髋关节矫正器具的全球市场(2022年~2029年)
市场调查报告书
商品编码
1078243

髋关节矫正器具的全球市场(2022年~2029年)

Global Hip Orthosis Market - 2022-2029

出版日期: | 出版商: DataM Intelligence | 英文 181 Pages | 商品交期: 约2个工作天内

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简介目录

本报告提供全球髋关节矫正器具市场调查,提供市场概要,市场规模和预测,趋势,成长要素及课题,客户形势,类型·产品类型·用途·年龄层·终端用户·各地区的分析,新企业简介等资讯。

目录

第1章 全球髋关节矫正器具市场调查手法和范围

  • 调查手法
  • 调查的目的和调查范围

第2章 全球髋关节矫正器具市场:市场定义和概要

第3章 全球髋关节矫正器具市场:摘要整理

  • 各类型的市场明细
  • 各产品类型的市场明细
  • 各用途的市场明细
  • 各年龄层的市场明细
  • 各终端用户的市场明细
  • 各地区的市场明细

第4章 全球髋关节矫正器具市场:市场动态

  • 影响市场的要素
    • 促进因素
    • 阻碍因素
    • 市场机会
    • 影响分析

第5章 全球髋关节矫正器具市场:产业分析

  • 波特的五力分析
  • 供应链分析
  • 法规分析

第6章 全球髋关节矫正器具市场:COVID-19分析

  • 市场的COVID-19影响分析
    • COVID-19前的市场方案
    • 目前COVID-19市场方案
    • COVID-19后或未来方案
  • COVID-19的价格变动
  • 需求与供给的频谱
  • 政府在COVID-19疫情下的市场相关措施
  • 製造商策略性举措
  • 结论

第7章 全球髋关节矫正器具市场:各类型

  • 简介
    • 各类型的市场规模分析,及与前一年同期比较成长分析
    • 各类型各分类市场魅力指数
  • 固定
    • 简介
    • 市场规模分析(2020年~2029年,及2021年~2029年)
  • 穿戴式

第8章 全球髋关节矫正器具市场:各产品类型

  • 简介
    • 各产品类型的市场规模分析,及与前一年同期比较成长分析
    • 各产品类型的市场魅力指数
  • 髋关节外展
    • 简介
    • 市场规模分析(2020年~2029年,及2021年~2029年)
  • 骶髂腰带
  • 疝气腰带
  • 可动阶段

第9章 全球髋关节矫正器具市场:各用途

  • 简介
    • 各用途的市场规模分析,及与前一年同期比较成长分析
    • 各用途的市场魅力指数
  • 髋关节骨折
    • 简介
    • 市场规模分析(2020年~2029年,及2021年~2029年)
  • 髋关节脱位
  • 骨关节炎
  • 先天性髋关节形成不全
  • 外反胯
  • 其他

第10章 全球髋关节矫正器具市场:各年龄层

  • 简介
    • 各年龄层的市场规模分析,及与前一年同期比较成长分析
    • 各年龄层的市场魅力指数
  • 婴儿
    • 简介
    • 市场规模分析(2020年~2029年,及2021年~2029年)
  • 儿童
  • 成人

第11章 全球髋关节矫正器具市场:各终端用户

  • 简介
    • 各终端用户的市场规模分析,及与前一年同期比较成长分析
    • 各终端用户的市场魅力指数
  • 医院
    • 简介
    • 市场规模分析(2020年~2029年,及2021年~2029年)
  • 居家医疗环境
  • 其他

第12章 全球髋关节矫正器具市场:各地区

  • 简介
    • 各地区的市场规模分析(2020年~2029年,及2021年~2029年)
    • 各地区的市场魅力指数
  • 北美
    • 简介
    • 主要地区具体动态
    • 各类型的市场规模分析,及与前一年同期比较成长分析
    • 各产品类型的市场规模分析,及与前一年同期比较成长分析
    • 各用途的市场规模分析,及与前一年同期比较成长分析
    • 各年龄层的市场规模分析,及与前一年同期比较成长分析
    • 各终端用户的市场规模分析,及与前一年同期比较成长分析
    • 各国市场规模分析,及与前一年同期比较成长分析
  • 欧洲
    • 简介
    • 主要地区具体动态
    • 各类型的市场规模分析,及与前一年同期比较成长分析
    • 各产品类型的市场规模分析,及与前一年同期比较成长分析
    • 各用途的市场规模分析,及与前一年同期比较成长分析
    • 各年龄层的市场规模分析,及与前一年同期比较成长分析
    • 各终端用户的市场规模分析,及与前一年同期比较成长分析
    • 各国市场规模分析,及与前一年同期比较成长分析
  • 南美
    • 简介
    • 主要地区具体动态
    • 各类型的市场规模分析,及与前一年同期比较成长分析
    • 各产品类型的市场规模分析,及与前一年同期比较成长分析
    • 各用途的市场规模分析,及与前一年同期比较成长分析
    • 各年龄层的市场规模分析,及与前一年同期比较成长分析
    • 各终端用户的市场规模分析,及与前一年同期比较成长分析
    • 各国市场规模分析,及与前一年同期比较成长分析
  • 亚太地区
    • 简介
    • 主要地区具体动态
    • 各类型的市场规模分析,及与前一年同期比较成长分析
    • 各产品类型的市场规模分析,及与前一年同期比较成长分析
    • 各用途的市场规模分析,及与前一年同期比较成长分析
    • 各年龄层的市场规模分析,及与前一年同期比较成长分析
    • 各终端用户的市场规模分析,及与前一年同期比较成长分析
    • 各国市场规模分析,及与前一年同期比较成长分析
  • 中东和非洲
    • 简介
    • 主要地区具体动态
    • 各类型的市场规模分析,及与前一年同期比较成长分析
    • 各产品类型的市场规模分析,及与前一年同期比较成长分析
    • 各用途的市场规模分析,及与前一年同期比较成长分析
    • 各年龄层的市场规模分析,及与前一年同期比较成长分析
    • 各终端用户的市场规模分析,及与前一年同期比较成长分析

第13章 全球髋关节矫正器具市场:竞争情形

  • 主要的发展与策略
  • 企业占有率分析
  • 产品的基准

第14章 全球髋关节矫正器具市场:企业简介概要

  • DJO Global
    • 企业概要
    • 产品系列·种类
    • 主要亮点
    • 财务概要
  • Restorative Care of America Inc
  • Bauerfiend AG
  • Steeper Group
  • Innovation Rehab Ltd
  • Becher Orthopedic
  • Fillauer
  • Corflex
  • Breg Inc
  • Ossur

第15章 全球髋关节矫正器具市场:DataM

  • 附录
  • 关于本公司·服务
  • 咨询方式
简介目录
Product Code: DMMD5150

Market Overview

The global hip orthosis market size was valued at US$ XX million in 2021 and is estimated to reach US$ XX million by 2029, growing at a CAGR of XX% during the forecast period (2022-2029).

Hip problems primarily affect the hip joint, affecting thigh movement and your capacity to support your body's weight. These illnesses can cause pain and discomfort in many circumstances. A hip/pelvic girdle, thigh cuff, and hip joint are also components of a hip orthosis. The joints are adjustable, allowing for some range of motion. This location of the femoral head in the hip socket allows the ligaments, bone, and surrounding muscles to recover.

Market Dynamics

The increasing prevalence of orthopedic diseases and disorders, greater product affordability and market availability, continuous product commercialization, rising number of sports and accident-related injuries, and growing public awareness of preventive care drive growth in the hip orthosis market.

Safe, effective, and long-lasting method of treating various problems associated with severe hip arthritis will drive the market growth

The use of a hip orthosis has resulted in better health. Patients have found its use extremely beneficial since it aids in the recuperation process. A hip orthosis is a brace used to fix a dislocated hip or after hip replacement surgery to limit excessive motion in the hip, which aids in the healing of the affected portion. Furthermore, it is a safe, effective, and long-lasting method of treating various problems associated with severe hip arthritis.

The geriatric population has the biggest percentage of the world's overall population. This increase in the elderly population is predicted to boost the healthcare business, particularly in developed countries. The elderly population is particularly vulnerable to hip disorders since the likelihood of degenerative diseases, and hip fracture increases with age. Furthermore, with the growing senior population, the hip orthosis is seeing a major increase in demand. Hip problems, hip fractures, and degenerative diseases are becoming more common worldwide, particularly in industrialized and emerging countries.

Technological improvements such as the anterior approach for total hip replacement, an increase in the frequency of musculoskeletal diseases, and an aging population are some of the primary drivers driving the growth of the hip orthosis market. Furthermore, many patients are becoming aware of the benefits of hip orthosis treatment and are opting for it to mitigate the effects of hip dislocation conditions. This move toward hip orthosis therapy is most noticeable in developing countries, and it is likely to open up new growth potential for the industry. Furthermore, healthcare infrastructure in emerging nations is expanding and developing, which is expected to fuel the growth of the hip orthosis market in the upcoming years. Patient demand for hip orthosis is increasing in both developed and emerging economies, owing to their low cost and ease of market entry. Sports and other physical activity can result in musculoskeletal injuries such as sprains, ligament tears, and fractures. As a result, the rising public participation in such activities contributes to the prevalence of these illnesses. Various public-private sports groups and medical professionals are holding conferences, workshops, and symposiums to raise public knowledge about the clinical care of hip injuries.These factors are likely to boost the hip orthosis market.

The hip orthosis treatment is expensive is likely to hamper the market growth

The hip orthosis treatment is more expensive than other options. Furthermore, the device used after the therapy to prevent joints from shifting is expensive, raising the overall cost of the treatment. Several advantages are connected with hip orthosis devices; however, many patients are not financially strong enough to afford such a high cost of therapy and hip orthosis. Furthermore, there is a scarcity of human resources used to produce hip orthosis goods.

COVID-19 Impact Analysis

Various industries experienced serious disruptions in their business operations due to the COVID-19 epidemic. The World Health Organization (WHO) declared the COVID-19 outbreak a Public Health Emergency. As a result, a global lockdown was implemented, and the public and private transportation were halted, resulting in fewer traffic accidents and injuries. Furthermore, scheduled therapies were put on hold to focus on the rapidly expanding number of COVID-19 patients worldwide. All other therapies were halted, resulting in decreased demand for hip orthosis treatment. As a result, the COVID-19 epidemic had a detrimental impact on the hip orthosis industry. COVID-19, in particular, had a negative influence on numerous value chain phases, owing principally to the government's rigorous lockdown imposed in most nations. Many businesses were forced to suspend production as well temporarily. Similarly, supply and distribution networks were disrupted, owing mostly to travel restrictions resulting from the lockdown and a drop in sales activity.

The COVID-19 epidemic also impacted buyer or consumer purchasing capability and behavior. As a result, the hip orthosis market, like other markets, is expected to contract in 2020. However, the economy has begun to recover with ongoing vaccination programs and the government gradually easing lockdown restrictions. A similar trend can be seen in the global hip orthosis market. The annual revenue of the market's seven biggest competitors fell from the fiscal year 2019 to the fiscal year 2020. However, almost all players observed a peak in income collection in FY 2021.

Segment Analysis

The adults segment is expected to grow at the fastest CAGR during the forecast period (2022-2029)

The age group is segmented into infants, children, adults and because of a growth in the older population, the adult sector is expected to grow the fastest during the forecast period. This is because elderly adults are more susceptible to orthopaedic injuries than children. As a result, the number of adults seeking orthosis and prosthetic treatment has skyrocketed. According to World Health Organization,between 2015 and 2050, the share of the world's population aged 60 and up will nearly double, from 12% to 22%.By 2020, the number of persons aged 60 and more will outweigh youngsters under five.By 2050, 80 percent of the elderly will live in low- and middle-income countries.The population is aging at a considerably higher rate than in the past.

Geographical Analysis

North America region holds the largest market share of the global hip orthosis market

North America has the biggest market share for hip orthoses. The increased focus on healthcare, the existence of important companies with a robust distribution network, and a well-established healthcare infrastructure may all be linked to the regional market's rise. As a result of the increased incidence of hip problems in the region, the need for hip orthoses has increased.

In Feb 2016, the innovative design of the Unloader Hip improved patients' mobility by encouraging external rotation and abduction of the femoral head whenever the patient walks. This helps alleviate the pressure on the afflicted joint by distributing the load during heel striking to a less worn section of cartilage. The elegant, lightweight design incorporates Ossur's unique SmartDosing system, allowing patients to customize the fit to their comfort and activity level."Furthermore development made by key players in the advancement of hip orthosis equipments will boost the market in North American region.

Competitive Landscape

The hip orthosis market is a highly competitive presence of local as well as global companies. Some of the key players which are contributing to the growth of the market include Restorative Care of America Inc, DJO Global, Bauerfiend AG, Steeper Group, Innovation Rehab Ltd, Becher Orthopedic, Ossur, Fillauer, Corflex, Breg Inc, among others. The major players are adopting several growth strategies such as product launches, acquisitions, and collaborations, which are contributing to the growth of the hip orthosis market globally. For instance, In July 2021, DJO LLC (US) has renewed its affiliation with USA Lacrosse. DJO has been the Official Sports Brace of USA Lacrosse and the US National Teams since 2017, and the contract has been extended until 2024.

DJO

Overview:

DJO is a global provider of high-quality orthopedic devices, ranking first in the United States among the world's largest such companies in terms of revenue. What distinguishes DJO is its emphasis on the continuum of care.

Product Portfolio:

VersaROM Hip: The DonJoy VersaROM Hip is a low-profile device that provides effective, functional ROM restriction in 15° increments. Easy-to-use abduction/adduction pushbuttons and flexible hip and thigh shells contribute to a personalized fit for greater patient comfort and compliance. The adjustable compression belt with easy-grip pull tabs secures the hip joint, while the cushioned thigh cuff improves alignment. With a universal fit, one brace fits either the right or left hip up to a waist circumference of 54".

Why Purchase the Report?

Visualize the composition of the global hip orthosis market segmentation by type, product type, application, age group, end user, and region highlighting the key commercial assets and players.

Identify commercial opportunities in the global hip orthosis market by analyzing trends and co-development deals.

Excel data sheet with thousands of data points of global hip orthosis market-level 4/5 segmentation.

PDF report with the most relevant analysis cogently put together after exhaustive qualitative interviews and in-depth market study.

Product mapping in excel for the key product of all major market players

The global hip orthosis market report would provide access to an approximately 40+ market data table, 45+ figures, and in the range of 180-200 (approximate) pages.

Target Audience

Service Providers/ Buyers

Industry Investors/Investment Bankers

Education & Research Institutes

Research Professionals

Emerging Companies

Manufacturers

Market Segmentation

Global Hip Orthosis Market- By Type

Fixed Hip Orthosis

Wearable Hip Orthosis

Global Hip Orthosis Market- By Product Type

Hip Abduction

Sacroiliac Belt

Hernia Belt

Range of motion

Global Hip Orthosis Market- By Application

Hip fracture

Hip dislocation

Osteoarthritis

Congenital Dysplasia of the Hip

Coxa Valgum

Others

Global Hip Orthosis Market- By Age Group

Infants

Children

Adults

Global Hip Orthosis Market- By End User

Homecare Settings

Hospitals

Others

Global Hip Orthosis Market- By Region

North America

Europe

Asia-Pacific

Middle East & Africa

South America

Table of Contents

1. Global Hip Orthosis Market Methodology and Scope

  • 1.1. Research Methodology
  • 1.2. Research Objective and Scope of the Report

2. Global Hip Orthosis Market-Market Definition and Overview

3. Global Hip Orthosis Market- Executive Summary

  • 3.1. Market Snippet By Type
  • 3.2. Market snippet By Product Type
  • 3.3. Market snippet By Application
  • 3.4. Market snippet By Age Group
  • 3.5. Market Snippet By End User
  • 3.6. Market Snippet by Region

4. Global Hip Orthosis Market-Market Dynamics

  • 4.1. Market Impacting Factors
    • 4.1.1. Drivers
      • 4.1.1.1. Technological advancement
      • 4.1.1.2. Increasing cases of road accidents
    • 4.1.2. Restraints:
      • 4.1.2.1. High cost of treatment
    • 4.1.3. Opportunity
    • 4.1.4. Impact Analysis

5. Global Hip Orthosis Market- Industry Analysis

  • 5.1. Porter's Five Forces Analysis
  • 5.2. Supply Chain Analysis
  • 5.3. Regulatory Analysis

6. Global Hip Orthosis Market- COVID-19 Analysis

  • 6.1. Analysis of Covid-19 on the Market
    • 6.1.1. Before COVID-19 Market Scenario
    • 6.1.2. Present COVID-19 Market Scenario
    • 6.1.3. After COVID-19 or Future Scenario
  • 6.2. Pricing Dynamics Amid Covid-19
  • 6.3. Demand-Supply Spectrum
  • 6.4. Government Initiatives Related to the Market During Pandemic
  • 6.5. Manufacturers Strategic Initiatives
  • 6.6. Conclusion

7. Global Hip Orthosis Market- By Type

  • 7.1. Introduction
    • 7.1.1. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Type Segment
    • 7.1.2. Market Attractiveness Index, By Type Segment
  • 7.2. Fixed Hip Orthosis*
    • 7.2.1. Introduction
    • 7.2.2. Market Size Analysis, US$ Million, 2020-2029 and Y-o-Y Growth Analysis (%), 2021-2029
  • 7.3. Wearable Hip Orthosis

8. Global Hip Orthosis Market- By Product Type

  • 8.1. Introduction
    • 8.1.1. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Product Type
    • 8.1.2. Market Attractiveness Index, By Product Type
  • 8.2. Hip Abduction*
    • 8.2.1. Introduction
    • 8.2.2. Market Size Analysis, US$ Million, 2020-2029 and Y-o-Y Growth Analysis (%), 2021-2029
  • 8.3. Sacroiliac Belt
  • 8.4. Hernia Belt
  • 8.5. Range of Motion

9. Global Hip Orthosis Market- By Application

  • 9.1. Introduction
    • 9.1.1. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Application
    • 9.1.2. Market Attractiveness Index, By Application
  • 9.2. Hip fracture*
    • 9.2.1. Introduction
    • 9.2.2. Market Size Analysis, US$ Million, 2020-2029 and Y-o-Y Growth Analysis (%), 2021-2029
  • 9.3. Hip dislocation
  • 9.4. Osteoarthritis
  • 9.5. Congenital Dysplasia of the Hip
  • 9.6. Coxa Valgun
  • 9.7. Others

10. Global Hip Orthosis Market- By Age Group

  • 10.1. Introduction
    • 10.1.1. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Age Group
    • 10.1.2. Market Attractiveness Index, By Age Group
  • 10.2. Infants*
    • 10.2.1. Introduction
    • 10.2.2. Market Size Analysis, US$ Million, 2020-2029 and Y-o-Y Growth Analysis (%), 2021-2029
  • 10.3. Children
  • 10.4. Adults

11. Global Hip Orthosis Market- By End User

  • 11.1. Introduction
    • 11.1.1. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User
    • 11.1.2. Market Attractiveness Index, By End User Segment
  • 11.2. Hospital*
    • 11.2.1. Introduction
    • 11.2.2. Market Size Analysis, US$ Million, 2020-2029 and Y-o-Y Growth Analysis (%), 2021-2029
  • 11.3. Homecare Settings
  • 11.4. Others

12. Global Hip Orthosis Market- By Region

  • 12.1. Introduction
    • 12.1.1. Market Size Analysis, US$ Million, 2020-2029 and Y-o-Y Growth Analysis (%), 2021-2029, By Region
    • 12.1.2. Market Attractiveness Index, By Region
  • 12.2. North America
    • 12.2.1. Introduction
    • 12.2.2. Key Region-Specific Dynamics
    • 12.2.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Type
    • 12.2.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Product Type
    • 12.2.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Application
    • 12.2.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Age Group
    • 12.2.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User
    • 12.2.8. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
      • 12.2.8.1. The U.S.
      • 12.2.8.2. Canada
      • 12.2.8.3. Mexico
  • 12.3. Europe
    • 12.3.1. Introduction
    • 12.3.2. Key Region-Specific Dynamics
    • 12.3.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Type
    • 12.3.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Product Type
    • 12.3.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Application
    • 12.3.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Age Group
    • 12.3.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User
    • 12.3.8. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
      • 12.3.8.1. Germany
      • 12.3.8.2. U.K.
      • 12.3.8.3. France
      • 12.3.8.4. Italy
      • 12.3.8.5. Spain
      • 12.3.8.6. Rest of Europe
  • 12.4. South America
    • 12.4.1. Introduction
    • 12.4.2. Key Region-Specific Dynamics
    • 12.4.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Type
    • 12.4.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Product Type
    • 12.4.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Application
    • 12.4.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Age Group
    • 12.4.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User
    • 12.4.8. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
      • 12.4.8.1. Brazil
      • 12.4.8.2. Argentina
      • 12.4.8.3. Rest of South America
  • 12.5. Asia Pacific
    • 12.5.1. Introduction
    • 12.5.2. Key Region-Specific Dynamics
    • 12.5.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Type
    • 12.5.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Product Type
    • 12.5.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Application
    • 12.5.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Age Group
    • 12.5.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User
    • 12.5.8. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
      • 12.5.8.1. China
      • 12.5.8.2. India
      • 12.5.8.3. Japan
      • 12.5.8.4. Australia
      • 12.5.8.5. Rest of Asia Pacific
  • 12.6. Middle East and Africa
    • 12.6.1. Introduction
    • 12.6.2. Key Region-Specific Dynamics
    • 12.6.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Type
    • 12.6.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Product Type
    • 12.6.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Application
    • 12.6.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Age Group
    • 12.6.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End User

13. Global Hip Orthosis Market- Competitive Landscape

  • 13.1. Key Developments and Strategies
  • 13.2. Company Share Analysis
  • 13.3. Product Benchmarking

14. Global Hip Orthosis Market- Company Profiles

  • 14.1. DJO Global*
    • 14.1.1. Company Overview
    • 14.1.2. Product Portfolio and Description
    • 14.1.3. Key Highlights
    • 14.1.4. Financial Overview
  • 14.2. Restorative Care of America Inc
  • 14.3. Bauerfiend AG
  • 14.4. Steeper Group
  • 14.5. Innovation Rehab Ltd
  • 14.6. Becher Orthopedic
  • 14.7. Fillauer
  • 14.8. Corflex
  • 14.9. Breg Inc
  • 14.10. Ossur

LIST NOT EXHAUSTIVE

15. Global Hip Orthosis Market- DataM

  • 15.1. Appendix
  • 15.2. About Us and Services
  • 15.3. Contact Us