European Markets for Orthopedic Large Joint Reconstructive Devices 2011

2011-12-07
Published : Dec-2011

Report Summary

In 2010, the combined European large joint orthopedic reconstruction device market was valued at over €1.9 billion.

The countries covered in this report include:

  • Austria
  • Benelux
  • France
  • Germany
  • Italy
  • Portugal
  • Scandinavia
  • Spain
  • Switzerland
  • The United Kingdom

Despite the lower average selling prices offered in the German reconstruction device market, which had the most challenging pricing environment, it was the largest combined hip and knee reconstruction device market in Europe. Comparatively, the average price for orthopedic implants in Germany was lower than for Portugal, which has a significantly lower national income per capita.

The market segments covered in this report include:

  • The knee reconstruction market
  • The hip reconstruction market
  • The bone cement market

Within the orthopedic large joint replacement and bone cement market, companies such as Biomet, DePuy Orthopaedics, Smith & Nephew, Stryker Orthopedics and Zimmer lead the market, among others. This report provides a comprehensive and detailed analysis of market revenues by device type, market forecasts through 2017, unit sales, average selling prices, market drivers and limiters and a detailed competitive analysis, including manufacturer market shares and product portfolios.

TABLE OF CONTENTS

TABLE OF CONTENTS.I
LIST OF FIGURES.VI
LIST OF CHARTS XVIII
EXECUTIVE SUMMARY. 1

1.1 EUROPEAN MARKETS FOR LARGE JOINT RECONSTRUCTIVE DEVICES  1
1.2 EUROPEAN ORTHOPEDIC RECONSTRUCTION PROCEDURES . 2
1.3 KNEE REPLACEMENT MARKET BY SEGMENT. 3
1.4 COMBINED ORTHOPEDIC RECONSTRUCTION DEVICE MARKET BY COUNTRY. 4
1.5 HIP REPLACEMENT MARKET BY FIXATION  5
1.6 COMBINED EUROPEAN HIP RECONSTRUCTION DEVICE MARKET BY BEARING TYPE . 6
1.7 COUNTRY PROFILES 7
1.8 COMPETITIVE ANALYSIS  8
RESEARCH METHODOLOGY. 9

2.1 RESEARCH SCOPE . 9
2.2 IDATA’S 9-STEP METHODOLOGY . 9
2.2.1 Step 1: Project Initiation & Team Selection  10
2.2.2 Step 2: Prepare Data Systems and Perform Secondary Research. 11
2.2.3 Step 3: Preparation for Interviews & Questionnaire Design  12
2.2.4 Step 4: Performing Primary Research. 13
2.2.5 Step 5: Research Analysis: Establishing Baseline Estimates  15
2.2.6 Step 6: Market Forecast and Analysis . 15
2.2.7 Step 7: Identify Strategic Opportunities  17
2.2.8 Step 8: Final Review and Market Release . 18
2.2.9 Step 9: Customer Feedback and Market Monitoring. 19
EUROPEAN MARKETS FOR LARGE JOINT RECONSTRUCTIVE DEVICES  20

3.1 INTRODUCTION . 20
3.1.1 Device Types . 20
Table of Contents
3.1.2 Bone Cement. 21
3.1.3 Other Device Issues  23
3.2 CURRENCY EXCHANGE RATE. 24
3.3MARKET OVERVIEW. 25
3.4MARKET BY SEGMENT 28
3.5 TREND ANALYSIS BY SEGMENT . 33
3.6 PROCEDURES. 35
3.6.1 Procedures by Segment. 35
3.6.2 Procedures by Country . 37
3.7MARKET BY COUNTRY . 40
3.7.1 Combined Market . 40
3.7.2 Germany 43
3.7.3 France. 47
3.7.4 U.K 51
3.7.5 Spain . 55
3.7.6 Italy . 59
3.7.7 Benelux . 63
3.7.8 Scandinavia. 67
3.7.9 Switzerland 71
3.7.10 Austria. 75
3.7.11 Portugal  79
3.8MARKET DRIVERS AND LIMITERS  83
3.8.1 Market Drivers 83
3.8.2 Market Limiters. 84
3.9 COMPETITIVE ANALYSIS  86
3.9.1 Herfindahl Index . 91
3.10MERGERS AND ACQUISITIONS  93
COUNTRY PROFILES 95

4.1 INTRODUCTION . 95
4.1.1 Population. 95
4.1.2 GDP per Capita  95
4.1.3 Procedures  95
4.1.4 Price Index 95
Table of Contents
4.2 GERMANY. 96
4.3 FRANCE. 97
4.4 UNITED KINGDOM  98
4.5 SPAIN  99
4.6 ITALY  100
4.7 BENELUX  101
4.8 SCANDINAVIA . 102
4.9 SWITZERLAND. 103
4.10 AUSTRIA . 104
4.11 PORTUGAL  105
PROCEDURE NUMBERS. 106

5.1 OVERVIEW  106
5.1.1 Procedure Numbers by Segment. 106
5.1.2 Procedure Numbers by Country . 108
5.2 KNEE REPLACEMENT PROCEDURES . 110
5.2.1 Procedure Numbers by Segment. 110
5.2.2 Procedure Numbers by Country . 112
5.2.3 Combined Knee Reconstruction Device Market . 115
5.2.4 Total Knee Replacement . 117
5.2.5 Unicondylar Knee Replacement . 119
5.2.6 Revision Knee Replacement 121
5.3 HIP REPLACEMENT PROCEDURES. 123
5.3.1 Procedure Numbers by Segment. 123
5.3.2 Procedure Numbers by Country . 125
5.3.3 Total Hip Replacement . 128
5.3.4 Partial Hip Replacement  130
5.3.5 Resurfacing Hip Replacement. 132
5.3.6 Revision Hip Replacement  134
KNEE REPLACEMENT MARKET. 136

6.1 INTRODUCTION . 136
6.1.1 Anatomy  136
6.1.2 Pathology 136
Table of Contents
6.1.3 Device Types . 137
6.1.4 Fixation Classification 138
6.1.5 Bearing Classification  138
6.2MARKET OVERVIEW. 140
6.2.1 Combined Knee Reconstruction Device Market by Segment 140
6.2.2 Trend Analysis by Segment . 145
6.3MARKET ANALYSIS AND FORECAST  147
6.3.1 Combined Knee Reconstruction Device Market by Country  147
6.3.2 Total Knee Replacement Market. 154
6.3.2.1 Total Knee Replacement Market by Fixation Type162
6.3.2.1.1 Cemented Total Knee Replacement Market162
6.3.2.1.2 Hybrid Total Knee Replacement Market 169
6.3.2.1.3 Uncemented Total Knee Replacement Market176
6.3.2.2 Total Knee Replacement Market by Bearing Type 183
6.3.2.2.1 Fixed-Bearing Total Knee Replacement Market 183
6.3.2.2.2 Mobile-Bearing Total Knee Replacement Market 190
6.3.3 Unicondylar Knee Replacement Market. 197
6.3.4 Revision Knee Replacement Market . 204
6.4MARKET DRIVERS AND LIMITERS  211
6.4.1 Market Drivers 211
6.4.2 Market Limiters. 212
6.5 COMPETITIVE ANALYSIS  214
HIP REPLACEMENT MARKET. 218

7.1 INTRODUCTION . 218
7.1.1 Anatomy  218
7.1.2 Pathology 218
7.1.3 Device Types . 218
7.1.4 Fixation Classification 220
7.1.5 Bearing Classification  220
7.2MARKET OVERVIEW. 222
7.2.1 Combined Hip Reconstruction Device Market by Segment  222
7.2.2 Trend Analysis by Segment . 227
7.3MARKET ANALYSIS AND FORECAST  229
Table of Contents
7.3.1 Combined Hip Reconstruction Device Market by Country  229
7.3.2 Total Hip Replacement Market. 236
7.3.2.1 Total Hip Replacement Market by Fixation Type243
7.3.2.1.1 Cemented Total Hip Replacement Market244
7.3.2.1.2 Hybrid Total Hip Replacement Market.251
7.3.2.1.3 Uncemented Total Hip Replacement Market258
7.3.2.2 Total Hip Replacement by Bearing Type.265
7.3.2.2.1 Polyethylene Bearing Total Hip Replacement Market .266
7.3.2.2.2 Metal Bearing Total Hip Replacement Market.273
7.3.2.2.3 Ceramic Bearing Total Hip Replacement Market 280
7.3.3 Partial Hip Replacement Market  287
7.3.4 Resurfacing Hip Replacement Market  294
7.3.5 Revision Hip Replacement Market 301
7.4MARKET DRIVERS AND LIMITERS  308
7.4.1 Market Drivers 308
7.4.2 Market Limiters. 308
7.5 COMPETITIVE ANALYSIS  311
ABBREVIATIONS 316

LIST OF FIGURES

EXECUTIVE SUMMARY 1
RESEARCH METHODOLOGY 9
EUROPEAN MARKETS FOR LARGE JOINT RECONSTRUCTIVE DEVICES  20
Figure 3-1: Exchange Rate between the Euro and Other Currencies, 2010 24
Figure 3-2: Combined Orthopedic Large Joint Reconstructive Device Market,
Europe, 2007 – 2017 (€)  26
Figure 3-3: Combined Orthopedic Large Joint Reconstructive Device Market,
Europe, 2007 – 2017 (US$) 26
Figure 3-4: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Europe, 2007 – 2017 (€M)  29
Figure 3-5: Growth Rates by Segment, Combined Orthopedic Large Joint
Reconstructive Device Market, Europe, 2007 – 2017  33
Figure 3-6: Total Procedures by Segment, Combined Orthopedic Large Joint
Reconstructive Market, Europe, 2007 – 2017 35
Figure 3-7: Combined Knee and Hip Procedures by Country, Combined
Orthopedic Large Joint Reconstructive Device Market, Europe, 2007 – 2017  38
Figure 3-8: Combined Orthopedic Large Joint Reconstructive Device Market by
Country, Europe, 2007 – 2017 (€M) . 41
Figure 3-9: Combined Orthopedic Large Joint Reconstructive Device Market by
Country, Europe, 2007 – 2017 (US$M)  42
Figure 3-10: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Germany, 2007 – 2017 (€M) . 44
Figure 3-11: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Germany, 2007 – 2017 (US$M). 44
Figure 3-12: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, France, 2007 – 2017 (€M) . 48
Figure 3-13: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, France, 2007 – 2017 (US$M)  48
List of Figures
Figure 3-14: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, U.K., 2007 – 2017 (€M)  52
Figure 3-15: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, U.K., 2007 – 2017 (US$M) . 52
Figure 3-16: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Spain, 2007 – 2017 (€M). 56
Figure 3-17: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Spain, 2007 – 2017 (US$M) 56
Figure 3-18: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Italy, 2007 – 2017 (€M)  60
Figure 3-19: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Italy, 2007 – 2017 (US$M) . 60
Figure 3-20: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Benelux, 2007 – 2017 (€M). 64
Figure 3-21: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Benelux, 2007 – 2017 (US$M)  64
Figure 3-22: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Scandinavia, 2007 – 2017 (€M). 68
Figure 3-23: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Scandinavia, 2007 – 2017 (US$M)  68
Figure 3-24: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Switzerland, 2007 – 2017 (€M) . 72
Figure 3-25: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Switzerland, 2007 – 2017 (US$M)  72
Figure 3-26: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Austria, 2007 – 2017 (€M)  76
Figure 3-27: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Austria, 2007 – 2017 (US$M) . 76
Figure 3-28: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Portugal, 2007 – 2017 (€M)  80
Figure 3-29: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Portugal, 2007 – 2017 (US$M) 80
Figure 3-30: Drivers and Limiters, Combined Orthopedic Large Joint
Reconstructive Device Market, Europe, 2010 . 85
List of Figures
Figure 3-31: Leading Competitors, Orthopedic Large Joint Reconstructive Device
Market, Europe, 2010  89
Figure 3-32: Herfindahl Index, Combined Orthopedic Large Joint Reconstructive
Device Market, Europe, 2010 . 91
COUNTRY PROFILES  95
PROCEDURE NUMBERS 106
Figure 5-1: Total Procedure Numbers by Segment, Combined Orthopedic Large
Joint Reconstructive Device Market, Europe, 2007 – 2017 106
Figure 5-2: Total Procedure Numbers by Country, Combined Orthopedic Large
Joint Reconstructive Device Market, Europe, 2007 – 2017 109
Figure 5-3: Knee Replacement Procedures by Segment, Combined Knee
Reconstruction Device Market, Europe, 2007 – 2017  110
Figure 5-4: Knee Replacement Procedures by Country, Combined Knee
Reconstruction Device Market, Europe, 2007 – 2017  113
Figure 5-5: Combined Knee Reconstruction Procedures by Country, Combined
Knee Reconstruction Device Market, Europe, 2007 – 2017 . 116
Figure 5-6: Total Knee Replacement Procedures by Country, Combined Knee
Reconstruction Device Market, Europe, 2007 – 2017 . 118
Figure 5-7: Unicondylar Knee Replacement Procedures by Country, Combined
Knee Reconstruction Device Market, Europe, 2007 – 2017  120
Figure 5-8: Revision Knee Procedures by Country, Combined Knee
Reconstruction Device Market, Europe, 2007 – 2017  122
Figure 5-9: Hip Replacement Procedures by Segment, Combined Hip
Reconstruction Device Market, Europe, 2007 – 2017  123
Figure 5-10: Hip Replacement Procedures by Country, Combined Hip
Reconstruction Device Market, Europe, 2007 – 2017  126
Figure 5-11: Total Hip Replacement Procedures by Country, Combined Hip
Reconstruction Device Market, Europe, 2007 – 2017 . 129
Figure 5-12: Partial Hip Replacement Procedures by Country, Combined Hip
Reconstruction Device Market, Europe, 2007 – 2017 . 131
Figure 5-13: Resurfacing Hip Procedures by Country, Combined Hip
Reconstruction Device Market, Europe, 2007 – 2017  133
Figure 5-14: Revision Hip Procedures by Country, Combined Hip Reconstruction
Device Market, Europe, 2007 – 2017 135
List of Figures
KNEE REPLACEMENT MARKET  136
Figure 6-1: Combined Knee Reconstruction Device Market by Segment, Europe,
2007 – 2017 (€M)  141
Figure 6-2: Combined Knee Reconstruction Device Market by Segment, Europe,
2007 – 2017 (US$M) . 141
Figure 6-3: Growth Rates by Segment, Combined Knee Reconstruction Device
Market, Europe, 2007 – 2017 . 145
Figure 6-4: Combined Knee Reconstruction Device Market, Europe, 2007 – 2017
(€) . 147
Figure 6-5: Combined Knee Reconstruction Device Market, Europe, 2007 – 2017
(US$)  148
Figure 6-6: Combined Knee Reconstruction Device Units Sold by Country,
Europe, 2007 – 2017  149
Figure 6-7: Combined Knee Reconstruction Device ASP by Country, Europe,
2007 – 2017 (€) . 150
Figure 6-8: Combined Knee Reconstruction Device ASP by Country, Europe,
2007 – 2017 (US$). 151
Figure 6-9: Combined Knee Reconstruction Device Market by Country, Europe,
2007 – 2017 (€M)  152
Figure 6-10: Combined Knee Reconstruction Device Market by Country, Europe,
2007 – 2017 (US$M) . 153
Figure 6-11: Total Knee Replacement Market, Europe, 2007 – 2017 (€)  155
Figure 6-12: Total Knee Replacement Market, Europe, 2007 – 2017 (US$) 156
Figure 6-13: Total Knee Replacement Units Sold by Country, Europe,
2007 – 2017. 157
Figure 6-14: Total Knee Replacement ASP by Country, Europe, 2007 – 2017
(€) . 158
Figure 6-15: Total Knee Replacement ASP by Country, Europe, 2007 – 2017
(US$)  159
Figure 6-16: Total Knee Replacement Market by Country, Europe, 2007 – 2017
(€M) 160
Figure 6-17: Total Knee Replacement Market by Country, Europe, 2007 – 2017
(US$M) . 161
List of Figures
Figure 6-18: Cemented Total Knee Replacement Market, Europe, 2007 – 2017
(€) . 163
Figure 6-19: Cemented Total Knee Replacement Market, Europe, 2007 – 2017
(US$)  163
Figure 6-20: Cemented Total Knee Replacement Units Sold by Country, Europe,
2007 – 2017. 164
Figure 6-21: Cemented Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (€) . 165
Figure 6-22: Cemented Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (US$). 166
Figure 6-23: Cemented Total Knee Replacement Market by Country, Europe,
2007 – 2017 (€M)  167
Figure 6-24: Cemented Total Knee Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 168
Figure 6-25: Hybrid Total Knee Replacement Market, Europe, 2007 – 2017 (€). 169
Figure 6-26: Hybrid Total Knee Replacement Market, Europe, 2007 – 2017
(US$)  170
Figure 6-27: Hybrid Total Knee Replacement Units Sold by Country, Europe,
2007 – 2017. 171
Figure 6-28: Hybrid Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (€) . 172
Figure 6-29: Hybrid Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (US$). 173
Figure 6-30: Hybrid Total Knee Replacement Market by Country, Europe,
2007 – 2017 (€M)  174
Figure 6-31: Hybrid Total Knee Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 175
Figure 6-32: Uncemented Total Knee Replacement Market, Europe, 2007 – 2017
(€) . 176
Figure 6-33: Uncemented Total Knee Replacement Market, Europe, 2007 – 2017
(US$)  177
Figure 6-34: Uncemented Total Knee Replacement Units Sold by Country,
Europe, 2007 – 2017  178
List of Figures
Figure 6-35: Uncemented Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (€) . 179
Figure 6-36: Uncemented Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (US$). 180
Figure 6-37: Uncemented Total Knee Replacement Market by Country, Europe,
2007 – 2017 (€M)  181
Figure 6-38: Uncemented Total Knee Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 182
Figure 6-39: Fixed-Bearing Total Knee Replacement Market, Europe,
2007 – 2017 (€) . 184
Figure 6-40: Fixed-Bearing Total Knee Replacement Market, Europe,
2007 – 2017 (US$). 184
Figure 6-41: Fixed-Bearing Total Knee Replacement Units Sold by Country,
Europe, 2007 – 2017  185
Figure 6-42: Fixed-Bearing Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (€) . 186
Figure 6-43: Fixed-Bearing Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (US$). 187
Figure 6-44: Fixed-Bearing Total Knee Replacement Market by Country, Europe,
2007 – 2017 (€M)  188
Figure 6-45: Fixed-Bearing Total Knee Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 189
Figure 6-46: Mobile-Bearing Total Knee Replacement Market, Europe,
2007 – 2017 (€) . 190
Figure 6-47: Mobile-Bearing Total Knee Replacement Market, Europe,
2007 – 2017 (US$). 191
Figure 6-48: Mobile-Bearing Total Knee Replacement Units Sold by Country,
Europe, 2007 – 2017  192
Figure 6-49: Mobile-Bearing Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (€) . 193
Figure 6-50: Mobile-Bearing Total Knee Replacement ASP by Country, Europe,
2007 – 2017 (US$). 194
Figure 6-51: Mobile-Bearing Total Knee Replacement Market by Country,
Europe, 2007 – 2017 (€M) . 195
List of Figures
Figure 6-52: Mobile-Bearing Total Knee Replacement Market by Country,
Europe, 2007 – 2017 (US$M). 196
Figure 6-53: Unicondylar Knee Replacement Market, Europe, 2007 – 2017 (€) 197
Figure 6-54: Unicondylar Knee Replacement Market, Europe, 2007 – 2017
(US$)  198
Figure 6-55: Unicondylar Knee Replacement Units Sold by Country, Europe,
2007 – 2017. 199
Figure 6-56: Unicondylar Knee Replacement ASP by Country, Europe,
2007 – 2017 (€) . 200
Figure 6-57: Unicondylar Knee Replacement ASP by Country, Europe,
2007 – 2017 (US$). 201
Figure 6-58: Unicondylar Knee Replacement Market by Country, Europe,
2007 – 2017 (€M)  202
Figure 6-59: Unicondylar Knee Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 203
Figure 6-60: Revision Knee Replacement Market, Europe, 2007 – 2017 (€) . 205
Figure 6-61: Revision Knee Replacement Market, Europe, 2007 – 2017 (US$)  205
Figure 6-62: Revision Knee Replacement Units Sold by Country, Europe,
2007 – 2017. 206
Figure 6-63: Revision Knee Replacement ASP by Country, Europe, 2007 – 2017
(€) . 207
Figure 6-64: Revision Knee Replacement ASP by Country, Europe, 2007 – 2017
(US$)  208
Figure 6-65: Revision Knee Replacement Market by Country, Europe,
2007 – 2017 (€M)  209
Figure 6-66: Revision Knee Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 210
Figure 6-67: Drivers and Limiters, Combined Knee Reconstruction Device
Market, Europe, 2010  213
Figure 6-68: Leading Competitors, Combined Knee Reconstruction Device
Market, Europe, 2010  216
HIP REPLACEMENT MARKET  218
Figure 7-1: Combined Hip Reconstruction Device Market by Segment, Europe,
2007 – 2017 (€M)  223
List of Figures
Figure 7-2: Combined Hip Reconstruction Device Market by Segment, Europe,
2007 – 2017 (US$M) . 223
Figure 7-3: Growth Rates by Segment, Combined Hip Reconstruction Device
Market, Europe, 2007 – 2017 . 227
Figure 7-4: Combined Hip Reconstruction Device Market, Europe, 2007 – 2017
(€) . 230
Figure 7-5: Combined Hip Reconstruction Device Market, Europe, 2007 – 2017
(US$)  230
Figure 7-6: Combined Hip Reconstruction Device Units Sold by Country, Europe,
2007 – 2017. 231
Figure 7-7: Combined Hip Reconstruction Device ASP by Country, Europe,
2007 – 2017 (€) . 232
Figure 7-8: Combined Hip Reconstruction Device ASP by Country, Europe,
2007 – 2017 (US$). 233
Figure 7-9: Combined Hip Reconstruction Device Market by Country, Europe,
2007 – 2017 (€M)  234
Figure 7-10: Combined Hip Reconstruction Device Market by Country, Europe,
2007 – 2017 (US$M) . 235
Figure 7-11: Total Hip Replacement Market, Europe, 2007 – 2017 (€)  237
Figure 7-12: Total Hip Replacement Market, Europe, 2007 – 2017 (US$)  237
Figure 7-13: Total Hip Replacement Units Sold by Country, Europe,
2007 – 2017. 238
Figure 7-14: Total Hip Replacement ASP by Country, Europe, 2007 – 2017 (€). 239
Figure 7-15: Total Hip Replacement ASP by Country, Europe, 2007 – 2017
(US$)  240
Figure 7-16: Total Hip Replacement Market by Country, Europe, 2007 – 2017
(€M) 241
Figure 7-17: Total Hip Replacement Market by Country, Europe, 2007 – 2017
(US$M) . 242
Figure 7-18: Cemented Total Hip Replacement Market, Europe, 2007 – 2017
(€) . 245
Figure 7-19: Cemented Total Hip Replacement Market, Europe, 2007 – 2017
(US$)  245
List of Figures
Figure 7-20: Cemented Total Hip Replacement Units Sold by Country, Europe,
2007 – 2017. 246
Figure 7-21: Cemented Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (€) . 247
Figure 7-22: Cemented Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (US$). 248
Figure 7-23: Cemented Total Hip Replacement Market by Country, Europe,
2007 – 2017 (€M)  249
Figure 7-24: Cemented Total Hip Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 250
Figure 7-25: Hybrid Total Hip Replacement Market, Europe, 2007 – 2017 (€) . 252
Figure 7-26: Hybrid Total Hip Replacement Market, Europe, 2007 – 2017
(US$)  252
Figure 7-27: Hybrid Total Hip Replacement Units Sold by Country, Europe,
2007 – 2017. 253
Figure 7-28: Hybrid Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (€) . 254
Figure 7-29: Hybrid Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (US$). 255
Figure 7-30: Hybrid Total Hip Replacement Market by Country, Europe,
2007 – 2017 (€M)  256
Figure 7-31: Hybrid Total Hip Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 257
Figure 7-32: Uncemented Total Hip Replacement Market, Europe, 2007 – 2017
(€) . 259
Figure 7-33: Uncemented Total Hip Replacement Market, Europe, 2007 – 2017
(US$)  259
Figure 7-34: Uncemented Total Hip Replacement Units Sold by Country, Europe,
2007 – 2017. 260
Figure 7-35: Uncemented Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (€) . 261
Figure 7-36: Uncemented Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (US$). 262
List of Figures
Figure 7-37: Uncemented Total Hip Replacement Market by Country, Europe,
2007 – 2017 (€M)  263
Figure 7-38: Uncemented Total Hip Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 264
Figure 7-39: Polyethylene Bearing Total Hip Replacement Market, Europe,
2007 – 2017 (€) . 267
Figure 7-40: Polyethylene Bearing Total Hip Replacement Market, Europe,
2007 – 2017 (US$). 267
Figure 7-41: Polyethylene Bearing Total Hip Replacement Units Sold by
Country, Europe, 2007 – 2017 268
Figure 7-42: Polyethylene Bearing Total Hip Replacement ASP by Country,
Europe, 2007 – 2017 (€)  269
Figure 7-43: Polyethylene Bearing Total Hip Replacement ASP by Country,
Europe, 2007 – 2017 (US$) 270
Figure 7-44: Polyethylene Bearing Total Hip Replacement Market by Country,
Europe, 2007 – 2017 (€M) . 271
Figure 7-45: Polyethylene Bearing Total Hip Replacement Market by Country,
Europe, 2007 – 2017 (US$M). 272
Figure 7-46: Metal Bearing Total Hip Replacement Market, Europe, 2007 – 2017
(€) . 274
Figure 7-47: Metal Bearing Total Hip Replacement Market, Europe, 2007 – 2017
(US$)  274
Figure 7-48: Metal Bearing Total Hip Replacement Units Sold by Country,
Europe, 2007 – 2017  275
Figure 7-49: Metal Bearing Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (€) . 276
Figure 7-50: Metal Bearing Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (US$). 277
Figure 7-51: Metal Bearing Total Hip Replacement Market by Country, Europe,
2007 – 2017 (€M)  278
Figure 7-52: Metal Bearing Total Hip Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 279
Figure 7-53: Ceramic Bearing Total Hip Replacement Market, Europe,
2007 – 2017 (€) . 281
List of Figures
Figure 7-54: Ceramic Bearing Total Hip Replacement Market, Europe,
2007 – 2017 (US$). 281
Figure 7-55: Ceramic Bearing Total Hip Replacement Units Sold by Country,
Europe, 2007 – 2017  282
Figure 7-56: Ceramic Bearing Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (€) . 283
Figure 7-57: Ceramic Bearing Total Hip Replacement ASP by Country, Europe,
2007 – 2017 (US$). 284
Figure 7-58: Ceramic Bearing Total Hip Replacement Market by Country,
Europe, 2007 – 2017 (€M) . 285
Figure 7-59: Ceramic Bearing Total Hip Replacement Market by Country,
Europe, 2007 – 2017 (US$M). 286
Figure 7-60: Partial Hip Replacement Market, Europe, 2007 – 2017 (€)  287
Figure 7-61: Partial Hip Replacement Market, Europe, 2007 – 2017 (US$)  288
Figure 7-62: Partial Hip Replacement Units Sold by Country, Europe,
2007 – 2017. 289
Figure 7-63: Partial Hip Replacement ASP by Country, Europe, 2007 – 2017
(€) . 290
Figure 7-64: Partial Hip Replacement ASP by Country, Europe, 2007 – 2017
(US$)  291
Figure 7-65: Partial Hip Replacement Market by Country, Europe, 2007 – 2017
(€M) 292
Figure 7-66: Partial Hip Replacement Market by Country, Europe, 2007 – 2017
(US$M) . 293
Figure 7-67: Resurfacing Hip Replacement Market, Europe, 2007 – 2017 (€)  295
Figure 7-68: Resurfacing Hip Replacement Market, Europe, 2007 – 2017
(US$)  295
Figure 7-69: Resurfacing Hip Replacement Units Sold by Country, Europe,
2007 – 2017. 296
Figure 7-70: Resurfacing Hip Replacement ASP by Country, Europe, 2007 – 2017
(€) . 297
Figure 7-71: Resurfacing Hip Replacement ASP by Country, Europe, 2007 – 2017
(US$)  298
List of Figures
Figure 7-72: Resurfacing Hip Replacement Market by Country, Europe,
2007 – 2017 (€M)  299
Figure 7-73: Resurfacing Hip Replacement Market by Country, Europe,
2007 – 2017 (US$M) . 300
Figure 7-74: Revision Hip Replacement Market, Europe, 2007 – 2017 (€) . 301
Figure 7-75: Revision Hip Replacement Market, Europe, 2007 – 2017 (US$)  302
Figure 7-76: Revision Hip Replacement Units Sold by Country, Europe,
2007 – 2017. 303
Figure 7-77: Revision Hip Replacement ASP by Country, Europe, 2007 – 2017
(€) . 304
Figure 7-78: Revision Hip Replacement ASP by Country, Europe, 2007 – 2017
(US$)  305
Figure 7-79: Revision Hip Replacement Market by Country, Europe, 2007 – 2017
(€M) 306
Figure 7-80: Revision Hip Replacement Market by Country, Europe, 2007 – 2017
(US$M) . 307
Figure 7-81: Drivers and Limiters, Combined Hip Reconstruction Device Market,
Europe, 2010 . 310
Figure 7-82: Leading Competitors, Combined Hip Reconstruction Device Market,
Europe, 2010 . 314
ABBREVIATIONS  316

List of Charts

EXECUTIVE SUMMARY 1
Chart 1-1: Combined Orthopedic Large Joint Reconstructive Device Market,
Europe, 2007 – 2017 (€M) . 1
Chart 1-2: Orthopedic Reconstruction Procedures, Combined Orthopedic Joint
Reconstructive Device Market, Europe, 2010 . 2
Chart 1-3: Combined Knee Reconstructive Device Market by Segment, Europe,
2010  3
Chart 1-4: Combined Joint Reconstructive Device Market by Country, Europe,
2010 (€M) . 4
Chart 1-5: Hip Reconstruction Device Unit Sales by Fixation, Combined
Orthopedic Large Joint Reconstructive Device Market, Europe, 2007 – 2017  5
Chart 1-6: Average Selling Price Growth Rates by Bearing Type, Total Hip
Replacement Market, Europe, 2010  6
Chart 1-7: Country Profile, Combined Orthopedic Large Joint Reconstructive
Device Market, Portugal, 2010 . 7
Chart 1-8 Leading Competitors, Combined Orthopedic Large Joint
Reconstructive Device Market, Europe, 2010 . 8
RESEARCH METHODOLOGY 9
EUROPEAN MARKETS FOR LARGE JOINT RECONSTRUCTIVE DEVICES  20
Chart 3-1: Combined Orthopedic Large Joint Reconstructive Device Market,
Europe, 2007 – 2017 (€M) . 27
Chart 3-2: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Europe, 2007 – 2017 (€M) . 30
Chart 3-3: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Europe, 2010  31
Chart 3-4: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Europe, 2017  32
Chart 3-5: Growth Rates by Segment, Combined Orthopedic Large Joint
Reconstructive Device Market, Europe, 2007 – 2017  34
List of Charts
Chart 3-6: Total Procedures by Segment, Combined Orthopedic Large Joint
Reconstructive Device Market, Europe, 2007 – 2017  36
Chart 3-7: Combined Knee and Hip Procedures by Country, Combined
Orthopedic Large Joint Device Market, Europe, 2007 – 2017 39
Chart 3-8: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Germany, 2010 . 45
Chart 3-9: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Germany, 2017  46
Chart 3-10: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, France, 2010. 49
Chart 3-11: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, France, 2017. 50
Chart 3-12: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, U.K., 2010 53
Chart 3-13: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, U.K., 2017 54
Chart 3-14: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Spain, 2010  57
Chart 3-15: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Spain, 2017  58
Chart 3-16: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Italy, 2010  61
Chart 3-17: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Italy, 2017  62
Chart 3-18: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Benelux, 2010  65
Chart 3-19: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Benelux, 2017  66
Chart 3-20: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Scandinavia, 2010. 69
Chart 3-21: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Scandinavia, 2017. 70
Chart 3-22: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Switzerland, 2010 . 73
List of Charts
Chart 3-23: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Switzerland, 2017 . 74
Chart 3-24: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Austria, 2010 77
Chart 3-25: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Austria, 2017 78
Chart 3-26: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Portugal, 2010  81
Chart 3-27: Combined Orthopedic Large Joint Reconstructive Device Market by
Segment, Portugal, 2017  82
Chart 3-28: Leading Competitors, Orthopedic Large Joint Reconstructive Device
Market, Europe, 2010  90
Chart 3-29: Herfindahl Index, Combined Orthopedic Large Joint Reconstructive
Device Market, Europe, 2010 . 92
COUNTRY PROFILES  95
Chart 4-1: Country Statistics, Germany, 2010 . 96
Chart 4-2: Country Statistics, France, 2010. 97
Chart 4-3: Country Statistics, U.K., 2010 98
Chart 4-4: Country Statistics, Spain, 2010  99
Chart 4-5: Country Statistics, Italy, 2010  100
Chart 4-6: Country Statistics, Benelux, 2010  101
Chart 4-7: Country Statistics, Scandinavia, 2010. 102
Chart 4-8: Country Statistics, Switzerland, 2010 . 103
Chart 4-9: Country Statistics, Austria, 2010  104
Chart 4-10: Country Statistics, Portugal, 2010  105
PROCEDURE NUMBERS 106
Chart 5-1: Total Procedure Numbers by Segment, Combined Orthopedic Large
Joint Reconstructive Device Market, Europe, 2007 – 2017 . 107
Chart 5-2: Knee Replacement Procedure by Segment, Combined Knee
Reconstruction Device Market, Europe, 2007 – 2017  111
Chart 5-3: Knee Replacement Procedures by Country, Combined Knee
Reconstruction Device Market, Europe, 2010  114
Chart 5-4: Hip Replacement Procedures by Segment, Combined Hip
Reconstruction Device Market, Europe, 2007 – 2017  124
List of Charts
Chart 5-5: Hip Replacement Procedures by Country, Combined Hip
Reconstruction Device Market, Europe, 2010  127
KNEE REPLACEMENT MARKET  136
Chart 6-1: Combined Knee Reconstruction Device Market by Segment, Europe,
2007 – 2017 (€M) . 142
Chart 6-2: Combined Knee Reconstruction Device Market by Segment, Europe,
2010  143
Chart 6-3: Combined Knee Reconstruction Device Market by Segment, Europe,
2017  144
Chart 6-4: Growth Rates by Segment, Combined Knee Reconstruction Device
Market, Europe, 2007 – 2017 . 146
Chart 6-5: Leading Competitors, Combined Knee Reconstruction Device Market,
Europe, 2010 . 217
HIP REPLACEMENT MARKET  218
Chart 7-1: Combined Hip Reconstruction Device Market by Segment, Europe,
2007 – 2017 (€M)  224
Chart 7-2: Combined Hip Reconstruction Device Market by Segment, Europe,
2010  225
Chart 7-3: Combined Hip Reconstruction Device Market by Segment, Europe,
2017  226
Chart 7-4: Growth Rates by Segment, Combined Hip Reconstruction Device
Market, Europe, 2007 – 2017 . 228
Chart 7-5: Leading Competitors, Combined Hip Reconstruction Device Market,
Europe, 2010 . 315

ABBREVIATIONS  316

Filed in: Medical Device, Orthopedic Devices
More Reports
Title Price Buy Now

Wound Care Market by Product (Dressings (Foam, Film, Hydrocolloid, Collagen), Devices (NPWT, Assessment, Debridement), Graft, Matrix, Suture, Stapler), Wound(DFUs, Trauma, Surgical, Burn), End User (Hospitals, Clinics) & Region – Global Forecast to 2027

“Increased cases of traumatic injuries and increasing surgical procedures worldwide are driving the overall growth of the wound care market” The global wound care market is projected to reach USD 27.2 billion by 2027 from USD 20.8 billion in 2022, at a CAGR of 5.4% during the forecast period. Market growth is driven by factors such as increase in traumatic injuries, increased in number of surgical wounds and increased spending on traumatic wound management. On the other hand, challenges associated with wound care product validation and shortage of skilled professionals are the major factors hampering the growth of this market. “The advanced wound care products segment accounted for the highest growth rate in the wound care market, by product, during the forecast period” T......
$8150

Rehabilitation Equipment Market by Product (Medical Bed, Mobility Scooter, Walker, Crutcher, Cane, Patient Lift, Sling), Application (Physical, OT, Lower-body Exercise Equipment), End User (Rehabilitation & Physiotherapy Center) – Global Forecast to 2027

“The rehabilitation equipment market is projected to grow at a CAGR of 5.9% between 2022 and 2027.” The global rehabilitation equipment market is projected to reach USD 19.8 billion by 2027 from USD 14.9 billion in 2022, at a CAGR of 5.9% during the forecast period. Increasing geriatric population and obese populations, increasing chronic diseases, high risk of injuries to caregivers during the manual handling of patients, and increasing demand for rehabilitation care, owing to an increasing access to healthcare are the key driving factors in the market. However, a lack of awareness and access to rehabilitation services in emerging countries is a major factor restraining market growth. “Therapy equipment was the largest and fastest-growing segment in the product segment of reha......
$4950

Cold Pain Therapy Market by Product (OTC (Gels, Creams, Patches, Wraps, Pads), Prescription (Motorized, Non-motorized)), Application (Musculoskeletal, Post-Op, Sports Injuries), Distribution Channel (Hospital, Retail, E-Pharmacy) – Global Forecast to 2027

"Increasing sports injuries and active participation are driving the overall growth of the cold pain therapy market." The global cold pain therapy market is projected to reach USD 2.4 billion by 2027 from USD 1.8 billion in 2022, at a CAGR of 5.1% during the forecast period. Growth in this market is mainly driven by growing incidence of arthritis and availability of cold pain products at affordable cost. "The OTC products segment accounted for the highest growth rate in the cold pain therapy market, by product, during the forecast period." The cold pain therapy market is segmented into OTC products and prescription products based on product. In 2021, the OTC products segment accounted for the highest growth rate in the cold pain therapy market. Market growth can largely be attri......
$4950

Nerve Repair & Regeneration Market by Products (Neuromodulation Devices (Deep Brain Stimulation, Vagus Nerve Stimulation), Biomaterials (Nerve Conduits, Nerve Wraps), Application (Neurorrhaphy, Nerve Grafting, Stem Cell Therapy) – Global Forecast to 2027

“Increasing research investments into the neurological compilations and the expanding geriatric population are pushing the growth of the nerve repair & regeneration market.” The global nerve repair & regeneration market is expected to reach USD 11.6 billion by 2027 from USD 6.5 billion in 2022, at a CAGR of 12.1%.The growth in this market is driven by increasing research expenditure on the neurological disorders by the government, the increasing R&D investments by the market players into the neuromodulation and neurostimulation devices and the biomaterials. Also, the expanding geriatric population base dries the growth of the market by placing more demand of the nerve repair and regeneration products. “The biomaterialas segment is anticipated to grow at the fastest ......
$4950

Particle Therapy Market by Type (Proton Therapy, Heavy Ion), Products (Cyclotron, Synchrotron, Synchrocyclotron), Services, System (Single-room, Multi-room), Cancer Type (Pediatric, Prostate), Application (Treatment, Research) – Global Forecast to 2027

MarketsandMarkets expects particle therapy market is projected to reach USD 1,004 million by 2027 from USD 677 million in 2022, growing at a CAGR of 8.2% from 2022 to 2027. Market growth is driven by factors such as the various advantages offered by the growing global prevalence of cancer, particle therapy advantages over photon therapy, increasing acceptance of particle therapy in clinical trials, and the increasing number of particle therapy centers worldwide. However, affordability & accessibility of treatments and infrastructural are expected to limit market growth to a certain extent in the coming years. In this report, the particle therapy market is segmented on the basis of type, product and services, cancer type, application, cancer type, and region. “Treatment Applicat......
$4950

Restorative Dentistry Market by Product (Restorative Material (Glass-ionomers, Bonding Agents, Biomaterial), Implant, Prosthetic, Equipment (Handpiece, Articulator, Furnace), End User (Hospital, Clinic, Laboratory) – Global Forecast to 2027

“The global restorative dentistry market is projected to grow at a CAGR of 6.1%” Restorative dentistry restores mouth functions & its aesthetic state by efficiently managing oral health problems through dental restoration. Dental restoration procedures include the use of implants and prosthetics made by restorative material to restore the function, integrity, and morphology of the missing tooth or to repair the missing parts of the tooth structure resulted from dental caries or injuries. The global restorative dentistry market is projected to reach USD 22.2 billion by 2027 from USD 16.5 billion in 2022, at a CAGR of 6.1%. “The prosthetic materials segment is expected to account for the largest share of the restorative dentistry market” The prosthetic materials segment ......
$4950

Dental Laboratories Market by Material (Metal Ceramic, CAD/CAM Material (Zirconia, Glass Ceramic)), Equipment (Milling Equipment, CAD/CAM System, 3D Printing System, Scanner, Furnace), Prosthetics (Bridge, Crown, Veeners, Denture) – Global Forecast to 2027

“Rapid growth in the geriatric population and the associated increase in the prevalence of edentulism is expected to drive the overall growth of the dental laboratories market.” Edentulism (tooth loss) is a major oral health concern among the elderly; according to the WHO (2020), globally, ~19% of individuals aged between 65 and 74 years are edentulous. Periodontal diseases and dental cavities are the major causes of tooth loss. As the elderly are more susceptible to such ailments, the growth of this population segment will increase the number of people suffering from oral health problems globally. According to the UN, the global geriatric population (aged 65 years and above) will increase from 703 million in 2019 to 1.5 billion in 2050. Thus, significant growth in the geriatric pop......
$4950

Endoscope Reprocessing Market by Product (HLD and Test Strips, Detergents & Wipes, Automated Endoscope Reprocessors (AER), Endoscope Drying, Storage, & Transport Systems, Tracking Solutions), End User (Hospitals, ASCs & Clinics) (2022 – 2027)

“Endoscope reprocessing market is projected to grow at CAGR of 9.7% from 2022 to 2027” The global endoscope reprocessing market is projected to USD 3.8 billion by 2027 from USD 2.4 billion in 2022, at a CAGR of 9.7% from 2022 to 2027.The growth of this market is driven owing to increasing requirement for endoscopy to diagnose and treat target diseases, high risk of Endoscope-associated infections due to contaminated endoscopes, Growing geriatric population and leading to increase in endoscopic procedures, and Increasing emphasis on improving reprocessing guidelines by healthcare authorities. Also, Increasing investments, funds, and grants to improve healthcare infrastructure and research areas of endoscopy is anticipated to offer an opportunity for the growth of the market during th......
$4950

Polymethyl Methacrylate (PMMA) Market by Grade (General Purpose, Optical), Form(Extruded Sheet, Cast Acrylic Sheet, Pellets, Beads),End-Use Industry(Signs & Displays, Construction, Automotive, Lighting Fixtures, Electronics, Marine, Healthcare) & Region – Global Forecast to 2027

“Rising demand from the electronics industry and expected recovery from impact of COVID-19 and rising penetration of EVs expected to drive market.” The global Polymethyl Methacrylate (PMMA) market is projected to grow from USD 4.8 Billion in 2022 to USD 6.3 Billion by 2027, at a CAGR of 5.4% during the forecast period. Increasing usage of PMMA in construction, automotive, electronics, and other end-use industries are driving the demand for PMMA during the forecast period. However, availability of low-cost substitutes is expected to hamper market growth. PMMA is a versatile, recyclable, sustainable, and durable material, owing to which it is gaining traction across several industrial applications. Due to its superior properties and the changing government policies such as European Gr......
$4950

Microtome Market by Product (Instruments, (Rotary), Accessories (Microtome Blades), Application (Disease Diagnosis, Medical Research), Technology (Fully Automated, Semi-automated, Manual), End User (Hospital, Clinical Labs) – Global Forecast to 2027

“The hospital laboratories is projected to grow at CAGR of 7.1% from 2022 to 2027” Based on End user the market is classified into, The hospital laboratories, clinical laboratories, and other end users . The growth of this market is majorly driven by the increasing number of specialty diagnostic tests performed in hospital laboratories, rising number of in-house clinical diagnostic procedures in hospitals, rising number of hospitals across the globe, and the growing trend of establishing in-house clinical diagnostic capabilities in hospitals. “Microtome instruments in the product segment to witness the highest shares during the forecast period.” Based on the product, the microtome market is segmented into Microtome Instruments: Rotary Microtomes, Cryostat Microtomes, Vibra......
$4950
We use cookies to deliver the best possible experience on our website.
By continuing to use this site, or closing this box, you consent to our use of cookies. To learn more, visit our Privacy Policy