Cruciate Ligament Repair Procedures Market Size, Share & Trends Analysis Report By Procedure Type (Anterior Cruciate Ligament (ACL) Repair, Posterior Cruciate Ligament (PCL) Repair), By End-use, By Region, And Segment Forecasts, 2023 - 2030

Report Overview

The global cruciate ligament repair procedures market size was estimated at USD 12.3 billion in 2022 and is expected to grow a compound annual growth rate (CAGR) of 7.2% from 2023 to 2030. The market's growth is driven by the rising demand for minimally invasive procedures and the increasing incidence of sports-related injuries. According to the National Safety Council (NSC) in 2021, exercise equipment-related injuries, particularly ligament injuries in the knees and elbows, accounted for a significant number of injuries in the U.S. As cruciate ligament repair procedures are commonly performed for knee ligament injuries, the growing number of knee injuries may contribute to market growth.

Cruciate ligaments, also known as cruciform ligaments, play a vital role in supporting the bones of the knees. In cases where these ligaments are injured, cruciate ligament repair surgery uses a surgical tissue graft to replace the damaged ligaments. As individuals age, the synovial fluid within the knee joint tends to decrease, resulting in a higher degree of friction between the bones, ligaments, and cartilage. This friction can lead to arthritis and other complications, often necessitating knee replacement procedures. In addition, the ligaments attached to the bones become more rigid and less flexible. These factors contribute to an increased demand for cruciate ligament repair procedures, particularly among the geriatric population. The market for such procedures is expected to experience growth due to the rising need for effective treatments among older individuals.

Sports-related activities are a leading cause of knee ligament injuries on a global scale, particularly affecting athletes who are more susceptible to ACL (anterior cruciate ligament) injuries, which restrict their flexibility and mobility. A survey conducted by Safe Kids Worldwide revealed that over a million young athletes seek medical attention for sports-related injuries annually worldwide. Furthermore, data from Michigan State University indicates that soccer accounts for approximately 46% of all knee injuries, followed by basketball (42%), running (38%), and gymnastics (31%).

Furthermore, the rising participation in sports has resulted in an increased occurrence of various injuries among athletes, leading to a higher demand for knee surgeries worldwide. The annual report of the American Joint Replacement Registry for 2022 states more than 2.8 million knee and hip surgeries were performed at over 1250 institutions across all 50 states and the District of Columbia. This signifies a 14% increase in the total number of registered procedures compared to the previous year, establishing the AJRR as the largest arthroplasty registry globally regarding procedure volume.

One significant challenge for patients, especially in emerging countries with low reimbursement rates, is the high cost of knee-related surgeries. Patients without sufficient insurance coverage will likely face higher expenses for knee repair procedures, including out-of-pocket costs for hospital admission and co-pay fees. Consequently, the elevated costs associated with cruciate ligament correction surgeries are anticipated to restrict market growth during the forecast period.

In addition, the availability of skilled orthopedic surgeons, sports medicine specialists, and other healthcare professionals trained in cruciate ligament repair procedures is essential for the market's growth. As the demand for these procedures increases, there is a parallel need for a skilled workforce capable of performing successful surgeries, leading to advancements in the field. Similarly, ongoing research and development activities in orthopedics and sports medicine focus on improving the efficacy and safety of cruciate ligament repair procedures. This includes the development of new surgical techniques, implant materials, and rehabilitation protocols. The continuous advancements resulting from R&D efforts contribute to the market's growth by providing better treatment options for patients.

Procedure Type Insights

In terms of procedure type. the market comprises of anterior cruciate ligament (ACL) repair and posterior cruciate ligament (PCL) repair segments. The ACL repair segment emerged as the dominant segment in 2022 with a market share of 90.4% in 2022. This dominance can be attributed to various factors, including the increasing incidence of ACL injuries, limitations in the healing capacity of ACLs due to intra-articular conditions, and a rise in physical activity and sports participation such as football, hockey, and basketball. Technological advancements, such as the development of minimally invasive surgical techniques that facilitate faster recovery and improved outcomes, are expected to further strengthen the growth of the market.

The PCL repair segment is expected to witness the fastest CAGR of 9.2% over the forecast period. The gradual recognition and diagnosis of PCL injuries contribute to the growing demand for PCL repair procedures as medical knowledge and awareness increase. In addition, the rising incidence of vehicular accidents and injuries from contact sports drives the need for PCL repairs. Advancements in surgical techniques and technologies have improved the effectiveness of PCL repair procedures, instilling confidence in patients and healthcare professionals. Ongoing research and development efforts aimed at enhancing surgical techniques and rehabilitation protocols further support the growth of the PCL repair segment.

End-use Insights

The End-use segment comprises hospitals, ambulatory surgery centers, and others. The hospital segment dominated the market with the largest revenue share of 47.0% in 2022. Hospitals have established themselves as the leading force in the End-use segment of the market, offering specialized medical services and advanced surgical interventions for patients with cruciate ligament injuries. The dominance of hospitals in this market can be attributed to several key factors. Hospitals provide comprehensive healthcare facilities, including cutting-edge operating rooms, advanced imaging technologies, and well-equipped rehabilitation centers, ensuring accurate diagnoses, precise surgeries, and effective postoperative care. With a diverse range of healthcare professionals such as orthopedic surgeons, sports medicine specialists, anesthesiologists, and physical therapists, hospitals offer multidisciplinary care and comprehensive treatment plans.

On the other hand, the ambulatory surgical centers (ASCs) segment is experiencing rapid growth and is expected to witness the fastest CAGR of 8.0% during the forecast period from 2023- 2030. The growth of the segment is attributed to convenience, cost-effectiveness, specialized expertise, and technological advancements associated with ASCs. With the growing demand for outpatient surgical alternatives, ASCs are anticipated to play a significant role in meeting patient needs and driving market growth.

Regional Insights

North America dominated the market with a revenue share of 27.1% in 2022, owing to various factors including the increasing incidence of sports injuries and the continuous introduction of new products by major players. Market growth in the region is driven by factors such as a growing geriatric population, rising prevalence of sports injuries, preference for minimally invasive procedures among patients, and ongoing technological advancements. Furthermore, the market growth in North America is supported by the development, approval, and launch of new products. For instance, in December 2021, Miach Orthopaedics Inc. introduced the BEAR Implant in select cities across the United States. This implant is designed to treat anterior cruciate ligament (ACL) tears, which are among the most prevalent knee injuries in the country.

The Asia Pacific region is anticipated to demonstrate the fastest CAGR of 8.8% during the forecast period. This growth can be attributed to several factors. First, many countries in the region are experiencing an increase in their geriatric population, who are more prone to musculoskeletal disorders. According to the United Nations, China alone is projected to have 330 million elderly individuals in 2050, a significant rise from 100 million in 2005. In addition, the growing emphasis on sports and physical activity in the region has led to an uptick in various injuries. Consequently, there is a corresponding increase in the demand for ligament repair surgeries in Asia Pacific.

Key Companies & Market Share Insights

The key players in the market focus on product development and offering orthopedic devices at competitive prices, especially in developing economies. New key developments, such as partnerships, product approvals, acquisitions, and product launches, can positively impact the market in the coming years. For instance, in October 2022, Oregon Health & Science University Health introduced the Bridge-Enhanced ACL Restoration (BEAR) implant for the treatment of torn ACL injuries, a common athletic injury. Similarly, in December 2020, Arthrex, a prominent company specializing in minimally invasive orthopedic technology, recently introduced the SwiveLock ACL Repair Kit. It received clearance from the U.S. Food and Drug Administration (FDA), specifically for the SwiveLock anchor used in ACL repair procedures. Some prominent players in the global cruciate ligament repair procedures market include:

• Zimmer Biomet

• Stryker

• Smith+Nephew

• Arthrex, Inc.

• Boston Scientific Corporation

• athenahealth, Inc.

• B. Braun SE

• Wright Medical Group N.V.

Cruciate Ligament Repair Procedures Market Report Scope

Global Cruciate Ligament Repair Procedures Market Report Segmentation

This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the industry trends in each of the sub-segments from 2018 to 2030. For this study, Grand View Research has segmented the global cruciate ligament repair procedures market report based on procedure type, End-use, and region:

• Procedure Type Outlook (Revenue, USD Million, 2018 - 2030)

  • Anterior Cruciate Ligament (ACL) Repair

  • Posterior Cruciate Ligament (PCL) Repair

• End-use Outlook (Revenue, USD Million, 2018 - 2030)

  • Hospitals

  • Ambulatory Surgical Centers

  • Others

• Regional Outlook (Revenue, USD Million, 2018 - 2030)

  • North America

    • U.S.

    • Canada

  • Europe

    • UK

    • Germany

    • France

    • Italy

    • Spain

    • Norway

    • Denmark

    • Sweden

  • Asia Pacific

    • Japan

    • China

    • India

    • Australia

    • South Korea

  • Latin America

    • Brazil

    • Mexico

    • Argentina

  • Middle East & Africa

    • South Africa

    • Saudi Arabia

    • UAE

    • Kuwait