Tendon Graft Reinforcement Market Analysis | United States | 2017-2023 | MedCore
- Year: 2017
- Scope: 2013-2023
- Region: United States
- Published Date: 6/1/2017
- Pages: 323
- Type: MedCore
General Report Contents Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends Market Drivers & Limiters for each chapter segment Competitive Analysis for each chapter segment Section on recent mergers & acquisitionsThe rotator cuff is a combination of four muscles and their tendons that cover the head of the humerus. These include the supraspinatus, the infraspinatus, the teres minor and subscapularis muscles. These muscles stabilize the ball of the shoulder within the joint and enable the arm to lift and rotate. The shoulder joint allows for a great range of motion, but at the expense of stability, as it is not directly attached to the axial skeleton in the way that the lower limbs are. The Achilles tendon is a combination of three calf muscle tendons that attach to the calcaneus (heel) bone. These include the plantaris, gastrocnemius (calf) and soleus muscles. These muscles enable the extension and rotation of the foot.Tendon tears can be the result of a traumatic injury, such as falling on an outstretched hand in the case of rotator cuff tearing and sudden sprinting in the case of Achilles tendon tearing. Tendon tearing from trauma is the most common type of tendon injury for younger people. However, tendon injuries typically arise from repetitive use in activities such as throwing a baseball or constant lifting in the case of rotator cuff tearing, and frequent running or gymnastics practice in the case of Achilles tendon tearing. This causes progressive deterioration of the tendons over time, leading to chronic injury. As a result, tendon tears are much more common in the older population, especially those over the age of 40. To reduce the likelihood of re-tearing tendons, many surgeons prefer to incorporate the use of soft tissue reinforcement grafts in addition to suture anchors in cases that require open surgery. Since re-tearing is most likely following rotator cuff and Achilles tendon procedures, these two areas offer the largest markets for soft tissue reinforcement grafts. Injuries that can be repaired arthroscopically are not as readily compatible with soft tissue reinforcement grafts because of the confined space in which implantation must occur, although newer innovative techniques have skillfully used these grafts in arthroscopic repair. Because of the surgical technique required, the typical surgery time, although decreasing, is still approximately 2.5 hours, which is longer than a comparable surgery using suture anchors alone. The soft tissue reinforcement grafts used for this indication include allografts (human tissue-derived), xenografts (non-human tissue-derived) and synthetics (composed of synthetic materials). These grafts are designed to reinforce and augment the sutured anatomy mechanically, and to promote cellular in-growth at the repair site for improved healing over suturing alone. The rate of host cell infiltration varies according to the type of material used; greater infiltration is desirable for long-term durability of the repair. These tendon reinforcement grafts can decrease the re-tear rate by as much as 25%.
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