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SmartTRAK Life Sciences News and Analysis Blog

Lisa Mahan

20+ years' experience in orthopedic industry, including 12 years at J&J DePuy Orthopaedics. Competitive Intelligence Analyst and e-Marketing manager at J&J DePuy Orthopaedics.

Recent Posts

6 min read

Controversies in Knee Arthroplasty: An Interview with Andrew S. Murtha, MD

By Lisa Mahan on 8/26/24 12:50 PM

Andrew S. Murtha, MD addresses the controversy surrounding kinematic vs mechanical alignment in total knee arthroplasty.

Since the introduction of kinematically aligned knee arthroplasty in the mid-2000s, there has been controversy surrounding kinematic (KA) vs mechanical alignment (MA) in total knee arthroplasty (TKA). Kinematic alignment in total knee arthroplasty (TKA) attempts to restore natural limb alignment, maintaining the natural kinematic axis and ligament balance of the patient's knee. In contrast, the classic method of mechanical alignment aims to create a neutral hip-knee-ankle (HKA) axis. Advocates for KA say the technique intended to mimic a patient’s natural knee alignment will result in a more natural feeling and functioning knee. SmartTRAK had the opportunity to interview Andrew S. Murtha, MD regarding the growing interest in KA, what is driving this interest and what the future holds for KA vs MA with feedback from Benjamin Stronach, MD, associate professor at the University of Arkansas for Medical Sciences. Dr. Murtha is a board-certified orthopedic surgeon who is currently an adult reconstruction fellow at Houston Methodist Hospital. He is also a member of the American Association of Hip and Knee Surgeons’ (AAHKS) committee on Patient and Public Relations.

SmartTRAK: What has been your experience with kinematic alignment in total knee arthroplasty?

Andrews S. Murtha, MD: Kinematic alignment is a technical strategy in total knee arthroplasty that aims to individualize implant position by replacing only the cartilage and bone lost during the arthritis process. In its truest form, it does not place restrictions on the alignment of the components. I do not use an unrestricted kinematic alignment strategy in my practice, but the concept has expanded parameters for what is considered acceptable implant position.

In your estimation, based on your experience, what percentage of surgeons currently use KA vs mechanical alignment?

AM: In my experience, the majority of orthopedic surgeons use an adjusted mechanical alignment strategy. However, there does seem to be greater acceptance for slightly modifying the bone cuts to accommodate the patient’s native anatomy, thus reducing the need for large soft tissue releases to balance the knee. I would estimate that the percentage of surgeons using a truly unrestricted, caliper-based, resurfacing-type kinematic alignment strategy is relatively low.

What trends are you seeing in clinical practice – is KA increasing, decreasing or staying the same? What do you think is driving or limiting adoption?

AM: In general, interest in the kinematic alignment strategy has grown over the past 15 years. This interest seems to be driven by

Topics: Orthopedics
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8 min read

Clues Point to Acetabular Reconstruction

By Lisa Mahan on 7/30/24 9:45 AM

Clue s AcetabularRecent patent applications reveal an industry focus on developing acetabular solutions

While enabling technologies in joint replacement continue to be in the spotlight, clues revealed in the shadows of data point to niche focus areas for hip implant advancements. After examining the evidence in US patent applications filed since the beginning of the year, SmartTRAK identified a trend towards acetabular implant solutions. These solutions include implant designs that can address or potentially reduce the risk of acetabular bone loss or instability, often encountered in revision hip arthroplasty.

SmartTRAK’s US Hip Replacement Market Overview points out that revision hip procedure growth remains lower than that for primary hips due to the extended implant survivorship of next-generation implants and materials. However, revision hip procedures are expected to grow with a 5-year CAGR of +3.5% to nearly 110K procedures by the end of 2028. And, according to a paper by Sahil A. Sanghavi, MS, DNB, et al., acetabular bone loss continues to be one of the most challenging issues faced by orthopedic surgeons. (J Am Acad Orthop Surg, May 2024).

At least 15 patent applications published since January 1 are related to acetabular implant solutions. The line-up of patent subjects ranges from trial implants for more accurate cup placement during surgery to custom 3D printed augments with filings from large market players to designing surgeons. In Figure 1 below, SmartTRAK outlines the most recent acetabular implant-related patent applications.

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2 min read

M&A in the Total Joints Market

By Lisa Mahan on 6/25/24 9:45 AM

Companies riding the wave of tuck-in acquisitions.

While the chances are relatively low that the Total Joints Market will see a tsunami-size merger in 2024 that would materially change the market landscape, SmartTRAK expects to see a ripple effect from companies that continue to seek out mergers and acquisition (M&A) deals despite the challenging economic climate. Since the beginning of 2023, deals that had a more subtle effect on the market include those providing expanded international reach or initial entrance into the market. In this downloadable article, SmartTRAK highlights the acquisitions taking place since the beginning of 2023 and outlines the sentiment of some of the major companies towards future M&A. SmartTRAK also looks at what may be coming for the top Total Joints Market players, including Zimmer Biomet, Stryker, J&J/DePuy Synthes and Smith+Nephew, as they continue riding the wave of tuck-in acquisitions ...

Just click the button below to read the complete "M&A in the Total Joints Market" perspective article written by Lisa Mahan, SmartTRAK VP Product Development & IT, Sr. Analyst Total Joints. Read the Article


SmartTRAK is the Medtech industry’s only global Insights-as-a-Service solution for the Orthopedics, Wound Care, Regenerative Medicine and Neuro Therapy markets. SmartTRAK’s propriety methodology turns disparate data from hundreds of sources into powerful insights customers can rely on as the trusted source for strategic decision-making. The SmartTRAK enterprise platform includes rich daily updates, comprehensive market coverage and simple-to-use tools and dashboards for market, product and financial analysis. Customers leveraging the SmartTRAK platform also have direct access to market experts for inquiries and advisory services. If you would like a demo of what SmartTRAK offers and how we can help increase proficiency, improve productivity and reduce costs for your company, just click here.

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3 min read

Extremities Outlook for 2024

By Lisa Mahan on 2/27/24 9:30 AM

SmartTRAK takes a look at the trends impacting the Extremities Market in 2024 and beyond.

SmartTRAK provides comprehensive insights into the key trends shaping the US Extremities Market, with a particular focus on upper extremities and foot & ankle sectors. Reimbursement changes, the competitive landscape of robotics and innovative advancements in fixation technologies are poised to dominate discussions, underscoring the dynamic evolution of this market segment.
 

Among the many topics covered in detail in this market outlook article are:

  • CMS Reimbursement Changes Accelerate Shift to Arthroplasty Site-of-Care
    The Centers for Medicare and Medicaid Services’ (CMS) move to reimburse shoulder replacement and ankle replacement in an ambulatory surgery center (ASC) setting will accelerate the move of procedures to ... (read more)

  • An Increase in Pricing Pressure from the Shift to Shoulder ASC Procedures
    The national average CMS facility reimbursement in 2024 for total shoulder arthroplasty in an ASC is approximately $14K, significantly lower than for hospital-based procedures in the range of ... (read more)

  • The Race is on for Shoulder Robotics
    Stryker and Zimmer Biomet appear to be racing to the finish line to be the first to market in the US with a shoulder robotics solution. During Zimmer Biomet’s Q323 earnings call, CEO Ivan Tornos stated they plan to be first on ... (read more)
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2 min read

Total Joints Market 2024: Trends to Watch

By Lisa Mahan on 1/23/24 9:30 AM

Forces likely to influence the Total Joints Market in 2024

Final Q423 US Total Joints Market results are expected to solidify above pre-COVID growth rates for 2023. The post-pandemic patient backlog sustained strong market performance in 2023 despite tough comparisons and a challenging economic environment with rising inflation and the threat of a recession looming over healthcare consumers. What will the future hold? In this article, SmartTRAK looks at some of the trends to watch in 2024, including:

  • Mixed Predictions Regarding Patient Backlog
    Several Companies including Zimmer Biomet are banking on the backlog of patients to continue boosting procedure growth through 2024. Wall Street analysts, however, are more tempered in their forward-looking projections.
  • US Economic Factors Buoying Consumer Confidence
    The demand for health care is typically more resilient in the face of weaker economic conditions. However, improvements in some economic conditions in the US during 2024 are expected to buoy consumer confidence.
  • Ongoing Shift to Outpatient Site-of-Care Despite Reimbursement Decline
    Eligible patients are continuing to choose joint replacement surgery in an outpatient or ambulatory surgery center (ASC) setting in increasing numbers. New ASCs springing up around the country are giving potential patients expanded site-of-care options.
  • Ongoing Influence of ASC Economics
    ASCs facing lower reimbursement rates compared to hospital outpatient and inpatient settings will continue to look for product solutions that improve efficiency and reduce the overall cost of care.
  • New Product Launches to Watch
    New and early-stage hip and knee product launches for both large and mid-tier Joint Replacement Market players will drive revenue growth.

Just click the button below to download and read the complete "Total Joints 2024 Trends to Watch" market outlook article and analysis by Lisa Mahan, SmartTRAK's VP Product Development & IT, Sr. Analyst TJ&E. Read the Article
SmartTRAK
is the Medtech industry’s only global Insights-as-a-Service solution for the Orthopedics, Wound Care, Regenerative Medicine and Neuro Therapy markets. SmartTRAK’s propriety methodology turns disparate data from hundreds of sources into powerful insights customers can rely on as the trusted source for strategic decision-making. The SmartTRAK enterprise platform includes rich daily updates, comprehensive market coverage and simple-to-use tools and dashboards for market, product and financial analysis. Customers leveraging the SmartTRAK platform also have direct access to market experts for inquiries and advisory services. If you would like a demo of what SmartTRAK offers and how we can help increase proficiency, improve productivity and reduce costs for your company, just click here.
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3 min read

Anika's Expanding Shoulder Preservation Solutions

By Lisa Mahan on 10/31/23 9:33 AM

Anika’s President and CEO Cheryl Blanchard, Ph.D., discusses the Company’s expanding portfolio of shoulder preservation solutions

Anika Therapeutics entered the Reverse Shoulder Market this year with the US market release of the RevoMotion Reverse Shoulder Arthroplasty System, expanding their complement of products for shoulder joint preservation and replacement. This new offering allows the Company to compete in the rapidly growing US Market for Reverse Shoulders. Lisa Mahan, SmartTRAK Senior Analyst Total Joints & Extremities, talked with Cheryl Blanchard, PhD, President and CEO of Anika, to discuss the launch of RevoMotion, along with the X-Twist Fixation System, Integrity Patch System, Cingal next generation OA injectable and Tactoset Injectable Bone Substitute.
 
The Interview
 

SmartTRAK: RevoMotion has been out almost nine months now in limited release and you just went to full market release. Congratulations. How is that going?

Cheryl Blanchard: Thank you! Anika announced the full market release of the RevoMotion Reverse Shoulder Arthroplasty System (RSA) during the 2023 Orthopaedic Summit (OSET) Annual Meeting September 20-23 in Boston, MA and the response has been overwhelmingly positive.

We began the limited launch in January 2023 and have performed over 100 cases since then. The feedback we received and the response during the limited market release was impressive as some of the first patients in have already returned to their surgeons and asked for the same implant to be placed in their other shoulder. To have patients far enough into recovery to want the RevoMotion RSA in their other shoulder says a lot about the system and its future success. The limited release allowed us to collect feedback to better optimize the instrumentation and surgical technique for the full market release as well. Though we finished gathering feedback months ago, manufacturing instrument sets and system components takes time. That brought us right to our full market release during OSET in September.

We know that the reverse shoulder market is a crowded space. Given that probably 80% of the market is reverse shoulders, for Anika we knew we had something incredible to offer clinicians and patients based on the historic Arthrosurface design philosophies focused on bone sparing, motion preservation and anatomic design features. We also knew that with the data-backed and trusted OVOMotion with Inlay Glenoid Total Shoulder Arthroplasty System, it would be difficult to penetrate the full shoulder arthroplasty market without having a reverse option.

Additionally, there is a big shift of a lot of these products and procedures into the ASC setting. We will possibly see even more products coming into the ASC when CMS changes how they reimburse and we realized that there was a real opportunity to provide optimized instrument trays that would reduce the operating room footprint. RevoMotion has a two-tray instrumentation system that is very streamlined. The surgical technique is also very streamlined. We're hearing great feedback on it and we're excited to be in full market release coming into the fourth quarter.

That's wonderful. You mentioned the instrument trays and some of the design. If there was one thing that differentiates RevoMotion from other reverse shoulders on the market, what would you say that is?

CB:We believe and continue to hear feedback from surgeon users that having the smallest threaded glenoid base plate on the market is one of the biggest differentiators. Personally, I didn't understand the true significance of that until I started to speak directly with surgeons who had used the system. Listening to real-time feedback and observing in the OR, you realize it's a major benefit as it provides...

To download and read the complete transcript of the interview with Anika’s President & CEO Cheryl Blanchard conducted by Lisa Mahan, VP Product Development & IT, Sr. Analyst TJ&E, just click the button below. Download the Transcript

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1 min read

Trends Potentially Impacting the Total Joints Market: A Flash Report

By Lisa Mahan on 10/18/23 8:03 AM

SmartTRAK takes a quick look at recent trends that may influence the Total Joints Market in the near and long term

Wall Street Analysts recently called out two trends specifically that could influence the Total Joints Market. One trend, the strengthening of the US dollar, is likely to impact the global market in 2024. Another trend is the increased prescribing of GLP-1 drugs, such as Ozempic, Wegovy, Byetta and Mounjaro, medications first used to treat Type 2 diabetes, as a treatment for obesity. This has the potential to impact the market down the road. In this downloadable article, SmartTRAK maps out the potential impact of these trends.

To download and read the complete article by SmartTRAK's Lisa Mahan, Product Development & IT, Sr. Analyst TJ&E, just click the button below. Read the Article

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2 min read

Sowing the Seeds for Growth: Q123 Extremities Market Recap

By Lisa Mahan on 6/16/23 9:30 AM

New products and technologies in Shoulder Replacement and the Extremities Fixation Segments planted the seeds for sequential growth in the Q123 Extremities Market

The US Extremities Market grew 7.8% in Q123 with new products and continued recovery of elective procedures encouraging growth despite concerns about a looming recession. While headwinds such as supply chain constraints, economic challenges and staffing shortages could darken the forecast, SmartTRAK expects the Extremities Market to weather these issues and continue to experience strong growth through 2023.

Among the many topics covered in detail in SmartTRAK's comprehensive Q123 Extremities Market Recap* are:

  • Complete Q123 Extremities Market Overview
  • SmartTRAK's Expert Market Analysis and Insights
  • All Company News, Revenues, Data, Charts and Shares
  • New Products and Technologies That are Planting the Seeds for Growth in Shoulders
  • Extremities Fixation Closes the Quarter on High with Solid Returns
  • Q123 Regulatory Highlights

Both US Extremities Fixation subsegments, Upper Extremities Fixation and Foot Ankle Fixation, ended the first quarter of 2023 with ...

Read the entire Q123 Extremities Market Recap, including SmartTRAK's expert analysis, news, data, charts, company revenues and shares*

*These links and the complete unedited article can only be viewed by SmartTRAK subscribers to this module. For more information on SmartTRAK, including how to receive a demo and subscribe, please click the button below. Learn More about Subscribing to SmartTRAK

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2 min read

Favorable Winds of Change: Q123 Total Joints Market Recap

By Lisa Mahan on 6/8/23 9:30 AM

Increased elective procedure volume recovery lifts market growth to new heights

The winds of change precipitated a strong season of growth for the Total Joints Market. Company after company reported increasing elective procedural volume recovery due to the underlying post-COVID demand. Procedure momentum and easier year-over-year comparisons drove market growth above double-digits with the US Total Joints Market growing +14.5% in Q123. Easing of staffing headwinds and normalization of surgery cancellation rates were also contributing factors to accelerating procedures.
 

Among the many topics covered in detail in SmartTRAK's comprehensive Q123 Total Joints Market Recap* are:

  • Complete Q123 Total Joints Market Overview
  • SmartTRAK's Expert Market Analysis and Insights
  • All Company News, Revenues, Data, Charts and Shares
  • Technologies and Procedure Recovery Elevating Hip Growth
  • The Ongoing March Towards Cementless Knees
  • Deals and Financing Highlights
  • Q123 Regulatory Highlights

Will this momentum continue throughout 2023? SmartTRAK believes underlying demand for hip and knee replacement surgery will ...

Read the entire Q123 Total Joints Market Recap, including SmartTRAK's expert analysis, news, data, charts, company revenues and shares*

*These links and the complete unedited article can only be viewed by SmartTRAK subscribers to this module. For more information on SmartTRAK, including how to receive a demo and subscribe, please click the button below. Learn More about Subscribing to SmartTRAK

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2 min read

New Products, Strong Growth & Continuing Strength: Q422 Extremities Market Recap

By Lisa Mahan on 4/24/23 10:02 AM

Strong growth across market segments and new products coming to market signal continuing Extremities Market strength

SmartTRAK reports that the Q422 WW Extremities Market, WW Upper Extremities Market, WW Foot & Ankle Market, US Extremities Market, US Upper Extremities Market and the US Foot & Ankle Market were all up between +4.5% and +9.0% YoY.
 

Among the many topics covered in detail in SmartTRAK's comprehensive Q422 Extremities Market Recap* are:

  • Complete Q422 Extremities Market Overview and Highlights
  • SmartTRAK's Expert Market Analysis and Insights
  • All Company News, Revenues, Data, Charts and Shares
  • New Shoulder Products Driving Growth with More Tech Updates Coming
  • Ankle Market Poised for Expansion with Next-Generation Implants and Technology
  • Renewed Manufacturer Focus along with New Product Intros Fuel Upper Extremities Fixation
  • Foot & Ankle Fixation Propelled by New Product Introductions
  • Q422 Regulatory Highlights
    • Fixation
    • Shoulder Replacement
    • Elbow Replacement
    • Ankle Replacement
    • Toe Replacement
Read the entire Q422 Extremities Market Recap, including SmartTRAK's expert analysis, news, data, charts, company revenues and shares.*

*These links and the complete unedited article can only be viewed by SmartTRAK subscribers to this module. For more information on SmartTRAK, including how to receive a demo and subscribe, please click the button below.Learn More about Subscribing to SmartTRAK
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