Demand for better patient outcomes will drive the uptake of novel technologies such as patient-conforming and 3-D printed implants, robotic- and navigation-assisted surgeries, and minimally invasive techniques, supporting the expansion of the US large-joint reconstructive implant market through 2028; however, downward pricing pressures driven by bundled payment initiatives such as the CJR and BPCI Advanced models, growing outpatient joint replacement volumes, and the increasing influence of GPOs will limit overall revenue potential to some degree.

This Medtech 360 Report provides comprehensive data and analysis on the current state of the market for large-joint reconstructive implants in the US across a 10-year period.


The implementation of bundled payment models such as the CJR and BPCI Advanced models will heavily influence the large-joint reconstructive implant market in the US.

How do the CJR and BPCI Advanced models differ from each other? 

How will the risk profile of patients in different sites of service change with the introduction of these models? 

How will physician treatment practices change in response to bundled payment models?

How will product mix, procedure volumes, and ASPs be affected by bundled payment models?

What strategies are companies employing to succeed with the expansion of these models?

As an increasing number of large-joint reconstruction procedures are being performed in outpatient settings.

Which procedures are seeing an increasing shift to outpatient settings?

How will differing reimbursement rates in hospital versus nonhospital settings affect product choices and treatment approaches?

How can companies tailor their strategies to cater to the needs of hospital outpatient departments and ASCs?

What technologies are being developed to enable shorter surgery and recovery times in outpatient settings?

As the market shifts toward value-based incentives, health care providers and orthopedic manufacturers are adopting new strategies to improve patient outcomes based on total episodes of care.

What are the current purchasing priorities of health care facilities?

How are health care facilities adding value to preoperative and postoperative care?

What strategies and added services are orthopedic manufacturers adopting in response to shifting hospital demands?

Technological innovation will have a significant impact on the US large-joint reconstruction market.

How are companies reacting to the trends surrounding robotic assistance, navigation technologies, and personalized implants?

How important is clinical data to the adoption of newer materials and technologies in this space, given the large number of recalls and lawsuits against device manufacturers?

How are innovative technologies and value-based solutions affecting market share shifts?

Table of contents

  • United States
    • Abstract
    • Executive Summary
      • Market Highlights
      • Competitive Highlights
      • Market Developments
      • Procedures Covered
      • Products Covered
    • Key Report Updates
    • Large-Joint Reconstructive Implant Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
        • Product Portfolio Management
        • Product Improvements and Innovations
        • Mergers, Acquisitions, and Partnerships
        • Sites of Service
        • Clinical Data
        • Product Recalls and Safety Issues
      • Market Developments
    • Reconstructive Knee Implant Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
        • Primary Total Knee Arthroplasty Implants
        • Revision Knee Implants
        • Unicondylar Knee Implants
        • Patello-Femoral Implants
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
    • Reconstructive Hip Implant Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
        • Primary Total Hip Arthroplasty Implants
        • Revision Hip Implants
        • Partial Hip Implants
        • Hip Resurfacing Implants
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
        • Product Improvements and Innovations
    • Appendix
      • Abbreviations
      • Bibliography

Author(s): Mohith Unny, MSc

Mohith Unny is a senior analyst within the Orthopedics, Dental, and Aesthetics Medtech Insights team at Decision Resources Group, focusing on the joint reconstruction, trauma, orthopedic extremities, and hyaluronic acid viscosupplementation markets. Additionally, Mohith has led custom research projects for major orthopedic device companies, hosted webinars on behalf of DRG, and collaborated on thought leadership articles with industry consortiums such as AdvaMed. Mohith holds a Master's degree in Advanced Chemical Engineering from Imperial College London and was awarded the Prof. Geoffrey F. Hewitt Prize 2014/15.


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