Total shoulder replacement is a medical procedure that involves replacement of damaged bones of the shoulder joints with artificial joint implants. Generally, total shoulder replacements are comprised of:
- Anatomic total shoulder replacements
- Reverse total shoulder replacements
In an anatomic total shoulder replacement, a plastic cup is fixed into the socket of shoulder (glenoid); and a ball made of metal is attached on the top of the humerus bone. Whereas, in a reverse total shoulder replacement surgery; the metal ball is fitted into the socket of the shoulder and the plastic cup is attached to the upper end of the humerus bone.
The following are some of the medical conditions where total shoulder replacements are used:
- Primary Osteoarthritis
- Proximal Humerus Fracture
- Shoulder Arthritis
- Rotator Cuff Tear Arthropathy
- Avascular Necrosis
Geographically, North America is the leading market owing to the large base of geriatric population and rise in proximal humerus fracture cases. According to the Agency for Healthcare Research and Quality (AHRQ), around 53,000 people in the U.S. underwent shoulder replacement surgery in the year 2011. Meanwhile, the Europe and Asia-Pacific regions are expected to experience increased market traction due to the rise in cases of shoulder injury and geriatric population. Additionally, Germany is expected to remain the dominant country in the European market.
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The major factors driving this market are development of advanced designs, introduction of innovative reverse shoulder implants and high adoption rate. Additionally, rise in incidence of proximal humerus fracture cases among geriatric population is one of the primary factor driving the market growth. Moreover, patients suffering from symptomatic shoulder arthritis are increasingly opting for total shoulder replacement surgeries which is also fuelling the growth of this market. However, high development costs, risk of implant failure and increased chances of infection are some of the factors that could hinder the growth of the market.
The notable players in the total shoulder replacement market include DePuy Synthes Inc., Zimmer Holdings Inc., Smith & Nephew plc, Stryker Corporation, Arthrex Inc., LimaCorporate S.p.a., Integra LifeSciences Corporation, Tornier N.V. and Wright Medical Group, amongst others.