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| 2Q:04 | 1Q:04 | |||||
|---|---|---|---|---|---|---|
| Hip | Knee | Overall | Hip | Knee | Overall | |
| DePuy | 10% | 15% | 9% | 9% | N/A | 8% |
| Biomet | 10% | 18% | 14% | 8% | 12% | 11% |
| Stryker | 9% | 18% | 12% | 17% | 18% | 17% |
| Mean | 10% | 17% | 12% | 11% | 15% | 12% |
All total to date, the 2Q:04 large joint and overall orthopedic market resembles the 1Q:04. There are some factors that should be watched closely, including:
- Stryker has slowed down in hip sales from 17% during the 1Q:04 to 9% during the 2Q:04. Although the 2Q:04 represented the anniversary of the introduction of the Trident ceramic-on-ceramic hip system, we were not expecting such a significant slow down. Trident unit sales now represent 32% of all acetabular liner sales, and are clearly slowing in growth.
- This is the second quarter in a row that DePuy posted weak orthopedic growth compared to the rest of the market. However, knee sales remain strong at 15%.
- Biomet's growth is currently outpacing the rest of the market driven by strong knee sales.
Additional points to consider as the rest of the sector reports:
- Is orthopedic implant pricing increases slowing? Stryker reported that U.S. pricing increased by 3% during the 2Q:04 this significantly lower than the 5% increase in pricing during 2003.
- Pricing in Japan is expected to be 4-6% lower than it was a year ago.
- Penetration of alternate bearing surfaces increased during the previous 4 quarters. Ceramic-on-ceramic, metal-on-metal and highly cross-linked poly articulating materials have driven hip growth. Are we set for a slow down in penetration of these products which would have a negative impact on the overall market?
- When does the industry anticipate launching a mobile bearing knee, provided a down classification is approved by the FDA?