External fixators is a surgical treatment, in which the external fixators are the external stabilizing structure that are used to support the surgical rods that are screwed into the bones. The external fixators are mainly indicated for stabilization of bone and soft tissues, stabilization of infected non-union, arthrodesis, Ligamentotaxis, etc. of the bones. The complications associated with external fixators include damage to the soft-tissue structures and pin-track infection in patients.
The global external fixators market is estimated to be valued at US$ 978.4 million in 2021 and is expected to exhibit a CAGR of 8.2% during the forecast period (2021-2028).
Figure 1. Global External Fixators Market Value (US$ Mn), 2017-2028
Rising global prevalence of individuals suffering from bone diseases such as osteoporosis is expected to drive the growth of global external fixators market over the forecast period. According to the International Osteoporosis Foundation report 2020, approximately 75 million individuals are affected by Osteoporosis in Europe, USA, and Japan.
Moreover, the increasing demand for external fixators has increased due to rising cases of the fractures, this is expected to drive the market growth over the forecast period. According to the International Osteoporosis Foundation report 2020, approximately 8.9 million fracture cases were reported globally in year 2020.
Moreover, according to the same source, the global number of hip fractures is expected to increase by 310% in men and by 240% in women by the year 2050.
| Report Coverage | Details | ||
|---|---|---|---|
| Base Year: | 2021 | Market Size in 2021: | US$ 978.4 Mn |
| Historical Data for: | 2017 to 2020 | Forecast Period: | 2021 to 2028 |
| Forecast Period 2021 to 2028 CAGR: | 8.2% | 2028 Value Projection: | US$ 1701.0 Mn |
| Geographies covered: |
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| Segments covered: |
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| Companies covered: |
Johnson & Johnson Services, Inc. (DePuy Synthes), Double Medical Technology Inc., Orthofix Holdings, Inc., Ortho-SUV Ltd., Response Ortho LLC, Smith & Nephew, Stryker Corporation , Zimmer Biomet, Auxein Medical, Acumed, Tasarimmed T?bbi Mamuller San. Tic A.?, Orthopaedic Implant Company (“OIC”), Gexfix SA, WishBone Medical, Inc., and Matrix Meditech |
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| Growth Drivers: |
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| Restraints & Challenges: |
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Global External Fixators Market – Impact of Coronavirus (COVID-19)
Following the outbreak of COVID-19 in December 2019, the disease has spread to over 100 countries across the globe and the World Health Organization declared it a public health emergency. According to the World Health Organization’s report, manifestation of coronavirus (COVID-19) has resulted in over 191 million infected individuals worldwide as of July 23, 2021.
The coronavirus (COVID-19) pandemic and resulting lockdown in various countries across the globe have impacted the financial status of major companies in external fixators market. The private healthcare sector is one of the sectors, which has been majorly impacted by the COVID-19 pandemic. The pandemic has negatively impacted the global external fixators market in various aspects such as research and development, production, and supply of devices, and also affected growth of the pharmaceutical businesses of various companies across the globe due to lockdowns implemented by governments of several countries. The nationwide lockdowns have led to closure of industrial establishments, except manufacturing of essential commodities and disruption in supply chain of the raw materials and medical devices such as external fixators for surgical use.
Figure 2. Global External Fixators Market Share (%), By Region, 2021
North America region is expected to hold dominant position in the global external fixators market over the forecast period, owing to the increasing number of patients suffering from osteoporosis in the U.S.
According to the Centers for Disease Control and Prevention factsheet 2017, approximately in U.S. 12.6% of adults suffered from osteoporosis of either the femur neck or lumbar spine or both, the report also stated that 43.1% of adults in the U.S suffered from the prevalence of low bone mass.
Moreover, risk associated with external fixators is expected to hamper the growth of global external fixators market over the forecast period. Risks and complications associated with external fixators include pin tract infections (infection when the pin is inserted at a place with greater soft tissue and inadequate pin care), neurovascular injury, muscle fibrosis, tendon rupture, and others. According to the Department of Orthopedic Alazhary University, Khartoum, Sudan report 2020, the pin tract infection rate due to external fixators was approximately 71% in Sudan, while the infection caused due to external fixators was superficial (86.36%) in majority of infection cases involving shanz screws more frequent than smooth wires and located in the metaphysis.
Key Players
Major players operating in the global external fixators market include Johnson & Johnson Services, Inc. (DePuy Synthes), Double Medical Technology Inc., Orthofix Holdings, Inc., Ortho-SUV Ltd., Response Ortho LLC, Smith & Nephew, Stryker Corporation , Zimmer Biomet, Auxein Medical, Acumed, Tasarimmed T?bbi Mamuller San. Tic A.?, Orthopaedic Implant Company (“OIC”), Gexfix SA, WishBone Medical, Inc., and Matrix Meditech
The external fixators are used in surgical procedures to immobilize the bones and to allow the bone fractures to heal. External fixators provide stability to the bones and soft tissues after serious ruptures in the soft tissues or bones. The bone external fixators are used to correct bone misalignment, protect soft tissue after bone injury, and to restore limb length. The external fixators also ensure the ideal compression, extension, or neutralization of bone placement while allowing movement of the nearby joints. They not only aid in setting the bones correctly but also help to minimize muscle atrophy and edema (the buildup of excess fluid) caused by the total immobilization of a limb.
Market Dynamics
The increasing incidence of fractures globally is expected to augment the growth of global external fixator market. According to the U.S. National Library of Medicine report from December 2020, the incidence of fractures were approximately 1,229 fractures per 100,000 individuals in 2020 in the U.S. According to the same source, the incidence of bone fractures depending on the location of the bones is given below:
|
Fracture |
Men: n/100,000 |
Women: n/100,000 |
|
Distal Radius |
108.2 |
292.4 |
|
Proximal femur |
123.2 |
237.1 |
|
Ankle |
100.3 |
152.5 |
|
Proximal humerus |
59.2 |
142.5 |
|
Metacarpal |
125.6 |
52.7 |
Moreover, key players providing reimbursements for the external fixators with various government insurance policies such as Medicare in U.S., is expected to drive the market over the forecast period.
For instance, In 2021, DePuy Synthes, a medical device company stated that their products such as MAXFRAME Multi-Axial Correction System, is reimbursed by the Medicare in United states. The reimbursement for application of uniplanar and external fixation device in hospital outpatients and ambulatory surgical centers is as follows-
|
CPT CODE |
DESCRIPTION |
HOSPITAL OUT-PATIENT |
AMBULATORY SURGICAL CENTERS |
|
20690 |
Application of a uniplanar, (pins or wires in one plane) unilateral, external fixation device |
$6,265 |
$4,194 |
Key features of the study:
Detailed Segmentation:
“*” marked represents similar segmentation in other categories in the respective section.
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