Market Trends of Global Total Ankle Replacement Industry
This section covers the major market trends shaping the Total Ankle Replacement Market according to our research experts:
HINTEGRA Total Ankle Replacement Segment Expects to Register a High CAGR in the Total Ankle Replacement Market Over the Forecast Period
Total ankle replacement, a form of ankle arthroplasty or joint replacement surgery, involves prosthetics being used to replace the damaged parts of the ankle. The HINTEGRA prosthesis is a non-constrained three-component system made up of a mobile bearing consisting of ultra-high molecular weight polyethylene, a talar component, and a tibial component that provides axial rotation and normal flexion-extension mobility.
The HINTEGRA total ankle replacement segment is expected to witness significant growth in the studied market over the forecast period owing to the factors such as increasing adoption of ankle replacement surgery as a treatment option for various ankle-related issues such as ankle chronic pain, ankle arthritis, end-stage ankle osteoarthritis, and others and the high preference of these devices and the surging aging population.
Total ankle replacement (TAR), which offers better results, has taken the lead in the management of end-stage ankle osteoarthritis. For instance, according to a report published by the Journal of Bone and Joint Surgery, in May 2022, titled 'Long-Term Survival of HINTEGRA Total Ankle Replacement in 683 Patients: A Concise 20-Year Follow-up of a Previous Report', the long-term survival of patients with HINTEGRA implant was assessed and it has been observed that the cumulative survival rate was 95% at 5 years, 86% at 10 years and 82% at 15 years. The high survival rate of the HINTEGRA total ankle replacement design is expected to fuel market growth over the forecast period.
Thus, owing to the aforementioned factors the segment is expected to grow over the forecast period.
North America Dominates the Market and Expects to do Same Over the Forecast Period
North America is expected to hold a significant share in the total ankle replacement market and show the same trend over the forecast period.
The factors attributed to the market growth are the rising prevalence of rheumatoid arthritis and osteoarthritis, high awareness among the people regarding ankle treatment, presence of well-established healthcare infrastructure, availability of reimbursements, and high healthcare spending in the region.
The increasing burden of joint-related disorders such as rheumatoid arthritis and osteoarthritis among the population is expected to increase the market growth. For instance, according to Statistics Canada 2021, approximately 5.9 million adult Canadians had arthritis in 2020. The prevalence of arthritis increases with age and is higher among females. In addition, according to the Centers for Disease Control and Prevention (CDC) updated in October 2021, about 1 in 4 United States adults (23.7%) or about 58.5 million people have doctor-diagnosed arthritis. Similarly, according to the Government of Canada in September 2020, approximately 374,000 (1.2%) Canadians aged 16 years and older live with diagnosed rheumatoid arthritis. Thus, the demand for ankle replacement increases with the increasing cases of arthritis and knee pain in patients, which affects the ankle by increasing compression on the foot and is expected to increase the market growth over the forecast period.
In addition, the growing geriatric population who are more prone to develop joint-related disorders, and ankle replacement is recommended for patients older than 60 years who do not participate in high-impact activities, such as running, and who are not overweight. For instance, according to the 2022 statistics published by the United Nations Population Fund, in the United States, a large proportion of the living population is aged 15-64 years and accounts for 65% in 2022. In addition, as per the same source, 17% of the population is aged 65 years and above in 2022. This is expected to increase the demand for ankle replacement surgeries, thereby fueling market growth.
Furthermore, the rising company focus on adopting various business strategies such as merger, acquisition, product launches and others are expected to increase the market growth over the forecast period. For instance, in January 2021, DJO, LLC acquired Trilliant Surgical, a national provider of foot and ankle orthopedic implants. This acquisition helps the company to expand its portfolio in the foot and ankle replacement market in the United States. Also, in July 2020, Vilex, LLC acquired DT MedTech, LLC along with its product line including Hintermann Series System Total Ankle Replacement (TAR). The TAR system includes the Hintermann Series H3 (H3) 3-piece, mobile-bearing TAR prosthesis. Under this acquisition, DT MedTech continued to manufacture all its products under the DT MedTech Quality System and market its products outside the United States through its existing distribution network, and the Hintermann Series System will be supported in the United States through the sales organization of Vilex.
Thus, owing to the aforementioned factors the studied market is expected to grow in the region over the forecast period.