4000萬美元之間的公司
銷售額在1000萬美元至2000萬美元之間的公司
結論/執行摘要
附錄

簡介目錄

Product Code: IMP 06-2026

Overview:

The report analyzes 200 orthopedic companies that account for more than 90% of the 55 BUS$ in the orthopedic end-user market: Orthopedic market by region & forecasts. Competitive landscape & players’ ranking per segment. Innovations & new technologies in orthopedics: Robotics, REACH & impact on Co-Cr, orthobiologics, single-use instruments, Ambulatory Surgery Center – ASC in the USA. Impact of U.S. Tariffs. Detailed Analysis of Inventory Levels and Profitability at Major Orthopedic Companies.

Player profiles: 200:

6 Majors
70 North America companies
75 European
50 Asian and Latin America players.

Aims of the study, Methodology, Hip, knee, shoulder, spine, trauma, extremities, bone substitutes & orthopedic and spine cement segmentation, Synopsis, Executive summary

Executive summary

Summary of the orthopedic market: Market & trends, Competitive Landscape & Player strategies, Drivers & limiters, Key Success Factors for an orthopedic player

Synopsis: Innovation & new products, Robotics & 3D printing, Impact of inflation, Covid & FX rate

Opportunities: gaining market share through NPIs, level of Ebitda margin , long market visibility, solvency of payers, high barriers to entry & very active M&A

1. Orthopedic environment

Orthopedics Macro environment: Political, Economic, Social / Culture, Technology, Environment, Legal & Regulatory
Risks: regulatory burden, ASP almost frozen or declining, significant capex for instruments & CNC machines for orthopedic end-user market
Milestones in the orthopedic industry: major acquisitions, recalls, divestments, new-comers
Product withdrawal cases over the past 20 years, 2000-2020
Market drivers: population growth, population over 65 years, health expenses, obesity, product mix impact
Market drivers: demographic & economic: Global population growth 1950-2050 and people over 65
Market drivers: health expenses & obesity rates, USA, France & UK, 1980-2025
Market drivers: innovation and new products are the differentiating factors on the orthopedic market: innovative, advanced and mature products
Market drivers: innovative surgeons, follower surgeons and conservative surgeons
Market limiters: regulatory & certification, details, impact on the market
Market limiter: reimbursement, a worldwide pricing regulation detailed for the USA, Germany, UK, Sweden, Italy, Belgium, Switzerland and France - Date of
launch, Classification system and targets
Market limiter: MDR (Medical Device Regulation): impact in Europe for implants and for instruments
Market limiter: MDR: New deadline for Class III products fixed in December 2027
Market limiter: Hip ASP erosion 2012-2024 in developed countries, USA, Australia, Japan & Europe
Market limiter: Knee ASP erosion 2012-2024 in developed countries, USA, Australia, Japan & Europe

2. Orthopedic & spine market by region & forecasts

Forecast Price for hip & knee 2024-2030: USA, Australia, Japan, Europe
Drivers & limiters for Orthopedic products: matrix summarizing (volume, price) x (driver, argument, past impact & future impact)
Worldwide implants market in 2024 in value by region (US$Bn): knee, hip & spine - USA, Europe & ROW
Worldwide implants market in 2024 in value by region (US$Bn): trauma, shoulder & extremities - USA, Europe & ROW
Hip & Knee by region (US$Bn): USA, Europe, Japan, Australia, South Korea & ROW
Hip & knee ratio for 10,000 inhabitants, USA, Europe, South Korea, Australia, Japan, China & ROW. Growth by area for hip & knee CAGR 2024-2030
Spine & trauma by region in 2024 (US$Bn): USA, Europe, South Korea, Australia, Japan - Rest Of the World
Spine procedures: fusion (trauma, deformation, degenerative), non-fusion (spine dynamic) & vertebroplasty-kyphoplasty
Shoulder & Extremities by region (US$Bn): USA, Europe, Japan, Australia, South Korea & ROW
The life cycle of orthopedic products: growth forecasts by 2024-2030 for hip, knee, spine, trauma & extremities
Worldwide orthopedic market in 2024 and forecasts 2024-2030 for hip, knee, spine, trauma, shoulder, extremities, orthobiologics and other

3. Player strategies: competitive landscape, players’ ranking & dispersion

Three types of Challengers compete with the Majors: Challengers type 1 (country leader) / Challengers type 2 (country player) / Challengers type 3 (local vendors)
Hip, knee & shoulder challengers growth: Corin, Medacta, Enovis and FX Solutions revenues
Spine & Orthobiologics challengers are grabbing market share from the Majors and emerging as top players: Globus, Alphatec Spine, Depuy “Spine & other”
and Bonesupport revenues
Challengers have continuously gained market share except in 2020 due to Covid impact: challengers market shares collapsed for hip, knee, spine, trauma &
total ortho
Table of Contents: Orthopedic industry strategic report 2025-2030: Hip, Knee, Spine, Trauma, Shoulder, Extremities & Orthobiologics - Profile of 200 key players
Published June 2026 - 4th Edition
Challengers have continuously gained market share except in 2020 due to Covid impact: challengers market shares evolution from 2018 to 2025 for hip, knee,
spine, trauma & total ortho
Majors vs. Challengers: Majors saved their margins while Challengers got the growth, position of each players in terms of market shares and ortho & spine
revenues growth from 2019 to 2025
2019-2024: Stryker is the only Major that has been growing at 6.5% per year since 2019. Globus merged with Nuvasive. The other Majors experienced slower
growth or decline. Taken together, the challengers experienced moderate growth, but many of them have achieved double-digit growth.
Reasons why Challengers are growing faster than Majors
The hip implant market is highly concentrated, with the 4 majors : ranking & dispersion: Top 4 / Top 5-10 / Other
The knee implant market is highly concentrated, with the 4 majors : ranking & dispersion : Top 4 / Top 5-10 / Other
The spine implant market is highly concentrated, with the 4 majors : ranking & dispersion : Top 4 / Top 5-10 / Other
The Trauma implant market is highly concentrated, with the 4 majors : ranking & dispersion: Top 5 / Top 6-10 / Other
The shoulder implant market is highly concentrated, with the 4 majors : ranking & dispersion : Top 5 / Top 6-10 / Other
The extremities implant market is moderately concentrated, the 4 leaders : ranking & dispersion : Top 4 / Top 5-10 / Other
The Orthobiologics market is moderately concentrated, the 4 leaders : ranking & dispersion : Top 4 / Top 5-10 / Other

4. Innovations & new technologies in orthopedics

History of disruptive innovations: ceramics, hip dual mobility cup, short stem, anterior approach surgery, 3D printing for hips, cementless products, robotics,
specific ceramic parts for the knee, reversed for shoulder, disk, 3D printing cages for spine
Market drivers: orthopedics is generally risk-averse with few disruptive innovations, often coming from small players, but many small incremental
innovations.
For Alphatec Spine 82% of revenues are driven by New Products
Smith & Nephew: average new products launched per year
Innovation level comparison between Smith & Nephew and Alphatec Spine

Orthopedic robotics

Orthopedic robotic market: MAKO from Stryker, ROSA from Zimmer Biomet, Navio of Smith & Nephew, Mazor from Medtronic and Velys from Depuy robotic
systems Omni robotic from OMNIlife science, Apollo from Corin, Tinavi…
Navigation Vs robotic assisted surgery comparison: tools description, features, end-user price, easy to use, pro & cons
Stryker with Mako’s acquisition 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 launched & Stryker Mako installed base machines 2017-2025 for hip & knee
New generations of Rosa for shoulder surgery launched & Zimmer Biomet Rosa installed base machines 2017-2025 for hip & knee
New generations of Cori pre-operative planning and modelling which allows image-free and image-based planning launched in 2024 & Smith & Nephew
Navio & Cori installed base machines 2020-2025 for hip & knee
New generations of Velys for spine surgery launched i& Depuy Synthes Velys installed base machines 2021-2025 for hip & knee
Robotic orthopedic system benchmark: there are several families of orthopedic robots, handheld or with a robotic arm. Mako, Rosa and Velys have chosen
the robotic arm, while Cori is handheld. Another variant is the need for a CT Scan or not (Imageless); only Mako uses a CT Scan. Finally, the use of cutting
guides is eliminated for Mako and Velys, who operate direct cuts by the robot, while Cori uses several cutting guides and Rosa only for tibial cuts.
Mako, Rosa, Velys and Cori benchmark by operating cost and acquisition cost
Product benchmarking: Mako is the robot with the most extensive clinical track record, but the acquisition cost is high.
Australia was always a pioneer in the use of innovations in orthopedics. Germany and Japan will be the fastest-growing markets. In France, the robotized
knee ratio lags far behind. Australian, Japanese, German, Italian, UK and French knee surgeries performed with robotics (in K units) 2020-2030
Robotic-assisted surgeries outside the US: Between 2025 and 2030, the number of robotic knee operations outside the USA forecasts. Germany and the UK
will lead the way in Europe in terms of volume. Outside US knee surgeries performed with robotics (in K units) 2020-2030: Australia, Japan, Germany, Italy,
UK, France, Rest of Europe & Rest of the World

3D Printing

3D Printing in Orthopedics: Zimmer opened up this market with Trabecular Tantalum then Lima (Enovis) & Adler, Italian-based companies, started mass
market sales
Story of Zimmer and Trabecular Tantalum 1997-2025
Zimmer Trabecular metal product portfolio: Patellar knee implant, femoral et tibial cone augments, acetabular revision system, acetabular cup, reversed
shoulder system, shoulder glenoid part, knee tibial plate, primary hip stem
Metal 3D Printing: technologies and major players, EOS, Arcam, SLM Solutions, Concept Laser, other players by raw materials used and technologies
Number of Arcam EBM installed base for orthopedic industry at Enovis 2007-2025 and % of hip cups and shoulder glenoid made by 3D printing machines
Number of EBM installed base at AK MEDICAL & Implantcast
Illustrative build-up speed and resolution of selected Metal 3D Printing systems: EBM Vs Selective Laser Melting (SLM) comparison between maximum build
up speed in cm3/h and resolution
Smith & Nephew uses 3D Printing: 20 EOS M290 for metal and 3 for plastic to produce hip cup & customized cutting blocks to manufacture customized
cutting blocks and hip revision cup
Table of Contents: Orthopedic industry strategic report 2025-2030: Hip, Knee, Spine, Trauma, Shoulder, Extremities & Orthobiologics - Profile of 200 key players
Published June 2026 - 4th Edition
Stryker has announced massive investments in 3D Printing, In 2016, a US$400 Million plan to build a 3D printing manufacturing facility in Cork, Ireland was
released. Today, many of Stryker's products are made by 3D printing
Current Stryker products made by 3D Printing: knee tibial plate, patellar knee implant, knee augment, cages, other
Depuy Spine uses 3D Printing for prototyping complex surgical tools and announced investments in 3D printing
DePuy Synthes has acquired 3D printing technology from Tissue Regeneration Systems
DePuy Synthes Launched 3D Printed Titanium Facial Reconstruction Implants in US
XILLOC for Cranio-Maxillofacial applications using PEEK and titanium alloys
3D printing machine suppliers for orthopedics, installed : EOS, ARCAM, CONCEPT LASER, SLM Solutions, 3D Systems and their customers. Number of installed
base machines per machine manufacturer
Addressable market should increase with lower 3D Printing cost: cost and complexity curve linked with addressable market
3D Printing is attractive for reconstructive implants to accelerate and improve osteo-integration.
Number of implants produced using 3D Printing: Stryker , Zimmer Biomet, Enovis, Advita, Adler Ortho, etc.
FDA clearance for medical devices using 3D Printing in USA
3D Printing has reached the mass market for a few key products: hip cups, tibial knee, spine cages, shoulder glenoid and several trauma have switched to 3D
Printing
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. % of implants produced using 3D printing worldwide:
3D printing cages are gaining in market share over Peek and Titanium cages.
3D Printing and impact on the forging, casting & machining of hip cups
Hip: manufacturing process and raw materials, 3D printing is not a threat to the forging of hip stems
Knee: manufacturing process and raw materials: 3D printing is not a threat to the forging of tibial plates
Cages for spine surgeries in the five main European countries
Is 3D Printing the right option for the implant Contract Manufacturing business? Analysis of different products & players for reconstructive implants, standard
cages, special cages and customized implants - Benefits / Drivers & Limiters for each products
Is 3D Printing the right option for the instruments Contract Manufacturing business? Analysis of different products & players for customized cutting guides
and complex instruments: Lincotek 3D Printing activity details
Most large contract manufacturers are investing in 3D printing and, after an initial learning curve, are moving into the scale-up phase.
The most manufactured orthopedic products by 3D Printing
Standard manufacturing process Vs 3D Printing process: cost comparison for hip cup, knee tibial, spine cages and shoulder glenoid
Trend of the installed bases of the main machine suppliers: the number of 3D Printing machines used in orthopedics 2015-2025
3D Printing In-house & Contract Manufacturing market 2015-2030 by hip cup, knee tibial plate, shoulder glenoid, spine cage, other parts: in value

REACH & impact on Co-Cr

EU Regulation 2017/745 says that a CMR substance
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. REACH regulation: ban on Co-Cr for implants?
REACH regulation: no ban on Co-Cr for implants is expected,, Co-Cr implants have to be CMR-labeled, which will not have a major impact on Co-Cr use. Co-Cr
will continue to be used for implants that have been manufactured for several decades and have a very long track-record. Only new hip product development
projects will be affected. Co-Cr hip implants will be flat or slightly down.
Co-Cr has been used for decades for friction parts in implants
Oxinium Hip & Knee is a breakthrough bearing solution comparable to ceramic bearings.
Anti-allergic solutions against nickel, cobalt, etc. have been developed for several decades

Orthobiologics

Use of antibiotics for orthopedic cements: need for cements with new antibiotics
Cement price / mix: mix effect offsetting small price erosion that is common in the orthopedic industry
Synthetic or natural bone substitutes, allografts, growth factors, Demineralized Bone Matrix (DBM), xenografts, autografts segmentation
Main bone grafts on the market: injectables and antibiotics are the main drivers: injectable & non-injectable

Inflation impact

Impact of inflation on the end-user market and on contract manufacturing: Majors OEMs & Majors CMOs quotes
FX rate variation
Impact of exchange rate fluctuations on the major orthopedic companies

Tariffs impact

Impact of Tariffs on OEMs and CMOs
Table of Contents: Orthopedic industry strategic report 2025-2030: Hip, Knee, Spine, Trauma, Shoulder, Extremities & Orthobiologics - Profile of 200 key players
Published June 2026 - 4th Edition

Single use

Single-use trend: the introduction of single-use starts with the less expensive cutting tools: drills, taps, burrs, pins, sawblades, rasps & acetabular reamers
Single use in the USA & Europe: trauma and extremities are the largest consumers of single-use cutting tools and disposable kits - % of single use USA and
Europe 2018-2026
Cutting tools: 3D printing's contribution is to lighten and reduce the number of parts and generate cost savings

Ambulatory Surgery Center - ASC in the USA