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市场调查报告书
商品编码
1577588

全球股骨假体市场

Femoral Prostheses
出版日期: | 出版商: Global Industry Analysts, Inc. | 英文 118 Pages | 商品交期: 最快1-2个工作天内

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简介目录

预计到 2030 年全球股骨假体市场将达到 44 亿美元

2023年全球股骨假体市场预计为34亿美元，预计到2030年将达到44亿美元，2023-2030年分析期间复合年增长率为3.9%。股骨头是本报告分析的细分市场之一，预计复合年增长率为 4.1%，到分析期结束时将达到 32 亿美元。在分析期间，股骨柄段的成长率估计为 3.4% 的复合年增长率。

美国市场预估为8.855亿美元，中国预期复合年增长率为3.8%

预计 2023 年美国股骨假体市场规模将达到 8.855 亿美元。中国作为世界第二大经济体，预计2023年至2030年复合年增长率为3.8%，预计2030年市场规模将达到7.076亿美元。其他值得注意的区域市场包括日本和加拿大，在分析期间预计复合年增长率分别为 3.7% 和 3.2%。在欧洲，德国的复合年增长率预计为 3.5%。

全球股骨假体市场 - 主要趋势和驱动因素总结

什么是股骨假整形外科？

股骨假体是一种人工植入，旨在取代受损或患病的股骨，常用于全髋置换术(THA) 和部分髋置换术等手术中。这些人工关节旨在透过更换股骨头或在某些情况下更换整个股骨干来恢復髋关节的功能。患有严重骨关节炎、骨折或退化性关节疾病的患者通常需要股骨假体来恢復活动能力并减轻疼痛。人工关节通常由生物相容性材料製成，如钛、钴铬合金和陶瓷，以确保耐用性和与身体的融合。随着全球人口老化的持续增长，对人工关节的需求不断增加，而关节假体是最受欢迎的整形外科干预措施之一，对于改善严重关节疾病患者的生活品质至关重要。

技术进步如何影响股骨假体的发展？

最近的创新显着改善了股骨假体的设计和性能。 3D 列印和积层製造技术使得能够根据每位患者的解剖结构生产高度客製化的植入。这些进步确保了更好的贴合性和更高的动态相容性，从而实现更有效的恢復和更长的植入。另一个重大进展是开发了具有亲和性涂层（例如羟磷石灰）的人造牙齿，它可以促进骨骼生长和骨整合。这减少了植入鬆动的可能性，这是修復手术的常见原因。此外，模组化股骨假体可让外科医生在手术过程中调整植入零件，提高灵活性和客製化，优化患者治疗效果。这些技术不仅提高了手术精度，还有助于缩短恢復时间并改善长期效果，减少翻修手术和重新置换的需要。

为什么监管标准和医疗保健政策对于股骨假体市场的成长至关重要？

监管核准和医疗保健政策是推动股骨假体市场成长的关键因素。美国食品药物管理局(FDA) 和欧洲药品管理局 (EMA) 等监管机构对核准医疗设备（包括股骨假体）有严格的指导方针。这些法规确保植入符合最高的安全性和有效性标准，保护病患的安全。此外，医疗保健报销政策的变化正在影响市场动态。随着政府和保险公司认识到与成功的关节重建相关的增加活动能力和降低医疗费用的价值，先进股骨假体的覆盖范围变得越来越重要。这鼓励医院和诊所采用最新的技术和程序，推动市场成长。这些法律规范和医疗改革不仅改善了患者获得高品质股骨假体的机会，也为製造商提供了开发和推出符合严格全球标准的创新产品的机会。

是什么推动了股骨关节置换术市场的成长？

股骨假体市场的成长主要受到多种因素的推动，例如医疗技术的进步、人口老化导致的需求增加以及人们对整形外科健康意识的提高。骨关节炎、骨质疏鬆症和创伤的盛行率不断增加，特别是在老年人中，是一个促成因素。随着预期寿命的延长，对耐用且可靠的股骨假体的需求变得显而易见。技术进步，例如开发更俱生物相容性的材料以及透过 3D 列印开发个人化植入，也透过改善患者治疗效果和缩短恢復时间在市场扩张中发挥关键作用。此外，随着年龄的增长，消费者保持积极生活方式的行为正在发生变化，越来越多地接受手术干预治疗关节问题。医疗保健支出的增加，尤其是在新兴国家，加上医疗保健基础设施的扩大，进一步推动了对股骨假体的需求。最后，有利的法规环境和支持性医疗保健政策继续推动成长。这是因为它确保了新的和创新的义肢解决方案稳步引入市场，使患者和医疗保健提供者受益。

受访企业举例（共34家）

  • Altimed JSC
  • Amplitude Surgical
  • Corentec Co., Ltd.
  • Corin Group PLC
  • Exactech, Inc.
  • Lepu Medical Technology（Beijing）Co., Ltd.
  • Medacta International
  • Meril Life Sciences Pvt., Ltd.
  • Normmed Medikal ve Makina San. Tic. Ltd. Sti.
  • Ortho Development Corporation

目录

第一章调查方法

第 2 章执行摘要

  • 市场概况
  • 主要企业
  • 市场趋势和驱动因素
  • 全球市场展望

第三章市场分析

  • 美国
  • 加拿大
  • 日本
  • 中国
  • 欧洲
  • 法国
  • 德国
  • 义大利
  • 英国
  • 其他欧洲国家
  • 亚太地区
  • 其他领域

第四章 比赛

简介目录
Product Code: MCP24466

Global Femoral Prostheses Market to Reach US$4.4 Billion by 2030

The global market for Femoral Prostheses estimated at US$3.4 Billion in the year 2023, is expected to reach US$4.4 Billion by 2030, growing at a CAGR of 3.9% over the analysis period 2023-2030. Femoral Heads, one of the segments analyzed in the report, is expected to record a 4.1% CAGR and reach US$3.2 Billion by the end of the analysis period. Growth in the Femoral Stems segment is estimated at 3.4% CAGR over the analysis period.

The U.S. Market is Estimated at US$885.5 Million While China is Forecast to Grow at 3.8% CAGR

The Femoral Prostheses market in the U.S. is estimated at US$885.5 Million in the year 2023. China, the world's second largest economy, is forecast to reach a projected market size of US$707.6 Million by the year 2030 trailing a CAGR of 3.8% over the analysis period 2023-2030. Among the other noteworthy geographic markets are Japan and Canada, each forecast to grow at a CAGR of 3.7% and 3.2% respectively over the analysis period. Within Europe, Germany is forecast to grow at approximately 3.5% CAGR.

Global Femoral Prostheses Market - Key Trends & Drivers Summarized

What Are Femoral Prostheses and Why Are They Vital in Orthopedic Surgery?

Femoral prostheses are artificial implants designed to replace damaged or diseased femoral bones, commonly used in procedures like total hip arthroplasty (THA) or partial hip replacements. These prosthetic devices are engineered to restore the functionality of the hip joint by replacing the femoral head and, in some cases, the entire femoral shaft. Patients suffering from severe osteoarthritis, fractures, or degenerative joint diseases often require femoral prostheses to regain mobility and reduce pain. Prostheses are typically made from biocompatible materials such as titanium, cobalt-chromium alloys, and ceramic, ensuring durability and integration with the body. As the aging population continues to grow globally, the need for femoral prostheses is increasing, making them a cornerstone in orthopedic interventions aimed at improving the quality of life for those with severe joint impairments.

How Are Technological Advances Shaping the Development of Femoral Prostheses?

Recent technological innovations have significantly enhanced the design and performance of femoral prostheses. 3D printing and additive manufacturing techniques have enabled the production of highly customized implants tailored to the specific anatomy of each patient. These advancements ensure a better fit and improved biomechanical compatibility, which translates into more efficient recovery and longer-lasting implants. Another major breakthrough is the development of prostheses with enhanced biocompatibility coatings, such as hydroxyapatite, which promotes bone growth and osseointegration. This reduces the likelihood of implant loosening, a common cause of revision surgeries. Furthermore, modular femoral prostheses, which allow surgeons to adjust the implant’s components during surgery, provide greater flexibility and customization, optimizing patient outcomes. These technologies not only improve surgical precision but also contribute to faster recovery times and better long-term results, reducing the need for follow-up surgeries and revisions.

Why Are Regulatory Standards and Healthcare Policies Essential for the Growth of the Femoral Prostheses Market?

Regulatory approvals and healthcare policies are critical drivers of growth in the femoral prostheses market. Regulatory agencies, such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA), have stringent guidelines for the approval of medical devices, including femoral prostheses. These regulations ensure that the implants meet the highest standards of safety and efficacy, providing a safeguard for patients. Additionally, changes in healthcare reimbursement policies are influencing market dynamics. As governments and insurance providers recognize the value of improved mobility and reduced healthcare costs associated with successful joint replacement surgeries, there is a growing emphasis on providing coverage for advanced femoral prostheses. This encourages hospitals and clinics to adopt the latest technologies and procedures, thereby fostering growth in the market. These regulatory frameworks and healthcare reforms not only enhance patient access to high-quality femoral prostheses but also create opportunities for manufacturers to develop and launch innovative products that meet rigorous global standards.

What Is Fueling the Growth of the Femoral Prostheses Market?

The growth in the femoral prostheses market is driven by several factors, primarily centered around advancements in medical technology, rising demand from an aging population, and increasing awareness of orthopedic health. One key driver is the global surge in hip replacement surgeries, which is in part due to the growing prevalence of osteoarthritis, osteoporosis, and trauma-related injuries, especially among the elderly. As life expectancy increases, the need for durable and reliable femoral prostheses becomes more pronounced. Technological advancements, such as the development of more biocompatible materials and personalized implants through 3D printing, have also played a crucial role in market expansion by improving patient outcomes and reducing recovery time. Furthermore, consumer behavior has shifted towards a higher acceptance of surgical interventions for joint problems, as individuals seek to maintain an active lifestyle well into old age. Increasing healthcare expenditure, particularly in emerging economies, combined with the expansion of healthcare infrastructure, is further propelling the demand for femoral prostheses. Lastly, favorable regulatory environments and supportive healthcare policies continue to drive growth, as they ensure a steady introduction of new, innovative prosthetic solutions into the market, benefiting both patients and healthcare providers alike.

Select Competitors (Total 34 Featured) -

  • Altimed JSC
  • Amplitude Surgical
  • Corentec Co., Ltd.
  • Corin Group PLC
  • Exactech, Inc.
  • Lepu Medical Technology (Beijing) Co., Ltd.
  • Medacta International
  • Meril Life Sciences Pvt., Ltd.
  • Normmed Medikal ve Makina San. Tic. Ltd. Sti.
  • Ortho Development Corporation

TABLE OF CONTENTS

I. METHODOLOGY

II. EXECUTIVE SUMMARY

  • 1. MARKET OVERVIEW
    • Influencer Market Insights
    • World Market Trajectories
    • Impact of Covid-19 and a Looming Global Recession
    • Femoral Prostheses - Global Key Competitors Percentage Market Share in 2024 (E)
    • Competitive Market Presence - Strong/Active/Niche/Trivial for Players Worldwide in 2024 (E)
  • 2. FOCUS ON SELECT PLAYERS
  • 3. MARKET TRENDS & DRIVERS
    • Rising Incidence of Osteoarthritis and Hip Fractures Globally Throws the Spotlight on the Need for Femoral Prostheses
    • Aging Population Worldwide Spurs Significant Demand for Femoral Prostheses in Joint Replacement Surgeries
    • Technological Advancements in Prosthetic Materials Strengthens the Business Case for Durable and Long-Lasting Femoral Prostheses
    • Shift Towards Minimally Invasive Surgical Techniques Drives Adoption of Advanced Femoral Prostheses
    • Increasing Healthcare Spending in Emerging Markets Expands the Addressable Market Opportunity for Femoral Prostheses
    • Growing Popularity of Cementless Prostheses Propels Growth in Demand for Innovative Femoral Prosthesis Designs
    • Integration of 3D Printing and Customization Technologies Generates New Opportunities for Personalized Femoral Prostheses
    • Rising Focus on Post-Surgery Mobility and Patient Outcomes Sustains Demand for High-Performance Femoral Prostheses
    • Advancements in Biocompatible Coatings for Femoral Prostheses Drive Demand for Enhanced Bone Integration
    • Growing Adoption of Robotic-Assisted Hip Replacement Surgery Strengthens the Business Case for Precision Femoral Prostheses
    • Increasing Prevalence of Hip Dysplasia and Other Congenital Conditions Accelerates Demand for Pediatric Femoral Prostheses
  • 4. GLOBAL MARKET PERSPECTIVE
    • TABLE 1: World Femoral Prostheses Market Analysis of Annual Sales in US$ Million for Years 2014 through 2030
    • TABLE 2: World Recent Past, Current & Future Analysis for Femoral Prostheses by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 3: World Historic Review for Femoral Prostheses by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 4: World 16-Year Perspective for Femoral Prostheses by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets for Years 2014, 2024 & 2030
    • TABLE 5: World Recent Past, Current & Future Analysis for Femoral Heads by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 6: World Historic Review for Femoral Heads by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 7: World 16-Year Perspective for Femoral Heads by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030
    • TABLE 8: World Recent Past, Current & Future Analysis for Femoral Stems by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 9: World Historic Review for Femoral Stems by Geographic Region - USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 10: World 16-Year Perspective for Femoral Stems by Geographic Region - Percentage Breakdown of Value Sales for USA, Canada, Japan, China, Europe, Asia-Pacific and Rest of World for Years 2014, 2024 & 2030

III. MARKET ANALYSIS

  • UNITED STATES
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United States for 2024 (E)
    • TABLE 11: USA Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 12: USA Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 13: USA 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • CANADA
    • TABLE 14: Canada Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 15: Canada Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 16: Canada 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • JAPAN
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Japan for 2024 (E)
    • TABLE 17: Japan Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 18: Japan Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 19: Japan 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • CHINA
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in China for 2024 (E)
    • TABLE 20: China Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 21: China Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 22: China 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • EUROPE
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Europe for 2024 (E)
    • TABLE 23: Europe Recent Past, Current & Future Analysis for Femoral Prostheses by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2023 through 2030 and % CAGR
    • TABLE 24: Europe Historic Review for Femoral Prostheses by Geographic Region - France, Germany, Italy, UK and Rest of Europe Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 25: Europe 16-Year Perspective for Femoral Prostheses by Geographic Region - Percentage Breakdown of Value Sales for France, Germany, Italy, UK and Rest of Europe Markets for Years 2014, 2024 & 2030
    • TABLE 26: Europe Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 27: Europe Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 28: Europe 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • FRANCE
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in France for 2024 (E)
    • TABLE 29: France Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 30: France Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 31: France 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • GERMANY
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Germany for 2024 (E)
    • TABLE 32: Germany Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 33: Germany Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 34: Germany 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • ITALY
    • TABLE 35: Italy Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 36: Italy Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 37: Italy 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • UNITED KINGDOM
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in the United Kingdom for 2024 (E)
    • TABLE 38: UK Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 39: UK Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 40: UK 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • REST OF EUROPE
    • TABLE 41: Rest of Europe Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 42: Rest of Europe Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 43: Rest of Europe 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • ASIA-PACIFIC
    • Femoral Prostheses Market Presence - Strong/Active/Niche/Trivial - Key Competitors in Asia-Pacific for 2024 (E)
    • TABLE 44: Asia-Pacific Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 45: Asia-Pacific Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 46: Asia-Pacific 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030
  • REST OF WORLD
    • TABLE 47: Rest of World Recent Past, Current & Future Analysis for Femoral Prostheses by Type - Femoral Heads and Femoral Stems - Independent Analysis of Annual Sales in US$ Million for the Years 2023 through 2030 and % CAGR
    • TABLE 48: Rest of World Historic Review for Femoral Prostheses by Type - Femoral Heads and Femoral Stems Markets - Independent Analysis of Annual Sales in US$ Million for Years 2014 through 2022 and % CAGR
    • TABLE 49: Rest of World 16-Year Perspective for Femoral Prostheses by Type - Percentage Breakdown of Value Sales for Femoral Heads and Femoral Stems for the Years 2014, 2024 & 2030

IV. COMPETITION