The Global "Total Ankle Replacement Market" is expected to grow at a high CAGR during the forecasting period (2022-2029).
Ankle arthritis is treated through total ankle replacement, known as ankle arthroplasty. The procedure can lessen ankle pain, promote joint stability, and enhance mobility in general. Only after previous treatments fail to improve the symptoms of ankle arthritis are healthcare professionals advised to consider ankle replacement.
Source: DataM Intelligence Analysis (2021)
The global total ankle replacement market is driven by technological advancements, the growing geriatric population, advances in understanding the biomechanics of the ankle, and rising expenditure on healthcare.
Advancement in technology drives the market growth
The prevalence of osteoporosis and osteoarthritis is a major health concern worldwide, especially among older individuals. With hips, knees, ankles, and shoulders getting replaced more frequently, the number of specialty care centers offering joint replacement procedures is increasing. Also, as per the article published in Foot & Ankle Surgery: Techniques, Reports & Cases in 2022, with the advanced technology and biomechanical advancements in ankle joint arthroplasty in the last 20 years, modular stemmed implants have demonstrated exceptional longevity and success.
In addition, the market players are adopting the market strategies such as collaboration and product launches to expand their business. For instance, in November 2021, Stryker introduced Prophecy Infinity Resect-Through Guides for use in total ankle replacement surgeries. The Prophecy Infinity Resect-Through Guides permit surgeons to take fewer steps in total ankle replacement surgeries than the Prophecy standard pin-through technique. It helps increase efficiency in the orthopedic by using just one guide for drilling and cutting, reducing the number of steps in a patient’s surgical plan.
The risk factors associated with a total ankle replacement will hamper the growth of the market
However, risks of ankle replacement surgery are Ankle weakness, stiffness, instability, Loosening of the artificial joint over time, Skin not healing after surgery, Nerve damage, Blood vessel damage, Bone break during surgery, and Dislocation of the artificial joint. All these risk factors limit the market growth.
COVID-19 Impact Analysis
The appearance of COVID-19 considerably impacted the global total ankle replacement market. In 2020, the UK Government declared increased restrictions on the UK public, including the postponement of non-urgent operations in the National Health Service, aiming to increase bed capacity and protect patients and healthcare staff. The rates of all surgeries and elective surgeries decreased by 15.6%–49.4%, and 43.5–100%, respectively. The overall impact was attributable to the staff redeployment in response to the pandemic.
In addition, as per the article published in the World Journal of Orthopedics in 2022, the effect of the COVID-19 pandemic on foot surgeries, Total orthopedic surgeries declined by 55% and did not eliminate elective surgeries. The length of stay was decreased by 2.5 d for adults and 1.7 d for children.
In 2022, the situation was recovering from COVID-19, and all patients could access advanced healthcare facilities, leading to increasing market demand worldwide.
The mobility total ankle replacement segment is expected to grow at the fastest CAGR during the forecast period (2022-2029)
The mobility total ankle replacement segment accounts for the largest market share. Total ankle arthroplasty is indicated by ankle arthritis. Ankle arthritis originates from various causes, including osteoarthritis, traumatic arthritis and rheumatoid arthritis. Each cause has factors that affect whether the implant is suitable for the patient and if a satisfactory outcome is achievable. In osteoarthritis patients, the duration and degree of immobility caused by reduced joint space, osteophytes, scarring and pain must be considered when considering if the implant is suitable since some patients may have been rigidly fibrosis for many years. If the joint is stiff, the movement regained after total ankle replacement may be modest. These factors may also pose some additional challenges during surgery.
To solve this problem, market players are offering the products in the market. For instance, DePuy, a Jhonson Jhonson company, offers the Mobility Total Ankle System is a three-component, cementless, unconstrained, mobile bearing prosthesis with a dedicated instrumentation system. The prosthesis incorporates some unique design modifications which allow minimal bone resection, and the instrumentation allows repeatable and accurate surgical outcomes.
Source: DataM Intelligence Analysis (2021)
North America region holds the largest market share of the global total ankle replacement market
North America dominates the market for total ankle replacement and is anticipated to show a parallel trend over the forecast period. The market is boosted by advanced healthcare infrastructure, active regional key players, and easy availability of regional products.
The market players are applying the market strategies such as acquisition and innovation in products to expand their business. For instance, in 2020, DJO LLC acquired the total ankle and finger arthroplasty product lines from the international medical technology company Stryker. In addition, in July 2020, Vilex, LLC, acquired DT MedTech, LLC, whose product lines include the Hintermann Series System Total Ankle Replacement (TAR), designed by prominent surgeon Professor Beat Hintermann. This exceptional TAR system includes the Hintermann Series H3 (H3) 3-piece, mobile-bearing TAR prosthesis – time-tested globally for over 20 years with consistent, successful outcomes and the Hintermann Series H2 (H2) 2-piece, semi-constrained TAR prosthesis. The H2 is US FDA cleared, and the H3 is US FDA authorized for the US market and is sold globally in over 30 countries.
Source: DataM Intelligence Anal is (2021)
The total ankle replacement market is a moderately competitive presence of local and global companies. Some of the key players contributing to the market's growth are Stryker Corporation, DePuy Synthes, Wright Medical Group Inc., Integra LifeSciences, Zimmer Holdings, MatOrtho, Small Bone Innovation, Inc., KYOCERA Medical Corporation, Smith and Nephew, and Exactech Inc., among others. The major players are adopting several growth strategies such as product launches, acquisitions, and collaborations, contributing to the growth of the total ankle replacement market globally.
Stryker is one of the medical technology companies engaged in improving healthcare. The company offers creative products and services in Medical and Surgical, Neurotechnology, Orthopaedics and Spine that help improve patient and hospital outcomes.
Ortholoc 2 Ankle Fracture: The Ortholoc two ankle fracture system features low-profile plate designs with polyaxial 3Di locking technology, addressing variations in fracture patterns and anatomy.
The global total ankle replacement market report would provide access to approximately 40+ market data tables, 45+ figures, and in the range of 200 (approximate) pages.
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