Total Ankle Replacement Market Size
| Study Period | 2019 - 2029 |
| Market Size (2024) | USD 1.21 Billion |
| Market Size (2029) | USD 1.72 Billion |
| CAGR (2024 - 2029) | 6.00 % |
| 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 size is estimated at USD 1.21 billion in 2024, and is expected to reach USD 1.72 billion by 2029, at a CAGR of 6% during the forecast period (2024-2029).
Factors such as the rising prevalence of orthopedic disorders, an expanding geriatric population, a growing preference for minimally invasive surgeries, and ongoing technological advancements are poised to propel market growth during the forecast period.
The surge in osteoporosis cases stands out as a primary driver for market expansion. For instance, data published by the Bone Health and Osteoporosis Foundation (BHOF) in May 2023 highlighted osteoporosis as a leading cause of bone fractures in the United States, impacting around 10 million individuals. Furthermore, nearly 44 million Americans grapple with low bone density each year, a significant contributor to these fractures. This escalating fracture burden could heighten the incidence of ankle osteoporosis, necessitating more ankle surgeries and, consequently, bolstering market growth.
Moreover, the aging population is increasingly susceptible to orthopedic ailments like arthritis and osteoarthritis due to natural bone deterioration. For instance, according to an article in Effort Open Reviews, January 2023, noted that ankle fractures rank among the top injuries in the elderly. With the global aging population projected to more than double by 2050, the healthcare implications are significant. As arthritis becomes more prevalent with age, the demand for ankle replacement surgeries is set to rise, further fueling market growth.
Additionally, total ankle replacement surgeries serve as a viable treatment option for various conditions in patients with end-stage osteoarthritis. For instance, a study in BMC Musculoskeletal Disorders, in June 2024, revealed that Germany sees approximately 1,000 total ankle replacement surgeries each year. Thus, the high number of ankle replacement surgeries performed in the country is anticipated to propel the demand for associated products, driving market growth in the coming years.
Furthermore, companies are increasingly focusing on developing solutions for total ankle replacement surgery, aiming to enhance patient mobility and overall benefits, which is anticipated to drive market growth. For instance, in December 2023, BlueOrtho, a subsidiary of Exactech, secured 510(k) clearance from the Food and Drug Administration for ExactechGPS Ankle. This system is touted as the first surgical navigation tool for total ankle arthroplasty (TAA). The GPS Ankle technology uniquely bridges the preoperative plan with real-time guidance during surgery, ensuring that resections align with the surgical blueprint.
Similarly, in May 2023, Exactech conducted its inaugural surgery using the Vintage total ankle fixed-bearing system in Latin America. This innovative system aims to mimic the natural biomechanics of the ankle joint, featuring a curved talus component that aligns seamlessly with the trabecular bone structure of the talus, complemented by its tibial implant.
Given the high prevalence of joint-related disorders, an aging population, and the introduction of new products, the market is poised for growth in the coming years. Nonetheless, potential risks tied to total ankle replacement surgeries could pose challenges to this growth trajectory.
Total Ankle Replacement Market Trends
Scandinavian Total Ankle Replacement Segment Expects to Register a Significant Growth Over the Forecast Period
The Scandinavian total ankle replacement system stands out as a leading choice in total ankle replacements renowned for its design and performance. Factors such as the rising prevalence of ankle arthritis among the population are expected to drive the segment growth over the forecast period. In addition, the innovative design of the Scandinavian mobile bearing which allows the polyethylene component to move between the tibial and talar components provides greater flexibility, reduces stress on the implant, and mimics more natural ankle movement.
The rising burden of arthritis is a primary driver for boosting the demand for ankle replacement surgeries bolstering segment growth. For instance, a September 2024 article in Cureus highlighted that Ankle Arthritis, a prevalent degenerative joint disease of the tibiotalar joint, affects about 30 per 100,000 people annually leading to pain, stiffness, and deformity. With aging populations seeing a rise in ankle arthritis, the demand for effective treatments grows. Given its established track record, the STAR system emerges as a preferred choice for those seeking relief from arthritis pain.
Numerous research studies explored the efficacy of the Scandinavian total ankle replacement system, especially with the BONIT coating. For instance, a January 2024 article in Foot and Ankle Surgery noted that the BONIT coating led to a reduced loosening of metal components indicating its superiority over previous coatings used with the STAR ankle. This enhanced performance suggests that the BONIT-coated STAR ankle replacement system could offer improved stability and longevity for ankle implants potentially driving segment growth.
In conclusion, due to the rising prevalence of ankle arthritis and increasing research on the Scandinavian total ankle replacement's efficacy, significant growth is anticipated for the segment in the coming years.
North America is Expected to Hold Significant Market Share Over the Forecast Period
North America is poised to dominate the total ankle replacement market, a trend expected to persist throughout the forecast period. This dominance can be attributed to several factors: the rising prevalence of rheumatoid arthritis and osteoarthritis, heightened public awareness regarding ankle treatments, a robust healthcare infrastructure, accessible reimbursements, and significant healthcare expenditures in the region.
The increasing prevalence of joint-related disorders, notably among the elderly due to their vulnerable bone health, is set to drive market growth. For instance, an April 2024 article from Cureus reported findings from researchers indicating a steady rise in arthritis prevalence. This uptick is attributed not just to an aging demographic but also to lifestyle factors like sedentary behavior and obesity. Similarly, according to the Arthritis Statistics 2024 report, it was observed that about 78 million adults in the United States are expected to suffer from arthritis by 2040. Conditions like osteoarthritis and rheumatoid arthritis can cause intense joint pain, stiffness, and ankle deformities. Consequently, as arthritis diagnoses rise, so does the demand for treatments like total ankle replacement (TAR), driving market expansion.
Moreover, there's been a rapid increase in the use of artificial intelligence (AI) and robotics across various orthopedic surgery subspecialties, including foot and ankle surgery. For instance, a January 2023 article published in Sensors highlighted that robotic assistance in foot and ankle surgeries not only enhances understanding of ankle mechanics but also holds promise for improved therapy and post-operative outcomes.
Further emphasizing this trend, the same source detailed the creation of an image-guided robotic assistant. This innovation aims to refine tibial and fibular reductions in ankle fractures, especially those affecting the distal syndesmosis. It boasts enhanced reduction accuracy, minimizing the need for surgeon intervention and reducing fluoroscopy exposure. Thus, the integration of machine learning and advanced technologies in diagnosing ankle fractures and conducting replacement surgeries is set to boost their adoption, subsequently driving market growth during the forecast period.
Moreover, the surge in new product launches and approvals is enhancing the market's access to advanced ankle replacement products, a trend poised to drive regional market growth during the forecast period. For instance, in April 2023, the Food and Drug Administration approved restor3d’s inaugural all-metal patient-specific instrument (PSI), the Axiom PSR, for ankle arthroplasty. This move empowers restor3d to offer more tailored surgeries, significantly bolstered by 3D printing advancements, to patients undergoing ankle replacements.
Similarly, in January 2023, restor3d, renowned for its innovative technologies and 3D-printed implants and instruments, successfully executed the implantation of the cutting-edge Kinos Axiom Total Ankle System. This system boasts TIDAL Technology, an interconnected porous architecture, meticulously crafted to enhance bone in-growth and ensure long-term implant stability. The distinctive bone-implant interface of the 3D printed tibial and talar implants not only amplifies cortical bone contact but, when paired with the Kinos Axiom's biomechanics, promises both functionality and longevity for the prosthesis.
Given the escalating prevalence of orthopedic disorders, the burgeoning role of artificial intelligence and robotics in surgeries, and the momentum from new product approvals and the rising embrace of total ankle systems, the market under study is set for growth in the coming years.
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
- October 2024: Exactech successfully performed its inaugural total ankle replacement surgery utilizing the Vantage Ankle 3D and 3D+ tibial implants. These 3D-printed ankle implants, akin to all 3D-printed orthopedic solutions, offer the advantage of customization, streamlining the surgical process for physicians.
- August 2024: Enovis Corporation introduced its Scandinavian Total Ankle Replacement (STAR Ankle), now enhanced with the new e+ Polyethylene. The implant's vitamin E-infused e+ Polyethylene insert promises heightened durability, stability, and longevity. Coupled with the recent launch of STAR Patient Specific Instrumentation (PSI), the STAR+ Experience underscores Enovis' dedication to ongoing enhancements, prioritizing patient satisfaction and outcomes.
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
How big is the Total Ankle Replacement Market?
The Total Ankle Replacement Market size is expected to reach USD 1.21 billion in 2024 and grow at a CAGR of 6% to reach USD 1.72 billion by 2029.
What is the current Total Ankle Replacement Market size?
In 2024, the Total Ankle Replacement Market size is expected to reach USD 1.21 billion.
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, and what was the market size in 2023?
In 2023, the Total Ankle Replacement Market size was estimated at USD 1.14 billion. 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.
Total 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.
Total Ankle Replacement Market Report Snapshots
