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U.S. Fracture Treatment Volumes – a listing of all procedure volumes related to open, closed, and percutaneous fixation
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Complimentary Market Data
Updated Information Available through PearlDiver Consulting Services
Extremity Market Share by Company
Extremities Implant Industry Revenue
Source: Company Reports and PearlDiver Research
Extremity Implant Revenue Forecast ($ in millions)
Companies |
2006 |
2007 |
2008 |
2009E |
2010E |
2011E |
2012E |
ArthroCare |
$ 45.5 | $ 54.9 | $ 64.1 | $ 70.2 | $ 78.7 | $ 87.0 | $ 94.5 |
Ascension Orthopedics |
- | $ 14.0 | $ 18.2 | $ 23.1 | $ 30.2 | $ 38.0 | $ 45.6 |
Biomet |
$ 57.5 | $ 66.1 | $ 73.5 | $ 84.1 | $107.4 | $114.2 | $130.8 |
DePuy |
$143.0 | $192.0 | $214.4 | $241.5 | $257.0 | $293.1 | $326.2 |
Exactech |
$ 4.9 | $ 9.5 | $ 16.8 | $ 22.8 | $ 30.1 | $ 37.8 | $ 45.8 |
Stryker |
$ 17.4 | $ 20.7 | $ 21.8 | $ 23.1 | $ 25.2 | $ 27.6 | $ 30.1 |
Tornier |
$100.0 | $124.8 | $140.6 | $157.4 | $184.8 | $216.0 | $248.4 |
Wright Medical |
$ 45.0 | $ 62.3 | $ 88.9 | $107.4 | $124.5 | $157.6 | $186.0 |
Zimmer |
$ 78.0 | $ 104.0 | $121.0 | $135.6 | $150.0 | $151.0 | $162.8 |
Others |
$124.2 | $ 150.7 | $160.7 | $174.5 | $195.8 | $218.5 | $243.2 |
Total |
$615.5 | $799.0 | $920.0 | $1,039.7 | $1,183.6 | $1,340.8 | $1,513.4 |
Source: Company Reports and PearlDiver Research
Extremity Implant Company Market Share
Companies |
2006 |
2007 |
2008 |
2009E |
2010E |
2011E |
2012E |
Arthrocare |
7.4% | 6.9% | 7.0% | 6.8% | 6.6% | 6.5% | 6.2% |
Ascension Orthopedics |
- | 1.8% | 2.0% | 2.2% | 2.6% | 2.8% | 3.0% |
Biomet |
9.3% | 8.3% | 8.0% | 8.1% | 9.1% | 8.5% | 8.6% |
Depuy |
23.2% | 24.0% | 23.3% | 23.2% | 21.7% | 21.9% | 21.6% |
Exactech |
0.8% | 1.2% | 1.8% | 2.2% | 2.5% | 2.8% | 3.0% |
Stryker |
2.8% | 2.6% | 2.4% | 2.2% | 2.1% | 2.1% | 2.0% |
Tornier |
16.2% | 15.6% | 15.3% | 15.1% | 15.6% | 16.1% | 16.4% |
Wright Medical |
7.3% | 7.8% | 9.7% | 10.3% | 10.5% | 11.8% | 12.3% |
Zimmer |
12.7% | 13.0% | 13.2% | 13.0% | 12.7% | 11.3% | 10.8% |
Others |
20.2% | 18.9% | 17.5% | 16.8% | 16.5% | 16.3% | 16.1% |
Total |
100.0% | 100.0% | 100.0% | 100.0% | 100.0% | 100.0% | 100.0% |
Source: Company Reports and PearlDiver Research
Reimbursement
| MS-DRG Code |
Definition |
2009 |
2010 |
% Change |
| 469 | Major Joint Replacement of Lower Extremity w/ MCC |
$18,255 |
$18,815 |
3.1% |
| 470 | Major Joint Replacement of Lower Extremity w/o MCC |
$11,140 |
$11,653 |
4.6% |
| 483 | Major joint & limb reattachment proc of upper extremity w CC/MCC |
$12,498 |
$13,016 |
4.1% |
| 484 | Major joint & limb reattachment proc of upper extremity w/o CC/MCC |
$9,685 |
$10,379 |
7.2% |
| 492 | Lower extrem & humer proc except hip, foot, femur w MCC |
$15,347 |
$16,112 |
5.0% |
| 493 | Lower extrem & humer proc except hip, foot, femur w CC |
$9,784 |
$10,066 |
2.9% |
| 494 | Lower extrem & humer proc except hip, foot, femur w/o CC/MCC |
$6,859 |
$7,134 |
4.0% |
| 506 | Major thumb or joint procedures |
$5,684 |
$6,434 |
13.2% |
| 507 | Major shoulder or elbow joint procedures w CC/MCC |
$9,531 |
$10,282 |
7.9% |
| 508 | Major shoulder or elbow joint procedures w/o CC/MCC |
$6,187 |
$7,161 |
15.7% |
| 510 | Shoulder, elbow or forearm proc, exc major joint proc w MCC |
$11,076 |
$12,184 |
10.0% |
| 511 | Shoulder, elbow or forearm proc, exc major joint proc w CC |
$7,436 |
$7,768 |
4.5% |
| 512 | Shoulder, elbow or forearm proc, exc major joint proc w/o CC/MCC |
$5,280 |
$5,690 |
7.8% |
| 513 | Hand or wrist proc, except major thumb or joint proc w CC/MCC |
$7,181 |
$6,892 |
-4.0% |
| 514 | Hand or wrist proc, except major thumb or joint proc w/o CC/MCC |
$4,475 |
$4,405 |
-1.6% |
Source: Center for Medicare & Medicaid Services (CMS)
Ankle Replacement Top Company Independent Surgeon Survey
Source: PearlDiver Research
Procedural Volumes
| Procedure by Indications | 2005 | 2006 | 2007 | 2008 | 2010E | 2011E | 2012E |
| Upper Extremities | |||||||
| Carpal Bone Reconstruction | 19,578 | 21,144 | 22,624 | 23,981 | 26,540 | 28,079 | 29,764 |
| Carpal Tunnel Release | 375,533 | 420,596 | 462,656 | 499,600 | 549,760 | 577,248 | 607,265 |
| Epicondylitis Repair | 37,158 | 39,415 | 41,726 | 44,149 | 48,785 | 52,493 | 56,692 |
| Rotator Cuff Repair | 370,324 | 385,137 | 400,543 | 415,071 | 445,492 | 464,203 | 485,092 |
| Other Shoulder Repair | 14,440 | 16,606 | 19,097 | 21,961 | 27,548 | 30,579 | 34,248 |
| Total Shoulder Replacement | 17,680 | 21,054 | 21,684 | 21,888 | 25,931 | 28,472 | 31,319 |
| Partial Shoulder Replacement | 18,564 | 19,513 | 18,904 | 19,456 | 23,541 | 25,848 | 28,381 |
| Reverse Shoulder Replacement | 2,652 | 4,622 | 10,008 | 15,200 | 22,118 | 26,320 | 31,584 |
| Total | 855,929 | 928,086 | 997,242 | 1,061,306 | 1,169,715 | 1,233,242 | 1,304,346 |
| % Growth | 8.43% | 7.45% | 6.42% | 5.05% | 5.43% | 5.77% |
Source: PearlDiver Patient Records Database and Center for Medicare & Medicaid Services Databases
| Procedure by Indications | 2005 | 2006 | 2007 | 2008E | 2010E | 2011E | 2012E |
| Lower Extremities | |||||||
| Ankle Fusion | 13,120 | 13,418 | 12,782 | 13,668 | 15,055 | 15,473 | 15,839 |
| Triple Arthrodesis | 8,251 | 8,173 | 9,297 | 9,103 | 10,324 | 10,952 | 11,372 |
| Subtalar Fusion | 13,131 | 16,193 | 17,692 | 19,712 | 20,971 | 21,525 | 21,952 |
| Midtarsal Fusion | 14,269 | 17,263 | 17,933 | 21,139 | 22,521 | 23,150 | 23,721 |
| Tarsometatarsal Fusion | 6,057 | 8,743 | 8,286 | 10,058 | 10,704 | 11,029 | 11,389 |
| MTP Fusion | 19,218 | 20,014 | 20,816 | 22,398 | 25,641 | 27,436 | 29,466 |
| Total Ankle Replacement* | 1,449 | 1,223 | 1,694 | 2,024 | 3,334 | 3,600 | 3,925 |
| Total | 75,495 | 85,027 | 88,500 | 98,102 | 108,550 | 113,165 | 117,664 |
| % Growth | 12.63% | 4.08% | 10.85% | 5.09% | 4.25% | 3.97% | |
| *Total Ankle replacement includes revision. | |||||||
Source: PearlDiver Patient Records Database and Center for Medicare & Medicaid Services Databases
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