By Kamran Zamanian, Ph.D, and Steven Zhu, iData Research Inc.

The small bone and joint device market in the Europe consists of reconstructive implants for the extremities, including the shoulder, elbow, hand, and foot. Significant growth in unit sales of key segments is counteracting across-the-board price cuts that are caused by competition and tendering processes in many EU countries. These price declines are causing many niche markets in extremity reconstruction to shrink, despite otherwise stable unit sales.

However, there still is significant potential for growth, pending improvements in prosthesis design for a number of niche joint replacements, such as total ankle replacement and total elbow replacement. In a number of countries, significant demographic shifts in the…