Thursday, March 08, 2007


Orthopedics oligopoly

Orthopedic implants (replacement knees, hips, and other joints) are a big and growing business. As surgery gets better and as populations in wealthy countries age, the demand for these devices is growing rapidly, at over 10% a year. As a Wall Street Journal article "Orthopedic Implants Are Hip Bets," 5/6/2006) notes: "Industry projections point to greater demand for years to come, particularly from people under the age of 65. The number of knee replacements - which require less-invasive surgical techniques and shorter recovery periods in the hospital - is expected to jump more than seven times to 3.5 million by 2030 while state-of-the-art hip replacements will rise by 174%,"


And of course, there is an oligopoly in this field. There American companies are the leaders.

  • Zimmer Holdings has a 27% market share  It acquired Swiss company Centerpulse in 2003.
  • Stryker Corp., with a 20% share in the market. The company also sells medical and surgical instruments.
  • Medical giant Johnson & Johnson is also a player in the market through its DuPuy subsidiary with an approximately 20% market share.
  • US company Biomet has about 12% of the market.

That's four companies with an almost 80% worldwide market share.

Hips and knees account for over 90% of the market, but all the companies are looking to both improve their products and range out into other joints.

Justice Department inquiry into price-fixing allegations, but those seems to have subsided after an investigation that seems to have concluded that there was smoke but no fire.


8:50:04 PM    
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