India may become the osteoarthritis capital of the world with over 60 million cases by 2025, doctors say. Doctors say osteoarthritis is the most prevalent form of arthritis in India, affecting over 15 million adults every year.
The Indian Orthopaedic and prosthetic device market is valued at over USD 450 million, and is growing at over 30% per year. It is considered to be the most dynamic sector of medical device market.
Considering the above facts Hospaccx team started working the mapping of market trends and dynamic. This is macroficial study of orthopaedic market if you want to get into more detail you can contact [email protected]
MARKET OVERVIEW OF ORTHOPAEDIC IN THE WORLD
- Around 75 million people across the world had rheumatoid arthritis in 2016.
- In the US, in 2017, 54.4 million adults had arthritis according to the CDC and the number is expected to reach approximately 60 million by 2025.
- In India, orthopaedic surgeons face a huge disease burden of injury, infective, neo-plastic, degenerative, and metabolic conditions
- Additionally, growing incidence of diabetes, obesity, osteoarthritis and osteoporosis are further expanding the clinical need.
- The orthopaedic implants market can be broadly divided on the basis of the area of treatment, into 4 major segments: Trauma, Spine, Knee and Hip.
- The market is shared approximately in an equal ratio between the Trauma & Spine segments on one hand and joints (Knee & Hip) on the other.
HISTORY OF ORTHOPAEDIC
- Nicolas Andry in 1741, he advocated the use of exercise, manipulation and splinting to treat deformities in children.
- Jean-André Venel established the first orthopaedic institute in 1780, which was the first hospital dedicated to the treatment of children’s skeletal deformities.
- Advances made in surgical technique during the 18th century, such as John Hunter’s research on tendonhealing and Percival Pott’s work on spinal deformity steadily increased the range of new methods available for effective treatment.
- Antonius Mathijsen, a Dutch military surgeon, invented the plaster of Paris cast in 1851.
- During the First World War, Jones served as a Territorial Army His advocacy of the use of Thomas splint for the initial treatment of femoral fractures reduced mortality of compound fractures of the femur from 87% to less than 8% in the period from 1916 to 1918.
- The modern total hip replacementwas pioneered by Sir John Charnley, expert in tribology at Wrightington Hospital, England in the 1960s.
- Knee replacements using similar technology were started by McIntosh in rheumatoid arthritispatients and later by Gunston and Marmor for osteoarthritis in the 1970s developed by Dr. John Insall in New York
- The use of arthroscopic techniques has been particularly important for injured patients. Arthroscopywas pioneered in the early 1950s by Dr. Masaki Watanabe of Japan.
- Between 2001 and 2016, the prevalence of musculoskeletal procedures drastically increased in the U.S, from 17.9% to 24.2% of all operating room procedures performed during hospital stays.
1. Cane-based Prosthetic Limbs
Arun Cherian’s start-up, Rise Legs, has come up with a prosthetic leg for amputees made of cane, which is not only light but much more affordable too.
2. Hand rest for fractured hand
Generally shoulder arm slings are used to provide support to a fractured hand. Using this for a long time sometimes give discomfort to the neck/ shoulder region. It is Adi Kumar’s idea to have a waist worn appendage, which can provide support to a fractured hand instead of the sling. The fractured arm would be rested comfortably on the appendage and kept in position by straps.
PREVALENCE OF ORTHOPEDIC IN INDIA
- In paediatric age group, it was found that more male patients attended orthopaedic OPD due to multiple reasons, with incidence of trauma being more common in male children.
- 67% patients belong to age group of 21 – 60 yrs, as this constitutes the most active and productive age group
- 61% of patients belong to rural areas with only 39% from urban areas.
- About 33% of patients attending OPD suffer trauma with 6% having only soft tissue injuries.
- About 1.5% patients having congenital problems, Congenital Talipes Equino Varus (CTEV) being the commonest.
- 26 % patients to OPD, suffer from spinal pain, mainly Low Back Ache (LBA).
- Among individuals who have been treated for an episode of acute osteomyelitis, the prevalence of chronic osteomyelitis is about 5% to 25% in the India.
- Prevalence can be as high as 30% to 40% in individuals with diabetes and 16% after foot puncture.
GOVERNMENT INITIATIVES FOR ORTHOPAEDIC PATIENTS IN INDIA
- Government slashed the prices of knee implants by between 59 and 69%.
- The standard, widely used cobalt chromium in knee replacement surgery will now cost Rs 54,720 as against an earlier MRP of Rs 1,58,324.
- Similarly, the price of special metals like titanium and oxidised zirconium have been slashed by almost 70%, to Rs 76,600 from Rs 2.49 lakh.
- In case of revision knee replacement, which is usually done if the primary replacement fails, prices of implants have been cut by 59%.
GLOBAL MARKET OF ORTHOPAEDIC DEVICES
- The global orthopaedic devices market is expected to reach $41.2 billion by 2019.
- The market is expected to grow at compounded annual growth rate of 4.9% during the period.
- A growing geriatric population and increasing demand for non invasive treatments are boosting the market.
- The knee segment leads the market in terms of revenue.
- The hip segment is growing at a CAGR of 5.9%, due to an increased number of hip fractures
ORTHOPEDIC MARKET IN INDIA
- The healthcare delivery segment accounts for a major share of the Indian healthcare industry, contributing nearly 68% to the total healthcare industry, an estimated value of INR 6.2 trillion in 2016.
- One of the fast growing, the healthcare delivery segment grew at a CAGR of 14-15% between 2011 and 2015; is expected to grow at a higher CAGR of 15-16% between 2016 and 2020 to reach INR 11.7 trillion by 2020.
- The estimated current size of the Indian orthopaedic devices market is around USD 375 M (Rs. 2,400 crores) and it will grow at around 20% every year for the next decade to reach USD 2.5Bn (Rs. 16,000 crores) by 2030.
- Out-of-pocket healthcare market with less than 300 million Indians covered by insurance, the medical devices market benefits from higher disposable income in an economy growing at around 7-7.5%.
ORTHOPEDIC MARKET CHALLENGES IN INDIA
- Overall procedure costs are often unaffordable
- Lack of infrastructure capacity to perform surgery limits its penetration and adoption
ORTHOPEDIC MARKET DRIVERS IN INDIA
- Increasing incidence of osteoporosis, osteoarthritis, obesity
- Untapped potential and expanding healthcare access
- Increasing aging population
- Growing prevalence of lifestyle disease like diabetes.
LIST OF ORTHOPEDIC HOSPITALS IN INDIA
1. Shalby Hospitals- Ahmedabad
It is 200 bedded Indian organisation which was established in Ahmedabad as a joint replacement centre in 1994 by Dr. Vikram Shah.Shalby runs a chain of hospitals in Ahmedabad, Surat, Indore, Vapi, Jabalpur, Jaipurand Mohali.
2. Artemis Health Institute- Gurgaon
Artemis Health Institute (AHI), Gurgaon is a super-specialty flagship hospital established by the Artemis Health Science- a venture of the promoters of Apollo Tyres Group. This 300 bedded hospital established in 2007.
3. Columbia Asia- Kolkata
Columbia Asia is a multinational chain of hospitals in Asia, with 30 medical facilities across India, Malaysia, Vietnam and Indonesia. Columbia Asia is one of the largest and fastest-growing healthcare companies in Asia and owned by a US-based investment fund: International Columbia USA LLC (ICU). The Group started operations in 1996
4. The Fortis Hospital, Noida
It is a super specialty healthcare centre that has excelled in diverse fields of healthcare. With 200 beds and 7 operation theatres, the Fortis Noida has placed itself as the second mega hub hospital in the Fortis Group.
5. Continental Hospital, Hyderabad
Continental Hospitals is a part of the Parkway Pantai Ltd. Parkway Pantai is one of the region’s largest integrated private healthcare groups with a network of 22 hospitals and more than 4,000 beds throughout Asia, including Singapore, Malaysia, Brunei, India, China and Vietnam.
6. Sancheti- Pune
Sancheti Institute for Orthopaedics & Rehabilitation was established in 1965 & Sancheti Hospital for Specialized Surgery was started in 2008.Highly specialized services in all areas of orthopaedics, Thus, it is the largest super-speciality with all the orthopaedic sub-specialties under one roof.
7. Pinnacle Orthocentre Hospital- Mumbai
30 bedded hospital was established on 29th January 2017
8. Wockhardt Hospital- Mumbai
250 bedded hospital established in 2014. Wockhardt has the most advanced technology and clinical expertise to offer best in class care to the patients looking for orthopaedic surgery.
9. Medanta Medicity- Gurgaon
1250 bedded hospital established in 2009. The institute of Bone and Joint at Medanta is a super-speciality institute which aims to provide best in class care and evidence based treatment for complete spectrum of orthopaedic problems.
- With an increasing case of orthopaedic disorders in India i.e. Approximately 15% of the population, i.e. 180 Million people are suffering from Arthritis. Expanding incidence of diabetes and obesity further compound the problem. Due to these health considerations, the patient base itself is anticipated to grow through the next 5 to 8 years.
- Considering the growth of orthopaedic patients and irregular distribution of hospitals with advanced orthopaedic procedures (More in urban and less in rural areas) makes the majority of the population to suffer, as majority of the population of India resides in rural areas.
- Also, National Medical and Wellness Tourism Board is expected to act as a facilitator and support the medical/wellness segment in promoting India as a medical and wellness destination. If promoted appropriately, there is significant potential to expand revenues in India for orthopaedic implant procedures in the medical tourism segment.
- Hence, India holds ample of opportunities in orthopaedic healthcare industry.
Are you planning to build or restructure or venture in Orthopaedic Hospital in India? Looking for information about the major healthcare players in Government, Private diagnostic centres that are available in India? Are you looking to find out which part of the city’s is best to venture in or what all facilities are available and what all should be planned for new setup? In this article Hospaccx Healthcare Consultancy has mapped all on major players in terms of Orthopaedic facilities and healthcare scenario in India.
Below is the superficial and macro level survey if you need a refined market and financial feasibility or any other study related to healthcare is required you can contact Hospaccx Healthcare business consulting Pvt. ltd on [email protected] or [email protected] Or you can visit our website on www.hhbc.in