【レポートの概要（一部）】
1 Table of Contents
1 Table of Contents 8
1.1 List of Tables 15
1.2 List of Figures 23
2 Introduction 27
2.1 Catalyst 28
2.2 Related Reports 28
3 Disease Overview 29
3.1 Anatomy and Physiology 29
3.2 Pathophysiology 31
3.2.1 Overview 31
3.2.2 Primary Osteoarthritis 31
3.2.3 Rotator Cuff Tear Arthropathy 32
3.2.4 Post-Traumatic Arthritis 34
3.2.5 Proximal Humerus Fracture 34
3.2.6 Avascular Necrosis 36
3.2.7 Rheumatoid Arthritis 37
3.3 Clinical Presentation 38
3.3.1 Diagnosis 38
3.4 Clinical Outcomes 39
3.4.1 Overview 39
3.4.2 Conservative Treatments 39
3.4.3 Joint-Preserving Treatments 40
3.4.4 Joint Replacement 42
3.5 Epidemiology 53
3.5.1 Shoulder Arthritis 53
3.5.2 Proximal Humerus Fractures 55
3.6 Economic Impact 57
3.6.1 Shoulder Arthritis 57
3.6.2 Rotator Cuff Diseases 59
3.6.3 Proximal Humerus Fractures 59
3.6.4 Cost-Effectiveness of Total Shoulder Replacement 60
3.6.5 Cost-Effectiveness of Reverse Total Shoulder Replacement 60
4 Competitive Assessment 61
4.1 Overview 61
4.2 Global Market Share 65
4.3 Anatomic Total Shoulder Replacement 66
4.3.1 Univers II (Arthrex) 66
4.3.2 Comprehensive (Biomet) 68
4.3.3 Comprehensive Fracture (Biomet) 70
4.3.4 Global Advantage (DePuy Synthes) 73
4.3.5 Global Fx (DePuy Synthes) 77
4.3.6 Global AP (DePuy Synthes) 79
4.3.7 Global Unite (DePuy Synthes) 82
4.3.8 Turon (DJO Surgical) 84
4.3.9 Equinoxe (Exactech) 87
4.3.10 TITAN (Integra LifeSciences) 89
4.3.11 SMR (Lima Corporate) 91
4.3.12 Cofield 2 (Smith & Nephew) 94
4.3.13 Neer 3 (Smith & Nephew) 97
4.3.14 Promos Standard (Smith & Nephew) 100
4.3.15 Solar (Stryker) 102
4.3.16 ReUnion (Stryker) 104
4.3.17 Aequalis Primary (Tornier) 106
4.3.18 Aequalis Fracture (Tornier) 109
4.3.19 Affiniti (Tornier) 111
4.3.20 Aequalis Ascend (Tornier) 114
4.3.21 Bigliani/Flatow (Zimmer) 116
4.3.22 Anatomical (Zimmer) 119
4.3.23 Trabecular Metal (Zimmer) 121
4.4 Anatomic Stemless Total Shoulder Replacement 125
4.4.1 Eclipse (Arthrex) 125
4.4.2 T.E.S.S. (Total Evolutive Shoulder System) Anatomic (Biomet) 127
4.4.3 Comprehensive Nano (Biomet) 130
4.4.4 Simpliciti (Tornier) 132
4.4.5 InSpyre (Tornier) 135
4.4.6 Sidus (Zimmer) 137
4.5 Reverse Total Shoulder Replacement 140
4.5.1 Univers Revers (Arthrex) 140
4.5.2 T.E.S.S. (Total Evolutive Shoulder System) Reverse (Biomet) 142
4.5.3 Comprehensive Reverse (Biomet) 145
4.5.4 Delta Xtend (DePuy Synthes) 147
4.5.5 Reverse Shoulder Prosthesis (RSP) (DJO Surgical) 150
4.5.6 Equinoxe Reverse (Exactech) 153
4.5.7 SMR Reverse (Lima Corporate) 156
4.5.8 Promos Reverse (Smith & Nephew) 159
4.5.9 Aequalis Reversed II (Tornier) 161
4.5.10 Aequalis Reversed Fracture (Tornier) 164
4.5.11 Ascend Flex (Tornier) 166
4.5.12 Anatomical Reverse (Zimmer) 168
4.5.13 Trabecular Metal Reverse (Zimmer) 170
5 Unmet Needs 173
5.1 Durable Glenoid Components 173
5.2 Augmented Glenoid Components 176
5.3 Grammont-Style versus Frankle-Style 177
5.4 Addressing Complications of Reverse Shoulder Replacement 179
5.5 Bone-Sparing Stemless Designs: Pros and Cons 181
5.6 Revision Systems 184
5.7 Long-Term Follow-Up 185
5.8 Patient Awareness in Emerging Markets 186
6 Pipeline Products 187
6.1 Overview 187
6.2 aSpire Total Shoulder Replacement System (Shoulder Options) 188
6.2.1 Overview 188
6.2.2 SWOT Analysis 189
6.3 Luna Stemless Humeral Prosthesis (Shoulder Options) 190
6.3.1 Overview 190
6.3.2 SWOT Analysis 192
6.4 AFT Proximal Humerus Fracture Prosthesis (Shoulder Options) 193
6.4.1 Overview 193
6.4.2 SWOT Analysis 194
6.5 Others 195
6.5.1 Stryker’s Reverse Shoulder Implant 195
6.5.2 Tornier’s Patient-Specific Image-Driven Glenoid Replacement Device 195
6.5.3 Integra’s Reverse Shoulder Implant 195
6.5.4 Integra’s PYROHEMI 195
7 Industry Overview 196
7.1 Procedure Trends 196
7.1.1 US 196
7.1.2 Europe 200
7.1.3 Asia-Pacific 203
7.1.4 South America 206
7.2 Market Access 208
7.2.1 US 208
7.2.2 Europe 212
7.2.3 Asia-Pacific 215
7.2.4 South America 218
7.3 Reimbursement Trends 220
7.3.1 US 221
7.3.2 Europe 226
7.3.3 Asia-Pacific 231
7.3.4 South America 234
7.4 Regulatory Issues/Recalls 235
7.4.1 Lima Corporate’s SMR Anatomic Polyethylene Liner 235
7.5 Mergers & Acquisitions/Key Partnerships 236
7.5.1 Integra LifeSciences Acquires Ascension Orthopedics 236
8 Current and Future Players 237
8.1 Trends in Corporate Strategy 237
8.2 Company Profiles 238
8.2.1 DePuy Synthes 238
8.2.2 Tornier N.V. 242
8.2.3 Biomet 246
8.2.4 Zimmer Holdings 250
8.2.5 Exactech 254
8.2.6 Smith & Nephew 257
8.2.7 Stryker 260
8.2.8 DJO Global 263
8.2.9 Arthrex 266
8.2.10 Lima Corporate S.p.a. 268
8.2.11 Integra LifeSciences 270
8.2.12 Mathys Ltd Bettlach 273
8.2.13 Wright Medical Group 275
8.2.14 Other Companies 278
9 Market Drivers & Opportunities 279
9.1 Market Drivers 279
9.1.1 Rising Prevalence of Shoulder Diseases 279
9.1.2 Expanded Indications of Reverse Shoulder Replacement 280
9.1.3 Increased Patient Awareness 281
9.1.4 Availability of Long-Term Clinical Data 282
9.1.5 Corporate Promotions and Medical Education 283
9.1.6 Expected Launch of New Devices in the US 283
9.2 Opportunities 284
9.2.1 Pyrocarbon 284
9.2.2 Revision Instrumentation 285
9.2.3 Demand for a Comprehensive Shoulder Reconstruction Portfolio 286
9.2.4 Computer-Assisted Navigation 286
9.2.5 Procedure-Specific Patient Education Platform 287
9.2.6 Emerging Markets 288
9.3 Market Barriers 289
9.3.1 Postoperative Complications 289
9.3.2 Steep Learning Curve 290
9.3.3 Cost 291
9.3.4 Reimbursement 292
9.3.5 Medical Device Excise Tax 293
9.3.6 Substitutes 293
10 Country Outlooks & Forecasts 295
10.1 Major Markets Overview 295
10.2 US 298
10.3 France 301
10.4 Germany 303
10.5 Italy 305
10.6 Spain 307
10.7 UK 309
10.8 Japan 311
10.9 Brazil 313
10.10 China 315
10.11 India 317
11 Appendix 319
11.1 Abbreviations 319
11.2 Bibliography 321
11.3 Report Methodology 339
11.3.1 Overview 339
11.3.2 Coverage 339
11.3.3 Secondary Research 340
11.3.4 Forecasting Methodology 340
11.3.5 Primary Research – Key Opinion Leader Interviews 342
11.3.6 Expert Panel Validation 342
11.4 Physicians and Specialists Included in this Study 343
11.5 About the Authors 346
11.5.1 Analysts 346
11.5.2 Bonnie Bain, Ph.D., Global Head of Healthcare 347
11.6 About MediPoint 348
11.7 About GlobalData 348
11.8 Disclaimer 348
【レポート販売概要】
■ タイトル：人工肩関節置換術：グローバル市場分析と予測■ 英文：MediPoint: Total Shoulder Replacement - Global Analysis and Market Forecasts
■ 発行日：2013年6月30日
■ 調査会社：GlobalData
■ 商品コード：GDATA403161277
■ 調査対象地域：グローバル
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