TABLE OF CONTENTS I

LIST OF FIGURES X
LIST OF CHARTS XVIII
EXECUTIVE SUMMARY 1

CHINESE SMALL BONE AND JOINT ORTHOPEDIC DEVICE MARKET OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 6
MARKET DEVELOPMENTS 7
PROCEDURE NUMBERS 8
MARKETS INCLUDED 9
KEY REPORT UPDATES 10
VERSION HISTORY 10
RESEARCH METHODOLOGY 11

Step 1: Project Initiation & Team Selection 11
Step 2: Prepare Data Systems and Perform Secondary Research 14
Step 3: Preparation for Interviews & Questionnaire Design 16
Step 4: Performing Primary Research 17
Step 5: Research Analysis: Establishing Baseline Estimates 19
Step 6: Market Forecast and Analysis 20
Step 7: Identify Strategic Opportunities 22
Step 8: Final Review and Market Release 23
Step 9: Customer Feedback and Market Monitoring 24
DISEASE OVERVIEW 25

2.1 BASIC ANATOMY 25
2.1.1 Elbow 26
2.1.2 Foot and Ankle 26
2.1.3 Hand and Wrist 27
2.1.4 Shoulder 28
2.2 DISEASE TREATMENTS AND DIAGNOSTICS 28
2.2.1 Arthritis 29
2.2.2 Osteoarthritis 29
2.2.3 Traumatic Injuries 30
2.2.4 Avascular Necrosis 30
2.2.5 Congenital Bone Disorder 31
2.3 PATIENT DEMOGRAPHICS 31
2.3.1 General Statistics 31
2.3.2 Osteoporosis Incidence 32
2.3.3 Arthritis Incidence 33
PRODUCT ASSESSMENT 35

3.1 INTRODUCTION 35
3.2 PRODUCT PORTFOLIOS 35
3.2.1 Elbow Reconstruction Device Market 37
3.2.2 Foot and Ankle Device Market 41
3.2.3 Hand and Wrist Device Market 49
3.2.4 Shoulder Reconstruction Device Market 55
3.2.5 Latest Developments in Joint Reconstruction 61
3.3 REGULATORY ISSUES AND RECALLS 63
3.3.1 Acumed 63
3.3.1.1 Plates and Screws 63
3.3.2 Arthrosurface 63
3.3.2.1 Various Small Joint Implants and Related Tools 63
3.3.3 DePuy Synthes 64
3.3.3.1 Elbow 64
3.3.3.2 Hand and Wrist 64
3.3.3.3 Plates and Screws 65
3.3.3.4 Various Small Joint Implants and Related Tools 68
3.3.4 Exactech 69
3.3.4.1 Various Small joint Implants and Related Tools 69
3.3.5 Integra LifeSciences 70
3.3.5.1 Foot and Ankle 70
3.3.5.2 Plates and Screws 70
3.3.5.3 Various Small joint Implants and Related Tools 71
3.3.6 Lima Corporate 72
3.3.6.1 Shoulder 72
3.3.9 Smith & Nephew 74
3.3.9.1 Plates and Screws 74
3.3.10 Stryker 75
3.3.10.1 Elbow 75
3.3.10.2 Various Fixation Devices 76
3.3.10.3 Various Small joint Implants and Related Tools 76
3.3.11 Wright Medical 77
3.3.11.1 Foot and Ankle 77
3.3.11.2 Plates and Screws 77
3.3.12 Zimmer Biomet 80
3.3.12.1 Elbow 80
3.3.12.2 Foot and Ankle 81
3.3.12.4 Plates and Screws 83
3.3.12.5 Shoulder 86
3.3.12.6 Various Fixation Devices 89
3.3.12.7 Various Small joint Implants and Related Tools 90
3.3.13 Other Companies 91
3.3.13.1 Elbow 91
3.3.13.2 Foot and Ankle 91
3.3.13.3 Hand and Wrist 92
3.3.13.4 Plates and Screws 92
3.4 CLINICAL TRIALS 94
3.4.1 Arthrex 94
3.4.1.1 Foot and Ankle 94
3.4.1.2 Plates and Screws 94
3.4.1.3 Shoulder 95
3.4.2 DePuy Synthes 96
3.4.2.1 Plates and Screws 96
3.4.2.2 Shoulder 96
3.4.3 Integra LifeSciences 98
3.4.3.1 Foot and Ankle 98
3.4.3.2 Staples Fixation 99
3.4.3.3 Hand and Wrist 100
3.4.3.4 Plates and Screws 101
3.4.3.5 Shoulder 101
3.4.4 Smith & Nephew 104
3.4.4.1 Shoulder 104
3.4.5 Stryker 105
3.4.5.1 Shoulder 105
3.4.6 Zimmer Biomet 106
3.4.6.1 Elbow 106
3.4.6.2 Foot and Ankle 106
3.4.6.3 Plates and Screws 107
3.4.6.4 Shoulder 107
3.4.7 Wright Medical 109
3.4.7.1 Foot and Ankle 109
3.4.7.2 Shoulder 109
3.4.8 Other Companies 111
3.4.8.1 Elbow 111
3.4.8.2 Foot and Ankle 111
3.4.8.3 Plates and Screws 113
3.4.8.4 Hand and Wrist 115
3.4.8.5 Plates and Screws 117
CHINESE SMALL BONE AND JOINT ORTHOPEDIC DEVICE MARKET OVERVIEW 118

4.1 INTRODUCTION 118
4.1.1 Challenges in Defining the Market 118
4.2 CURRENCY EXCHANGE RATE 120
4.3 MARKET OVERVIEW 121
4.4 TREND ANALYSIS BY SEGMENT 128
4.5 DRIVERS AND LIMITERS 131
4.5.1 Market Drivers 131
4.5.2 Market Limiters 133
4.6 COMPETITIVE MARKET SHARE ANALYSIS 137
4.7 MERGERS AND ACQUISITIONS 144
4.8 COMPANY PROFILES 146
4.8.1 Acumed 146
4.8.2 Arthrex 147
4.8.3 DePuy Synthes 148
4.8.4 Exactech 149
4.8.5 Integra LifeSciences 150
4.8.6 Lima Corporate 151
4.8.7 Orthofix 152
4.8.8 Smith & Nephew 153
4.8.9 Stryker 154
4.8.10 Wright Medical 156
4.8.11 Zimmer Biomet 157
4.9 SWOT ANALYSIS 158
4.9.1 Acumed 159
4.9.2 Arthrex 160
4.9.3 DePuy Synthes 161
4.9.4 Exactech 162
4.9.5 Integra LifeSciences 163
4.9.6 Stryker 164
4.9.7 Wright Medical 165
4.9.8 Zimmer Biomet 166
PROCEDURE NUMBERS 167

5.1 INTRODUCTION 167
5.2 PROCEDURES 168
5.2.1 Procedure Overview 168
5.2.2 Shoulder Procedures 173
5.2.3 Elbow Procedures 176
5.2.4 Hand and Wrist Procedures 178
5.2.5 Foot and Ankle Procedures 180
SHOULDER RECONSTRUCTION DEVICE MARKET 182

6.1 INTRODUCTION 182
6.1.1.1 Pathology 182
6.1.2 Joint Reconstruction Devices 183
6.1.2.1 Total (Anatomic) Shoulder Implant 183
6.1.2.2 Reversed-Shoulder Implants 183
6.1.2.3 Hemi Shoulder Implants 183
6.1.2.4 Resurfacing Implants 184
6.1.2.5 Shoulder Revision 184
6.1.2.6 Shoulder Plates and Screws 184
6.1.3 Challenges in Defining the Market 184
6.2 MARKET OVERVIEW 186
6.3 MARKET ANALYSIS AND FORECAST 192
6.3.1 Total Shoulder Implant Market 192
6.3.1.1 Stemmed Total Shoulder Implant Market 195
6.3.1.2 Stemless Total Shoulder Implant Market 195
6.3.2 Reversed Shoulder Implant Market 197
6.3.3 Hemi Shoulder Implant Market 200
6.3.4 Resurfacing Shoulder Implant Market 203
6.3.5 Shoulder Plate and Screw Market 206
6.4 DRIVERS AND LIMITERS 209
6.4.1 Market Drivers 209
6.4.2 Market Limiters 210
6.5 COMPETITIVE MARKET SHARE ANALYSIS 213
ELBOW REPAIR DEVICE MARKET 217

7.1 INTRODUCTION 217
7.1.1 Pathology 217
7.1.2 Device Types 217
7.1.2.1 Primary Elbow Devices 217
7.1.2.2 Radial Head Elbow Devices 218
7.1.2.3 Contraindications 218
7.1.2.4 Elbow Plates and Screws 218
7.1.3 Challenges in Defining the Market 218
7.2 MARKET OVERVIEW 220
7.3 MARKET ANALYSIS AND FORECAST 226
7.3.1 Total Primary Elbow Implant Market 226
7.3.1.1 Semi-Constrained Primary Elbow Implant Market 232
7.3.1.2 Unconstrained Primary Elbow Implant Market 235
7.3.2 Radial Head Implant Market 238
7.3.3 Elbow Plate and Screw Market 241
7.4 DRIVERS AND LIMITERS 244
7.4.1 Market Drivers 244
7.4.2 Market Limiters 245
7.5 COMPETITIVE MARKET SHARE ANALYSIS 247
HAND AND WRIST DEVICE MARKET 251

8.1 INTRODUCTION 251
8.1.1 Anatomy 251
8.1.2 Pathology 251
8.1.3 Treatment 252
8.1.4 Device Types 252
8.1.4.1 Total Wrist Implants 252
8.1.4.2 Wrist Fusion 252
8.1.4.3 Ulnar Head Implants 252
8.1.4.4 Digit and Carpal Implants 253
8.1.4.5 CMC Joint Arthroplasty of the Thumb 254
8.1.4.6 Distal Radius ORIF 254
8.1.5 Challenges in Defining the Market 254
8.2 MARKET OVERVIEW 255
8.3 MARKET ANALYSIS AND FORECAST 260
8.3.1 Wrist Fusion Market 260
8.3.2 Distal Radius Plate and Screw Market 263
8.3.3 Wrist Replacement Market 267
8.3.4 Ulnar Head Replacement Market 267
8.3.5 Hand Digit Implant Market 268
8.4 DRIVERS AND LIMITERS 269
8.4.1 Market Drivers 269
8.4.2 Market Limiters 270
8.5 COMPETITIVE MARKET SHARE ANALYSIS 272
FOOT AND ANKLE DEVICE MARKET 276

9.1 INTRODUCTION 276
9.1.1 Treatment 277
9.1.1.1 Primary Ankle Joint Replacement 277
9.1.2 Challenges in Defining the Market 278
9.2 MARKET OVERVIEW 279
9.3 MARKET ANALYSIS AND FORECAST 284
9.3.1 Primary Ankle Replacement Market 284
9.3.2 Ankle Fusion Market 287
9.3.3 Foot and Ankle Plate and Screw Market 290
9.4 DRIVERS AND LIMITERS 293
9.4.1 Market Drivers 293
9.4.2 Market Limiters 294
9.5 COMPETITIVE MARKET SHARE ANALYSIS 296
ABBREVIATIONS 300

Chart 1 1: Small Bone and Joint Orthopedic Device Market by Segment, China, 2015 – 2025 3
Chart 1 2: Small Bone and Joint Orthopedic Device Market Overview, China, 2018 & 2025 3
Chart 4 1: Small Bone and Joint Orthopedic Device Market by Segment, China, 2015 – 2025 125
Chart 4 2: Small Bone and Joint Orthopedic Device Market Breakdown, China, 2018 126
Chart 4 3: Small Bone and Joint Orthopedic Device Market Breakdown, China, 2025 127
Chart 4 4: Growth Rates by Segment, Small Bone and Joint Orthopedic Device Market, China, 2016 – 2025 130
Chart 4 5: Leading Competitors, Small Bone and Joint Orthopedic Device Market, China, 2018 143
Chart 5 1: Small Bone and Joint Orthopedic Procedures by Segment, China, 2015 – 2025 170
Chart 5 2: Small Bone and Joint Orthopedic Procedures Breakdown, China, 2018 171
Chart 5 3: Small Bone and Joint Orthopedic Procedures Breakdown, China, 2025 172
Chart 5 4: Shoulder Procedures by Type, China, 2015 – 2025 175
Chart 5 5: Elbow Procedures by Type, China, 2015 – 2025 177
Chart 5 6: Hand and Wrist Procedures by Type, China, 2015 – 2025 179
Chart 5 7: Foot and Ankle Procedures by Type, China, 2015 – 2025 181
Chart 6 1: Shoulder Reconstruction Market by Segment, China, 2015 – 2025 189
Chart 6 2: Shoulder Reconstruction Market Breakdown, China, 2018 190
Chart 6 3: Shoulder Reconstruction Market Breakdown, China, 2025 191
Chart 6 4: Total Shoulder Implant Market, China, 2015 – 2025 194
Chart 6 5: Reversed Shoulder Implant Market, China, 2015 – 2025 199
Chart 6 6: Hemi Shoulder Implant Market, China, 2015 – 2025 202
Chart 6 7: Resurfacing Shoulder Implant Market, China, 2015 – 2025 205
Chart 6 8: Shoulder Plate and Screw Market, China, 2015 – 2025 208
Chart 6 9: Leading Competitors, Shoulder Reconstruction Market, China, 2018 216
Chart 7 1: Elbow Repair Device Market by Segment, China, 2015 – 2025 223
Chart 7 2: Elbow Repair Device Market Breakdown, China, 2018 224
Chart 7 3: Elbow Repair Device Market Breakdown, China, 2025 225
Chart 7 4: Primary Elbow Implant Market by Segment, China, 2015 – 2025 229
Chart 7 5: Total Primary Elbow Implant Market, China, 2015 – 2025 231
Chart 7 6: Semi-Constrained Primary Elbow Implant Market, China, 2015 – 2025 234
Chart 7 7: Unconstrained Primary Elbow Implant Market, China, 2015 – 2025 237
Chart 7 8: Radial Head Implant Market, China, 2015 – 2025 240
Chart 7 9: Elbow Plate and Screw Market, China, 2015 – 2025 243
Chart 7 10: Leading Competitors, Elbow Repair Device Market, China, 2018 250
Chart 8 1: Hand and Wrist Device Market by Segment, China, 2015 – 2025 257
Chart 8 2: Hand and Wrist Device Market Breakdown, China, 2018 258
Chart 8 3: Hand and Wrist Device Market Breakdown, China, 2025 259
Chart 8 4: Wrist Fusion Market, China, 2015 – 2025 262
Chart 8 5: Distal Radius Plate and Screw Market, China, 2015 – 2025 266
Chart 8 6: Leading Competitors, Hand and Wrist Device Market, China, 2018 275
Chart 9 1: Foot and Ankle Device Market by Segment, China, 2015 – 2025 281
Chart 9 2: Foot and Ankle Device Market Breakdown, China, 2018 282
Chart 9 3: Foot and Ankle Device Market Breakdown, China, 2025 283
Chart 9 4: Primary Ankle Replacement Market, China, 2015 – 2025 286
Chart 9 5: Ankle Fusion Market, China, 2015 – 2025 289
Chart 9 6: Foot and Ankle Plate and Screw Market, China, 2015 – 2025 292
Chart 9 7: Leading Competitors, Foot and Ankle Device Market, China, 2018 299

Figure 1 1: Small Bone and Joint Orthopedic Device Market Share Ranking by Segment, China, 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, China 6
Figure 1 4: Recent Events in the Small Bone and Joint Orthopedic Device Market, 2015 – 2019 7
Figure 1 5: Small Bone and Joint Orthopedic Device Procedures Covered 8
Figure 1 6: Small Bone and Joint Orthopedic Device Markets Covered 9
Figure 1 7: Key Report Updates 10
Figure 1 8: Version History 10
Figure 3 1: Elbow Reconstruction Device Market Products by Company (1 of 3) 38
Figure 3 2: Elbow Reconstruction Device Market Products by Company (2 of 3) 39
Figure 3 3: Elbow Reconstruction Device Market Products by Company (3 of 3) 40
Figure 3 4: Foot and Ankle Device Market Products by Company (1 of 7) 42
Figure 3 5: Foot and Ankle Device Market Products by Company (2 of 7) 43
Figure 3 6: Foot and Ankle Device Market Products by Company (3 of 7) 44
Figure 3 7: Foot and Ankle Device Market Products by Company (4 of 7) 45
Figure 3 8: Foot and Ankle Device Market Products by Company (5 of 7) 46
Figure 3 9: Foot and Ankle Device Market Products by Company (6 of 7) 47
Figure 3 10: Foot and Ankle Device Market Products by Company (7 of 7) 48
Figure 3 11: Hand and Wrist Device Market Products by Company (1 of 4) 51
Figure 3 12: Hand and Wrist Device Market Products by Company (2 of 4) 52
Figure 3 13: Hand and Wrist Device Market Products by Company (3 of 4) 53
Figure 3 14: Hand and Wrist Device Market Products by Company (4 of 4) 54
Figure 3 15: Shoulder Reconstruction Device Market Products by Company (1 of 4) 57
Figure 3 16: Shoulder Reconstruction Device Market Products by Company (2 of 4) 58
Figure 3 17: Shoulder Reconstruction Device Market Products by Company (3 of 4) 59
Figure 3 18: Shoulder Reconstruction Device Market Products by Company (4 of 4) 60
Figure 3 19: Class 2 Device Recall Acumed Tension Band Pin 63
Figure 3 20: Class 2 Device Recall The HemiCAP Contoured Articular Prosthetic 63
Figure 3 21: Class 2 Device Recall Synthes Radial Head Prosthesis System 64
Figure 3 22: Class 2 Device Recall Synthes Radial Head Prosthesis: Trial Radial Head 64
Figure 3 23: Class 2 Device Recall Synthes LCP DiaphysealMetaphyseal Volar Distal Radius Plate 64
Figure 3 24: Class 2 Device Recall Synthes Variable Angle LCP Dorsal Distal Radius System 65
Figure 3 25: Class 2 Device Recall Synthes 2.4mm Titanium Locking Screws SelfTapping with Stardrive Recess 12mm 65
Figure 3 26: Class 2 Device Recall 4.0 mm Cortex Screw 65
Figure 3 27: Class 2 Device Recall Synthes Titanium Small Reconstruction Plate 66
Figure 3 28: Class 2 Device Recall 2.7 MM Locking Screw SLFTPNG with T8 Stardrive Recess 12MM 66
Figure 3 29: Class 2 Device Recall Orthopedic Devices 66
Figure 3 30: Class 2 Device Recall Synthes 2.7mm LCP Ulna Osteotomy System 67
Figure 3 31: Class 2 Device Recall Synthes 2.4 mm LCDCP Plate 6 Holes/51mm 67
Figure 3 32: Class 2 Device Recall Synthes Midfoot Fusion Bolt 67
Figure 3 33: Class 2 Device Recall Synthes Trauma ExFix System 68
Figure 3 34: Class 2 Device Recall Glenosphere Orientation Guide for the Delta XTEND Reverse Shoulder System 68
Figure 3 35: Class 2 Device Recall Torque Defining Screw and Screwdriver 69
Figure 3 36: Class 2 Device Recall Equinoxe 69
Figure 3 37: Class 2 Device Recall Integra Cadence Total Ankle System 70
Figure 3 38: Class 2 Device Recall Cadence Size 5 Left Tibial Tray Implant 70
Figure 3 39: Class 2 Device Recall SURFIX Fixed Angle Locking Screw 70
Figure 3 40: Class 2 Device Recall TS Series Depth Gauge for Integra Ti6 Internal Fixation System 2.0/2.5mm Screws 71
Figure 3 41: Class 2 Device Recall Integra Titan Reverse Shoulder System 71
Figure 3 42: Class 2 Device Recall Surgical Instrument for SMR Anatomic and Reverse Shoulder Prosthesis 72
Figure 3 43: Class 2 Device Recall SMR glenosphere impactor/extractor 72
Figure 3 44: Class 2 Device Recall Trial Humeral Head 73
Figure 3 45: Class 2 Device Recall Trial Adaptor Head 73
Figure 3 46: Unclassified Correction or Removal Periloc Volar Distal Radius right 3h std head locking plate 74
Figure 3 47: Class 2 Device Recall PeriLoc(R) VLP 3.5 mm x 6 mm selftapping cortex screw 74
Figure 3 48: Class 2 Device Recall Small Bone Innovations (see also Product Description), SBi 75
Figure 3 49: Class 2 Device Recall Stryker Howmedica Osteonics 75
Figure 3 50: Class 2 Device Recall Stryker T2 Supracondylar Nail System 76
Figure 3 51: Class 2 Device Recall Osteonics Shoulder Glenoid Spanner 76
Figure 3 52: Class 2 Device Recall Salto Talaris Tibial Guide 77
Figure 3 53: Class 2 Device Recall CrossCHECK Locking Screw 77
Figure 3 54: Class 2 Device Recall CROSSCHECK(R) plating system 78
Figure 3 55: Class 2 Device Recall Claw(R) II straight plate Ortholoc(tm) 79
Figure 3 56: Class 2 Device Recall Coonrad/ Morrey Elbow Pin/ Bushing Replacement size Kit Extra Small 80
Figure 3 57: Class 2 Device Recall Elbow Humeral Trial 80
Figure 3 58: Class 2 Device Recall Discovery Elbow (since 2015 – DJO) 81
Figure 3 59: Class 2 Device Recall ExploR 7x26mm Modular Radial Stem 81
Figure 3 60: Class 2 Device Recall Construx Alum Ankle Clamp 81
Figure 3 61: Class 2 Device Recall Zimmer Trabecular Metal Total Ankle Tibial Base and Talar Components 82
Figure 3 62: Class 2 Device Recall Smith & Nephew Periloc Volar Distal Radius Plate Standard 3 Hole 83
Figure 3 63: Class 2 Device Recall Biomet Inc., Biomet Sports Medicine, and Biomet 83
Figure 3 64: Class 2 Device Recall DVR ePAK 83
Figure 3 65: Class 2 Device Recall Zimmer 84
Figure 3 66: Class 2 Device Recall Zimmer Universal Locking System 84
Figure 3 67: Class 2 Device Recall Biomet A.L.P.S. 4.0mm Cancellous Locking Screws 84
Figure 3 68: Class 2 Device Recall A.L.P.S 84
Figure 3 69: Class 2 Device Recall low profile Nonlock screw 85
Figure 3 70: Class 2 Device Recall Trauma Tubes and Plates 85
Figure 3 71: Class 2 Device Recall Zimmer Periarticular Locking Plate System 85
Figure 3 72: Class 2 Device Recall Distal Radius Fracture Repair System 85
Figure 3 73: Class 1 Device Recall Biomet Comprehensive Reverse Shoulder Humeral 86
Figure 3 74: Class 2 Device Recall Anatomical Shoulder Domelock 86
Figure 3 75: Class 3 Device Recall BIOMET Comprehensive Shoulder System 86
Figure 3 76: Class 2 Device Recall Comprehensive Reverse Shoulder Glenosphere Mini Baseplate 25mm with Taper Adaptor 86
Figure 3 77: Class 2 Device Recall Trabecular Metal 87
Figure 3 78: Class 2 Device Recall Bigliani/Flatow Complete Shoulder Solution 88
Figure 3 79: Class 2 Device Recall Zimmer Anatomical Shoulder 88
Figure 3 80: Class 2 Device Recall Trabecular Metal Reverse Shoulder Liner 40mm 89
Figure 3 81: Class 2 Device Recall Biomet Inc., Biomet Sports Medicine, and Biomet 89
Figure 3 82: Unclassified Correction or Removal Fem and Tibial IM Nail 90
Figure 3 83: Class 2 Device Recall various polyethylene implants 90
Figure 3 84: Class 2 Device Recall Align Radial Stem, Skeletal Dynamics 91
Figure 3 85: Class 2 Device Recall ExploR 7x26mm Modular Radial Stem, Skeletal Dynamics 91
Figure 3 86: Class 2 Device Recall Vilex, Inc., FUZE 10.0 mm x 200 mm, Product FZ100200T25, Vilex Inc. 91
Figure 3 87: Class 2 Device Recall DRP Screw, In2Bones, SAS 92
Figure 3 88: Class 2 Device Recall TriMed SemiTubular Plate, Trimed Inc. 92
Figure 3 89: Class 2 Device Recall 7, 9, and 11Hole VL Gridlock Fibula Plating System, Trilliant Surgical Ltd. 92
Figure 3 90: Class 2 Device Recall Gridlock Screw Driver Bit, Trilliant Surgical Ltd. 93
Figure 3 91: Class 2 Device Recall Orthopediatrics PediLoc Tibial Plate System, OrthoPediatrics Corp 93
Figure 3 92: Static Implant Versus Dynamic Implant in the Surgical Treatment on Ankle Syndesmosis Rupture 94
Figure 3 93: TMT Fusion Plate vs. Two Crossed Screws (TMT) 94
Figure 3 94: Humeral Head Implants: Radiological and Clinical Evaluation 95
Figure 3 95: Plate Fixation of Distal Femur Fractures: A Protocol for a Study of Two Plate Options 96
Figure 3 96: Effectiveness of Hemi- Versus Total Shoulder Arthroplasty Using Implants of the "Epoca" System (Epoca H vs T) 96
Figure 3 97: Long-term Clinical Effectiveness of the Delta Xtend Reverse Total Shoulder 97
Figure 3 98: DePuy Global Unite Shoulder System 97
Figure 3 99: Ankle Joint Replacement Outcomes Study 98
Figure 3 100: Short Term Follow-up of Patient Implanted With the Metatarso-Phalangeal Prosthesis METIS® 98
Figure 3 101: Short Term Follow-up of Patient Implanted With the Proximal Interphalangeal Implant 99
Figure 3 102: Follow-up of Patient Implanted With the Staple ASTUS® 99
Figure 3 103: Ascension® Post- Approval Study; PyroCarbon Metacarpophalangeal Total Joint Prosthesis (MCP) 100
Figure 3 104: Short Term Follow-up of Patient Implanted With the Proximal Interphalangeal Implant 100
Figure 3 105: Short Term Follow-up of Patent Implanted With the B-BOP Lock Plate 101
Figure 3 106: TITAN™ Reverse Shoulder System 101
Figure 3 107: A Multi-center Outcomes Clinical Study of the PyroTITAN™ HRA Shoulder Implant in Humeral Head Resurfacing (CHRA) 102
Figure 3 108: A Comparison Between a Pyrocarbon and a CoCr Shoulder Resurfacing Implant 102
Figure 3 109: Ascension® Humeral Resurfacing Arthroplasty Follow-Up Study 103
Figure 3 110: Patient Benefit From the New Modular Shoulder Prosthesis PROMOS (Promos) 104
Figure 3 111: Multicenter Clinical Observation PROMOS® 104
Figure 3 112: Comparing The Outcome of Large-Diameter vs Small-Diameter Glenospheres in Primary Reverse Shoulder Arthroplasty 105
Figure 3 113: ExploR™ Modular Radial Head Data Collection 106
Figure 3 114: Zimmer Trabecular Metal Total Ankle 106
Figure 3 115: Zimmer® MotionLoc® in Distal Tibia Fractures 107
Figure 3 116: Sidus(TM) Post Market Clinical Follow-up (PMCF) Study 107
Figure 3 117: Clinical Experience With the Zimmer Trabecular Metal (TM) Glenoid in Total Shoulder Arthroplasty (TMGlenoid) 108
Figure 3 118: UK Infinity, Post-Market Clinical Follow-up Study 109
Figure 3 119: Aequalis Resurfacing Head Study 109
Figure 3 120: Clinical Outcomes in Shoulder Hemi-arthroplasty Using a PyC Spherical Interpositional Implant 110
Figure 3 121: Safety and Effectiveness of the Tornier Simpliciti™ Shoulder System in Shoulder Arthroplasty 110
Figure 3 122: Multi-Center Trial to Evaluate an Internal Joint Stabilizer - Elbow 111
Figure 3 123: Comparing Ankle Fusion to Ankle Replacement 111
Figure 3 124: Agili-CTM Implant Performance Evaluation in the Treatment of Osteoarthritis of the Great Toe 112
Figure 3 125: Post Approval Study to Evaluate the Effectiveness and Safety of Cartiva Implant in the Treatment of OA of the Great Toe 112
Figure 3 126: Evaluation of CyclaPlex Implant for Correction of First Inter Metatarsal Angle in Subjects Suffering From Hallux Valgus Deformity 113
Figure 3 127: Buried Intramedullary K-wire Fixation Compared With Plate and Screw Fixation in Unstable Extra-Articular Metacarpal Fractures 113
Figure 3 128: Fibular Fixation in Ankle Fractures:Plate Verses Nail. 114
Figure 3 129: A Prospective Randomized Pilot Study to Compare Open Versus Percutaneous Syndesmosis Repair of Unstable Ankle Fractures 114
Figure 3 130: Comparing Stability and Cost-Effectiveness of 3 Bicortical Screws Vs Adjustable Plate and 2 Bicortical Screws in Fixation of BSSRO 115
Figure 3 131: Motec Versus Remotion Total Wrist Arthroplasty - A Prospective Study 115
Figure 3 132: Patient Perceived Outcome After Total Wrist Arthroplasty With a New Total Wrist Arthroplasty Implant 116
Figure 3 133: Comparison of Three Fixation Techniques for Displaced Distal Radius Fractures (DRF) 116
Figure 3 134: Plate Fixation of Distal Femur Fractures: A Protocol for a Study of Two Plate Options 117
Figure 3 135: Lateral Mini Approach vs Anterior Approach for Plating of Proximal Humerus Fracture (HURA) 117
Figure 4 1: Currency Exchange Rate, 2018 120
Figure 4 2: Small Bone and Joint Orthopedic Device Market by Segment, China, 2015 – 2025 (US$M) 123
Figure 4 3: Small Bone and Joint Orthopedic Device Market by Segment, China, 2015 – 2025 (CN¥M) 124
Figure 4 4: Small Bone and Joint Orthopedic Device Market Growth by Segment, China, 2015 – 2025 129
Figure 4 5: Drivers and Limiters, Small Bone and Joint Orthopedic Device Market, China, 2018 136
Figure 4 6: Leading Competitors, Small Bone and Joint Orthopedic Device Market, China, 2018 142
Figure 4 7: SWOT Analysis, Acumed 159
Figure 4 8: SWOT Analysis, Arthrex 160
Figure 4 9: SWOT Analysis, DePuy Synthes 161
Figure 4 10: SWOT Analysis, Exactech 162
Figure 4 11: SWOT Analysis, Integra LifeSciences 163
Figure 4 12: SWOT Analysis, Stryker 164
Figure 4 13: SWOT Analysis, Wright Medical 165
Figure 4 14: SWOT Analysis, Zimmer Biomet 166
Figure 5 1: Small Bone and Joint Orthopedic Procedures by Segment, China, 2015 – 2025 169
Figure 5 2: Shoulder Procedures by Type, China, 2015 – 2025 174
Figure 5 3: Elbow Procedures by Type, China, 2015 – 2025 176
Figure 5 4: Hand and Wrist Procedures by Type, China, 2015 – 2025 178
Figure 5 5: Foot and Ankle Procedures by Type, China, 2015 – 2025 180
Figure 6 1: Shoulder Reconstruction Market by Segment, China, 2015 – 2025 (US$M) 187
Figure 6 2: Shoulder Reconstruction Market by Segment, China, 2015 – 2025 (CN¥M) 188
Figure 6 3: Total Shoulder Implant Market, China, 2015 – 2025 193
Figure 6 4: Reversed Shoulder Implant Market, China, 2015 – 2025 198
Figure 6 5: Hemi Shoulder Implant Market, China, 2015 – 2025 201
Figure 6 6: Resurfacing Shoulder Implant Market, China, 2015 – 2025 204
Figure 6 7: Shoulder Plate and Screw Market, China, 2015 – 2025 207
Figure 6 8: Drivers and Limiters, Shoulder Reconstruction Market, China, 2018 212
Figure 6 9: Leading Competitors, Shoulder Reconstruction Market, China, 2018 215
Figure 7 1: Elbow Repair Device Market by Segment, China, 2015 – 2025 (US$M) 221
Figure 7 2: Elbow Repair Device Market by Segment, China, 2015 – 2025 (CN¥M) 222
Figure 7 3: Primary Elbow Implant Market by Segment, China, 2015 – 2025 (US$M) 227
Figure 7 4: Primary Elbow Implant Market by Segment, China, 2015 – 2025 (CN¥M) 228
Figure 7 5: Total Primary Elbow Implant Market, China, 2015 – 2025 230
Figure 7 6: Semi-Constrained Primary Elbow Implant Market, China, 2015 – 2025 233
Figure 7 7: Unconstrained Primary Elbow Implant Market, China, 2015 – 2025 236
Figure 7 8: Radial Head Implant Market, China, 2015 – 2025 239
Figure 7 9: Elbow Plate and Screw Market, China, 2015 – 2025 242
Figure 7 10: Drivers and Limiters, Elbow Repair Device Market, China, 2018 246
Figure 7 11: Leading Competitors, Elbow Repair Device Market, China, 2018 249
Figure 8 1: Hand and Wrist Device Market by Segment, China, 2015 – 2025 (US$M) 255
Figure 8 2: Hand and Wrist Device Market by Segment, China, 2015 – 2025 (CN¥M) 256
Figure 8 3: Wrist Fusion Market, China, 2015 – 2025 261
Figure 8 4: Distal Radius Plate and Screw Market, China, 2015 – 2025 265
Figure 8 5: Drivers and Limiters, Hand and Wrist Device Market, China, 2018 271
Figure 8 6: Leading Competitors, Hand and Wrist Device Market, China, 2018 274
Figure 9 1: Foot and Ankle Device Market by Segment, China, 2015 – 2025 (US$M) 279
Figure 9 2: Foot and Ankle Device Market by Segment, China, 2015 – 2025 (CN¥M) 280
Figure 9 3: Primary Ankle Replacement Market, China, 2015 – 2025 285
Figure 9 4: Ankle Fusion Market, China, 2015 – 2025 288
Figure 9 5: Foot and Ankle Plate and Screw Market, China, 2015 – 2025 291
Figure 9 6: Drivers and Limiters, Foot and Ankle Device Market, China, 2018 295
Figure 9 7: Leading Competitors, Foot and Ankle Device Market, China, 2018 298

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