Total Knee Replacement Market Size By Product (Primary Knee Replacement Systems, Revision Knee Replacement Systems, Partial Knee Replacement Systems), By Device Type (Three-compartmental Knee Implants, Bicompartmental Knee Implants, Unicompartmental Knee Implants), By Component (Femoral, Tibial, Patellar), By Implant Type (Fixed-Bearing Implants, Mobile-Bearing Implants, Medial Pivot Implants), By Design (Cruciate Retaining, Posterior Stabilized Design), By Surgery Type (Traditional Surgery Type, Technology Assisted Surgery Type) By Fixation Material (Cemented, Cementless, Hybrid), By Material (Metal-on-plastic, Ceramic-on-plastic, Ceramic-on-ceramic, Metal-on-metal), By Polyethylene Inserts (Conventional Polyethylene Inserts, Highly Cross-Linked Polyethylene Inserts, Antioxidant Polyethylene Inserts), By End-use (Hospitals, Ambulatory Surgical Centers), Industry Analysis Report, Regional Outlook, Application Potential, Competitive Market Share & Forecast, 2020 – 2026

Published Date: Nov 2020  |  Report ID: GMI2804  |  Authors: Sumant Ugalmugle, Rupali Swain

Report Format: PDF   |   Pages: 959   |   Base Year: 2019

Summary Table of Contents Industry Coverage Methodology

Industry Trends

Total Knee Replacement Market size valued at USD 9 billion in 2019 and is expected to grow at over 34.7% CAGR from 2020 to 2026. Growing prevalence of knee-related diseases such as osteoarthritis, osteoporosis, psoriatic arthritis, and rheumatoid arthritis has led to increase in number of knee replacement procedures across the globe.

Total Knee Replacement Market

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Rising geriatric population and increasing technological advancements in knee implants has augmented the number total knee replacement surgeries performed each year. Continuously growing infection rate leading to knee revision procedures has also led to increase in knee replacement procedures. Additionally, the awareness pertaining to knee replacement procedures and associated treatments has substantially increased with growing prevalence of knee-related disorders.

The ongoing COVID-19 pandemic is an unprecedented public health concern and has significantly impacted the total knee replacement market with decline in revenue by around 70% between 2019 and 2020. The increase in unemployment rate across the globe has led to a decline in number of people undergoing knee replacement procedures due to unaffordability of the procedures. Several leading market players involved in knee replacement market are experiencing a significant decline in revenue owing to delaying business deals and supply chain disruption. Thus, these players are not able to launch new products for knee replacement procedures. Moreover, the healthcare facilities are witnessing low inflow of patients undergoing knee replacement procedures owing to prevent the exposure to the virus.

Increasing prevalence of arthritis and osteoporosis will be one of the major factors driving the total knee replacement market demand

Increasing prevalence of arthritis and osteoporosis will upsurge the knee replacement surgeries. According to a recently published report, approximately, 200 million women aged above 60 years are affected by osteoporosis every year globally. Changing lifestyle and increase in aging population has resulted in higher prevalence of osteoporosis and will continue to increase in the coming years leading to a greater number of knee fractures and knee pain.

With rise in geriatric population, prevalence of arthritis, specifically knee osteoarthritis, has increased. Patients suffering from knee osteoarthritis find difficulty in walking and performing daily life activities. Thus, such patients require total knee replacement to eliminate the difficulties associated with osteoarthritis. Additionally, changing dietary intake has augmented the number of people suffering from calcium deficiency, thereby leading to weakening of bone and muscles in the body. This factor leads to knee fragilities, augmenting the need for total knee replacement surgeries.

Growing demand and preference for total knee replacement will propel the industry growth

Total Knee Replacement Market

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The primary knee replacement systems valuation was more than USD 7,473 million in 2019 owing to benefits such as pain relief for longer duration and improved functionality in patients with severe arthritis. Growing geriatric population worldwide has led to increase in number of total knee arthroplasty surgeries that have augmented the adoption of primary knee replacement systems.

Increasing prevalence of tricompartmental arthritis will boost the market revenue

The three-compartmental total knee replacement market held majority revenue share of 78% in 2019 due to the increasing number of people suffering from severe tricompartmental knee osteoarthritis resulting in growing number of total knee replacement surgeries. Three-compartmental knee implants assist in relieving pain while restoring the alignment and function of the knee post total knee replacement surgery.

Rising preference for tibial component is expected to augment the market expansion

The tibial component segment is estimated to witness growth of 34.7% during the forecast timeframe impelled by the advantages such as significant long-lasting results and reduced probability of osteolysis. Tibial component also provides intraoperative flexibility to the replaced component post revision replacement surgery.

Increase in demand for mobile-bearing implants will enhance the product adoption

Mobile-bearing implants segment size was around USD 1,297 million in 2019. The significant revenue size of the segment is owing to reduced wear and improved range of motion (ROM) provided by these implants. Mobile-bearing implants are durable and provide better clinical and functional outcomes with improved patient satisfaction.

Advantages offered by posterior stabilized design will fuel the total knee replacement market value

Posterior stabilized design segment is predicted to expand at over 35% through 2026 attributed to the increased range of motion (ROM) provided by the posterior stabilized design. The surgical procedure associated with posterior stabilized design is technically less demanding and provides more stable component interface. In addition, the posterior stabilized designs prevent anterior translation in weight bearing conditions and provide greater flexion to the knees.

Rise in preference for technologically assisted surgery will augment the adoption of knee implants

Technology assisted surgery segment is poised to observe rapid growth of more than 41% till 2026 led by several advantages offered by technology assisted surgeries such as reduced pain and improvement in functionality of patients. In addition, technology assisted surgeries provide accurate and sensor-based guidance during the insertion of knee implants. Moreover, technology assisted surgeries such as computer and robotic-assisted total knee replacement provides soft-tissue balancing to assist the surgeons in conducting efficient knee replacement.

Several applications of ceramic-on-plastic implants will boost the product adoption

Ceramic-on-plastic segment revenue exceeded USD 1,846 million in 2019. Ceramic-on-plastic knee implants are used for the patients that are sensitive to metal implants. Ceramic-on-plastic implant have reduced risk of wear and tear along with very low risk of immune reactions. As per the study conducted by a research article, use of ceramic-on-plastic knee implants reduces the wear rate by almost 50%.

Growing demand for cementless fixation will propel the market growth

Cementless fixation segment held substantial total knee replacement market share of 13.5% and crossed USD 1,212 million revenue in 2019. Cementless fixation of knee implants is strong, long lasting and eliminates the potential complications of bone cement breakdown. Cementless fixation is preferred for the young and active patients owing to ease of revision surgery and shorter operation time.

Increase in adoption of highly cross-linked polyethylene inserts

Highly cross-linked polyethylene inserts segment value was around USD 3,376 million in 2019. According to the recent data published in the Australian Orthopaedic Association National Joint Replacement Surgery, the use of highly cross-linked polyethylene inserts in primary knee replacement procedures increased from 7.1% to 53.9% in the last decade. This significant increase can be credited to the improved wear characteristic of the highly cross-linked polyethylene inserts along with lower risk of dislocation and fracture. Highly cross-linked polyethylene inserts also reduce the risk of osteolysis as compared to the conventional inserts that have high risk.

Availability of advanced facilities will boost the demand for knee replacement in hospitals

The hospital end-use segment in 2019 and was valued at USD 7,311 million. The higher size of the segment is due to the large inflow of patients with orthopedic injuries along with increased knee replacement surgeries conducted in hospitals. Also, presence of skilled healthcare professionals, availability of technologically advanced facilities, rising healthcare expenditure and favorable reimbursement policies in the hospitals will fuel the market growth.

Increasing number of people knee related disorders will impel the U.S. market size expansion


Global Total Knee Replacement Market By Region

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U.S. dominated the North America total knee replacement market with a revenue of more than USD 4,636 million in 2019 on account of the increasing aging population affected with knee joint disorders and growing awareness pertaining to total knee replacement treatments in the country. According to a recently published article, approximately 1 million total knee replacement procedures are performed each year in the country. This high number of knee arthroplasties will lead to increase in demand of knee implants. Growing healthcare expenditure and technological advancements in the country has enhanced the penetration of robot-assisted surgeries. Moreover, favorable reimbursement scenario in the country and presence of well-established market player has further boosted the market growth in the U.S.

UK total knee replacement industry is projected to register over 42.5% growth rate during the forecast period. The significant market growth in UK is owing to rising number of trained healthcare professionals, increasing cases of knee replacements and availability of innovative and advanced treatment facilities in the country. Growing number of geriatric populations in the country has also augmented the demand for total knee replacement procedures.

Execution of several strategic initiatives by major market players will boost the market growth

Some of the major players operational in the total knee replacement market are Amplitude Ortho, B Braun Melsungen AG, ConforMIS, Inc., Corin Group, Johnson & Johnson, DJO Global, Exactech, Inc., Smith & Nephew PLC, and Stryker. These major market players are undertaking several strategic acquisitions, mergers, collaborations and partnerships in order to garner maximum share in the market and strengthen their industrial position. These strategies also assist the company in maintaining a competitive edge. The industry players are also focussing on research and development to launch innovative knee implants.

Recent industry developments:

  • In May 2020, Smith & Nephew PLC announced the launch of JOURNEY II Unicompartmental Knee (UK) System for cost-effective partial knee arthroplasty. The strategic launch will assist the company is expanding their product portfolio and customer base.
  • In March 2019, Exactech Inc., acquired XpandOrtho engaged in manufacturing of soft-tissue balancing instrument that is required in knee replacement procedures. The strategic acquisition assisted the company in enhancing their product portfolio and expanding their customer base.

The total knee replacement market research report includes an in-depth coverage of the industry with estimates & forecast in terms of revenue in USD and in terms of volume in Units from 2015 to 2026, for the following segments:

Market, By Product, 2015-2026 (USD Million and Units)

  • Primary Knee Replacement Systems
  • Revision Knee Replacement Systems
  • Partial Knee Replacement Systems

Market, By Device Type, 2015-2026 (USD Million and Units)

  • Three-compartmental Knee Implants
  • Bicompartmental Knee Implants
  • Unicompartmental Knee Implants

Market, By Component, 2015-2026 (USD Million and Units)

  • Femoral
  • Tibial
  • Patellar

Market, By Implant Type, 2015-2026 (USD Million and Units)

  • Fixed-bearing Implants
  • Mobile-bearing Implants
  • Medial Pivot Implants
  • Others

Market, By Design, 2015-2026 (USD Million and Units)

  • Posterior Stabilized Design
  • Cruciate Retaining
  • Others

Market, By Surgery Type, 2015-2026 (USD Million and Units)

  • Traditional Surgery Type
  • Technology Assisted Surgery Type

Market, By Fixation Material, 2015-2026 (USD Million and Units)

  • Cemented
  • Cementless
  • Hybrid

Market, By Material, 2015-2026 (USD Million and Units)

  • Metal-on-plastic
  • Ceramic-on-plastic
  • Ceramic-on-ceramic
  • Metal-on-metal

Market, By Polyethylene Inserts, 2015-2026 (USD Million and Units)

  • Conventional Polyethylene Inserts
  • Highly Cross-Linked Polyethylene Inserts
  • Antioxidant Polyethylene Inserts

Market, By End-Use, 2015-2026 (USD Million and Units)

  • Hospitals
  • Ambulatory Surgery Centers
  • Others

The above information is provided for the following regions and countries:

  • North America
    • U.S.
    • Canada
  • Europe
    • Germany
    • UK
    • France
    • Spain
    • Italy
    • Russia
    • Belgium
    • Austria
    • Czech Republic
    • Denmark
    • Estonia
    • Finland
    • Greece
    • Hungary
    • Ireland
    • Lithuania
    • Netherlands
    • Norway
    • Poland Portugal
    • Romania
    • Slovenia
    • Sweden
    • Switzerland
    • Turkey
    • Ukraine
  • Asia Pacific
    • China
    • India
    • Japan
    • Australia
    • South Korea
    • Taiwan
    • Indonesia
    • Malaysia
    • New Zealand
    • Philippines
    • Singapore
    • Thailand
  • Latin America
    • Brazil
    • Mexico
    • Argentina
    • Columbia
    • Peru
    • Chile
  • Middle East & Africa
    • South Africa
    • Saudi Arabia
    • UAE
    • Qatar
    • Kuwait
    • Israel

Frequently Asked Questions (FAQ) :

The industry size of total knee replacement was accounted for USD 9 billion in 2019 and is set to grow at over 34.7% CAGR through 2026.
The primary knee replacement systems segment was valued at over USD 7,473 million in 2019 and is poised to experience substantial growth owing to its benefits like pain relief for longer duration coupled with improved functionality in patients with severe arthritis.
Driven by various benefits like significant long-lasting results and reduced probability of osteolysis, the tibial component segment is projected to augment at a 34.7% rate through 2026.
The posterior stabilized design segment is likely to flourish at more than a 35% rate through 2026 propelled by the increased range of motion (ROM) it provides, favoring the market growth.
Some of the major market players are Amplitude Ortho, B Braun Melsungen AG, ConforMIS, Inc., Corin Group, Johnson & Johnson, DJO Global, Exactech, Inc., Smith & Nephew PLC, and Stryker.

Premium Report Details

  • Published Date: Nov 2020
  • Pages: 959
  • Tables: 2474
  • Charts / Figures: 43
  • Companies covered: 15
  • Countries covered: 52

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