TABLE OF CONTENTS

LIST OF FIGURES X
LIST OF CHARTS XVIII
EXECUTIVE SUMMARY 1

JAPANESE SMALL BONE AND JOINT ORTHOPEDIC DEVICE MARKET OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 6
MARKET DEVELOPMENTS 7
PROCEDURE NUMBERS 9
MARKETS INCLUDED 10
KEY REPORT UPDATES 11
VERSION HISTORY 11
RESEARCH METHODOLOGY 12

Step 1: Project Initiation & Team Selection 12
Step 2: Prepare Data Systems and Perform Secondary Research 15
Step 3: Preparation for Interviews & Questionnaire Design 17
Step 4: Performing Primary Research 18
Step 5: Research Analysis: Establishing Baseline Estimates 20
Step 6: Market Forecast and Analysis 21
Step 7: Identify Strategic Opportunities 23
Step 8: Final Review and Market Release 24
Step 9: Customer Feedback and Market Monitoring 25
DISEASE OVERVIEW 26

2.1 BASIC ANATOMY 26
2.1.1 Elbow 27
2.1.2 Foot and Ankle 27
2.1.3 Hand and Wrist 28
2.1.4 Shoulder 29
2.2 DISEASE TREATMENTS AND DIAGNOSTICS 29
2.2.1 Arthritis 30
2.2.2 Osteoarthritis 30
2.2.3 Traumatic Injuries 31
2.2.4 Avascular Necrosis 31
2.2.5 Congenital Bone Disorder 32
2.3 PATIENT DEMOGRAPHICS 32
2.3.1 General Statistics 32
2.3.2 Osteoporosis Incidence 33
2.3.3 Arthritis Incidence 34
PRODUCT ASSESSMENT 36

3.1 INTRODUCTION 36
3.2 PRODUCT PORTFOLIOS 36
3.2.1 Elbow Reconstruction Device Market 38
3.2.2 Foot and Ankle Device Market 42
3.2.3 Hand and Wrist Device Market 50
3.2.4 Shoulder Reconstruction Device Market 56
3.2.5 Latest Developments in Joint Reconstruction 62
3.3 REGULATORY ISSUES AND RECALLS 64
3.3.1 Acumed 64
3.3.1.1 Plates and Screws 64
3.3.2 Arthrosurface 64
3.3.2.1 Various Small Joint Implants and Related Tools 64
3.3.3 DePuy Synthes 65
3.3.3.1 Elbow 65
3.3.3.2 Hand and Wrist 65
3.3.3.3 Plates and Screws 66
3.3.3.4 Various Small Joint Implants and Related Tools 69
3.3.4 Exactech 70
3.3.4.1 Various Small joint Implants and Related Tools 70
3.3.5 Integra LifeSciences 71
3.3.5.1 Foot and Ankle 71
3.3.5.2 Plates and Screws 71
3.3.5.3 Various Small joint Implants and Related Tools 72
3.3.6 Lima Corporate 73
3.3.6.1 Shoulder 73
3.3.9 Smith & Nephew 75
3.3.9.1 Plates and Screws 75
3.3.10 Stryker 76
3.3.10.1 Elbow 76
3.3.10.2 Various Fixation Devices 77
3.3.10.3 Various Small joint Implants and Related Tools 77
3.3.11 Wright Medical 78
3.3.11.1 Foot and Ankle 78
3.3.11.2 Plates and Screws 78
3.3.12 Zimmer Biomet 81
3.3.12.1 Elbow 81
3.3.12.2 Foot and Ankle 82
3.3.12.4 Plates and Screws 84
3.3.12.5 Shoulder 87
3.3.12.6 Various Fixation Devices 90
3.3.12.7 Various Small joint Implants and Related Tools 91
3.3.13 Other Companies 92
3.3.13.1 Elbow 92
3.3.13.2 Foot and Ankle 92
3.3.13.3 Hand and Wrist 93
3.3.13.4 Plates and Screws 93
3.4 CLINICAL TRIALS 95
3.4.1 Arthrex 95
3.4.1.1 Foot and Ankle 95
3.4.1.2 Plates and Screws 95
3.4.1.3 Shoulder 96
3.4.2 DePuy Synthes 97
3.4.2.1 Plates and Screws 97
3.4.2.2 Shoulder 97
3.4.3 Integra LifeSciences 99
3.4.3.1 Foot and Ankle 99
3.4.3.2 Staples Fixation 100
3.4.3.3 Hand and Wrist 101
3.4.3.4 Plates and Screws 102
3.4.3.5 Shoulder 102
3.4.4 Smith & Nephew 105
3.4.4.1 Shoulder 105
3.4.5 Stryker 106
3.4.5.1 Shoulder 106
3.4.6 Zimmer Biomet 107
3.4.6.1 Elbow 107
3.4.6.2 Foot and Ankle 107
3.4.6.3 Plates and Screws 108
3.4.6.4 Shoulder 108
3.4.7 Wright Medical 110
3.4.7.1 Foot and Ankle 110
3.4.7.2 Shoulder 110
3.4.8 Other Companies 112
3.4.8.1 Elbow 112
3.4.8.2 Foot and Ankle 112
3.4.8.3 Plates and Screws 114
3.4.8.4 Hand and Wrist 116
3.4.8.5 Plates and Screws 118
JAPANESE SMALL BONE AND JOINT ORTHOPEDIC DEVICE MARKET OVERVIEW 119

4.1 INTRODUCTION 119
4.1.1 Challenges in Defining the Market 119
4.2 CURRENCY EXCHANGE RATE 121
4.3 MARKET OVERVIEW 122
4.4 TREND ANALYSIS BY SEGMENT 128
4.5 DRIVERS AND LIMITERS 131
4.5.1 Market Drivers 131
4.5.2 Market Limiters 135
4.6 COMPETITIVE MARKET SHARE ANALYSIS 139
4.7 MERGERS AND ACQUISITIONS 146
4.8 COMPANY PROFILES 148
4.8.1 Acumed 148
4.8.2 Arthrex 149
4.8.3 DePuy Synthes 150
4.8.4 Exactech 151
4.8.5 Integra LifeSciences 152
4.8.6 Lima Corporate 153
4.8.7 Orthofix 154
4.8.8 Smith & Nephew 155
4.8.9 Stryker 156
4.8.10 Wright Medical 158
4.8.11 Zimmer Biomet 159
4.9 SWOT ANALYSIS 160
4.9.1 Acumed 161
4.9.2 Arthrex 162
4.9.3 DePuy Synthes 163
4.9.4 Exactech 164
4.9.5 Integra LifeSciences 165
4.9.6 Stryker 166
4.9.7 Wright Medical 167
4.9.8 Zimmer Biomet 168
PROCEDURE NUMBERS 169

5.1 INTRODUCTION 169
5.2 PROCEDURES 170
5.2.1 Procedure Overview 170
5.2.2 Shoulder Procedures 175
5.2.3 Elbow Procedures 178
5.2.4 Hand and Wrist Procedures 180
5.2.5 Foot and Ankle Procedures 182
SHOULDER RECONSTRUCTION DEVICE MARKET 184

6.1 INTRODUCTION 184
6.1.1.1 Pathology 184
6.1.2 Joint Reconstruction Devices 185
6.1.2.1 Total (Anatomic) Shoulder Implant 185
6.1.2.2 Reversed-Shoulder Implants 185
6.1.2.3 Hemi Shoulder Implants 185
6.1.2.4 Resurfacing Implants 186
6.1.2.5 Shoulder Revision 186
6.1.2.6 Proximal Humerus Plates and Screws 186
6.1.3 Challenges in Defining the Market 186
6.2 MARKET OVERVIEW 188
6.3 MARKET ANALYSIS AND FORECAST 194
6.3.1 Total Shoulder Implant Market 194
6.3.1.1 Stemmed Total Shoulder Implant Market 197
6.3.1.2 Stemless Total Shoulder Implant Market 197
6.3.2 Reversed Shoulder Implant Market 198
6.3.3 Hemi Shoulder Implant Market 201
6.3.4 Resurfacing Shoulder Implant Market 204
6.3.5 Shoulder Plate and Screw Market 207
6.4 DRIVERS AND LIMITERS 210
6.4.1 Market Drivers 210
6.4.2 Market Limiters 211
6.5 COMPETITIVE MARKET SHARE ANALYSIS 214
ELBOW REPAIR DEVICE MARKET 219

7.1 INTRODUCTION 219
7.1.1 Pathology 219
7.1.2 Device Types 219
7.1.2.1 Primary Elbow Devices 219
7.1.2.2 Radial Head Elbow Devices 220
7.1.2.3 Contraindications 220
7.1.2.4 Elbow Plates and Screws 220
7.1.3 Challenges in Defining the Market 220
7.2 MARKET OVERVIEW 222
7.3 MARKET ANALYSIS AND FORECAST 228
7.3.1 Total Primary Elbow Implant Market 228
7.3.1.1 Semi-Constrained Primary Elbow Implant Market 234
7.3.1.2 Unconstrained Primary Elbow Implant Market 237
7.3.2 Radial Head Implant Market 240
7.3.3 Elbow Plate and Screw Market 243
7.4 DRIVERS AND LIMITERS 246
7.4.1 Market Drivers 246
7.4.2 Market Limiters 247
7.5 COMPETITIVE MARKET SHARE ANALYSIS 250
HAND AND WRIST DEVICE MARKET 255

8.1 INTRODUCTION 255
8.1.1 Anatomy 255
8.1.2 Pathology 255
8.1.3 Treatment 256
8.1.4 Device Types 256
8.1.4.1 Total Wrist Implants 256
8.1.4.2 Wrist Fusion 256
8.1.4.3 Ulnar Head Implants 256
8.1.4.4 Digit and Carpal Implants 257
8.1.4.5 CMC Joint Arthroplasty of the Thumb 258
8.1.4.6 Distal Radius ORIF 258
8.1.5 Challenges in Defining the Market 258
8.2 MARKET OVERVIEW 260
8.3 MARKET ANALYSIS AND FORECAST 265
8.3.1 Wrist Fusion Market 265
8.3.2 Distal Radius Plate and Screw Market 268
8.3.3 Wrist Replacement Market 271
8.3.4 Ulnar Head Replacement Market 271
8.3.5 Hand Digit Implant Market 272
8.4 DRIVERS AND LIMITERS 273
8.4.1 Market Drivers 273
8.4.2 Market Limiters 274
8.5 COMPETITIVE MARKET SHARE ANALYSIS 276
FOOT AND ANKLE DEVICE MARKET 279

9.1 INTRODUCTION 279
9.1.1 Treatment 280
9.1.1.1 Primary Ankle Joint Replacement 280
9.1.2 Challenges in Defining the Market 281
9.2 MARKET OVERVIEW 282
9.3 MARKET ANALYSIS AND FORECAST 287
9.3.1 Primary Ankle Replacement Market 287
9.3.2 Foot Digit Implant Market 290
9.3.3 Ankle Fusion Market 293
9.3.4 Foot and Ankle Plate and Screw Market 294
9.4 DRIVERS AND LIMITERS 297
9.4.1 Market Drivers 297
9.4.2 Market Limiters 299
9.5 COMPETITIVE MARKET SHARE ANALYSIS 301
ABBREVIATIONS 306

Chart 1 1: Small Bone and Joint Orthopedic Device Market by Segment, Japan, 2015 – 2025 3
Chart 1 2: Small Bone and Joint Orthopedic Device Market Overview, Japan, 2018 & 2025 3
Chart 4 1: Small Bone and Joint Orthopedic Device Market by Segment, Japan, 2015 – 2025 125
Chart 4 2: Small Bone and Joint Orthopedic Device Market Breakdown, Japan, 2018 126
Chart 4 3: Small Bone and Joint Orthopedic Device Market Breakdown, Japan, 2025 127
Chart 4 4: Growth Rates by Segment, Small Bone and Joint Orthopedic Device Market, Japan, 2016 – 2025 130
Chart 4 5: Leading Competitors, Small Bone and Joint Orthopedic Device Market, Japan, 2018 145
Chart 5 1: Small Bone and Joint Orthopedic Procedures by Segment, Japan, 2015 – 2025 172
Chart 5 2: Small Bone and Joint Orthopedic Procedures Breakdown, Japan, 2018 173
Chart 5 3: Small Bone and Joint Orthopedic Procedures Breakdown, Japan, 2025 174
Chart 5 4: Shoulder Procedures by Type, Japan, 2015 – 2025 177
Chart 5 5: Elbow Procedures by Type, Japan, 2015 – 2025 179
Chart 5 6: Hand and Wrist Procedures by Type, Japan, 2015 – 2025 181
Chart 5 7: Foot and Ankle Procedures by Type, Japan, 2015 – 2025 183
Chart 6 1: Shoulder Reconstruction Market by Segment, Japan, 2015 – 2025 191
Chart 6 2: Shoulder Reconstruction Market Breakdown, Japan, 2018 192
Chart 6 3: Shoulder Reconstruction Market Breakdown, Japan, 2025 193
Chart 6 4: Total Shoulder Implant Market, Japan, 2015 – 2025 196
Chart 6 5: Reversed Shoulder Implant Market, Japan, 2015 – 2025 200
Chart 6 6: Hemi Shoulder Implant Market, Japan, 2015 – 2025 203
Chart 6 7: Resurfacing Shoulder Implant Market, Japan, 2015 – 2025 206
Chart 6 8: Shoulder Plate and Screw Market, Japan, 2015 – 2025 209
Chart 6 9: Leading Competitors, Shoulder Reconstruction Market, Japan, 2018 218
Chart 7 1: Elbow Repair Device Market by Segment, Japan, 2015 – 2025 225
Chart 7 2: Elbow Repair Device Market Breakdown, Japan, 2018 226
Chart 7 3: Elbow Repair Device Market Breakdown, Japan, 2025 227
Chart 7 4: Primary Elbow Implant Market by Segment, Japan, 2015 – 2025 231
Chart 7 5: Total Primary Elbow Implant Market, Japan, 2015 – 2025 233
Chart 7 6: Semi-Constrained Primary Elbow Implant Market, Japan, 2015 – 2025 236
Chart 7 7: Unconstrained Primary Elbow Implant Market, Japan, 2015 – 2025 239
Chart 7 8: Radial Head Implant Market, Japan, 2015 – 2025 242
Chart 7 9: Elbow Plate and Screw Market, Japan, 2015 – 2025 245
Chart 7 10: Leading Competitors, Elbow Repair Device Market, Japan, 2018 254
Chart 8 1: Hand and Wrist Device Market by Segment, Japan, 2015 – 2025 262
Chart 8 2: Hand and Wrist Device Market Breakdown, Japan, 2018 263
Chart 8 3: Hand and Wrist Device Market Breakdown, Japan, 2025 264
Chart 8 4: Wrist Fusion Market, Japan, 2015 – 2025 267
Chart 8 5: Distal Radius Plate and Screw Market, Japan, 2015 – 2025 270
Chart 8 6: Leading Competitors, Hand and Wrist Device Market, Japan, 2018 278
Chart 9 1: Foot and Ankle Device Market by Segment, Japan, 2015 – 2025 284
Chart 9 2: Foot and Ankle Device Market Breakdown, Japan, 2018 285
Chart 9 3: Foot and Ankle Device Market Breakdown, Japan, 2025 286
Chart 9 4: Primary Ankle Replacement Market, Japan, 2015 – 2025 289
Chart 9 5: Foot Digit Implant Market, Japan, 2015 – 2025 292
Chart 9 6: Foot and Ankle Plate and Screw Market, Japan, 2015 – 2025 296
Chart 9 7: Leading Competitors, Foot and Ankle Device Market, Japan, 2018 305

Figure 1 1: Small Bone and Joint Orthopedic Device Market Share Ranking by Segment, Japan, 2018 4
Figure 1 2: Companies Researched in this Report 5
Figure 1 3: Factors Impacting the Small Bone and Joint Orthopedic Device Market by Segment, Japan 6
Figure 1 4: Recent Events in the Small Bone and Joint Orthopedic Device Market, 2015 – 2019 (1 of 2) 7
Figure 1 5: Recent Events in the Small Bone and Joint Orthopedic Device Market, 2015 – 2019 (2 of 2) 8
Figure 1 6: Small Bone and Joint Orthopedic Device Procedures Covered 9
Figure 1 7: Small Bone and Joint Orthopedic Device Markets Covered 10
Figure 1 8: Key Report Updates 11
Figure 1 9: Version History 11
Figure 3 1: Elbow Reconstruction Device Market Products by Company (1 of 3) 39
Figure 3 2: Elbow Reconstruction Device Market Products by Company (2 of 3) 40
Figure 3 3: Elbow Reconstruction Device Market Products by Company (3 of 3) 41
Figure 3 4: Foot and Ankle Device Market Products by Company (1 of 7) 43
Figure 3 5: Foot and Ankle Device Market Products by Company (2 of 7) 44
Figure 3 6: Foot and Ankle Device Market Products by Company (3 of 7) 45
Figure 3 7: Foot and Ankle Device Market Products by Company (4 of 7) 46
Figure 3 8: Foot and Ankle Device Market Products by Company (5 of 7) 47
Figure 3 9: Foot and Ankle Device Market Products by Company (6 of 7) 48
Figure 3 10: Foot and Ankle Device Market Products by Company (7 of 7) 49
Figure 3 11: Hand and Wrist Device Market Products by Company (1 of 4) 52
Figure 3 12: Hand and Wrist Device Market Products by Company (2 of 4) 53
Figure 3 13: Hand and Wrist Device Market Products by Company (3 of 4) 54
Figure 3 14: Hand and Wrist Device Market Products by Company (4 of 4) 55
Figure 3 15: Shoulder Reconstruction Device Market Products by Company (1 of 4) 58
Figure 3 16: Shoulder Reconstruction Device Market Products by Company (2 of 4) 59
Figure 3 17: Shoulder Reconstruction Device Market Products by Company (3 of 4) 60
Figure 3 18: Shoulder Reconstruction Device Market Products by Company (4 of 4) 61
Figure 3 19: Class 2 Device Recall Acumed Tension Band Pin 64
Figure 3 20: Class 2 Device Recall The HemiCAP Contoured Articular Prosthetic 64
Figure 3 21: Class 2 Device Recall Synthes Radial Head Prosthesis System 65
Figure 3 22: Class 2 Device Recall Synthes Radial Head Prosthesis: Trial Radial Head 65
Figure 3 23: Class 2 Device Recall Synthes LCP DiaphysealMetaphyseal Volar Distal Radius Plate 65
Figure 3 24: Class 2 Device Recall Synthes Variable Angle LCP Dorsal Distal Radius System 66
Figure 3 25: Class 2 Device Recall Synthes 2.4mm Titanium Locking Screws SelfTapping with Stardrive Recess 12mm 66
Figure 3 26: Class 2 Device Recall 4.0 mm Cortex Screw 66
Figure 3 27: Class 2 Device Recall Synthes Titanium Small Reconstruction Plate 67
Figure 3 28: Class 2 Device Recall 2.7 MM Locking Screw SLFTPNG with T8 Stardrive Recess 12MM 67
Figure 3 29: Class 2 Device Recall Orthopedic Devices 67
Figure 3 30: Class 2 Device Recall Synthes 2.7mm LCP Ulna Osteotomy System 68
Figure 3 31: Class 2 Device Recall Synthes 2.4 mm LCDCP Plate 6 Holes/51mm 68
Figure 3 32: Class 2 Device Recall Synthes Midfoot Fusion Bolt 68
Figure 3 33: Class 2 Device Recall Synthes Trauma ExFix System 69
Figure 3 34: Class 2 Device Recall Glenosphere Orientation Guide for the Delta XTEND Reverse Shoulder System 69
Figure 3 35: Class 2 Device Recall Torque Defining Screw and Screwdriver 70
Figure 3 36: Class 2 Device Recall Equinoxe 70
Figure 3 37: Class 2 Device Recall Integra Cadence Total Ankle System 71
Figure 3 38: Class 2 Device Recall Cadence Size 5 Left Tibial Tray Implant 71
Figure 3 39: Class 2 Device Recall SURFIX Fixed Angle Locking Screw 71
Figure 3 40: Class 2 Device Recall TS Series Depth Gauge for Integra Ti6 Internal Fixation System 2.0/2.5mm Screws 72
Figure 3 41: Class 2 Device Recall Integra Titan Reverse Shoulder System 72
Figure 3 42: Class 2 Device Recall Surgical Instrument for SMR Anatomic and Reverse Shoulder Prosthesis 73
Figure 3 43: Class 2 Device Recall SMR glenosphere impactor/extractor 73
Figure 3 44: Class 2 Device Recall Trial Humeral Head 74
Figure 3 45: Class 2 Device Recall Trial Adaptor Head 74
Figure 3 46: Unclassified Correction or Removal Periloc Volar Distal Radius right 3h std head locking plate 75
Figure 3 47: Class 2 Device Recall PeriLoc(R) VLP 3.5 mm x 6 mm selftapping cortex screw 75
Figure 3 48: Class 2 Device Recall Small Bone Innovations (see also Product Description), SBi 76
Figure 3 49: Class 2 Device Recall Stryker Howmedica Osteonics 76
Figure 3 50: Class 2 Device Recall Stryker T2 Supracondylar Nail System 77
Figure 3 51: Class 2 Device Recall Osteonics Shoulder Glenoid Spanner 77
Figure 3 52: Class 2 Device Recall Salto Talaris Tibial Guide 78
Figure 3 53: Class 2 Device Recall CrossCHECK Locking Screw 78
Figure 3 54: Class 2 Device Recall CROSSCHECK(R) plating system 79
Figure 3 55: Class 2 Device Recall Claw(R) II straight plate Ortholoc(tm) 80
Figure 3 56: Class 2 Device Recall Coonrad/ Morrey Elbow Pin/ Bushing Replacement size Kit Extra Small 81
Figure 3 57: Class 2 Device Recall Elbow Humeral Trial 81
Figure 3 58: Class 2 Device Recall Discovery Elbow (since 2015 – DJO) 82
Figure 3 59: Class 2 Device Recall ExploR 7x26mm Modular Radial Stem 82
Figure 3 60: Class 2 Device Recall Construx Alum Ankle Clamp 82
Figure 3 61: Class 2 Device Recall Zimmer Trabecular Metal Total Ankle Tibial Base and Talar Components 83
Figure 3 62: Class 2 Device Recall Smith & Nephew Periloc Volar Distal Radius Plate Standard 3 Hole 84
Figure 3 63: Class 2 Device Recall Biomet Inc., Biomet Sports Medicine, and Biomet 84
Figure 3 64: Class 2 Device Recall DVR ePAK 84
Figure 3 65: Class 2 Device Recall Zimmer 85
Figure 3 66: Class 2 Device Recall Zimmer Universal Locking System 85
Figure 3 67: Class 2 Device Recall Biomet A.L.P.S. 4.0mm Cancellous Locking Screws 85
Figure 3 68: Class 2 Device Recall A.L.P.S 85
Figure 3 69: Class 2 Device Recall low profile Nonlock screw 86
Figure 3 70: Class 2 Device Recall Trauma Tubes and Plates 86
Figure 3 71: Class 2 Device Recall Zimmer Periarticular Locking Plate System 86
Figure 3 72: Class 2 Device Recall Distal Radius Fracture Repair System 86
Figure 3 73: Class 1 Device Recall Biomet Comprehensive Reverse Shoulder Humeral 87
Figure 3 74: Class 2 Device Recall Anatomical Shoulder Domelock 87
Figure 3 75: Class 3 Device Recall BIOMET Comprehensive Shoulder System 87
Figure 3 76: Class 2 Device Recall Comprehensive Reverse Shoulder Glenosphere Mini Baseplate 25mm with Taper Adaptor 87
Figure 3 77: Class 2 Device Recall Trabecular Metal 88
Figure 3 78: Class 2 Device Recall Bigliani/Flatow Complete Shoulder Solution 89
Figure 3 79: Class 2 Device Recall Zimmer Anatomical Shoulder 89
Figure 3 80: Class 2 Device Recall Trabecular Metal Reverse Shoulder Liner 40mm 90
Figure 3 81: Class 2 Device Recall Biomet Inc., Biomet Sports Medicine, and Biomet 90
Figure 3 82: Unclassified Correction or Removal Fem and Tibial IM Nail 91
Figure 3 83: Class 2 Device Recall various polyethylene implants 91
Figure 3 84: Class 2 Device Recall Align Radial Stem, Skeletal Dynamics 92
Figure 3 85: Class 2 Device Recall ExploR 7x26mm Modular Radial Stem, Skeletal Dynamics 92
Figure 3 86: Class 2 Device Recall Vilex, Inc., FUZE 10.0 mm x 200 mm, Product FZ100200T25, Vilex Inc. 92
Figure 3 87: Class 2 Device Recall DRP Screw, In2Bones, SAS 93
Figure 3 88: Class 2 Device Recall TriMed SemiTubular Plate, Trimed Inc. 93
Figure 3 89: Class 2 Device Recall 7, 9, and 11Hole VL Gridlock Fibula Plating System, Trilliant Surgical Ltd. 93
Figure 3 90: Class 2 Device Recall Gridlock Screw Driver Bit, Trilliant Surgical Ltd. 94
Figure 3 91: Class 2 Device Recall Orthopediatrics PediLoc Tibial Plate System, OrthoPediatrics Corp 94
Figure 3 92: Static Implant Versus Dynamic Implant in the Surgical Treatment on Ankle Syndesmosis Rupture 95
Figure 3 93: TMT Fusion Plate vs. Two Crossed Screws (TMT) 95
Figure 3 94: Humeral Head Implants: Radiological and Clinical Evaluation 96
Figure 3 95: Plate Fixation of Distal Femur Fractures: A Protocol for a Study of Two Plate Options 97
Figure 3 96: Effectiveness of Hemi- Versus Total Shoulder Arthroplasty Using Implants of the "Epoca" System (Epoca H vs T) 97
Figure 3 97: Long-term Clinical Effectiveness of the Delta Xtend Reverse Total Shoulder 98
Figure 3 98: DePuy Global Unite Shoulder System 98
Figure 3 99: Ankle Joint Replacement Outcomes Study 99
Figure 3 100: Short Term Follow-up of Patient Implanted With the Metatarso-Phalangeal Prosthesis METIS® 99
Figure 3 101: Short Term Follow-up of Patient Implanted With the Proximal Interphalangeal Implant 100
Figure 3 102: Follow-up of Patient Implanted With the Staple ASTUS® 100
Figure 3 103: Ascension® Post- Approval Study; PyroCarbon Metacarpophalangeal Total Joint Prosthesis (MCP) 101
Figure 3 104: Short Term Follow-up of Patient Implanted With the Proximal Interphalangeal Implant 101
Figure 3 105: Short Term Follow-up of Patent Implanted With the B-BOP Lock Plate 102
Figure 3 106: TITAN™ Reverse Shoulder System 102
Figure 3 107: A Multi-center Outcomes Clinical Study of the PyroTITAN™ HRA Shoulder Implant in Humeral Head Resurfacing (CHRA) 103
Figure 3 108: A Comparison Between a Pyrocarbon and a CoCr Shoulder Resurfacing Implant 103
Figure 3 109: Ascension® Humeral Resurfacing Arthroplasty Follow-Up Study 104
Figure 3 110: Patient Benefit From the New Modular Shoulder Prosthesis PROMOS (Promos) 105
Figure 3 111: Multicenter Clinical Observation PROMOS® 105
Figure 3 112: Comparing The Outcome of Large-Diameter vs Small-Diameter Glenospheres in Primary Reverse Shoulder Arthroplasty 106
Figure 3 113: ExploR™ Modular Radial Head Data Collection 107
Figure 3 114: Zimmer Trabecular Metal Total Ankle 107
Figure 3 115: Zimmer® MotionLoc® in Distal Tibia Fractures 108
Figure 3 116: Sidus(TM) Post Market Clinical Follow-up (PMCF) Study 108
Figure 3 117: Clinical Experience With the Zimmer Trabecular Metal (TM) Glenoid in Total Shoulder Arthroplasty (TMGlenoid) 109
Figure 3 118: UK Infinity, Post-Market Clinical Follow-up Study 110
Figure 3 119: Aequalis Resurfacing Head Study 110
Figure 3 120: Clinical Outcomes in Shoulder Hemi-arthroplasty Using a PyC Spherical Interpositional Implant 111
Figure 3 121: Safety and Effectiveness of the Tornier Simpliciti™ Shoulder System in Shoulder Arthroplasty 111
Figure 3 122: Multi-Center Trial to Evaluate an Internal Joint Stabilizer - Elbow 112
Figure 3 123: Comparing Ankle Fusion to Ankle Replacement 112
Figure 3 124: Agili-CTM Implant Performance Evaluation in the Treatment of Osteoarthritis of the Great Toe 113
Figure 3 125: Post Approval Study to Evaluate the Effectiveness and Safety of Cartiva Implant in the Treatment of OA of the Great Toe 113
Figure 3 126: Evaluation of CyclaPlex Implant for Correction of First Inter Metatarsal Angle in Subjects Suffering From Hallux Valgus Deformity 114
Figure 3 127: Buried Intramedullary K-wire Fixation Compared With Plate and Screw Fixation in Unstable Extra-Articular Metacarpal Fractures 114
Figure 3 128: Fibular Fixation in Ankle Fractures:Plate Verses Nail. 115
Figure 3 129: A Prospective Randomized Pilot Study to Compare Open Versus Percutaneous Syndesmosis Repair of Unstable Ankle Fractures 115
Figure 3 130: Comparing Stability and Cost-Effectiveness of 3 Bicortical Screws Vs Adjustable Plate and 2 Bicortical Screws in Fixation of BSSRO 116
Figure 3 131: Motec Versus Remotion Total Wrist Arthroplasty - A Prospective Study 116
Figure 3 132: Patient Perceived Outcome After Total Wrist Arthroplasty With a New Total Wrist Arthroplasty Implant 117
Figure 3 133: Comparison of Three Fixation Techniques for Displaced Distal Radius Fractures (DRF) 117
Figure 3 134: Plate Fixation of Distal Femur Fractures: A Protocol for a Study of Two Plate Options 118
Figure 3 135: Lateral Mini Approach vs Anterior Approach for Plating of Proximal Humerus Fracture (HURA) 118
Figure 4 1: Currency Exchange Rate, 2018 121
Figure 4 2: Small Bone and Joint Orthopedic Device Market by Segment, Japan, 2015 – 2025 (US$M) 123
Figure 4 3: Small Bone and Joint Orthopedic Device Market by Segment, Japan, 2015 – 2025 (JP¥M) 124
Figure 4 4: Small Bone and Joint Orthopedic Device Market Growth by Segment, Japan, 2015 – 2025 129
Figure 4 5: Drivers and Limiters, Small Bone and Joint Orthopedic Device Market, Japan, 2018 138
Figure 4 6: Leading Competitors, Small Bone and Joint Orthopedic Device Market, Japan, 2018 144
Figure 4 7: SWOT Analysis, Acumed 161
Figure 4 8: SWOT Analysis, Arthrex 162
Figure 4 9: SWOT Analysis, DePuy Synthes 163
Figure 4 10: SWOT Analysis, Exactech 164
Figure 4 11: SWOT Analysis, Integra LifeSciences 165
Figure 4 12: SWOT Analysis, Stryker 166
Figure 4 13: SWOT Analysis, Wright Medical 167
Figure 4 14: SWOT Analysis, Zimmer Biomet 168
Figure 5 1: Small Bone and Joint Orthopedic Procedures by Segment, Japan, 2015 – 2025 171
Figure 5 2: Shoulder Procedures by Type, Japan, 2015 – 2025 176
Figure 5 3: Elbow Procedures by Type, Japan, 2015 – 2025 178
Figure 5 4: Hand and Wrist Procedures by Type, Japan, 2015 – 2025 180
Figure 5 5: Foot and Ankle Procedures by Type, Japan, 2015 – 2025 182
Figure 6 1: Shoulder Reconstruction Market by Segment, Japan, 2015 – 2025 (US$M) 189
Figure 6 2: Shoulder Reconstruction Market by Segment, Japan, 2015 – 2025 (JP¥M) 190
Figure 6 3: Total Shoulder Implant Market, Japan, 2015 – 2025 195
Figure 6 4: Reversed Shoulder Implant Market, Japan, 2015 – 2025 199
Figure 6 5: Hemi Shoulder Implant Market, Japan, 2015 – 2025 202
Figure 6 6: Resurfacing Shoulder Implant Market, Japan, 2015 – 2025 205
Figure 6 7: Shoulder Plate and Screw Market, Japan, 2015 – 2025 208
Figure 6 8: Drivers and Limiters, Shoulder Reconstruction Market, Japan, 2018 213
Figure 6 9: Leading Competitors, Shoulder Reconstruction Market, Japan, 2018 217
Figure 7 1: Elbow Repair Device Market by Segment, Japan, 2015 – 2025 (US$M) 223
Figure 7 2: Elbow Repair Device Market by Segment, Japan, 2015 – 2025 (JP¥M) 224
Figure 7 3: Primary Elbow Implant Market by Segment, Japan, 2015 – 2025 (US$M) 229
Figure 7 4: Primary Elbow Implant Market by Segment, Japan, 2015 – 2025 (JP¥M) 230
Figure 7 5: Total Primary Elbow Implant Market, Japan, 2015 – 2025 232
Figure 7 6: Semi-Constrained Primary Elbow Implant Market, Japan, 2015 – 2025 235
Figure 7 7: Unconstrained Primary Elbow Implant Market, Japan, 2015 – 2025 238
Figure 7 8: Radial Head Implant Market, Japan, 2015 – 2025 241
Figure 7 9: Elbow Plate and Screw Market, Japan, 2015 – 2025 244
Figure 7 10: Drivers and Limiters, Elbow Repair Device Market, Japan, 2018 249
Figure 7 11: Leading Competitors, Elbow Repair Device Market, Japan, 2018 253
Figure 8 1: Hand and Wrist Device Market by Segment, Japan, 2015 – 2025 (US$M) 260
Figure 8 2: Hand and Wrist Device Market by Segment, Japan, 2015 – 2025 (JP¥M) 261
Figure 8 3: Wrist Fusion Market, Japan, 2015 – 2025 266
Figure 8 4: Distal Radius Plate and Screw Market, Japan, 2015 – 2025 269
Figure 8 5: Drivers and Limiters, Hand and Wrist Device Market, Japan, 2018 275
Figure 8 6: Leading Competitors, Hand and Wrist Device Market, Japan, 2018 277
Figure 9 1: Foot and Ankle Device Market by Segment, Japan, 2015 – 2025 (US$M) 282
Figure 9 2: Foot and Ankle Device Market by Segment, Japan, 2015 – 2025 (JP¥M) 283
Figure 9 3: Primary Ankle Replacement Market, Japan, 2015 – 2025 288
Figure 9 4: Foot Digit Implant Market, Japan, 2015 – 2025 291
Figure 9 5: Foot and Ankle Plate and Screw Market, Japan, 2015 – 2025 295
Figure 9 6: Drivers and Limiters, Foot and Ankle Device Market, Japan, 2018 300
Figure 9 7: Leading Competitors, Foot and Ankle Device Market, Japan, 2018 304

Acumed
AK Medical
Arthrex
Beijing Chunlizhengda Medical
Canwell Medical
Changzhou Canshin Medical Technology
Changzhou Waston Medical Appliance
DePuy Synthes
Double Medical
Exactech
Jiangsu Jinlu Medical
Jiangsu Shuangyang
Jiangsu Trauhui
JRI Orthopaedics
Lima
Mathys Medical
Medacta
Medartis
Medtronic Kanghui
MicroPort Orthopaedics
Orthofix
Shanghai Aomed Ortho (Medtho)
Shanghai A-Orth Medical
Shanghai Kinetic Medical
Shenzhen Bone Medical Devices
Smith & Nephew
Stryker
Suzhou Gemmed Medical Instrument
Suzhou Sunan Zimmered
Trauson
Weigao Orthopedic
Wright Medical
Xinrong
Zimmer Biomet