This report analyzes the development of the global extremities market, with a focus on its segments including: upper extremity and lower extremity. For more mail me : pr@konceptanalytics.com

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Global Extremities Market Report
----------------------------------------2013

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Executive Summary
The extremity products market lacks a clear market definition as some of the companies generally combine some other segments, like small
joint trauma market, joint replacement and reconstruction market, small joint sports medicine market and extremity biologics market in the
extremities market. This lack of proper market definition poses a challenge to the exact market sizing, but on a general basis, the extremity
products involve the shoulder and small joints implants. The extremity market can be sub-divided into two categories: lower and upper
extremities, where lower extremities mainly involve ankle, foot and upper extremities involve shoulder, hand, elbow, and wrist. Shoulder
replacement is the largest segment among all in the extremities market, followed by foot and ankle segment.
The extremity segment holds a very small share in the global orthopedic market, as the focus has been mainly on large joints like spine, knee
and hip. However, it is one of the fastest growing segment and further opportunities are definitely mounting in this space. While the mature
spine, knees and hip segment of the orthopedic industry are growing by low single digit rates due to a variety of challenges, some sectors of
extremity are growing at double digit rates. The market is projected to grow further in years to come and become more specialized due to
economic, social and demographic trends. The extremities market growth will be driven by the increasing incidence of arthritis, the increasing
ageing population, growing obese and diabetic patients advances in technology and rising efforts of manufacturers to educate surgeons and
increase patient awareness. Ongoing mergers and acquisitions and development of innovative extremity devices and implants are the key
trends observed in this market.
This report analyzes the development of the global extremities market, with a focus on its segments including: upper extremity and lower
extremity. The global market as well as US market is being discussed in the report. The major trends, growth drivers as well as issues being
faced by the industry are being presented in this report. The four major players in the industry, Johnson & Johnson (DePuy), Tornier N.V.,
Zimmer and Wright Medical are being profiled, along with their key financials and strategies for growth.
By combining SPSS Inc.’s data integration and analysis capabilities with our relevant findings, we have predicted the future growth of the
industry. We employed various significant variables that have an impact on this industry and created regression models with SPSS Base to
determine the future direction of the industry. Before deploying the regression model, the relationship between several independent or predictor
variables and the dependent variable was analyzed using standard SPSS output, including charts, tables and tests.

3. The extremity joints market mainly includes implantable devices used for the replacement of shoulder,
elbow, hand, and foot and ankle joints…..
 Among all segments of orthopedic market, extremities segment
holds the lowest share of …% as of 2012.
Global Extremities Market Size (2007-2012)
US$ Million
 The global extremity market generated revenues worth US$....
million in 2012, increasing from US$... million in 2011, marking a
growth of about …%.
 The shoulder replacement market has shown a significant growth
over the past few years, reaching US$... million in 2012. The
industry experts estimate the volumes in the shoulder
replacement market grew … during 2013, and expect an
increase of …% in 2014.
2007
2008
2009
2010
2011
 The second sizeable component of the extremity is ankle
replacement and foot fusion products which grew rapidly to reach
US$.... million in 2012. It is estimated to grow by …% to reach
US$.... million in 2013.
2012
Global Replacement Shoulder Market (2007-2014E)
US$ Million
US$ Million
Global Foot & Ankle Market (2007-2014E)
2007
2008
2009
2010
2011
2012
2013E 2014E
2007
2008
2009
2010
2011
2012
2013E 2014E

4. The extremity segment holds a very small share in the global orthopedic market, as the focus has been
mainly on large joints like spine, knee and hip. However, it is one of the fastest growing segment ………
Number of Procedures
(in thousands)
The US Extremity Market Procedure Growth (2011 vs. 2012)
 In third quarter of 2013, upper extremity marked a constant
currency growth rate of nearly …% while lower extremity
showed a relatively high growth of …%.
 The US is the largest market holding …% of the global
extremity market share followed by Europe with …% share.
All three regions experienced significant growth rates in 2013.
 The US ankle replacement market generated revenues worth
US$... million in 2012, which is expected to grow at a CAGR
of …% to reach US$... million by 2016.
Shoulders
Digit
2011
Elbow
Ankle
Wrist
2012
Geographic Segmentation of Global Extremities Market (3Q13)
The US
 Johnson & Johnson (DePuy) is the market leader with ….%
share in the global extremities market, followed by Stryker
and Zimmer with …% and …% share, respectively during
third quarter of 2013.
Europe
ROW
Market Shares of Key Players in Global Extremities Market (3Q13)
JNJ Depuy
Integra
Smith & Nephew
Tornier
Zimmer
Arthrex
Exactech
Small Bone Innovations
Stryker
Wright Medical
Biomet
Other

5. Growing ageing population, global GDP, increasing diabetic and obese patients rates,
advances in technology and increasing patients awareness are chief factors that will drive the global
extremities market…
US$ Million
Global Extremities Market Forecast (2012-2016F)
2012A
2013F
2014F
2015F
2016F
•
The global extremities market is forecasted to grow at a CAGR of ….% and is expected to reach US$..... billion by 2016.
•
The elderly people are the major users of the extremity products, therefore increasing ageing population, with age more than or
equal to 65 years, would tend to increase the total number of extremity implant procedures performed.
•
Income being a major indicator of the quality of life enjoyed by the person, therefore increase in income would lead to increase in
the desire for living a healthy and physically active life. So, increase in the worldwide GDP is likely to be accompanied by the
increase in the market for extremity products.
•
Both diabetes and obesity are some of the major reasons for foot and ankle problems, which lead to foot or ankle replacements.
And since foot and ankle segment is the second largest segment in the extremities market, therefore any increase in people
suffering from diabetes and/or obesity would increase the number of extremity implants

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Table of Contents
1. Market Overview
1.1 Orthopedics
1.2 Extremities
1.2.1 Extremity Injuries
1.2.2 Extremity Products
2. Market Size
2.1 Global Orthopedic Market
-Market Value
-Market Segments
-Regional Breakdown
2.2 Global Extremities Market
-Market Value
-Shoulder Market Value & Volume
-Foot/Ankle Market Value & Volume
-Regional Breakdown
2.3 The US Extremities Market
-Market Volume
-Market Segments
-Shoulder Implants
-Ankle Replacements
3. Market Dynamics
3.1 Key Trends
3.1.1 Mergers & Acquisitions
3.1.2 Improved Surgical Devices and Implants
List of Graphs & Tables
List of Graphs
Orthopedics Market- by Segments
Types of Extremities
Global Orthopedics Market (2009-2015E)
Global Orthopedic Implant Segment Share (2012)
Global Orthopedic Market Sales by Geography (2012)
Global Extremity Market Revenue (2007-2012)
Global Replacement Shoulder Market (2007-2014E)
Global Foot and Ankle Market (2007-2014E)
Constant Currency Extremities Market Growth Rates- Segmented by Upper
and Lower (1Q11-3Q13)
Global Extremity Market – Share by Geographic Region (3Q13)
The US Extremity Market Procedure Growth (2011 vs. 2012)
The US Ankle Replacement Market (2012-2016E)
Growth of Global Aging Population (60 years and above), (2008-2013E)
Global GDP (2005-2012)
Global Healthcare Expenditure (2008-2013E)
World Population with Diabetes, Age Group 20-79 years (2006-2013)
Global Obese Population (2004-2012E)
Worldwide Orthopedic Market Share by Company (2012)
Market Share of Key Players in the Global Extremities Market (3Q13)
Upper Extremities Growth Rates by Company (3Q13)
Lower Extremities Growth Rates by Company (3Q13)
The US Shoulder Market Share (2012)
The US Reverse Shoulder Market Share (2012)
The US Total Ankle Replacement Market Share (2012)
Sales of Johnson & Johnson’s by Business Segments (2012)
Sales of Johnson & Johnson’s by Geographic Region (2012)
Net Sales and Net Earnings of Johnson & Johnson (2009-2012)
Tornier Revenue – Share Breakdown by Segments (2012)
Tornier Revenue – Share Breakdown by Geography (2012)
Tornier N.V. Revenue (2009-2012)

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Table of Contents
3.2 Growth Drivers
3.2.1 Global Aging Population
3.2.2 Economic Growth
3.2.3 Increasing Healthcare Expenditure
3.2.4 Increasing Prevalence of Diabetes
3.2.5 Growing Cases of Obesity
3.3 Challenges
3.3.1 Regulatory Issues
3.3.2 Environment Issues
3.3.3 Lack of Trained Healthcare Workers
3.4 Recent Industry Developments
4. Competitive Landscape
4.1 Competition in Orthopedic Market
4.2 Competitive Landscape: Global Extremities Market
-Market Share
-Growth Rate Comparison
-Upper & Lower Extremities Growth Rate
4.3 Competitive Landscape: The US Extremities Market
-Shoulder Market Share
-Ankle Market Share
5. Company Profiles
5.1 Johnson & Johnson (DePuy)
5.1.1 Business Overview
5.1.2 Financial Overview
5.1.3 Business Strategies
-New Product Development
-Increasing Global Reach
List of Graphs
Share of Net Sales by Reportable Segments (2012)
Share of Sales by Product Category (2012)
Net Sales & Net Earnings of Zimmer (2009-2012)
Wright Medical’s Net Sales – Share Breakdown by Segments (2012)
Wright Medical’s Net Sales – Share Breakdown by Geography (2012)
Net Sales & Net Income of Wright Medical (2009-2012)
Global Extremities Market Outlook (2010-2014E)

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Table of Contents
5.2 Tornier N.V.
5.2.1 Business Overview
5.2.2 Financial Overview
5.2.3 Business Strategies
-New Products & Technologies
-Serving the Need of Specialists
5.3 Zimmer
5.3.1 Business Overview
5.3.2 Financial Overview
5.3.3 Business Strategies
-Geographic & Product Expansion
-Faster Commercialization of Products
5.4 Wright Medical Group
5.4.1 Business Overview
5.4.2 Financial Overview
5.4.3 Business Strategies
-Product Development
-Promotion through Medical Education
6. Market Outlook
6.1 Market Forecast
6.2 Forecast Methodology
6.2.1 Dependent and Independent Variables
6.2.2 Correlation Analysis
6.2.3 Regression Analysis
List of Tables
Global Shoulder Volumes (2009-2014E)
Global Foot and Ankle Volumes (2009-2014E)
Mix of Shoulder Implants in the US (2008-2012)
The US Ankle Replacement Market Outlook (2012-2016E)
List of Recent Mergers & Acquisitions
List of Extremity Product Developments
Quarterly Worldwide Extremities Growth Rates by Company (1Q12-2Q13)
Company Reported Growth Rates by Category (3Q13)
Dependent & Independent Variables (2008 – 2012)
Correlation Matrix
Model Summary – Coefficient of Determination
Regression Coefficients Output

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