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封面
市场调查报告书
商品编码
2017247

全球整形外科和脊椎医疗设备契约製造市场（2025-2030 年）及 100 家领先供应商概况（第 15 版）

The Worldwide Orthopedic & Spine Contract Manufacturing Market Report 2025-2030 and Top 100 Supplier Profiles, 15th Edition
出版日期: | 出版商: AVICENNE | 英文 460+ Pages, 1000+ Exhibits, 150+ Company Profiles | 商品交期: 最快1-2个工作天内

价格
简介目录

概述：

本报告共460余页，包含1000余张图表，以及150余家公司的简介。该报告详细说明了全球整形外科契约製造市场，并分析了以下细分市场：

  • 锻造：髋关节柄、髋臼杯、股膝关节、胫膝关节、肩关节柄、肩胛盂、LF钢板、LC钢板
  • 铸件：股骨膝关节部分、胫骨膝关节部分、髋臼杯、髋关节柄
  • 髋关节的机械加工和精加工：柄部、杯部、头部、衬垫
  • 膝关节的机械加工与精加工：衬垫、胫骨组件、股骨组件
  • 肩关节的加工和精加工：柄部、肩胛盂腔及其他部件。
  • 脊椎加工与精加工：腰椎通用系统、脊椎板、脊椎螺丝和椎间融合器
  • 创伤治疗组件的机械加工和精加工：钢板、螺丝、髓内钉、髋关节髓内螺丝、髋关节加压螺丝
  • 肢体的机械加工和精加工：脚踏板、脚螺丝、手/腕/肘踏板、手/腕/肘螺丝
  • 器材製造与精加工：髋关节、膝关节、脊椎、创伤、肩关节、四肢
  • 病例与托盘：髋关节、膝关节、脊椎、创伤、肩关节、四肢
  • 涂装：柄、杯、股骨、胫骨组件
  • 陶瓷：股骨头、髋臼衬垫
  • 标记、包装与灭菌：髋关节、膝关节、脊椎、创伤。

本报告也详细介绍并分析了以下几个面向：

  • OEM订单
  • 按所有细分市场和子细分市场提供的服务/产品（数量、价值）划分。
  • 契约製造市场份额及主要企业详情：
    • 植入：Tecomet、Orchid、Jabil、Viant、Precera、Avalign、Marle、Norman Noble、PCC、Paragon、Spitrex 等（提及超过 70 家公司）
    • 设备：Tecomet、Viant、Exalta、Avalign、Autocam Medical、Norwood、Orchid、Precera、Tegra 等（超过 45 家公司）
    • 牙套和托架：Tecomet、Paragon、Viant、Avalign、Exalta、RMS、Veomed 等（超过 20 家公司）
    • 涂料品牌：Lincotek、Orchid、Viant、DOT、APS Materials、Medicoat 等。
    • 陶瓷：Ceramtec、Coorstek、京瓷、Metoxit 等。
    • 3D 列印：Stryker、Zimmer Biomet、Enovis、Adler、Lincotek、Cretex、Avalign；平台：Arcam、EOS、Concept Laser、SLM、3D Systems、Renishaw 等。
    • 包装：Amcor、Oliver、Millstone、Nelipak 等。
    • 灭菌：Steris、Sterigenics、Ionisos 等。
    • 整形外科生物製剂：贺利氏、MTF Biologics、LifeNet Health、Vericel、Evergen、Biocomposites、Tecres、Cerapedics、Bonesupport、Teknimed 等。
  • 各细分市场市占率排名前 100 强的公司
  • 整形外科增材製造市场分析：使用者、供应商、重点产品及预测
  • 机器人技术：基于主要企业和多用户平台的数据进行终端用户市场分析，以及面向首席行销长的机器人组件市场分析。

本报告的主要关注领域：

产品：髋关节、膝关节、脊椎、创伤、四肢、肩关节和骨科生技药品

服务领域—锻造、铸造、机械加工、涂层、包装、灭菌、陶瓷、3D列印—植入、手术器械、箱体和托盘

最新消息：

  • 对整形外科终端用户市场进行全面概述：市场细分、定价、主要企业和策略趋势。
  • ASC（非侵入性手术中心）是如何重振美国市场的？
  • 评估 2024 年和 2025 年的库存调整及其对 2026 年订单积压的影响。
  • 整形外科3D列印：契约製造市场规模、主要企业市场份额和内部生产（包括2030年的预测）
  • 机器人技术：终端用户市场分析（包括来自主要企业和多用户平台的机器人技术数据），以及面向首席行销长的机器人组件市场分析。
  • 四肢、脊椎、创伤和肩部疾病的契约製造：个别评估和成长基准
  • 在主要企业脊椎业务剥离之后，新兴企业及其契约製造有哪些机会和策略倡议？
  • 骨科生物製品，成分分解：骨替代物、生长因子、骨水泥以及主要企业简介
  • 提供前 100 家契约製造（包括被收购公司）的广泛战略信息，并使用 150 家公司的概况进行 SWOT 分析。
  • 分析併购趋势及其对市场的影响。

目录

研究目标和调查方法

摘要与执行摘要

I-整形外科环境

  • 契约製造市场的价值链
  • 整形外科的宏观环境：政治、经济、社会/文化、技术、环境、法律/法规
  • 市场驱动因素
  • 1950年至2050年全球人口成长及65岁以上人口
  • 市场驱动因素
    • 人口统计与经济
    • 整形外科通常较规避风险，很少有颠覆性创新，而有许多小规模的渐进式创新。
    • 创新和新产品驱动市场发展。
    • 具有创新精神的外科医生正在寻找新产品。各国外科医生比例（按类别划分）
  • 市场限制因素
    • 监管与认证
    • 赎回和价格管制
    • MDR（医疗设备法规）：对欧洲的影响
    • 带有基于 MDD 的 CE 标誌的产品有效期约为 5 年，但在 MDD 到期之前，需要提交基于临床支援的 MDR 的检验申请。
    • 欧洲的时尚服饰价格呈现持续下降的趋势。
    • 由于赎回价格的降低并不经常发生，因此从长远来看，它们仍然是可控的。
    • 已开发国家髋关节ASP侵蚀
    • 已开发国家膝关节ASP侵蚀
    • 欧洲髋关节平均价格趋势（2003-2025）：法国、德国、英国、义大利、欧洲平均水平
    • 价格下降预测（2025-2030年）：美国、澳洲、日本、法国
    • 欧洲（欧元）平均医疗保险报销价格趋势，包括各国具体差异。
    • 法规、认证
    • 德国、法国和义大利的联合采购
    • 整形外科销售管道

二、全球整形外科脊椎市场：主要企业、成长驱动因素、阻碍因素及2025-2030年预测

  • 整形外科生态系统
  • 2025年全球整形外科市场（依产品划分）
  • 全球整形外科市场：成长率（2000-2010 年复合年增长率、2010-2015 年复合年增长率、2015-2019 年复合年增长率、2015-2025 年复合年增长率）
  • 2025年全球植入市场（以金额为准）：膝关节、髋关节和脊椎植入物，依地区划分（美国、欧洲及其他地区）
  • 2025 年全球人工膝关节、髋关节和脊椎移植的市场价值（以十亿美元计）。
  • 2025 年全球植入市场（创伤、肩部、四肢）的估计价值（单位：十亿美元）。
  • 按地区分類的髋关节和膝关节相关产品销售额：美国、欧洲、日本、澳洲、韩国、其他地区
  • 每万人和每面积的成长率（2025 年）
  • 2025年全球整形外科市场：竞争格局
  • 2025年全球产品竞争格局：市场份额
  • 三种参与企业
  • 全球髋关节和膝关节市场前四大公司与面临挑战的公司之间的比较：虽然主要公司的成长仍然较为温和，但面临挑战的公司正在以更快的速度成长。
  • 註：剔除史赛克公司后，结果更加清晰。过去十年，三大厂商的业绩基本上持平，而其他竞争对手的年均成长率达到5.2%。
  • 髋关节、膝关节和肩关节领域的竞争对手正经历着高于市场平均的成长：Enovis、Medacta、Corin、FX Solutions、Globus、Alphatec、Depuy Spine 和 Bonesupport。
  • 全球髋关节市占率（2012-2025 年）：除 COVID-19 疫情期间外，竞争对手的市占率持续扩大，并且在 2021 年至 2025 年期间似乎保持稳定。
  • 2012年至2025年全球膝关节市占率：除新冠感染疾病期间外，竞争对手的市占率持续扩大，但在2021年至2025年期间呈现下降趋势。史赛克是唯一一家市占率持续扩大的主要公司，这得益于其在手术机器人系统方面的优势。
  • 脊椎相关产品的全球市占率（2012-2025）：大型公司透过收购竞争对手来限制市场占有率的损失－新兴企业正在经历显着成长。
  • 全球创伤治疗市场份额（2012-2025 年）：不包括 COVID-19感染疾病时期，竞争对手不断扩大市场份额。
  • 儘管竞争对手在 2018 年至 2025 年期间不断扩大市场份额，但 2020 年因 COVID-19 疫情的影响而成为例外。
  • 大型企业与新兴企业：营收复合年增长率、市场份额
  • 大型企业与竞争对手：2025 年展望
  • 竞争对手的成长和重大成长
  • Smith & Nephew 与 ATEC 的比较：每年平均新产品发表数量
  • （不考虑新冠疫情危机）竞争对手公司成长速度快于大型公司的原因
  • 已开发国家髋关节平均售价下降（2012-2025 年）
  • 已开发国家膝关节ASP侵蚀趋势（2012-2025年）
  • 2025年至2030年价格预测下降：美国、澳洲、日本、欧洲
  • 整形外科产品生命週期：髋关节、膝关节、脊椎和四肢关节到 2030 年的成长预测。
  • 2000 年至 2030 年全球整形外科市场预测，涵盖髋关节、膝关节、四肢、肩关节、创伤、脊椎和整形外科生技药品。
  • 摘要：整形外科市场

三、全球整形外科和脊椎契约製造市场、OEM策略、契约製造地位、市场份额及至2030年的预测

  • Zimmer Biomet：主设施详情
  • OEM契约製造策略：Zimmer Biomet
  • OEM契约製造策略：史赛克
  • OEM契约製造策略：DePuy Synthes
  • OEM契约製造策略：史密斯和内普
  • OEM契约製造需求：Medtronic
  • OEM契约製造需求：Globus
  • OEM契约製造需求：竞争对手
  • 契约製造流程和原材料的细分：14 个细分市场和 70 个子细分市场
  • 锻造契约製造市场（2025 年）
  • 锻造契约製造市场依产品划分（2012-2030 年）
  • 2025 年契约製造的市占率：Tecomet、Marle、Precera Medical、Orchid 等。
  • 锻造契约製造市场：原始设备製造商 (OEM) 与供应商之间的关係
  • 铸造契约製造市场（2025 年）
  • 铸造契约製造市场（2012-2030 年，按产品划分）
  • 2025 年契约製造市占率：Orchid、Marle、PCC 等。
  • 铸造契约製造市场：原始设备製造商 (OEM) 与供应商之间的关係
  • 髋关节加工和精加工契约製造市场（2025 年）
  • 髋关节机械加工和精加工契约製造市场（按产品划分）（2012-2030 年）
  • 膝关节加工和精加工契约製造市场（2025 年）
  • 膝关节加工和精加工的契约製造市场（按产品划分）（2012-2030 年）
  • 肩部加工和精加工契约製造市场（2025 年）
  • 肩部加工和精加工的契约製造市场（按产品划分）（2012-2030 年）
  • 脊椎移植加工和精加工的契约製造市场（2025 年）
  • 脊椎移植加工和精加工的契约製造市场（2012-2030 年）
  • 创伤植入加工和精加工的契约製造市场（2025 年）
  • 创伤植入加工和精加工的契约製造市场（2012-2030 年）
  • 肢体植入加工和精加工契约製造市场（2025 年）
  • 肢体植入加工和精加工的契约製造市场（2012-2030 年）
  • 脊椎、创伤、四肢和肩部契约製造市场（2025-2030 年）
  • 参与企业市场占有率：2025 年脊椎、创伤、肢体和肩部损伤的契约製造
  • 哪些类型的整形外科器械用于治疗膝关节、髋关节、脊椎、创伤、肩关节和四肢损伤？
  • 膝关节整形外科器：功能分割
  • 膝关节整形外科器械的分类数量：150-200
  • 髋关节整形外科器材分类：80-150件
  • 脊椎外科手术器械：30-50件 - 脊椎整形外科器械 - 产品细分
  • 创伤治疗工具分类：10-20项
  • 大型原始设备製造商 (OEM) 采用与竞争对手不同的外包策略，竞争对手几乎将所有测量仪器外包出去。
  • 测量仪器生命週期：新的OEM计划会带动测量仪器的生产。如果OEM厂商推迟新计画的推出（例如，在2008年和2011年的经济危机、新冠感染疾病以及2024年至2025年OEM厂商的库存削减期间），测量仪器的产量也会大幅下降。
  • 切割工具：一次性用品的趋势：一次性工具是外科医生的迫切需求。
  • 切割工具：一次性趋势：一次性工具在美国和欧洲迅速成长。
  • 测量设备契约製造市场（2025 年）
  • 按产品分類的测量仪器契约製造市场（2012-2030 年）
  • 2025 年测量仪器契约製造市占率：Exalta、Tecomet、Arch、Jabil 等。
  • 整形外科医师 - 区域首席医疗官计费
  • 美国测量设备契约製造供应商排名：前 10/11 至 30/31 名 - 以及测量设备收入和帐单金额
  • 2025年整形外科机器人市场：MAKO-Stryker、ROSA-Zimmer Biomet、Corin TANVI、Navio-Smith、Mazor-Medtronic、Velys-Depuy Synthes
  • 导航手术与机器人辅助手术的比较
  • Mako 收购 Stryker 重振了整形外科机器人市场，并对外科器械市场产生了重大影响。
  • 整形外科机器人手术：史赛克公司率先进入大众市场，接着是史密斯-内普公司、捷迈生物美公司、戴普公司等。
  • Mako公司用于肩部和脊椎手术的下一代手术机器人：2013-2025年蓝图
  • Zimmer Biomet 与 Rosa蓝图（2013-2025）
  • Smith & Nephew 与 Navio & Cori 的 2015-2025 年蓝图
  • Depuy Synthes 与 Velys蓝图（2018-2025）
  • 对机器人整形外科系统进行详细基准测试：是否基于电脑断层扫描、技术支援等。
  • Mako、Rosa、Velys 基准营运成本/购置成本
  • 机器人辅助手术：美国在机器人手术的使用上遥遥领先。 （2014年至2030年各类机器人手术系统数量）
  • 产品基准：Mako 是临床上经验最丰富的机器人，但其实施成本高。
  • 美国机器人辅助膝关节手术数量（2020-2030）：美国在机器人应用上遥遥领先。膝关节手术是首要目标。
  • 美国境外进行的机器人辅助膝关节手术数量（千例，2020-2030 年）
  • 澳洲一直是整形外科创新技术应用的先驱，尤其是在机器人辅助膝关节手术方面。 （德国、日本和法国的情况）
  • 美国境外机器人辅助手术：2025 年至 2030 年间在美国境外进行的机器人膝关节手术数。
  • 什么是整形外科器盒和矫正托盘？
  • 纸箱和托盘契约製造市场（按产品划分，2012-2030 年）
  • 2025 年箱包和托盘契约製造市场排名前 15 名的公司：Tecomet、VIANT、Orchid 等。
  • 陶瓷契约製造市场（2025 年）
  • 陶瓷契约製造市场（依产品划分）（2012-2030 年）
  • 预计到 2025 年，Ceramtec、Coorstek、京瓷等公司将瓜分陶瓷契约製造市场。
  • 涂层契约製造
  • 涂料契约製造市场（2025 年）
  • 按产品分類的涂料契约製造市场（2012-2030 年）
  • 2025 年涂料契约製造市占率：Orchid、DOT、APS Materials、Lincotek 等。
  • 标记、包装和灭菌－MPS契约製造市场（2025年）
  • 受託製造服务 (MPS) 市场：按产品划分，2012-2030 年
  • 契约製造市场的价值链
  • 2025 年全球整形外科契约製造收入（百万美元）排名前 25 名的公司：捷普医疗、Tecomet、Arch Medical、Paragon、Exalta 等。
  • 主要企业：2017年至2025年主要併购活动
  • Tecomet按地区和客户分類的收入（2019-2025年）
  • 按地区和客户分類的兰花销售情况（2019-2025 年）
  • Viant按地区和客户分類的收入（2019-2025年）
  • Avalign按地区和客户分類的收入（2019-2025年）
  • CMO Leader：提供广泛的服务，包括锻造、铸造、机械加工、涂层、测量仪器、箱子和托盘以及包装。
  • 行销长领导者：Tecomet、Orchid、Viant——优势与劣势
  • 契约製造领域竞争对手排名及分布：前 20 强公司 / 前 21-100 强公司 / 前 101-1000 强以上公司
  • 整形外科器械发票（按地区和参与企业划分）：Jabil、Exalta、Tecomet、Arch、Paragon、Avalign、Norwood、Autocam、Viant
  • 透过收购集中整形外科契约製造业务
  • 契约製造需要更加专注。
  • 外包的增加是所有整形外科相关企业的一个主要趋势。
  • 持续趋势：当有机会向能够保证供应稳定的大型可靠公司销售设备时，就会发生 OEM 设备销售。
  • 德普Synthes - 捷普：出售14家工厂的战略协议：初步蓝图
  • JABIL医疗保健简介
  • OEM工厂出售：Depuy Synthes和Jabil在2019年至2020年的交易产生了重大影响。
  • 外包的增加是整形外科相关企业的一大趋势。
  • 2030年转型为有限责任公司的风险
  • 2025年契约製造价格范围概览
  • 整形外科产品的契约製造市场成长速度快于企业内部生产。然而，在2024年和2025年，主要整形外科公司大幅削减库存导致订单减少，契约製造市场成长放缓。
  • 契约製造市场的扩张速度高于整形外科市场。推动这加速成长的主要因素是：1.整形外科公司外包率不断上升；2. 资本支出减少。
  • 契约製造市场历史收入及预测：2012-2025 年 - 详情：锻造、铸造、3D 打印、髋关节加工和精加工、膝关节加工和精加工、肩关节加工和精加工、脊柱关节加工和精加工、创伤关节加工和精加工、肢体关节加工和精加工、器械加工和精加工、箱体和托盘加工和精加工、陶瓷、涂层、标记、包装、灭菌 - 2012-2025年复合年增长率
  • 契约製造市场历史收入及预测：2025-2030 年 - 详情：锻造、铸造、3D 打印、髋关节加工和精加工、膝关节加工和精加工、肩关节加工和精加工、脊柱关节加工和精加工、创伤关节加工和精加工、肢体关节加工和精加工、器械加工和精加工、箱体和托盘加工和精加工、陶瓷、涂层、标记、包装、灭菌 - 2025-2030年复合年增长率

IV.整形外科中的3D列印

  • 3D列印和整形外科中的小梁结构
  • 3D列印在整形外科的历史
  • Zimmer 与小梁钽的故事
  • Zimmer 骨小梁金属植入
  • 3D 列印製造：技术和主要竞争对手，包括 EOS、SLM Solutions、Concept Laser（GE）和 Arcam（GE）。
  • Arcam EBM在整形外科产业的实施纪录：利马
  • 北京AK医疗实证医学实施记录
  • Armac 的 Implantcast EBM 机器安装底座
  • 代表性金属3D列印系统列印速度与解析度比较：电子束熔化与选择性雷射熔融
  • 史密斯和内普公司利用3D列印技术製作客製化切割块
  • 史赛克3D列印发展历程：史赛克将投资超过4亿美元兴建3D列印製造厂
  • Stryker 目前使用 3D 列印技术生产的产品包括：膝关节、笼式装置等。
  • Depuy Spine 利用 3D 列印技术为复杂的手术器械製作原型。
  • Depuy Synthes 已从 Tissue Regeneration Systems Inc. 收购了 3D 列印技术。
  • XILLOC正在投资颅颚颜面区域的应用。
  • 按客户和供应商分類的整形外科设备供应商，以及已安装设备数量：EOS、ARCAM（GE）、CONCEPT LASER（GE）、SLM Solutions、3D Systems、Trumpf、Renishaw 及其客户
  • 数十家公司提到了他们拥有的3D列印机的数量和型号。
  • 随着3D列印成本的降低，目标市场应该会扩大。成本曲线和复杂度曲线与目标市场密切相关。
  • 积层製造技术对于重组植入来说是一项极具吸引力的技术。
  • 使用 3D 列印技术製造的植入数量：Zimmer Biomet、Lima (Enovis)、Exactech、Adler Ortho
  • 使用 3D 列印技术的医疗设备已获得美国 FDA核准。
  • 3D列印技术已在大众市场广泛应用，并应用于多种主要产品。
  • 目前，3D列印技术对植入的锻造、铸造和机械加工影响甚微。我们的研究表明，史赛克及其竞争对手在3D列印技术的应用方面拥有最先进的技术，尤其是在髋关节杯、胫骨膝关节板和脊椎融合器等领域。
  • 与 PEEK 或钛合金製成的笼子相比，3D 列印的笼子正在获得越来越大的市场份额。
  • 2025年的3D列印
  • 3D列印对植入锻造、铸造和加工的影响。
  • 笼状材料：欧洲五大主要国家 PEEK、钛和 3D 列印的比较。
  • 3D列印是植入契约製造企业的最佳选择吗？对植入、标准笼、特殊笼子和客製化植入的分析：主要企业、产品、优势、驱动因素和阻碍因素。
  • 3D列印是医疗设备契约製造的最佳选择吗？客製化切割导轨和设备的分析。
  • 对 Lincolnek 进行分析，该公司是 3D 列印领域最先进的契约製造公司之一。
  • Lincotek 3D列印活动详情
  • 主要契约製造：3D 列印领域的投资与策略；Tecomet、Orchid、Lincolnek、Marle、C&A Tool、DRT Medical 等众多公司。
  • 包括Orchid、Lincolnek、Marle、Paragon和Norman Noble在内的大多数大型契约製造公司都在投资3D列印技术。各公司的具体策略详情可查阅。
  • 使用 3D 列印技术製造的最常见整形外科产品有：髋臼杯、胫骨膝关节、笼状结构、肩胛盂。
  • 传统製造流程与3D列印製程：成本比较（美元）
  • 主要机器供应商的安装数量趋势：自 2015 年以来，用于整形外科的3D 列印机数量每年增长 25%。 （例如 EOS、ARCAM、Concept Laser、3D Systems、SLM 和 Renishaw。）
  • 3D列印内部製造与契约製造市场：依产品（髋臼杯、膝关节胫骨、肩胛盂、脊椎融合器等）：2015-2030年
  • 按客户分類的内部製造和委託製造市场：Depuy Synthes、Stryker、Smith & Nephew、Zimmer Biomet、Medtronic 等。
  • 2025年3D列印契约製造市场（依供应商划分）
  • 整形外科3D列印：执行摘要

V-Orthobiologics/钴铬合金/ASC

  • 骨替代材料和骨水泥的全球价值链。
  • 合成或天然骨替代物，或同种异体移植，需要满足各种需求，包括可注射替代物和体积较大的同种异体移植。
  • 市面上最好的骨移植材料：注射和抗生素是主要驱动力。
  • 水泥的黏度特性和抗生素含量各不相同。
  • 整形外科水泥中使用抗生素：亟需新型含抗生素水泥
  • 2025年全球整形外科生技药品市场：骨水泥、骨替代物等。
  • 合成或天然骨替代物，或同种异体移植，需要满足各种需求，包括可注射替代物和体积较大的同种异体移植。
  • 市面上最好的骨移植材料：注射和抗生素是主要驱动力。
  • 钴铬合金与欧盟法规 2017/745
  • 钴铬合金目前广泛应用于六大整形外科产品：股膝关节、双动内衬、髋关节和肩关节头、双极杯以及胫膝关节钢板。钴铬合金的使用情况因地区而异。
  • 抗镍、钴等过敏溶液
  • 美国门诊手术中心（ASC）预测

第六部分－外汇波动与关税的影响

第七部分－契约製造竞争排名、前100强公司简介及领导企业的SWOT分析

第八部分 附录

简介目录
Product Code: CM 15-2026

Overview:

This report contains 460+ pages and 1 000+ exhibits and 150+ company profiles. It detailed the worldwide orthopedic Contract Manufacturing market and analysis for the following segments:

  • Forging: Hip stem, hip cup, femoral knee, tibial knee, shoulder stem, shoulder glenoid, LF plates, LC plates
  • Casting: Femoral knee, tibial knee, hip cup, hip stem
  • Hip machining and finishing: Stem, cup, head, liner
  • Knee machining and finishing: Insert, tibial, femoral components
  • Shoulder machining and finishing: Stem, glenoid, other parts
  • Spine machining and finishing: Lumbar Universal Systems, spine plates, spine screws and cages
  • Trauma machining and finishing: Plates, screws, nails, intramedullary hip screws, compression hip screws
  • Extremities machining and finishing: Foot plates, foot screws, hand, wrist & elbow plates, hand, wrist & elbow screws
  • Instrument machining and finishing: Hip, knee, spine, trauma, shoulder, extremities
  • Cases and trays: Hip, knee, spine, trauma, shoulder, extremities
  • Coating: Stem, cup, femoral, tibial components
  • Ceramics: Femoral heads, cup liners
  • Marking, packaging and sterilization: Hip, knee, spine, trauma.

This report provides also details and analysis for the following segments:

  • By OEM orders
  • By services & products offered for all segments & sub-segments (volume, value)
  • By Contract Manufacturing market share & player details:
    • Implants: Tecomet, Orchid, Jabil, Viant, Precera, Avalign, Marle, Norman Noble, PCC, Paragon, Spitrex, etc. (Over 70 companies mentioned)
    • Instruments: Tecomet, Viant, Exalta, Avalign, Autocam Medical, Norwood, Orchid, Precera, Tegra, etc. (45+)
    • Cases & trays: Tecomet, Paragon, Viant, Avalign, Exalta, RMS, Veomed, etc. (20+)
    • Coating: Lincotek, Orchid, Viant, DOT, APS Materials, Medicoat, etc.
    • Ceramics: Ceramtec, Coorstek, Kyocera, Metoxit, etc.
    • 3D Printing: Stryker, Zimmer Biomet, Enovis, Adler, Lincotek, Cretex, Avalign as well as Arcam, EOS, Concept Laser, SLM, 3D Systems, Renishaw, for the platforms, etc.
    • Packaging : Amcor, Oliver, Millstone, Nelipack, etc.
    • Sterilization: Steris, Sterigenics, Ionisos, etc.
    • Orthobiologics: Heraeus, MTF Biologics, LifeNet Health, Vericel, Evergen, Biocomposites, Tecres, Cerapedics, Bonesupport, Teknimed, etc.
  • Top 100 players with market share in each segment
  • Orthopedics Additive Manufacturing market analysis: users, suppliers, products focused on & forecasts
  • Robotics: End-user market analysis, with data from the majors and multi-user platforms & market analysis of robotic components for CMOs

Main report focus area:

Products: hip, knee, spine, trauma, extremities, shoulder and orthobiologics

Services: forging, casting, machining, coating, packaging, sterilization, ceramics & 3D printing Segments: Implants, instruments and cases & trays.

New updates:

  • A Complete overview of the orthopedic end-user market: market segments, prices, players and strategic trends
  • How have ASCs boosted the US market?
  • Assessment of destocking in 2024 and 2025, and its impact on the backlog in 2026
  • 3D printing for orthopedics: contract manufacturing; market shares of key players; and in-house market sizes, with forecasts up to 2030.
  • Robotics: End-user market analysis, with robotics data from the majors and multi-user platforms & market analysis of robotic components for CMOs
  • Extremities, Spine, Trauma and Shoulder contract manufacturing, separate assessment and growth benchmarking
  • Opportunities and strategic moves for challengers and their contract manufacturers after spine divestment by major players?
  • Orthobiologic products, breakdown of components: bone substitutes, growth factors, cements, and profiles of the top players
  • A plethora of strategic information on the top 100 contract manufacturers, including acquired companies, and SWOT analysis with 150 profiles.
  • Analysis of M&A activity and its impact on the market.

Table of Contents

Purpose of the Survey and Methodology

Synopsis & Executive summary

  • Segmentation
  • Worldwide Orthopedic market in 2025: by product & by player
  • Worldwide Orthopedic market in 2025: Majors Vs challengers
  • Worldwide Orthopedic market in 2025: life cycle of orthopedic products and forecasts for 2030
  • Orthopedic Contract Manufacturing value chain
  • Contract Manufacturing market & trends: Forging
  • Contract Manufacturing market & trends: Casting
  • Contract Manufacturing market & trends: Instrument machining
  • Contract Manufacturing market & trends: Instruments is a highly fragmented market
  • Contract Manufacturing market & trends: Coating
  • Contract Manufacturing market & trends: Cases & trays
  • Contract Manufacturing market & trends: Ranking of top players
  • Orthopedic Contract Manufacturing market & trends: Top20, Top 21-100 and top 101 -1 000 distribution of revenues
  • Orthopedic Contract Manufacturing market & trends: consolidation by acquisition- Forecasts by service for 2030
  • The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing
  • Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for hip, knee, knee, shoulder& trauma
  • Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for spine & Additive Manufacturing machines in 2025 and usage forecasts for 2030

I- Orthopedic environment

  • Contract Manufacturing market value chain
  • Orthopedics Macro environment: Political, Economical, social/culture, technological, environment, legal & regulatory
  • Market Drivers
  • Global population growth 1950-2050 and people over 65
  • The market drivers
    • Demographic & Economic
    • Orthopedics is generally risk-averse with few disruptive innovations, many small incremental innovations
    • Innovation and new products pull the market
    • Innovative surgeons are looking for new products, % of the surgeons by category in each type of country
  • The market limiters
    • Regulatory & Certification
    • Reimbursement and pricing regulation
    • MDR (Medical Device Regulation): Impact in Europe
    • A product's CE marked under MDD will remain valid for about 5 years, which will necessitate a mandatory request for validation under MDR, backed up by clinical studies, before the MDD expiry date: details
    • Hip Price trends in Europe show regular decrease
    • Reimbursement price decreases are not frequent; hence they have been manageable over the long term
    • Hip ASP erosion in developed countries
    • Knee ASP erosion in developed countries
    • Hip average price trend in Europe 2003-2025: France, Germany, UK, Italy, Average Europe
    • Price erosion forecast 2025-2030 USA, Australia, Japan, France
    • Reimbursement HIP average price trend in Europe (Euro), including country disparities
    • Regulatory, Certification
    • Group purchasing in Germany, France and Italy
    • The orthopedic sales channels

II- Worldwide orthopedic & spine market; players, drivers & limiters and forecasts 2025 - 2030

  • Orthopedics Ecosystem
  • Worldwide orthopedic markets in 2025 by product
  • The Worldwide orthopedics market: Growth 2000 - 2010 CAGR, 2010 - 2015 CAGR, 2015 - 2019 CAGR & 2015 - 2025 CAGR
  • Worldwide implants market in 2025 by value (BUS$): Knee, hip, spine and by area, USA, Europe, Row
  • Worldwide implants market knee, hip & spine in 2025 by value (BUS$)
  • Worldwide implants market trauma, shoulder & extremities in 2025 by value (BUS$)
  • Hip & Knee sales per area: USA, Europe, Japan, Australia, Korea & Row
  • Ratio for 10,000 inhabitants & growth by area (2025)
  • Worldwide orthopedic market in 2025: competition
  • Worldwide competition by product in 2025: Market share
  • Three types of Challengers competing with the Majors
  • Top 4 vs. Challengers for hip & knee worldwide markets: Majors have small growth while challengers are growing faster
  • Note: If we exclude Stryker, the results are much more revealing: The 3 majors have been flat over 10 years, while the challengers have grown by 5.2% per year
  • Hip, knee & shoulder challengers are growing faster than the market average: Enovis, Medacta, Corin, FX Solutions, Globus, Alphatec, Depuy Spine, Bonesupport
  • Hip worldwide market shares 2012-2025: Challengers gained continuous market share, except during the Covid period, then seem to be stable between 2021 to 2025
  • Knee worldwide market shares 2012-2025: Challengers gained continuously market share, except during the Covid period, then seem decline between 2021 to 2025. Stryker is the only Major to gain market share thanks to its lead in surgical robotic systems
  • Spine worldwide market shares 2012-2025: Majors limit market share losses by buying rivals - Challengers are growing a lot!
  • Trauma worldwide market shares 2012-2025: Challengers gained continuous market share, except the Covid period
  • Challengers have continuously gained market share 2018-2025 - Except in 2020 due to Covid impact
  • Majors Vs Challengers : Revenues CAGR, market shares
  • Majors Vs Challengers: 2025 picture
  • Challengers growing Vs majors
  • Smith & Nephew and ATEC comparison: average new products launched per year
  • Reasons why Challengers are growing faster than Majors (except during Covid crisis)
  • Hip ASP erosion in developed countries 2012-2025
  • Knee ASP erosion in developed countries 2012-2025
  • Forecast Price erosion 2025 -2030: USA, Australia, Japan, Europe
  • The life cycle of orthopedic products: Growth forecasts by 2030 for hip, knee, spine, extremities
  • Worldwide orthopedic market forecasts 2000-2030 for hip, knee, extremities, shoulder, trauma, spine, orthobiologics, etc.
  • Summary: Orthopedic market

III- Worldwide orthopedic & spine Contract Manufacturing market, OEM strategies, Contract Manufacturers position, market share and forecasts to 2030

  • Zimmer Biomet: main facilities details
  • OEM contract manufacturing strategy: Zimmer Biomet
  • OEM contract manufacturing strategy: Stryker
  • OEM contract manufacturing strategy: Depuy Synthes
  • OEM contract manufacturing strategy: Smith & Nephew
  • OEM contract manufacturing needs: Medtronic
  • OEM contract manufacturing needs: Globus
  • OEM contract manufacturing needs: Challengers
  • Contract Manufacturing process segmentation & raw materials: 14 segments & 70 sub-segments
  • Forging Contract Manufacturing market 2025
  • Forging Contract Manufacturing market 2012-2030 by product
  • Forging Contract Manufacturing market share in 2025: Tecomet, Marle, Precera Medical, Orchid, etc.
  • Forging Contract Manufacturing market: OEMs relationships with their suppliers
  • Casting Contract Manufacturing market 2025
  • Casting Contract Manufacturing market 2012-2030 by product
  • Casting Contract Manufacturing market share in 2025: Orchid, Marle, PCC, etc.
  • Casting Contract Manufacturing market: OEMs relationships with their suppliers
  • Hip machining & finishing Contract Manufacturing market 2025
  • Hip machining & finishing Contract Manufacturing market 2012-2030 by product
  • Knee machining & finishing Contract Manufacturing market 2025
  • Knee machining & finishing Contract Manufacturing market 2012-2030 by product
  • Shoulder machining & finishing Contract Manufacturing market 2025
  • Shoulder machining & finishing Contract Manufacturing market 2012-2030 by product
  • Spine implants machining & finishing Contract Manufacturing market 2025
  • Spine implants machining & finishing Contract Manufacturing market 2012-2030
  • Trauma implants machining & finishing Contract Manufacturing market 2025
  • Trauma implants machining & finishing Contract Manufacturing market 2012-2030
  • Extremities implants machining & finishing Contract Manufacturing market 2025
  • Extremities implants machining & finishing Contract Manufacturing market 2012-2030
  • Spine, Trauma, Extremities & Shoulder Contract Manufacturing market 2025-2030
  • Player market shares: Spine, Trauma, Extremities & Shoulder contract manufacturing in 2025
  • What are orthopedic instruments for knee, hip, spine, trauma, shoulder & extremities?
  • Knee orthopedic instruments: functional segmentation
  • Knee orthopedic instrument segmentation: 150 to 200 pieces
  • Hip orthopedic instrument segmentation: 80 to 150 pieces
  • Spine instruments: 30 to 50 pieces - Spine orthopedic instruments - product segmentation
  • Trauma instruments segmentation: 10 to 20 pieces
  • The Major OEMs have a different outsourcing strategy Vs the challengers. The challengers outsource almost all their instruments
  • Instruments life cycle: New OEM projects lead to instruments set manufacturing. When an OEM postpones the launch of its new projects (for example during the 2008 & 2011 crisis, during Covid 19 & OEMs destocking period 2024-2025), it also drastically reduces its instruments manufacturing
  • Cutting tools: Single-use trend: Single-use is a pressing demand from surgeons
  • Cutting tools: Single-use trend: Single-use is growing rapidly in the US and Europe
  • Instruments Contract Manufacturing market 2025
  • Instruments Contract Manufacturing market 2012-2030 by product
  • Instruments Contract Manufacturing market share in 2025: Exalta, Tecomet, Arch, Jabil, etc.
  • Orthopedic instrument players - Billing of CMOs by geographical area
  • Ranking of instrument contract manufacturing suppliers: Top 10 / Top 11-30 / From 31 to - & Revenues from instruments and US billings
  • Orthopedic robotic market in 2025: MAKO - Stryker, ROSA - Zimmer Biomet, Corin TANVI, Navio - Smith, Mazor - Medtronic and Velys - Depuy Synthes
  • Navigation Vs robotic assisted surgery
  • Mako's acquisition by Stryker boosted the orthopedic robotic market and have a huge impact on instruments market
  • Orthopedic robotics surgeries: Stryker open the mass market, Smith & Nephew, Zimmer Biomet, Depuy and many others have followed
  • New generations of Mako for shoulder and spine surgery planned for the coming years - Roadmap 2013-2025
  • Zimmer Biomet with Rosa roadmap 2013-2025
  • Smith & Nephew with Navio & Cori roadmap 2015-2025
  • Depuy Synthes with Velys roadmap 2018-2025
  • Robotic orthopedic system benchmark in detail: CT scan based or not, technical support, etc.
  • Mako, Rosa, Velys and Cori benchmark Operating cost / Acquisition cost
  • Robotic assisted surgeries: USA is by far the leading country for Robotics usage. 2014-2030 procedures by robotic systems
  • Product benchmarking: Mako is the robot with the most extensive clinical track record, but the acquisition cost is high
  • US knee robotic-assisted surgeries 2020-2030 in units: the USA is by far the leading country for robotics usage. Knee surgery is the first target
  • Outside US knee surgeries performed with robotics (in K units & 2020-2030)
  • Australia was always a pioneer in the use of innovations in orthopedics especially for knee robotic-assisted surgeries. Germany and Japan and France situations
  • Robotic-assisted surgeries outside the US: Between 2025 and 2030, the number of robotic knee operations outside the USA
  • What are orthopedic cases & trays?
  • Cases & trays Contract Manufacturing market 2012-2030 by product
  • Cases & trays Contract Manufacturing top 15 market share in 2025: Tecomet, VIANT, Orchid, etc.
  • Ceramics Contract Manufacturing market 2025
  • Ceramics Contract Manufacturing market 2012-2030 by product
  • Ceramics Contract Manufacturing market share in 2025: Ceramtec, Coorstek, Kyocera , etc.
  • Coating Contract Manufacturing
  • Coating Contract Manufacturing market 2025
  • Coating Contract Manufacturing market 2012-2030 by product
  • Coating Contract Manufacturing market share in 2025: Orchid, DOT, APS Materials, Lincotek, etc.
  • Marking Packaging & Sterilization -MPS Contract Manufacturing market 2025
  • MPS- Contract Manufacturing market 2012-2030 by product
  • Contract Manufacturing market value chain
  • Contract Manufacturers worldwide orthopedics revenues in 2025 (in MUS$) - The Top 25: Jabil Healthcare, Tecomet, Arch Medical, Paragon, Exalta, etc.
  • CMO top players: 2017-2025 main M&A activity
  • Tecomet revenues by area and by customers 2019-2025
  • Orchid revenues by area and by customers 2019-2025
  • Viant revenues by area and by customers 2019-2025
  • Avalign revenues by area and by customers 2019-2025
  • CMOs leader: presence in different services: forging, casting, machining, coating, instruments, cases & trays, and packaging
  • CMOs leader: Tecomet, Orchid and Viant - Strengths & Weaknesses
  • Contract Manufacturing competitor ranking & dispersion: Top20 / Top 21-100 / Top 101 to >1,000
  • Billing for Orthopedic instruments by geographical area and by players: Jabil, Exalta, Tecomet, Arch, Paragon, Avalign, Norwood, Autocam, Viant
  • Orthopedic Contract Manufacturing concentration by acquisition
  • Contract Manufacturing industry needs more concentration
  • More outsourcing is a heavy trend for all the orthopedic companies: Outsourcing rate
  • Continuous trend: OEM facility disinvestments occur when there are opportunities to sell to a large and reliable player, who can guarantee supply security
  • Depuy Synthes - Jabil: strategic deal to disinvest 14 facilities: initial road map
  • JABIL Healthcare profile
  • OEM facility disinvestments: huge impact of Depuy Synthes - Jabil deal for 2019-2020
  • More outsourcing is a heavy trend for all the orthopedic companies
  • The risk of moving to LLC by 2030
  • Contract Manufacturing price range dashboard in 2025
  • Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing: In 2024 & 2025 significant destocking by major orthopedic companies have reduced orders and slow the growth of the contract manufacturing market.
  • Contract Manufacturing market is growing at a higher rate than the orthopedic market: Main drivers for this faster growth: 1- Growth in orthopedic company outsourcing rate 2- Facility disinvestments
  • Contract Manufacturing market historical revenues & forecasts (MUS$): 2012-2025 - In details: forging, casting, 3D Printing, hip machining & finishing, knee machining & finishing, shoulder machining & finishing, spine machining & finishing, trauma machining & finishing, extremities machining & finishing, instrument machining & finishing, cases & trays machining & finishing, ceramics, coating, marking, packaging and sterilization - CAGR 2012-2025
  • Contract Manufacturing market historical revenues & forecasts (MUS$): 2025-2030 - In details: forging, casting, 3D Printing, hip machining & finishing, knee machining & finishing, shoulder machining & finishing, spine machining & finishing, trauma machining & finishing, extremities machining & finishing, instrument machining & finishing, cases & trays machining & finishing, ceramics, coating, marking, packaging and sterilization - CAGR 2025-2030

IV- 3D Printing in Orthopedics

  • 3D Printing & Trabecular in Orthopedics
  • 3D Printing history in Orthopedics
  • Story of Zimmer and Trabecular Tantalum
  • Zimmer, Trabecular Metal related implants
  • 3D Printing Manufacturing: Technologies and major competitors, EOS, SLM Solutions, Concept Laser (GE), Arcam (GE), etc.
  • Arcam EBM installed base for orthopedic industry: Lima
  • Beijing AK MEDICAL EBM Installed base
  • Implantcast EBM machines Installed base from Arcam
  • Illustrative build-up speed and resolution of selected Metal 3D Printing systems: EBM Vs Selective Laser Melting
  • Smith & Nephew usage of 3D Printing for customized cutting blocks
  • Stryker's History of 3D Printing: STRYKER, to build a 3D printing manufacturing facility for more than $400 million
  • Stryker's current products made by 3D printing: Knee, cages, etc.
  • Depuy Spine usage of 3D Printing for prototyping of complex surgical tools
  • Depuy Synthes has acquired 3D Printing technology from Tissue Regeneration Systems Inc.
  • XILLOC invested usage for Cranio-Maxillofacial applications
  • Equipment suppliers for Orthopedics, Installed base per customer and per supplier: EOS, ARCAM (GE), CONCEPT LASER (GE), SLM Solutions, 3D Systems, Trumpf, Renishaw and their customers
  • Dozens of companies mentioned the number of 3D printing machines and type of machines
  • Addressable market should increase with lower 3D Printing cost: cost and complexity curve linked with addressable market
  • Additive Manufacturing is attractive for reconstructive implants
  • Number of implants produced using 3D Printing: Zimmer Biomet, Lima (Enovis), Exactech, Adler Ortho
  • FDA clearance for medical devices using 3D Printing in USA
  • 3D Printing has reached the mass market for a few key products
  • 3D Printing today has a slight impact on the forging, casting & machining of implants. Our research shows that Stryker and challengers are most advanced in the use of 3D printing, particularly for hip cups, tibial knee plates and spinal cages.
  • 3D printing cages are gaining in market share over Peek and Titanium cages.
  • 3D Printing in 2025
  • 3D Printing impact on forging, casting & machining of implants
  • Cages Raw Materials in the five main European countries: Peek, Titanium Vs 3D Printing
  • Is 3D Printing the right option for the implant Contract Manufacturing business? Analysis for implants, standard cages, special cages and customized implants: players, products, benefits, drivers and limiters
  • Is 3D Printing the right option for the instruments Contract Manufacturing business? Analysis of customized cutting guides and instruments
  • Analysis of one of the most advanced Contract Manufacturers in 3D Printing: Lincotek
  • Lincotek 3D Printing activities in details
  • Major Contract Manufacturers: 3D Printing investments and strategies; Tecomet, Orchid, Lincotek, Marle, C&A Tool, DRT Medical and many others
  • Most large contract manufacturers are investing in 3D printing; Orchid, Lincotek, Marle, Paragon, Norman Noble and many others: detail of strategy of each
  • The most manufactured orthopedic products by 3D Printing: cups, tibial knee, cages, shoulder glenoid,
  • Standard manufacturing process Vs 3D Printing process: cost comparison in US$
  • Trend of the installed bases of the main machine suppliers: the number of 3D Printing machines used in orthopedics has grown by 25% per year since 2015: EOS, ARCAM, Concept Laser, 3D Systems, SLM, Renishaw, etc.
  • 3D Printing In-house & Contract Manufacturing market: by products (hip cup, knee tibial, shoulder glenoid, spine cage, etc.) : 2015-2030
  • In-house and contract manufacturing market by customer: Depuy Synthes, Stryker, Smith & Nephew, Zimmer Biomet, Medtronic, etc.
  • 3D printing contract manufacturing market by supplier in 2025
  • 3D Printing for orthopedics: Executive summary

V- Orthobiologics / Cobalt Chrome / ASC

  • The global value chain of bone substitutes & cements
  • Synthetic or natural bone substitutes, allografts, must satisfy many needs: injectable substitutes or more abundant allografts
  • Top bone grafts on the market: injectables and antibiotics are the main drivers
  • Cement comes with various viscosity characteristics and antibiotic content
  • Use of antibiotics for orthopedic cements: Need for cements with new antibiotics
  • Worldwide Orthobiologic markets in 2025: cements, bone substitutes, etc.
  • Synthetic or natural bone substitutes, allografts, must satisfy many needs: injectable substitutes or more abundant allografts
  • Top bone grafts on the market: injectables and antibiotics are the main drivers
  • Cobalt-Chrome & EU Regulation 2017/745
  • Cobalt-Chrome is used today in 6 major orthopedic products: femoral knee, dual mobility liner, hip and shoulder heads, bipolar cups and tibial knee plates. The use of Co-Cr varies depending on the geographical area
  • Anti-allergic solutions against nickel, cobalt, etc.
  • Ambulatory Surgery Center - ASC forecast in the USA

VI- FX rate variation & Impact of Tariffs

  • FX rate variation from January 2018 to December 2025
  • Impact of exchange rate fluctuations on the major orthopedic companies: The Majors are impacted in terms of their revenues in Europe! Production will tend to relocate within Europe or to ROW
  • Impact of exchange rate fluctuations on orthopedic Contract Manufacturers: Majors CMO are negatively impacted on their share of sales in Europe
  • Impact of Tariffs
  • Worldwide orthopedic market forecasts
  • Opportunities and risks for orthopedic end-user market
  • Opportunities and risks for orthopedic contract manufacturing
  • Summary: Orthopedic market
  • Summary: orthopedic Contract Manufacturing market

VII- Contract manufacturing competitor ranking, Top 100 profiles and SWOT analysis of the leaders

VIII- Appendices