Total Ankle Replacement Market Size
| Study Period | 2019 - 2029 |
| Base Year For Estimation | 2023 |
| CAGR (2024 - 2029) | 6.30 % |
| Fastest Growing Market | Asia Pacific |
| Largest Market | North America |
| Market Concentration | High |
Major Players
*Disclaimer: Major Players sorted in no particular order |
Total Ankle Replacement Market Analysis
The Total Ankle Replacement Market is expected to register a CAGR of 6.30% during the forecast period.
Factors such as the rising aging population, increasing orthopedic diseases and injuries, rising adoption of minimally invasive surgeries, and growing technological advancements in ankle replacement devices are all expected to boost the market growth over the forecast period.
The rising number of people with osteoporosis is the critical factor driving the market growth. For instance, as per the data published by Bone Health and Osteoporosis Foundation (BHOF), in May 2023, osteoporosis is one of the significant causes of bone fracture among Americans, which affects approximately 10 million Americans, while nearly 44 million people in the United States suffer from low bone density, annually, which is one of the primary reasons for bone fractures. Thus, the rising burden of bone fracture may lead to ankle osteoporosis among the population, which necessitates ankle surgeries, hence expected to fuel the market growth over the forecast period.
Additionally, the senior population is more prone to develop orthopedic diseases such as arthritis, osteoarthritis, and rheumatoid arthritis owing to age-related bone deterioration, making it harder to live a healthy life. For instance, according to an article published in Effort Open Reviews in January 2023, it has been observed that ankle fractures are among the most prevalent injuries among older adults and a significant healthcare burden as the aging population is predicted to more than double by the year 2050 globally. Also, according to data published by WHO, in October 2022, about 1.4 billion people worldwide are expected to be 60 years or over by 2030, compared to 1 billion in the previous year. Furthermore, this number is projected to reach 2.1 billion by 2050. Thus, the senior population is more prone to ankle fractures owing to low bone density, which is expected to fuel the demand for ankle replacement surgeries and, hence, is anticipated to augment the market growth.
Moreover, the increasing focus of the companies to develop solutions for total ankle replacement surgery to give patients better mobility and other benefits is also expected to contribute to the market growth. For instance, in April 2022, Medline UNITE Foot & Ankle launched its Calcaneal Fracture Plating System and IM Fibula Implant, which enables surgeons to handle a broad array of fracture patterns, surgical approaches, and anatomical variations from a single tray in the United States. This launch provides a comprehensive titanium foot and ankle trauma system to address nearly all fractures requiring ORIF with plate and screw fixation.
Therefore, the studied market is expected to grow over the forecast period due to factors such as the high burden of joint-related disorders coupled with the growing senior population and new product launches. However, the risks associated with total ankle replacement surgery will likely impede the market growth over the forecast period.
Total Ankle Replacement Market Trends
Hintegra Total Ankle Replacement Segment Expects to Register a Significant Growth Over the Forecast Period
Total ankle replacement, a form of ankle arthroplasty or joint replacement surgery, involves prosthetics being used to replace the damaged parts of the ankle. The Hintegra prosthesis is a non-constrained three-component system made up of a mobile bearing consisting of ultra-high molecular weight polyethylene, a talar component, and a tibial component that provides axial rotation and normal flexion-extension mobility.
The Hintegra total ankle replacement segment is expected to witness significant growth in the studied market over the forecast period owing to factors such as increasing adoption of ankle replacement surgery as a treatment option for various ankle-related issues such as ankle chronic pain, ankle arthritis, end-stage ankle osteoarthritis, and others and the high preference of these devices and the surging aging population.
Total ankle replacement (TAR), which offers better results, has taken the lead in the management of end-stage ankle osteoarthritis. For instance, according to a report published by the Journal of Bone and Joint Surgery in May 2022, the long-term survival of patients with Hintegra implant was assessed and it has been observed that the cumulative survival rate was 95% at 5 years, 86% at 10 years and 82% at 15 years. The high survival rate of the Hintegra total ankle replacement design is expected to fuel its adoption for treating ankle fractures, hence propelling market growth.
Therefore, with the rising number of research studies to evaluate the effectiveness of Hintegra among the population suffering from ankle injuries, the studied market is anticipated to grow over the forecast period
North America is Expected to Hold Significant Market Share Over the Forecast Period
North America is expected to hold a significant share in the total ankle replacement market and show the same trend over the forecast period owing to factors such as the rising prevalence of rheumatoid arthritis and osteoarthritis, high awareness among the people regarding ankle treatment, presence of well-established healthcare infrastructure, availability of reimbursements, and increased healthcare spending in the region.
The rising burden of joint-related disorders such as rheumatoid arthritis, osteoporosis, and osteoarthritis among the population, especially the elderly, owing to their weak bones, is expected to increase market growth. For instance, according to the data published by Osteoporosis Canada 2022 Facts and Figures, it was observed that about 2.3 million people were living with osteoporosis in Canada in 2022, and about 80% of all fractures in people aged 50 years and above are caused by osteoporosis. Also, according to the 2022 statistics published by the CDC, about 62% of the women living in the United States suffered from osteoarthritis in 2021. In addition, as per the same source, about 78 million United States adults are expected to suffer from arthritis by 2040. This raises the risk of developing ankle osteoarthritis and osteoporosis due to inflamed tissue in the ankle and weak bones, respectively, hence expected to augment the market growth in the region over the forecast period.
Additionally, the application of artificial intelligence (AI) and robotics in numerous orthopedic surgery subspecialties, such as foot and ankle surgery, has rapidly increased. For instance, according to an article published in Sensors in January 2023, the United States researchers observed that using robots in foot and ankle surgery has also made it possible to gain a greater understanding of ankle mechanics with implications for bettering therapy and post-operative results. As per the same source, developing an image-guided robotic assistant to improve tibial and fibular reduction in ankle fractures involving injury to the distal syndesmosis enhances reduction accuracy with decreased need for surgeon intervention and repeated fluoroscopy exposure. Hence, the introduction of machine learning and new technologies in ankle fracture diagnosis and replacement surgeries are expected to fuel its adoption. This is anticipated to propel the market growth over the forecast period.
Furthermore, the rising new product launches and approvals increase the availability of advanced ankle replacement products in the market, which is expected to fuel the market growth in the region over the forecast period. For instance, in December 2022, Enovis received the United States FDA approval for the STAR Patient Specific Instrumentation (STAR PSI System) for use with the company’s STAR total ankle replacement system. The system provides a personalized pre-operative plan for each patient. The STAR PSI System is utilized with an updated and simplified surgical technique, which has the potential to reduce operative time during total ankle replacement cases. Also, in April 2023, the Food and Drug Administration approved restor3d’s first all-metal patient-specific instrument (PSI), Axiom PSR, in ankle arthroplasty. This launch assists the company in providing more customized surgeries, which are primarily aided by advancements in 3D printing, to patients with ankle replacements.
Therefore, owing to factors such as the increasing burden of orthopedic disorders, the rising application of artificial intelligence and robotics in surgeries, and new product approvals, the studied market is expected to grow over the forecast period.
Total Ankle Replacement Industry Overview
The total ankle replacement market is consolidated owing to the presence of a few major players, which is primarily due to the need for high technological expertise in the development of devices and regulatory challenges involved in the development of total ankle replacement devices. Some of the key companies in the market are Smith & Nephew, Stryker, Zimmer Biomet, Exactech Inc., and Enovis among others.
Total Ankle Replacement Market Leaders
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Zimmer Biomet
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Smith & Nephew
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Exactech, Inc.
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Stryker
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Enovis
*Disclaimer: Major Players sorted in no particular order
Total Ankle Replacement Market News
- May 2023: Exactech performed its first surgeries with the Vintage total ankle fixed-bearing system in Latin America. The system is designed to recreate the natural biomechanics of the ankle joint through its curved talus component, which aligns with the talus’ trabecular bone structure, and tibial implant.
- April 2023: the Food and Drug Administration approved restor3d’s first all-metal patient-specific instrument (PSI), Axiom PSR, in ankle arthroplasty. This launch assists the company to provide more customized surgeries, which are largely aided by advancements in 3D printing, to patients with ankle replacements.
Total Ankle Replacement Market Report - Table of Contents
1. INTRODUCTION
1.1 Study Assumptions and Market Definition
1.2 Scope of the Study
2. RESEARCH METHODOLOGY
3. EXECUTIVE SUMMARY
4. MARKET DYNAMICS
4.1 Market Overview
4.2 Market Drivers
4.2.1 Growing Prevalence of Orthopedic Disorders Coupled with Growing Geriatric Population
4.2.2 Rising Adoption of Minimally Invasive Surgeries and Technological Advancements
4.3 Market Restraints
4.3.1 Risks Associated with Total Ankle Replacement Surgery
4.4 Porter's Five Force Analysis
4.4.1 Threat of New Entrants
4.4.2 Bargaining Power of Buyers/Consumers
4.4.3 Bargaining Power of Suppliers
4.4.4 Threat of Substitute Products
4.4.5 Intensity of Competitive Rivalry
5. MARKET SEGMENTATION (Market Size by Value - USD)
5.1 By Design
5.1.1 Hintegra Total Ankle Replacement
5.1.2 Scandinavian Total Ankle Replacement
5.1.3 Salto Total Ankle Replacement
5.1.4 Mobility Total Ankle Replacement
5.1.5 Other Designs (Eclipse, Inbone, among others)
5.2 Geography
5.2.1 North America
5.2.1.1 United States
5.2.1.2 Canada
5.2.1.3 Mexico
5.2.2 Europe
5.2.2.1 Germany
5.2.2.2 United Kingdom
5.2.2.3 France
5.2.2.4 Italy
5.2.2.5 Spain
5.2.2.6 Rest of Europe
5.2.3 Asia-Pacific
5.2.3.1 China
5.2.3.2 Japan
5.2.3.3 India
5.2.3.4 Australia
5.2.3.5 South Korea
5.2.3.6 Rest of Asia-Pacific
5.2.4 Middle East and Africa
5.2.4.1 GCC
5.2.4.2 South Africa
5.2.4.3 Rest of Middle East and Africa
5.2.5 South America
5.2.5.1 Brazil
5.2.5.2 Argentina
5.2.5.3 Rest of South America
6. COMPETITIVE LANDSCAPE
6.1 Company Profiles
6.1.1 Vilex, LLC
6.1.2 Stryker
6.1.3 Smith+Nephew
6.1.4 Zimmer Biomet
6.1.5 Exactech Inc.
6.1.6 Enovis
6.1.7 CONMED Corporation
6.1.8 restor3d
6.1.9 Allegra
6.1.10 Paragon 28, Inc.
- *List Not Exhaustive
7. MARKET OPPORTUNITIES AND FUTURE TRENDS
Total Ankle Replacement Industry Segmentation
As per the scope of the report, total ankle replacement is a type of joint replacement surgery that replaces the damaged parts of the ankle. It is used to treat ankle arthritis.
The total ankle replacement market is segmented into design and geography, By design, the market is segmented into hintegra total ankle replacement, scandinavian total ankle replacement, salto total ankle replacement, mobility total ankle replacement, and others. The other designs include eclipse total ankle replacement and inbone total ankle replacement. By geography, the market is divided into North America, Europe, Asia-Pacific, Middle East and Africa, and South America). For each segment, the market sizing and forecasts have been done based on value (in USD).
| By Design | |
| Hintegra Total Ankle Replacement | |
| Scandinavian Total Ankle Replacement | |
| Salto Total Ankle Replacement | |
| Mobility Total Ankle Replacement | |
| Other Designs (Eclipse, Inbone, among others) |
| Geography | ||||||||
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Total Ankle Replacement Market Research FAQs
What is the current Total Ankle Replacement Market size?
The Total Ankle Replacement Market is projected to register a CAGR of 6.30% during the forecast period (2024-2029)
Who are the key players in Total Ankle Replacement Market?
Zimmer Biomet, Smith & Nephew, Exactech, Inc., Stryker and Enovis are the major companies operating in the Total Ankle Replacement Market.
Which is the fastest growing region in Total Ankle Replacement Market?
Asia Pacific is estimated to grow at the highest CAGR over the forecast period (2024-2029).
Which region has the biggest share in Total Ankle Replacement Market?
In 2024, the North America accounts for the largest market share in Total Ankle Replacement Market.
What years does this Total Ankle Replacement Market cover?
The report covers the Total Ankle Replacement Market historical market size for years: 2019, 2020, 2021, 2022 and 2023. The report also forecasts the Total Ankle Replacement Market size for years: 2024, 2025, 2026, 2027, 2028 and 2029.
Ankle Replacement Industry Report
Statistics for the 2024 Ankle Replacement market share, size and revenue growth rate, created by Mordor Intelligence™ Industry Reports. Ankle Replacement analysis includes a market forecast outlook 2029 and historical overview. Get a sample of this industry analysis as a free report PDF download.
