TABLE OF CONTENTS
1 INTRODUCTION 23
1.1 OBJECTIVES OF THE STUDY 23
1.2 MARKET DEFINITION 23
1.3 OVERVIEW OF EUROPE FOOT AND ANKLE DEVICES MARKET 23
1.4 CURRENCY AND PRICING 25
1.5 LIMITATIONS 25
1.6 MARKETS COVERED 26
2 MARKET SEGMENTATION 29
2.1 MARKETS COVERED 29
2.2 EUROPE FOOT AND ANKLE DEVICES MARKET: GEOGRAPHICAL SCOPE 30
2.3 YEARS CONSIDERED FOR THE STUDY 31
2.4 DBMR TRIPOD DATA VALIDATION MODEL 32
2.5 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS 35
2.6 DBMR MARKET POSITION GRID 36
2.7 TIME LINE GRID 37
2.8 DBMR MARKET CHALLENGE MATRIX 38
2.9 MULTIVARIATE MODELLING 39
2.10 DBMR VENDOR SHARE ANALYSIS 40
2.11 SECONDARY SOURCES 41
2.12 ASSUMPTIONS 41
3 MARKET OVERVIEW 42
3.1 DRIVERS 44
3.1.1 INCREASING INCIDENCE OF MUSCULOSKELETAL DISORDERS 44
3.1.2 GROWING GERIATRIC POPULATION 45
3.1.3 LAUNCH OF NEW PRODUCTS 46
3.1.4 INCREASING INVESTMENT AND TECHNOLOGICAL ADVANCEMENT 47
3.1.5 GROWING NUMBER OF SPORTS INJURIES AND ROAD ACCIDENTS 48
3.2 RESTRAINTS 49
3.2.1 IMPLEMENTATION OF EXCISE TAX ON MEDICAL DEVICES 49
3.2.2 HIGHER COST OF FOOT & ANKLE DEVICES 50
3.2.3 REIMBURSEMENT POLICIES OF MEDICAL DEVICES 51
3.3 OPPORTUNITIES 51
3.3.1 EMERGING BIOLOGICS IN FOOT AND ANKLE SURGERY/TREATMENT 51
3.3.2 RISING EXPANSION AND INVESTMENT IN EMERGING COUNTRIES 52
3.3.3 RISING FREE TRADE AGREEMENTS BETWEEN DIFFERENT COUNTRIES 53
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3.4 CHALLENGES 53
3.4.1 LACK OF SKILLED PERSONNEL 53
3.4.2 HIGH COMPETITION IN THE MARKET 54
4 EXECUTIVE SUMMARY 55
5 PREMIUM INSIGHTS 57
6 EUROPE FOOT AND ANKLE DEVICES MARKET, BY PRODUCTS 59
6.1 OVERVIEW 60
6.2 ORTHOPEDIC IMPLANTS AND DEVICES 63
6.2.1 FIXATION DEVICES 63
6.2.1.1 INTERNAL FIXATION DEVICES 64
6.2.1.1.1 PLATES 64
6.2.1.1.2 SCREWS 64
6.2.1.1.3 WIRES & PINS 64
6.2.1.1.4 FUSION NAILS 64
6.2.1.2 EXTERNAL FIXATION DEVICES 64
6.2.1.2.1 UNILATERAL FIXATORS 65
6.2.1.2.2 RING ANKLE FIXATORS 65
6.2.1.2.3 HYBRID FIXATOS 65
6.2.2 JOINT IMPLANTS 65
6.2.2.1 ANKLE IMPLANTS (ANKLE REPLACEMENT DEVICES) 66
6.2.2.2 SUBTALAR JOINT IMPLANTS/SUBTALAR JOINT RECONSTRUCTION DEVICES 66
6.2.2.3 PHALANGEAL IMPLANTS 66
6.2.3 SOFT-TISSUE ORTHOPEDIC DEVICES 66
6.2.3.1 ARTIFICIAL TENDONS & LIGAMENTS 66
6.2.3.2 MUSCULOSKELETAL REINFORCEMENT DEVICES 66
6.3 BRACING AND SUPPORT DEVICES 67
6.3.1 SOFT BRACING 67
6.3.2 HINGED BRACES 67
6.4 PROSTHESES 68
6.4.1 SOLID ANKLE CUSHION HEEL (SACH) FOOT 68
6.4.2 SINGLE-AXIAL PROSTHESES 68
6.4.3 MULTIAXIAL PROSTHESES 69
6.4.4 DYNAMIC RESPONSE/ENERGY-STORING PROSTHESES 69
6.4.5 MICROPROCESSOR-CONTROLLED (MPC) PROSTHESES 69
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7 EUROPE FOOT AND ANKLE DEVICES MARKET, BY APPLICATION 70
7.1 OVERVIEW 71
7.2 TRAUMA 74
7.3 HAMMERTOE 74
7.4 OSTEOARTHRITIS 75
7.5 RHEUMATOID ARTHRITIS 75
7.6 OSTEOPOROSIS 76
7.7 OTHERS 76
8 EUROPE FOOT AND ANKLE DEVICES MARKET, BY END USER 77
8.1 OVERVIEW 78
8.2 HOSPITALS 81
8.3 TRAUMA CENTERS 81
8.4 AMBULATORY SURGICAL CENTERS 82
8.5 SPECIALITY CLINICS 82
8.6 OTHERS 83
9 EUROPE FOOT AND ANKLE DEVICES MARKET, BY GEOGRAPHY 84
9.1 EUROPE 84
9.1.1 GERMANY 91
9.1.2 FRANCE 95
9.1.3 U.K. 98
9.1.4 ITALY 101
9.1.5 SPAIN 104
9.1.6 RUSSIA 107
9.1.7 TURKEY 110
9.1.8 BELGIUM 113
9.1.9 NETHERLANDS 116
9.1.10 SWITZERLAND 119
9.1.11 REST OF EUROPE 122
10 EUROPE FOOT AND ANKLE DEVICESMARKET, COMPANY LANDSCAPE 123
10.1 COMPANY SHARE ANALYSIS: EUROPE 123
11 COMPANY PROFILE 124
11.1 JOHNSON & JOHNSON SERVICES, INC 124
11.1.1 COMPANY SNAPSHOT 124
11.1.2 REVENUE ANALYSIS 124
11.1.3 PRODUCT PORTFOLIO 125
11.1.4 RECENT DEVELOPMENTS 125
11.2 ARTHREX, INC. 126
11.2.1 COMPANY SNAPSHOT 126
11.2.2 PRODUCT PORTFOLIO 126
11.2.3 RECENT DEVELOPMENT 130
11.3 STRYKER 131
11.3.1 COMPANY SNAPSHOT 131
11.3.2 REVENUE ANALYSIS 131
11.3.3 PRODUCT PORTFOLIO 132
11.3.4 RECENT DEVELOPMENT 132
11.4 ZIMMER BIOMET 133
11.4.1 COMPANY SNAPSHOT 133
11.4.2 REVENUE ANALYSIS 133
11.4.3 PRODUCT PORTFOLIO 134
11.4.4 RECENT DEVELOPMENTS 136
11.5 WRIGHT MEDICAL GROUP N.V. 137
11.5.1 COMPANY SNAPSHOT 137
11.5.2 REVENUE ANALYSIS 137
11.5.3 PRODUCT PORTFOLIO 138
11.5.4 RECENT DEVELOPMENT 139
11.6 SMITH & NEPHEW PLC 140
11.6.1 COMPANY SNAPSHOT 140
11.6.2 REVENUE ANALYSIS 140
11.6.3 PRODUCT PORTFOLIO 141
11.6.4 RECENT DEVELOPMENT 142
11.7 ACUMED LLC 143
11.7.1 COMPANY SNAPSHOT 143
11.7.2 PRODUCT PORTFOLIO 143
11.7.3 RECENT DEVELOPMENTS 143
11.8 EXTREMITY MEDICAL 144
11.8.1 COMPANY SNAPSHOT 144
11.8.2 PRODUCT AND SERVICE PORTFOLIO 144
11.8.3 RECENT DEVELOPMENT 144
11.9 OSTEOTEC LTD 145
11.9.1 COMPANY SNAPSHOT 145
11.9.2 PRODUCT PORTFOLIO 145
11.9.3 RECENT DEVELOPMENT 145
11.10 RESPONSE ORTHO 146
11.10.1 COMPANY SNAPSHOT 146
11.10.2 PRODUCT AND SERVICE PORTFOLIO 146
11.10.3 RECENT DEVELOPMENT 146
11.11 VILEX IN TENNESSEE, INC. 147
11.11.1 COMPANY SNAPSHOT 147
11.11.2 PRODUCT PORTFOLIO 147
11.11.3 RECENT DEVELOPMENT 147
11.12 GLOBUS MEDICAL INC. 148
11.12.1 COMPANY SNAPSHOT 148
11.12.2 REVENUE ANALYSIS 148
11.12.3 PRODUCT PORTFOLIO 149
11.12.4 RECENT DEVELOPMENTS 149
11.13 INTEGRA LIFESCIENCES CORPORATION 150
11.13.1 COMPANY SNAPSHOT 150
11.13.2 REVENUE ANALYSIS 150
11.13.3 PRODUCT PORTFOLIO 151
11.13.4 RECENT DEVELOPMENTS 152
11.14 JEIL MEDICAL CORPORATION 153
11.14.1 COMPANY SNAPSHOT 153
11.14.2 PRODUCT PORTFOLIO 153
11.14.3 RECENT DEVELOPMENT 153
11.15 VILEX IN TENNESSEE, INC. 154
11.15.1 COMPANY SNAPSHOT 154
11.15.2 PRODUCT PORTFOLIO 154
11.15.3 RECENT DEVELOPMENT 154
11.16 OTTOBOCK 155
11.16.1 COMPANY SNAPSHOT 155
11.16.2 PRODUCT PORTFOLIO 155
11.16.3 RECENT DEVELOPMENTS 156
11.17 oSSUR AMERICAS 157
11.17.1 COMPANY SNAPSHOT 157
11.17.2 REVENUE ANALYSIS 157
11.17.3 SOLUTION PORTFOLIO 158
11.17.4 RECENT DEVELOPMENT 160
12 QUESTIONNAIRE 161
13 RELATED REPORTS 164