6^th Annual Conference on Orthopedics, Rheumatology and Osteoporosis December 09-10, 2021 Berlin, Germany

Session-1: Osteoarthritis & Rheumatoid arthritis

 Among several types of arthritis, osteoarthritis and rheumatoid arthritis are two most common forms. Both of them have almost similar symptoms but for proper treatment it is important to diagnosis them. Osteoarthritis is a degenerative disease of the joints and the most common chronic condition of the joints, affecting over 30 million US adults. Aging is most common risk factor for Osteoarthritis. Unlike the damage caused by osteoarthritis, rheumatoid arthritis affects the lining of your joints, causing a painful swelling. Rheumatoid arthritis is an autoimmune disease in which the body‘s own immune system attacks the body joints.Rheumatoid arthritis affects more than one-tenth as many effects with osteoarthritis.

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Session-2: Arthroplasty
Arthroplasty  is a joint replacement surgery where a surgeon removes part of a damaged or arthritic joint and replaces it with a plastic or ceramic device, known as a prosthesis. The most common types of arthroplasty performed are knee and hip replacements. The surgery is mainly used for treating damage from:

• Rheumatoid arthritis
• Osteoarthritis
• Joint injuries
• Other joint damage from injury or disease.

Arthroplasty may be used when medical treatments no longer effectively relieve joint pain and disability. People who have arthroplasty, generally have substantial improvement in their joint pain, ability to perform activities, and quality of life. Various types of arthritis may affect the joints. Osteoarthritis or degenerative joint disease, is a loss of the cartilage or cushion in a joint, and is the most common reason for arthroplasty. Like with any surgical procedure, complications can happen. Some possible complications may include:

• Bleeding
• Infection
• Blood clots in the legs or lungs
• Loosening of prosthetic parts

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Session-3: Osteoporosis
Osteoporosis is the bone disease that occurs when the body makes too little bone, or loses too much bone or both. As such the bones become weak and may break from a fall or, in serious cases. From Minor bumps. More than 54 million Americans have Osteoporosis and low bone mass. Placing at increased risk for osteoporosis .some of the studies suggest that approximately one in two women and to one in four men age 50 and older will break a bone due to Osteoporosis. Osteoporosis is called a silent disease because one can can’t feel bones weakening. Breaking the bone is the first sign of osteoporosis. It can be effect the both male and female, but mostly effected in women after Menopause because sudden decrease in estrogen, that normally protects against osteoporosis it causes bones to become brittle and weak. Mostly affects the men and women of all races. As specific white and Asian women medications, healthy diet and weight bearing mostly exercise can help to prevent the bone loss. The major factors that increase the osteoporosis were Age, Lifestyle choice, and medical conditions and treatments.
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Session-4: Arthritis  

Arthritis is an inflammation of the joints that can effect one or more joints. There are more than 100 types of arthritis but most relevant types of arthritis were osteoarthritis and rheumatoid arthritis. The symptoms of arthritis usually develop over time, but they may also appear suddenly. Arthritis is most commonly seen in adults over the age of 65, but it can also develop in children, teens, and younger adults. Arthritis is more common in women than men and in people who are overweight. Arthritis causes cartilage is a firm but flexible connective tissue in the joints it protects the joints by shocks created, and absorbing the pressure. When you move and put stress on them a decrease in the normal amount of the cartilage tissue cause some forms of arthritis.
Medication:

A number of different types of medication treat arthritis:

• Analgesics.
• Nonsteroidal anti-inflammatory drugs.
• Menthol or capsaicin creams
• Immunosuppressants .

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Session-5: Orthopedic trauma

Orthopedic trauma may be a severe injury within the a part of musculoskeletal system, it usually the results of an abrupt accidents requiring immediate medical attention. And not all orthopedic traumas is life-threatening, it is life altering. Physicians of orthopedic trauma are unique and they were specializing in complex injuries to bones soft joints (like muscles, tendons, and ligaments) and joints throughout the entire body. Mostly orthopedic specialists specialize in just one body part. Others they may provide more general care but they won’t treat more acute fractures, which are more difficult to fix. Orthopedic trauma physicians receive the training in the field of orthopedic surgery with a special focus on the treatment of joint realignment to promote the safety recovery and return of functionality to the injured body parts so, they often treat patients with compound fractures ,multiple broken bones and fractures near a joint (like a hip or knee).

The most common traumatic injuries are:
 

• Falls
• Severe coughing
• Sporting accidents
• Other type of accidents
• Blows to specific parts of the body
• Twisting the ankle

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Session-6: Orthopedics

Orthopedics is that the medical that targeted on the interference, correction, diagnosing and treatment of patients with skeletal deformities-disorders of joints, bones, tendons, ligaments, nerves and skin. This element shows musculoskeletal system. The musculoskeletal system is the complex system of joints, bones, ligaments, muscles nerves, and tendons allows you to move, And to be active. Orthopedics now cares all the ages, from new born with clubfeet and young athletes requires arthroscopy and to old people with arthritis. The physicians who specialize in the area were called as orthopedists or orthopedic surgeons.

In general, orthopedists square measure proficient within the:

• Treatment with medication, surgery, exercise or other treatment plans.
• Diagnosis of the injury or disorder.
• Prevention with the information and treatment plans to prevent the injury or slows the progression of diseases.
• Rehabilitation by recommending exercises or physical therapy to restore movement, function and strength.

Orthopedist also works closely with our health care professionals and often serves as a consultant to other physicians. They are the members of the teams that manage the complex, multi system trauma and often plays the important role in the organization and delivers of the emergency care.
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Session-7: Exercise and sports medicine

If any of the person sustains an injury during exercise, sports participation, or any other type of the physical activity. Then you may advised to the sports medicine doctor for treatment     
The convergence of sports, medicine and exercise may be a space advancing specialty that integrates therapeutic and preventive use of exercise, fitness development for athletic performance, sports-injury interference and treatment, sports nutrition. Sports medicine isn't a medicine in itself. Most medical specialty doctors are certified in medicine, medical special, medicalpractic, another Specialty so receive further coaching. Others specialize in treating injuries in children and teens, whose growing bodies can be quite different from those of adults. They are typically board-certified in medicine, or medical practice, with further coaching in medical specialty.
Some, however not all, sports medicine doctors have surgical training, too, usually as orthopedic surgeons. Other professionals World Health Organization don't seem to be doctors may go in conjunction with a medical specialty doctor to supply care:

Physical therapists: They help people rehabilitate and recover from injuries.

Certified athletic trainers: These trainers offer rehabilitative exercise routines to assist patients regain strength and develop learning programs to stop future injury

Nutritionists: They will assist with required weight loss or weight gain and World Health Organization will offer dietary recommendation to assist folks improve their physical functioning.
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Session-8: Orthopedic Bio mechanics research
 
Orthopedic bio mechanics is concerning discovering and doubtless optimizing the mechanical stresses experienced by traditional, diseased, injured, or surgically treated bones, joints, and soft tissues. This sub field of study is particularly influenced by two groups of specialists, namely, orthopedic surgeons and bio-mechanical engineers. Orthopedic surgeons are on the “clinical front line,” as they treat patients by performing procedures like total or partial joint replacement, bone fracture repair, soft tissue repair, limb deformity correction, and bone tumor removal. Bio-mechanical engineers square measure  on the “technological front line,” as they discover  the fundamental mechanical properties of human tissues, style and check the structural stress limits of medical science, and develop new and improved biological an artificial bio materials. Consequently, the strategy for conducting newest experimental analysis in orthopedically bio mechanics in hospitals, universities, and business, includes a mixture of orthopedically surgery, mechanical testing, and medical imaging Injuries with loading involving higher speedy velocities dissipate bigger energy and end in bigger fracture communication, soft tissue harm and displacement. Long bone shaft fractures resulting from high-energy injuries have a higher rate of bone healing complications than fractures of low-energy injuries due to severity of soft tissue injury associated with high-energy injuries.
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Session-9: Orthopedics & diagnostic techniques
Orthopedic surgeons use a range of diagnostic tests to assist determines the precise nature of your contractile organ injury or condition. Orthopedists conjointly use results of those tests to arrange associate applicable course of treatment.  There are a variety of tests that  can be used to diagnose and screen for orthopaedic conditions. Some of the tests help determine the location and severity of the condition, while others may help rule out other possible causes of the symptoms. Common orthopaedic tests include:

• Bone densitometry
• Skeletal scintigraphy,
• Discography
• Myelography
• Electromyography.

Most of these tests rely on proven technology, such as X-ray, MRI, ultrasound and computed tomography. Other tests  such as flexibility tests, stress tests, muscle tests and gait analysis, may be used to assess range of motion or identify abnormalities in skeletal alignment or muscle function.
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Session-10: Orthopedic trauma devices
 
WHO's recent report depicts that traumatic injuries are the cause of around 10% of mortality each year. Orthopedic traumas are specifically associated with severe harm to the system of a body, inflicting loss of operate. It involves serious bone or ligament injuries that need immediate skilled help from a specialist in orthopedic surgery or trauma.
Orthopedic trauma devices play a key role in the surgical treatment of traumatic orthopedic injuries. Owing to staggering increase in road accidents and severe fracture incidences worldwide, the worldwide orthopedic trauma fixation devices market has been witnessing important growth since the past few years. The market is estimated to expand at a healthy CAGR of 7.2% during the forecast period, 2014-2020. The market value attained US$ 5.7 Bann in 2013, which is expected to reach US$ 9.4 Bann by 2020 end.

The devices such as

• 4 Fusion
• ADAPT for Gamma
• Allograft wedges
• Auto fix
• Avanta cm
• Cannulated screws
• Ax-SOS 3 Ti Proximal Humerus
• Ax SOS 3 Ti Proximal Tibia
• Rhead  platting

The orthopedic trauma device market is further broken down into ten different segments: plates and screws, bio absorbable fixation, intramuscular nails, cannulated screws, intramuscular hip screws, conventional hip screws, staple fixation, bone pins, external fixation and bone growth simulators. 
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Session-11: Bone and Mineral Research

Bone consists of cells and a biphasic blend of mineral and matrix that coexist in a very exact relationship. The matrix consists of collagen and glycosaminoglycans, which are dimeric disaccharides. Both are products of the osteoblast. Calcium hydroxyapatite is the basic mineral crystal material in bone. Osteoblasts are bone-forming cells that secrete the matrix components described. Osteoclasts are those cells whose primary function is the degradation and removal of mineralized bone. It is important to remember that the osteoclasts can remove only mineralized bone, and not unmineralized matrix. Osteoblasts are considered the main type of bone cells.
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Session-12: Orthopedic Medical devices
 
The medical science devices sector could be a dynamic field of the medical device trade. Devices accessible are often classified, as an example, as joint reconstruction, orthobiologics, trauma fixation devices, spinal devices, accessories, braces and arthroscopic devices. The industry is constantly innovating, adding new products to meet varying needs. 3D-printed implants and instruments, new bio materials, computer-assisted surgical procedures and smart implants are only few examples of innovative products that improve clinical outcomes. At the same time, new automation technologies and robotics are increasingly deployed in the manufacturing process, predictably delivering high quality devices for the growing market. Consequently, the global orthopedics industry is expected to reach an estimated US 62.6 billion by 2022 and is forecaster to grow at a CAGR of 5.5% from 2017 to 2021. An aging population, rising rates of obesity, orthopedic diseases, degeneration and sports related injuries are more reasons leading to the increase.
As new innovations emerge, the developmental process can be complex and will be subjected to increased regulation and responsibility. In a highly competitive environment largely driven by innovation, orthopedic medical device manufacturers will face numerous challenges. Some of these challenges include high cost of innovation, obligation to conduct market clinical investigations, stringent requirements of MDR and compliance to the Medical Device Single Audit Program (MDSAP).
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Session-13: Pediatric orthopedics

A Pediatric medical specialist is that the best-trained and most tough doctor to properly evaluate and treat contractor (bone, joint, or muscle) issues during a kid World Health Organization continues to be growing. This includes newborn babies through teenagers.
Pediatric medical science surgeons opt to create the care of youngsters the main focus of their practice. The distinctive nature of medical and surgical care of youngsters is learned from advanced coaching and knowledge in apply.

Pediatric medical science surgeons square measure doctors World Health Organization have the subsequent education and training:

• Graduated from AN approved school of medicine (typically four years)
• Graduated from AN approved medical science surgery residency program (typically 5 years)
• Completed further sub specialty coaching in pediatric orthopedics and pediatric spinal deformity (typically one year)

Pediatric orthopedists have intensive and comprehensive coaching, and additionally as experience in handling youngsters and treating their contractor issues. Your pediatrics or medical care doctor might have suggestions concerning whom to envision, or if you're feeling that a medicine medical specialist is that the right doctor for your kid, the Pediatric Orthopedic Society of North America (POSNA) contains a directory of members in every geographic location.
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Session-14: Around the joint: Pere-articular pathology
 
The Diseases of the Tendons, Muscles or ligaments associated with the joint; articular fractures; developmental and congenital disorders. And various arthritis’s can be associated with the joint dysfunction and disease. An arthropathy is the disease that affects the joint it can affect the single joint or many joints. Arthritis is defined as condition causing inflammation with the joint. Arthritis can affect the multiple joints.
The inflammatory joint diseases –Infectious

• Septic(bacterial)
• Fungal arthritis
• Lyme borreliosis
• Rickets arthritis
• Cytoplasm
• Bacterial –form-associated
• viral   -form-associated

Radio graphic changes which will be seen with arthritis embody per-articular joint swelling; joint effusion; collapse of the joint space; destruction of sub choral bone; and, in advanced cases, hypertrophic exocytosis, fibrous amylase, and angular limb deformities.
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Session-15: Tendon healing and Tendon replacement

Doctors perform connective tissue repair surgery to repair a connective tissue injury. Their job is to permit the body to maneuver and to transfer weight. Tendons also help protect joints from damage.

There are two main types of tendon:

• Flex or tendons - which work by tightening to pull on the bones. An example of employing a striated muscle connective tissue is once somebody makes a mitt.
•  Ex tensor tendons - which work by stretching the part of the body needs to move outward, such as standing on the toes or straightening the fingers.

People who could need connective tissue repair surgery embrace those with:

•  A deep cut that severs a tendon
•  An  injury from contact sports
• A tear or injury due to rheumatoid arthritis

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Session-16: Physiotherapy
 
Physiotherapy, conjointly noted as therapy, is Associate in Nursing allied profession that creates use of bio – mechanics or physiology, manual medical aid, exercise medical aid and electrotherapy, to assist patients restore, maintain and increase their physical quality, strength and performance. Physiotherapists square measure higher ready to facilitate patients regain quality, as they need a far better understanding of however the body works and square measure trained in clinical skills to assess, diagnose and treat disabilities. Physiotherapists will facilitate patients pass though injuries and disabilities starting from back pain, neck pain, knees pain to ligament problems. Physiotherapy conjointly helps within the rehabilitation of patients tormented by Parkinson’s, Paralysis, Stroke, degenerative disorder and encephalitic. Furthermore, physiotherapists can heal both chronic and acute problems by treating patients at home. Physiotherapy has over the years proven its effectiveness in serving to patients in restoring their health and enhancing their physical strength, perform and quality. To additional enhance your expertise with physical therapy, our Physiotherapists in person visit you and perform physical therapy reception.
 

Some of the advantages of obtaining physical therapy reception embody were:

• Enables convenience
• Provides personalized care
• Brings about a faster healing process
• No mobility issues
• Better time management
• Cost effective
• Family support and supervision 

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Session-17: Fractures 
A bone fracture is a medical condition where the continuity of the bone is broken. Most bone fractures are caused by falls and accidents.  Pathological fractures are those bone fractures which are caused by disease. There are a number of different types of fractures  including avulsion, comminuted, and hairline fractures. Bone healing is a natural process and treatment revolves around giving the bone optimum conditions to heal itself. Most of the sympotms include:

• Intense pain
• Deformity - the limb looks out of place
• Swelling, bruising, or tenderness around the injury
• Numbness and tingling
• Problems moving a limb

You need to urge medical aid directly for any fracture. An x-ray will tell if your bone is broken. You may tough to wear a forged or splint. Sometimes you wish surgery to place in plates, pins or screws to stay the bone in situ.

The types of fractures were:

• Avulsion fracture
• Comminuted fracture
• Fracture dislocation
• Compression fracture
• Hairline fracture
• Spiral fracture
• Torus fracture
• Transverse fracture

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Session-18: Orthopedic injuries

Orthopedic injuries include any injury to the musculoskeletal system. Often, these injuries relating to the bones and joints are a result of an accident or trauma to the body.

Common Orthopedic Injury Categories:

Injuries that can occur in most joints of the body include some of the following:

• Fractures
• Breaks
• Hernia (Sports Hernia)
• Impingement
• Overuse Injuries
• Sprains
• ACL tear
• Libra tear
• Tennis elbow
• Wrist fracture
• Stress fractures
• Compression fracture

Sometimes, though, injuries can become more common with getting older. Age alone can be a risk factor for orthopedic injuries and other conditions seen by orthopedic specialists. For example, broken hips, compression fractures and osteoporosis are much more common in elderly patients. As people age, their bones tend to lose density, which makes them more prone to breaks or compression fractures. Some acute common orthopedic injuries were: Sprained ankle

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Session-19: Shoulder& Elbow
 Shoulder and elbow disorders are often associated with baseball players and other athletes. But they can affect people from all walks of life. We constantly use these joints to lift, reach, push and pull. So it's no wonder many of us come down with pain, stiffness or other problems in our shoulder or elbows. Your shoulder is called a ball-and-socket joint. That’s because the top of your upper arm has a rounded shape, like a ball. It fits into a cup shaped hollow (socket) in your shoulder bone. Ball-and-socket joints are highly flexible. In fact, your shoulder has a broader, more diverse range of motion than any other joint in your body. The elbow is a hinge joint that connects your forearm to your upper arm. It allows you to bend and straighten your arm .your shoulders and elbows are held together by various tissues. Ligaments connect the bones to other bones. Tendons connect bones with muscles. And a layer of slippery tissue called cartilage covers the ends of your bones. This helps them glide against one another throughout movement. If something harms part of your joint – whether it's a bone or the tissue around it – you may have pain, weakness, numbness and other symptoms that make it hard to use your arm or shoulder.
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Session-20: Orthopedic Neurology
Neurology encompasses all aspects of medication and surgery, however is nearer to medical science surgery than several different specialties. Both medicine deficits and bone disorders result in movement system abnormalities, joint complications and limb issues. The main medicine conditions that need the eye of associate medical science doc square measure disorders that have an effect on the lower motor neurons. The most common disorders during this cluster embody fiber bundle disorders and traumatic peripheral nerve lesions. Upper motor neuron disorders such as cerebral palsy and stroke are also frequently seen and discussed, as are chronic conditions such as poliomyelitis. The management of those medicine issues is commonly coordinated within the neurology clinic, and this cluster, in all probability over the other, needs a multidisciplinary team approach. Neurology is the medical specialty that focuses on the evaluation and treatment of injuries and conditions affecting the central nervous system, which includes the brain and the spinal cord, the peripheral nervous system, and the autonomic nervous system. The nervous system is a highly complex and critical component of the human body, responsible for transmitting signals between different parts of the body through nerves and neurons. From migraines and memory disorders to dizziness and balance disorders, neurological conditions can affect all areas of the body. If you are experiencing any of the following symptoms, it’s important to seek treatment as soon as possible before your injury or condition worsens.

• Consistent or worsening migraines
• Neck, back, arm, and leg pain
• Loss of balance when walking
• Weakness in a specific area of the arm or leg
• Loss of memory

Orthopedic Devices Market was valued at USD 40.6 billion in 2020 and is estimated to grow at a CAGR of over 5% between 2021 and 2027. Orthopedic devices are extensively used for anchoring damaged bones in internal fixation surgery that consists of implementation of implants for treating damaged bone. Increasing instances of accidents and sports injuries across the world are fueling the market growth. Growth in number of orthopedic procedures is accelerating the acceptance of orthopedic devices. Furthermore, technological developments are fostering the demand for orthopedic devices.

However, the orthopedic device is classified as a class III medical device that is subject to stringent regulations and compliances. As a result, these devices are regulated by the U.S. FDA. A premarket approval (PMA) is needed for class III devices before their commercial distribution. The manufacturer is required to get approval under section 515 of the act that comprises of FDA's issuance of approving the application for premarket approval (PMA) for the device. Moreover, the European Union Commission has revised medical device regulation that substitutes the current medical device directive. As per the new regulation, orthopedic devices are classified as class 3 devices that refer to a class of high-risk devices that are subject to stringent compliances.

Growing geriatric population coupled with rising prevalence of orthopedic disorders is expected to propel the market progression:

Rising incidence of orthopedic disorders along with the growing geriatric population will promote the market value. According to the United Nations World Population Ageing report, the estimated number of people aged 65 years or above is 727 million globally. The number is further anticipated to double and reach 1.5 billion by the end of 2050. The share of elder population with respect to global population is projected to rise from around 9.3% in 2020 and reach 16% by 2050. The orthopedic conditions are mostly related to aging and are poised to increase with aging population.

Recent technological advancements will fuel the orthopedic devices market revenue:

Continuous technological developments in orthopedic devices, innovations in design and efficiency have facilitated the use and convenience of the devices in the industry. Extensive research and development in the equipment used for hip, spinal, and knee replacement have introduced innovative offerings in the market such as patient-specific, personalized implants and 3D printed implants. Novel automation technologies coupled with robotics are being deployed in the business operations, further helping to deliver high quality devices. Additionally, the emergence of robotics in orthopedic surgeries is less invasive and offer high precision, further facilitating shorter stays in the hospitals and rapid recovery.

The U.S. FDA approved the da Vinci Surgical System, the first robotic surgery system. More players are funding research activities in surgical robotics to offer guidance during surgeries or to get 3D scans that assist in the design of personalized joints. The virtual surgical planning coupled with patient-specific implants will lead towards higher degree of customization, accuracy and enhanced efficiency. The innovation in material and with the advent of 3D bio-printing in orthopedics the demand for these medical products will boost significantly.

Joint reconstruction devices segment accounted for more than USD 16.8 billion in 2020 led by the rising prevalence of orthopedic conditions along with increasing geriatric population. Joint reconstruction forms an integral part of orthopedic surgeries. Major ailments damaging the joints include osteoporosis, arthritis, bone degenerative diseases, and among others. Several elements including unhealthy and sedentary lifestyle have resulted in large portion of population susceptible to bone-related diseases.

Increasing incidences of road accidents in North America region will stimulate the regional growth

U.S. dominated the North America orthopedic devices market and captured over 94% of revenue share in 2020 owing to the well-developed healthcare infrastructure and rise in number of orthopedic surgeries. Increase in the number of amputations and road accidents in the U.S. are anticipated to amplify the market for these devices in the country. As per the Insurance Institute for Highway Safety (IIHS) and Highway Loss Data Institute (HLDI), in 2019, there were 33,244 fatal motor vehicle accidents in the U.S. resulting in 36,096 deaths. Growing incidence of accidents in the country will increase the adoption rate of orthopedic devices.

Germany held the largest revenue share in European market in 2020 and accounted for around USD 1.9 billion in 2020 driven by increasing healthcare expenditure and efforts taken to prevent important health risk factors. Germany accounts for highest healthcare expenditure in Europe. Its per capita healthcare expenditure showcased notable growth from USD 4,612 in 2010 to USD 5,472 in 2018. The country spends around 11.4% of the GDP expenditure on healthcare. Furthermore, implementation of the Prevention Act by the German Federal Government in 2015 offered healthier lifestyles and minimize the prevalence of several diseases and ailments.

Recent industry developments:

In September 2020, Smith & Nephew announced acquisition of Integra LifeSciences extremity orthopedics business for USD 240 million. This acquisition assisted the company in expanding and strengthening its product portfolio.

In June 2019, MicroPort announced the launch of its Evolution NitrX Medial-Pivot Knee System. This system facilitates rapid recovery, ease in use and reduced levels of pain. This product launch assisted the company in offering innovative products in the market, thereby providing competitive edge to the company.

Orthopedic devices market research report includes an in-depth coverage of the industry with estimates & forecast in terms of revenue in USD from 2016 to 2027, for the following segments:

Market, By Product, 2016 - 2027 (USD Million)

Joint Reconstruction Devices

• Hip Replacement
• Knee Replacement
• Ankle Replacement
• Shoulder Replacement
• Others
• Spinal Devices
• Trauma Fixation Devices
• Orthobiologics
• Arthroscopic Devices
• Others

The above information is provided for the following regions and countries:

North America

• U.S.
• Canada

Europe

• Germany
• UK
• France
• Spain
• Italy

Asia Pacific

• China
• Japan
• India
• Australia
• South Korea

Latin America

• Brazil
• Mexico
• Argentina

Middle East & Africa

• South Africa
• Saudi Arabia
• UAE