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MediPoint: Total Knee Replacement-Middle East and Africa Analysis and Market Forecasts

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MediPoint: Total Knee Replacement-Middle East and Africa Analysis and Market Forecasts


Total Knee Replacement (TKR) is a viable treatment option for patients whose knees have become excessively worn or degenerated due to osteoarthritis. The direct costs of nonsurgical management (including medication and physical therapy) of knee osteoarthritis, one of the most common joint injuries, pale in comparison to the indirect costs such as loss of earnings, disability payments, and reduced productivity. Additionally, there are other personal costs such as weight gain due to reduced activity level and risk of narcotic abuse due to pain management, which further magnify the burden associated with osteoarthritis. Modern TKR can be traced back to the 1970s, but since then research into implant and instrumentation design has greatly improved outcomes such that TKR now demonstrates long-term survivorship. The resultant increase in the numbers of TKR procedures puts financial stress on the healthcare system in the short term, as it remains more expensive than nonsurgical interventions. Therefore, there is a need to improve patient outcomes while reducing the economic burden of TKR.

This report focuses on the market outlook for TKR devices in the Middle East and Africa (Egypt, Israel, Saudi Arabia, South Africa, and United Arab Emirates). The analysis identifies the key unmet needs in the TKR market, discusses the major drivers and barriers of adoption, and provides an in-depth understanding of physicians' perceptions and the future outlook for this market by segment and geography.

Key Questions Answered

What is the current and future TKR market outlook in the developed and emerging markets? What trends are affecting the Middle East and African market?

Which are the key, high growth markets that TKR manufacturers should expand into?

What are the unmet needs with the current generation of TKR devices? How will emerging technologies fulfill these unmet needs?

What are the challenges and complications that have hindered widespread adoption?

With developing the next-generation of devices, what aspects of the technology are device manufacturers focused on optimizing? How will new entrants impact the TKR market?


Overview of recent key industry events and analysis of their market impact.

Annualized total market revenue, procedure trends, and market outlooks by segment and by region through 2023.

Key topics covered include strategic competitor assessment, market characterization, identification of unmet needs, reimbursement considerations, evaluating market access in each region covered in the report, and implications of the emerging technologies in the market.

Analysis of the current and future market competition in the global TKR market. Insightful review of industry drivers, barriers, and challenges.

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Table Of Content


Table of Contents

1 About the Authors 2

1.1 Analyst 2

1.1.1 Tobe Madu, MSc, Analyst, Medical Devices 2

2 Table of Contents 3

2.1 List of Tables 5

2.2 List of Figures 5

3 Executive Summary 6

3.1 Key Metrics 6

3.2 Market Dynamics 8

3.3 Key Players 9

3.4 Future Outlook 9

3.5 What Do Physicians Think? 10

4 Introduction 11

4.1 Catalyst 11

4.2 Related Reports 11

4.3 Upcoming Related Reports 12

5 Market Outlook 13

5.1 Procedure Trends 13

5.2 Pricing Trends 14

5.3 Revenue Trends 15

5.4 Company Share Analysis 16

6 Market Insights 17

6.1 Middle East and Africa 17

6.1.1 Israel 17

6.1.2 South Africa 18

6.1.3 Egypt, Saudi Arabia, and UAE 18

7 Competitive Assessment 19

7.1 Overview 19

7.1.1 Computer Navigation Technologies 19

7.1.2 Robotic Technologies 21

7.1.3 Generic Implants to Address Cost Concerns 22

7.1.4 Advanced Materials 23

7.1.5 Emerging Countries 23

7.1.6 Augmented implants 24

7.2 Aesculap 25

7.2.1 Portfolio Assessment 25

7.2.2 Competitive Positioning 26

7.3 DePuy Synthes 26

7.3.1 Portfolio Assessment 26

7.3.2 Deal Analysis 27

7.3.3 Competitive Positioning 28

7.4 Exactech 28

7.4.1 Portfolio Assessment 28

7.4.2 Competitive Positioning 29

7.5 Lima Corporate 30

7.5.1 Portfolio Assessment 30

7.5.2 Deal Analysis 31

7.5.3 Competitive Positioning 31

7.6 Medacta 32

7.6.1 Portfolio Assessment 32

7.6.2 Competitive Positioning 33

7.7 Medtronic 34

7.7.1 Portfolio Assessment 34

7.7.2 Deal Analysis 34

7.7.3 Competitive Positioning 34

7.8 MicroPort Orthopedics 35

7.8.1 Portfolio Assessment 35

7.8.2 Competitive Positioning 36

7.9 Smith Nephew 37

7.9.1 Portfolio Assessment 37

7.9.2 Deal Analysis 38

7.9.3 Competitive Positioning 39

7.10 Stryker 39

7.10.1 Portfolio Assessment 39

7.10.2 Deal Analysis 41

7.10.3 Competitive Positioning 41

7.11 Waldemar Link 42

7.11.1 Portfolio Assessment 42

7.11.2 Competitive Positioning 43

7.12 Zimmer Biomet 43

7.12.1 Portfolio Assessment 43

7.12.2 Deal Analysis 46

7.12.3 Competitive Positioning 46

7.13 Other Players 47

8 Appendix 48

8.1 Bibliography 48

8.2 Abbreviations 50

8.3 Methodology 52

8.3.1 Overview 52

8.3.2 Coverage 52

8.3.3 Secondary Research 52

8.3.4 Forecasting Methodology 53

8.3.5 Primary Research Summary 54

8.4 About MediPoint 55

8.5 About GlobalData 55

8.6 Contact Us 55

8.7 Disclaimer 56

List Of Figure

List of Figures

Figure 1: Middle East and Africa TKR Market Share Comparison by Country, 2016 and 2023 8

List Of Table

List of Tables

Table 1: TKR Market, Key Metrics, 2016-2023 7

Table 2: Middle East and Africa TKR Procedure Volume Forecast, 2014-2023 14

Table 3: Middle East and Africa TKR Implant Average Selling Price ($) Forecast, 2014-2023 15

Table 4: Middle East and Africa TKR Market Revenue Forecast ($M), 2014-2023 16

Table 5: Middle East and Africa TKR Company Share Analysis, 20161, 2 17

Table 6: Aesculap-Key Marketed Products Assessment 26

Table 7: Aesculap-Key Clinical Trials 26

Table 8: DePuy Synthes-Key Marketed Products Assessment 27

Table 9: DePuy Synthes-Key Clinical Trials 28

Table 10: Exactech-Key Marketed Products Assessment 29

Table 11: Exactech-Key Clinical Trials 30

Table 12: Lima Corporate-Key Marketed Products Assessment 31

Table 13: Lima Corporate-Key Clinical Trials 31

Table 14: Medacta-Key Marketed Products Assessment 33

Table 15: Medacta-Key Clinical Trials 34

Table 16: Medtronic-Key Marketed Products Assessment 35

Table 17: MicroPort-Key Marketed Products Assessment 36

Table 18: Microport-Key Clinical Trials 37

Table 19: Smith Nephew-Key Marketed Products Assessment 38

Table 20: Smith Nephew-Key Clinical Trials 39

Table 21: Stryker-Key Marketed Products Assessment 40

Table 22: Stryker-Key Clinical Trials 41

Table 23: Waldemar Link-Key Marketed Products Assessment 43

Table 24: Waldemar Link-Key Clinical Trials 44

Table 25: Zimmer Biomet-Key Marketed Products Assessment 44

Table 26: Zimmer Biomet-Key Clinical Trials 46

Table 27: Summary of Other Players in the TKR Market, 2016 48

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Products and Companies



DePuy Synthes


Lima Corporate



MicroPort Orthopedics

Smith Nephew


Waldemar Link

Zimmer Biomet