TABLE OF CONTENTS I

LIST OF FIGURES X
LIST OF CHARTS XVIII
EXECUTIVE SUMMARY 1

INDIAN 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
INDIAN 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 132
4.6 COMPETITIVE MARKET SHARE ANALYSIS 135
4.7 MERGERS AND ACQUISITIONS 139
4.8 COMPANY PROFILES 142
4.8.1 Acumed 142
4.8.2 Arthrex 143
4.8.3 DePuy Synthes 144
4.8.4 Exactech 145
4.8.5 Integra LifeSciences 146
4.8.6 Lima Corporate 147
4.8.7 Orthofix 148
4.8.8 Smith & Nephew 149
4.8.9 Stryker 150
4.8.10 Wright Medical 152
4.8.11 Zimmer Biomet 153
4.9 SWOT ANALYSIS 154
4.9.1 Acumed 155
4.9.2 Arthrex 156
4.9.3 DePuy Synthes 157
4.9.4 Exactech 158
4.9.5 Integra LifeSciences 159
4.9.6 Stryker 160
4.9.7 Wright Medical 161
4.9.8 Zimmer Biomet 162
PROCEDURE NUMBERS 163

5.1 INTRODUCTION 163
5.2 PROCEDURES 164
5.2.1 Procedure Overview 164
5.2.2 Shoulder Procedures 169
5.2.3 Elbow Procedures 172
5.2.4 Hand and Wrist Procedures 174
5.2.5 Foot and Ankle Procedures 176
SHOULDER RECONSTRUCTION DEVICE MARKET 178

6.1 INTRODUCTION 178
6.1.1 Pathology 178
6.1.2 Joint Reconstruction Devices 179
6.1.2.1 Total (Anatomic) Shoulder Implant 179
6.1.2.2 Reversed-Shoulder Implants 179
6.1.2.3 Hemi Shoulder Implants 179
6.1.2.4 Resurfacing Implants 180
6.1.2.5 Shoulder Revision 180
6.1.2.6 Shoulder Plates and Screws 180
6.1.3 Challenges in Defining the Market 180
6.2 MARKET OVERVIEW 182
6.3 MARKET ANALYSIS AND FORECAST 189
6.3.1 Total Shoulder Implant Market 189
6.3.1.1 Stemmed Total Shoulder Implant Market 192
6.3.1.2 Stemless Total Shoulder Implant Market 192
6.3.2 Reversed Shoulder Implant Market 193
6.3.3 Hemi Shoulder Implant Market 196
6.3.4 Resurfacing Shoulder Implant Market 199
6.3.5 Shoulder Plate and Screw Market 202
6.4 DRIVERS AND LIMITERS 205
6.4.1 Market Drivers 205
6.4.2 Market Limiters 207
6.5 COMPETITIVE MARKET SHARE ANALYSIS 210
ELBOW REPAIR DEVICE MARKET 214

7.1 INTRODUCTION 214
7.1.1 Pathology 214
7.1.2 Device Types 214
7.1.2.1 Primary Elbow Devices 214
7.1.2.2 Radial Head Elbow Devices 215
7.1.2.3 Contraindications 215
7.1.2.4 Elbow Plates and Screws 215
7.1.3 Challenges in Defining the Market 215
7.2 MARKET OVERVIEW 217
7.3 MARKET ANALYSIS AND FORECAST 223
7.3.1 Total Primary Elbow Implant Market 223
7.3.1.1 Semi-Constrained Primary Elbow Implant Market 229
7.3.1.2 Unconstrained Primary Elbow Implant Market 232
7.3.2 Radial Head Implant Market 235
7.3.3 Elbow Plate and Screw Market 238
7.4 DRIVERS AND LIMITERS 241
7.4.1 Market Drivers 241
7.4.2 Market Limiters 242
7.5 COMPETITIVE MARKET SHARE ANALYSIS 244
HAND AND WRIST DEVICE MARKET 247

8.1 INTRODUCTION 247
8.1.1 Anatomy 247
8.1.2 Pathology 247
8.1.3 Treatment 248
8.1.4 Device Types 248
8.1.4.1 Total Wrist Implants 248
8.1.4.2 Wrist Fusion 248
8.1.4.3 Ulnar Head Implants 248
8.1.4.4 Digit and Carpal Implants 249
8.1.4.5 CMC Joint Arthroplasty of the Thumb 250
8.1.4.6 Distal Radius Plate & Screw 250
8.1.5 Challenges in Defining the Market 250
8.2 MARKET OVERVIEW 251
8.3 MARKET ANALYSIS AND FORECAST 256
8.3.1 Wrist Fusion Market 256
8.3.2 Distal Radius Plate and Screw Market 259
8.3.3 Wrist Replacement Market 262
8.3.4 Ulnar Head Replacement Market 262
8.3.5 Hand Digit Implant Market 262
8.4 DRIVERS AND LIMITERS 264
8.4.1 Market Drivers 264
8.4.2 Market Limiters 265
8.5 COMPETITIVE MARKET SHARE ANALYSIS 267
FOOT AND ANKLE DEVICE MARKET 270
9.1 INTRODUCTION 270
9.1.1 TREATMENT 271
9.1.1.1 PRIMARY ANKLE JOINT REPLACEMENT 271
9.1.2 CHALLENGES IN DEFINING THE MARKET 272

9.2 MARKET OVERVIEW 273
9.3 MARKET ANALYSIS AND FORECAST 278
9.3.1 Primary Ankle Replacement Market 278
9.3.2 Ankle Fusion Market 281
9.3.3 Foot and Ankle Plate and Screw Market 284
9.3.4 Other Segments: Limited Visibility 287
9.4 DRIVERS AND LIMITERS 288
9.4.1 Market Drivers 288
9.4.2 Market Limiters 289
9.5 COMPETITIVE MARKET SHARE ANALYSIS 291
ABBREVIATIONS 294

Chart 1 1: Small Bone and Joint Orthopedic Device Market by Segment, India, 2015 – 2025 3
Chart 1 2: Small Bone and Joint Orthopedic Device Market Overview, India, 2018 & 2025 3
Chart 4 1: Small Bone and Joint Orthopedic Device Market by Segment, India, 2015 – 2025 125
Chart 4 2: Small Bone and Joint Orthopedic Device Market Breakdown, India, 2018 126
Chart 4 3: Small Bone and Joint Orthopedic Device Market Breakdown, India, 2025 127
Chart 4 4: Growth Rates by Segment, Small Bone and Joint Orthopedic Device Market, India, 2016 – 2025 130
Chart 4 5: Leading Competitors, Small Bone and Joint Orthopedic Device Market, India, 2018 138
Chart 5 1: Small Bone and Joint Orthopedic Procedures by Segment, India, 2015 – 2025 166
Chart 5 2: Small Bone and Joint Orthopedic Procedures Breakdown, India, 2018 167
Chart 5 3: Small Bone and Joint Orthopedic Procedures Breakdown, India, 2025 168
Chart 5 4: Shoulder Procedures by Type, India, 2015 – 2025 171
Chart 5 5: Elbow Procedures by Type, India, 2015 – 2025 173
Chart 5 6: Hand and Wrist Procedures by Type, India, 2015 – 2025 175
Chart 5 7: Foot and Ankle Procedures by Type, India, 2015 – 2025 177
Chart 6 1: Shoulder Reconstruction Market by Segment, India, 2015 – 2025 186
Chart 6 2: Shoulder Reconstruction Market Breakdown, India, 2018 187
Chart 6 3: Shoulder Reconstruction Market Breakdown, India, 2025 188

Figure 1 1: Small Bone and Joint Orthopedic Device Market Share Ranking by Segment, India, 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, India 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

Apothecaries Sundries
Arthrex
Bakshi's Elbow
Biotek (Chetan Meditech)
DePuy Synthes
Evolutis
GPC Medical
Green Surgicals
Hospital Equipment Manufacturing Company
IndoOrtho
J.S. Medimax
Maxx Medical
Narang Medical
Nebula Surgical
NRV Ortho
Ortho Care
OrthoTech
RCH Orthopedics
Sharma Orthopedic
Smith & Nephew
Stryker
Uteshshiya Medicare
Vastortho
Wright Medical
XL Orthomed
Zimmer Biomet