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As a result of COVID-19, elective procedure shutdowns in early Q220 blasted away at revenue results for the US Total Joints Market. When the dust settled, the US Market for Hips and Knees was down -41.9% according to SmartTRAK Financial Dashboard. US Knees experienced the biggest hit due to its exposure from a higher percentage of elective procedures compared to Hips. US Hips did not come through unscathed but suffered less damage.
Among the many topics covered in the comprehensive Q220 Total Joints Market Recap* are:
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Ascension and HOPCo partner together to develop a creative musculoskeletal care platform that could expand across the US
The shift to value-based care in orthopedics has fueled the ongoing debate about the appropriate site-of-care for musculoskeletal conditions – ambulatory surgery center (ASC) vs hospital. However, Ascension Florida and Gulf Coast (Ascension), a part of one of the US’ leading non-profit and Catholic health systems, has a broader more inclusive vision to expand musculoskeletal care in their Florida and Gulf Coast area at the highest possible quality.
Ascension’s vision led them to join forces with the Healthcare Outcomes Performance Company (HOPCo), a company that facilitates the shift to value-based musculoskeletal care, and with Southeast Orthopedic Specialists (Southeast), the largest independent orthopedic practice in the Jacksonville area. In July, Ascension and HOPCo signed an agreement to create and develop a continuum-of-care musculoskeletal platform.
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Founded in 2012, Enhatch is a privately held venture-backed medical technology company that uses artificial intelligence (AI)-based software solutions to fill in the gaps medical device manufacturers face in enhancing implant design, developing patient-specific instrumentation and integrating communication among enabling technologies. The Company also incorporates machine learning to simplify clinical and logistic workflows for hospitals based on individual patient data through the entire surgical continuum of care.
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Facing the prevailing headwinds of the pandemic, the MedTech industry presses on with product innovation and plans for the future. SmartTRAK reports daily on the challenges still ahead, covering all aspects of the Orthopedic market: Extremities, OrthoBio, Spine, Computer Assisted Surgery, Total Joints, Trauma, Soft Tissue Fixation and EU Extremities and Trauma.
An Australian joint registry data study w/ > 122K pTHAs found while there was no difference in overall cumulative % revision between surgical approaches, the anterior approach had a higher rate of major revisions w/ lower dislocation and infection rates. J Bone Joint Surg Am
Needham expects a higher physician payment for minimally invasive SI joint fusion procedures to be a steady tailwind for market expansion going into 2021.
A study of pts in the National Surgical Quality Improvement Program from 2006 to 2016 found total ankle replacement had a lower complication rate (2.98%) compared to total hip (4.92%) and total knee (4.56%) in the early post-op period. J Am Acad Orthop Surg
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Tracking the surge of Spine M&A activity during COVID-19.
The med device market downturn related to COVID-19 has led to a notable uptick in M&A activity across the board, with a number of acquisitions that will impact the Spine market.
Perhaps the most notable deal has been Medtronic's* (MDT) agreement to acquire Medicrea, a manufacturer of custom spine implants, for about €7.00 per share, a premium of 22% over the closing price of shares on July 14. The acquisition is expected to close by the end of 2020.
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Although COVID-19 has disrupted the medical device market, with many elective procedures being postponed, SmartTRAK anticipates the Trauma market to recover in 2021 and beyond. We anticipate that US Trauma fracture fixation procedures will be only slighted impacted by COVID-19, resulting in nearly flat YoY growth from 2019 to 2020 and believe that 2021 procedures will return to normal. This will result in 2021 procedural growth rates being inflated at ~10% and 2022 experiencing normal growth trends as volumes begin to stabilize.
The following is just a small sampling of the Trauma market updates from around the world compiled, reviewed and posted in real time last week by our SmartTRAK analysts. We constantly monitor the worldwide MedTech industry, sifting through the noise to present to our subscribers the most relevant international news, trends, new products, financial data and competitor developments in the global Life Sciences industry.
A US Patent “Intramedullary device” was granted to Sydney Children’s Hospitals Network of New South Wales, AU, describing a device system & method for providing stabilization of a bone & configured to allow extension of the device w/ the growth of the bone. 10,736,674
Union was achieved at mean length of 8.3 mos in all 102 pts w/ tibial nonunion treated w/ an Ilizarov ex fix w/ 95.1% maintaining union at least 2 yrs post treatment leading a study to conclude the Ilizarov method is an excellent long-term option. Arch Orthop Trauma Surg
A non-inverted triangular configuration of 6.5mm screws used in the fixation of femoral neck fxs carries a higher risk of bony violation than an inverted triangle configuration concluded a study of 72 cases. J Clin Orthop Trauma
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While reverse TSA has grown in popularity, is it always the best option?
Reverse total shoulder arthroplasty (RTSA) was a hot topic during the Current Concepts in Joint Replacement (CCJR) Spring 2020 meeting, held virtually due to the COVID-19 pandemic. Several Orthopaedic Crossfire discussions revolved around RTSA, and surgeons debated several issues, including whether RTSA should be the standard of care for glenohumeral arthritis. The reverse shoulder market segment comprised 54.6% of US Shoulder Market revenue in 2019, compared to 37.1% for anatomic shoulders, according to SmartTRAK estimates.
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Strong start in Q120 was negatively impacted by the double whammy of postponed elective procedures and lag in capital equipment purchases as the result of the COVID-19 pandemic.
While adoption of robotics and other enabling technologies was gaining significant momentum quarter over quarter through year-end 2019, delays in elective spine surgery due to the COVID-19 pandemic resulted in declines in capital equipment sales and fewer computer-assisted spine surgeries in Q120. However, these declines are expected to be temporary and improve as surgeries rebound through the end of the year and into 2021.
Among the many topics covered in the comprehensive Q120 CAS Spine Market Recap* are: