In 2012, the Brazilian market for orthopedic soft tissue repair reached $394.5 million.

The orthopedic soft tissue repair market in Brazil consists of anterior and posterior cruciate ligament
(ACL/PCL) fixation products, meniscal repair devices, rotator cuff repair devices, shoulder labrum repair
devices, hip arthroscopy devices and biceps tenodesis devices. All segments of the Brazilian orthopedic
soft tissue repair market are being fueled by medical industry growth in Brazil.

Every year more hospitals are being built in Brazil, and thus demand increases for soft tissue repair
products. Additionally, with the growing economy, more money is being spent on improving the health
care system, leading to an increase in the number of people able to afford private insurance. The prices of
products sold in the private health care system are 3 to 5 times higher than prices of products sold to
public hospitals, which will further fuel market growth over the forecast period.

In 2012, the total rotator cuff repair market, which consists of suture anchors of all materials including
PLA resorbables, biocomposites, and metal, reached $130.6 million. This was a 9% increase over the
previous year. Long-term growth will be driven by the increasing popularity of biocomposite suture
anchors. Biocomposite suture anchors have been growing, and will continue to grow, faster than any other segment due to their high clinical efficiency. These materials were introduced in 2007 and are made of either tricalcium phosphate (TCP) or hydroxyapatite (HAP) and have been shown to enhance boney ingrowth after being resorbed. The trend towards biocomposite materials is contributing to the growth of the rotator cuff repair market. In general, arthroscopic surgeons regard bioabsorbable materials as advantageous over their metal counterparts. For example, resorbable devices provide benefits such as allowing easier revisions, being less likely to cause articular damage and negating risks related to implant removal.

The introduction of double row rotator cuff repairs has contributed to market growth since these
procedures use up to four anchors, compared to the traditional two that are used in single row repair.
Those in support of double row cuff repair argue that it is a more anatomically accurate way of repairing
the tear and can lead to superior healing. However, definitive clinical evidence that double row repairs
lead to superior results over single row repairs has not been found.


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