US Small Bone and Joint Devices Market Size & Share Analysis - Growth Trends & Forecasts (2025 - 2030)

US Small Bone and Joint Devices Market Analysis

The US Small Bone And Joint Devices Market size is estimated at USD 2.60 billion in 2025, and is expected to reach USD 3.36 billion by 2030, at a CAGR of 5.25% during the forecast period (2025-2030).

The US small bone and joint devices industry is experiencing significant transformation driven by demographic shifts and evolving healthcare needs. According to the 2022 United Nations Population Fund statistics, 65% of the US population falls within the working age group of 15-64 years, while 17% are aged 65 years and above, indicating a substantial patient pool requiring orthopedic interventions. The increasing participation in sports and recreational activities has led to a rise in related injuries, with the National Safety Council reporting in 2022 that sports and recreational injury rates rose 20% compared to the previous year. This demographic and lifestyle pattern has created a robust demand for innovative orthopedic extremities solutions and specialized treatment approaches.

The market landscape is being reshaped by technological innovations and advanced surgical techniques, particularly in minimally invasive procedures. In February 2023, a groundbreaking study by researchers at the Hospital for Special Surgery (HSS) demonstrated that bunion procedures do not worsen flatfoot conditions and may even improve them, showcasing the advancement in surgical techniques. The industry has witnessed a surge in the development of specialized instruments and implants designed to improve surgical outcomes while reducing recovery time, leading to increased adoption of these advanced solutions across healthcare facilities, particularly in foot and ankle devices.

The competitive environment has been marked by strategic consolidations and product innovations throughout 2023. Notable developments include Arthrex's launch of the Bunionectomy System in December 2022, offering patients an improved alternative to traditional bunion surgery with faster recovery times. The industry has also seen significant partnerships, such as Premier Orthopedic Associates' alliance with American Orthopedic Partners in February 2023, aimed at transforming orthopedic care delivery models and expanding access to advanced treatment options.

The market is witnessing a shift toward ambulatory surgical centers and specialized orthopedic facilities. This trend is exemplified by strategic developments such as NCH Healthcare System's partnership with Hospital for Special Surgery in November 2022 to establish a USD 70 million ambulatory surgery center in Southwest Florida. Healthcare providers are increasingly focusing on creating dedicated centers of excellence for orthopedic care, improving operational efficiency while providing specialized treatment options. This structural transformation is accompanied by the adoption of value-based care models and an enhanced focus on patient outcomes, driving the development of more efficient and cost-effective treatment solutions, especially in the realm of orthopedic extremities.

US Small Bone and Joint Devices Market Trends

Increasing Prevalence of Degenerative Joint Diseases and the Growing Geriatric Population

The rising prevalence of degenerative joint diseases such as osteoarthritis, rheumatoid arthritis, osteoporosis, and carpal tunnel syndrome is creating substantial demand for orthopedic extremities surgery and associated devices in the United States. Osteoarthritis, the most common type of arthritis affecting hands, wrists, feet, and ankles, is particularly significant as it often requires surgical intervention when conservative treatments prove ineffective. According to the Centers for Disease Control and Prevention data from October 2021, by 2040, an estimated 78 million (26%) United States adults aged 18 years and older will have doctor-diagnosed arthritis, indicating a growing patient population requiring treatment. The elderly population, which is more susceptible to various bone and joint disorders, continues to expand, further driving the need for effective treatment options.

The burden of joint diseases is particularly evident in specific anatomical areas, with hand and wrist conditions showing notable prevalence. For instance, according to data published by Hand Surgeries Specialists of Texas in March 2021, over 124,000 hand injuries occur in the United States annually, with a significant proportion of the population developing degenerative hand conditions. The impact extends beyond acute injuries to chronic conditions, as one in seven persons in the United States has wrist arthritis, representing nearly 13.6% of the population. Additionally, the prevalence of rheumatoid arthritis affecting the wrist impacts approximately 2.5 million people in the United States, creating a substantial patient population requiring specialized small joint replacement devices for treatment.

Technological Advancements and Growing Demand for Joint Surgeries

The small bone and joint devices market is experiencing significant growth driven by technological innovations in fixation implants, plating systems, and surgical techniques. Manufacturers are developing new and advanced solutions that offer improved patient outcomes and enhanced surgical efficiency. For example, in February 2023, CurvaFix, Inc. introduced its 7.5mm CurvaFix IM Implant, specifically designed to simplify surgery and provide strong, stable fixation in small-boned patients. Similarly, in April 2022, Medline Unite Foot and Ankle launched its Calcaneal Fracture plating system with IM fibula implant, featuring various implant options and new, large, fully threaded headed cannulated screws, demonstrating the industry's commitment to advancing surgical technologies.

The demand for joint surgeries is further amplified by the high incidence of sports-related injuries and workplace accidents. According to the National Safety Council Statistics 2022, sports and recreational injury rates rose 20% in 2021 compared to the previous year, with 3.2 million people requiring emergency department treatment for sports and recreational equipment injuries. The most common sports-related injuries were observed in basketball (259,779 cases), followed by skateboards, scooters, and hoverboards (245,177 cases), and ATVs, mopeds, and minibikes (238,404 cases). These injuries often require surgical intervention using orthopedic trauma devices, particularly for treating ligament tears, cartilage damage, and fractures. The advancement in surgical techniques and technologies has also led to improved outcomes, making these procedures more attractive to patients and healthcare providers. Furthermore, the development of small joint arthroscopy techniques has enhanced the precision and recovery time for such surgeries, contributing to their growing popularity.

Segment Analysis: By Device Type

Hand and Wrist Devices Segment in US Small Bone and Joint Devices Market

The hand and wrist devices segment continues to dominate the US small bone and joint devices market, commanding approximately 74% of the total market share in 2024. This substantial market presence is driven by the high prevalence of hand and wrist injuries in the United States, with over 124,000 hand injuries occurring annually. The segment's dominance is further strengthened by continuous technological advancements in fixation implants, plating systems, and fixation devices. The introduction of innovative products like enhanced ergonomic designs and advanced plating systems that offer improved patient outcomes and reduced procedure time has significantly contributed to maintaining this segment's leading position in the market. Additionally, the increasing adoption of minimally invasive surgical techniques and the rising demand for effective treatment options for degenerative hand and wrist conditions have further solidified this segment's market leadership.

Hand and Wrist Devices Segment Growth in US Small Bone and Joint Devices Market

The hand and wrist devices segment is projected to maintain its growth momentum with an expected CAGR of approximately 6% during the forecast period 2024-2029. This growth trajectory is primarily fueled by the increasing adoption of technologically advanced implants and the rising number of product launches featuring innovative designs and improved functionalities. The segment's growth is further supported by the expanding geriatric population, which is more susceptible to degenerative joint diseases affecting hands and wrists. The development of patient-specific solutions and the integration of advanced materials in device manufacturing are expected to drive innovation in this segment. Moreover, the increasing focus on developing devices that facilitate faster recovery and improved patient outcomes, coupled with the rising demand for minimally invasive surgical procedures, is anticipated to sustain this segment's robust growth rate over the forecast period.

Remaining Segments in US Small Bone and Joint Devices Market by Device Type

The foot and ankle devices segment represents a significant portion of the market, offering comprehensive solutions for various foot and ankle conditions, including trauma, arthritis, and degenerative diseases. This segment continues to evolve with the introduction of new plating systems and innovative fixation technologies designed specifically for complex foot and ankle procedures. The other devices segment, while smaller in market share, plays a crucial role in addressing specific needs in small bone and joint procedures, particularly in areas such as elbow joints and other specialized applications. Both segments benefit from ongoing technological advancements and the increasing focus on developing specialized solutions for specific anatomical requirements, contributing to the overall growth and diversification of the small bone and joint devices market.

Segment Analysis: By Procedure Type

Upper Extremities Segment in US Small Bone and Joint Devices Market

The Upper Extremities segment dominates the US Small Bone and Joint Devices market, commanding approximately 77% of the total market share in 2024. This significant market position is attributed to the high prevalence of hand and wrist injuries, coupled with the increasing adoption of advanced surgical techniques in upper extremity procedures. The segment encompasses various procedures including finger joint fusion, wrist arthroplasty, carpometacarpal procedures, and other upper extremity surgeries. The growth is further supported by continuous technological advancements in surgical devices and implants, particularly in areas such as wrist replacement systems and finger joint fusion technologies. Additionally, the rising incidence of degenerative joint diseases affecting the upper extremities, combined with the growing elderly population requiring such procedures, continues to drive the segment's dominance in the market.

Lower Extremities Segment in US Small Bone and Joint Devices Market

The Lower Extremities segment is emerging as the fastest-growing segment in the US Small Bone and Joint Devices market, projected to grow at approximately 6% CAGR from 2024 to 2029. This accelerated growth is driven by increasing cases of foot and ankle disorders, coupled with the rising demand for minimally invasive surgical procedures. The segment's growth is further propelled by continuous innovations in surgical techniques and device technologies, particularly in areas such as bunionectomy and hammertoe procedures. The introduction of advanced implant materials and designs, coupled with improved surgical outcomes, has significantly enhanced the adoption of lower extremity procedures. Additionally, the increasing focus on sports-related injuries and the growing awareness about foot and ankle health among the general population have contributed to the segment's rapid expansion in the market.

Segment Analysis: By End User

Hospitals Segment in US Small Bone and Joint Devices Market

The hospitals segment has emerged as both the dominant and fastest-growing segment in the US small bone and joint devices market, holding approximately 61% market share in 2024. This commanding position is attributed to hospitals being well-equipped with necessary advanced equipment, infrastructure, and qualified medical staff to effectively manage and perform orthopedic interventions such as small bone and joint procedures. The segment's growth is further bolstered by the significant presence of orthopedic surgeons in hospital settings, with over 2,470 orthopedic surgeons employed at general medical and surgical hospitals across the United States. Strategic developments such as expansions and partnerships by hospitals in orthopedic care continue to strengthen this segment's position. The establishment of new specialty orthopedic hospitals and formation of strategic partnerships between healthcare providers has enhanced the accessibility of orthopedic treatments, including small bone and joint procedures, contributing to the segment's robust performance in the market.

Clinic Segment in US Small Bone and Joint Devices Market

The clinic segment represents a significant portion of the US small bone and joint devices market, demonstrating steady growth through strategic developments and expanding orthopedic care services. Clinics are actively enhancing their service offerings through partnerships with established orthopedic institutes and expanding their presence in various regions. These facilities are increasingly focusing on providing specialized orthopedic care, including procedures involving small bone and joint devices, in outpatient settings. The segment's growth is supported by the rising trend of performing less complex orthopedic procedures in clinic settings, offering patients more convenient and cost-effective treatment options. Clinics are also investing in advanced equipment and recruiting specialized orthopedic professionals to improve their service capabilities. The increasing adoption of minimally invasive procedures and the growing preference for outpatient surgeries have further strengthened the position of clinics in the market.

Remaining Segments in End User Market

The other end users segment, which includes physician offices, specialty centers, ambulatory surgical centers, and medical institutions, plays a vital role in the US small bone and joint devices market. These facilities are increasingly adopting advanced orthopedic technologies and expanding their service offerings through strategic partnerships and collaborations. The segment benefits from the growing trend of performing orthopedic procedures in specialized settings, particularly in ambulatory surgical centers that offer cost-effective alternatives to hospital-based procedures. Medical institutions and specialty centers are also strengthening their positions through partnerships with established orthopedic care providers and investing in advanced equipment and skilled professionals. The segment continues to evolve with the changing healthcare landscape, adapting to patient preferences for specialized care settings and contributing to the overall growth of the small bone and joint devices market.