Summary

The global nailing systems market is valued at an estimated 553.2 million in 2029 and is projected to reach USD 427.7 million by 2024, at a CAGR of 5.3% during the forecast period. The increasing adoption of minimaly invasive surgeries has led to a growing need of nailing systems. The demand for nailing systems is therefore expected to increase as new technologies are getting FDA, EMA approvals from regulatory bodies.
“The tibial intramedullary nails segment is projected to witness the highest growth rate in the nailing systems market, by product type, during the forecast period.”
Based on product type, the Nailing systems market is segmented into femoral intramedullary nails, tibial intramedullary nails, humeral intramedullary nails, and other nailing systems. The growing adoption of internal fixation in long bones has boosted the demand for tibial intramedullary nails in the Nailing systems market. Tibial intramedullary nails are used on the tibial bone during a trauma fracture for reconstruction.
“The tibial fracture segment to witness the highest share in the nailing systems market, in 2023, by indication”
Based on indication, the nailing systems market is segmented into femoral fracture, tibial fracture, metaphyseal fracture, humeral fracture, hip fracture, and other indications. The tibial fracture segment experience highest market share of nailing systems market due to its anatomical location and function. As a weight-bearing bone with minimal soft tissue coverage, it is highly susceptible to direct trauma and high-energy impacts.
“The Asia Pacific region is projected to witness highest growth rate in the nailing systems market during the forecast period”
The global nailing systems market is segmented into six regions - North America, Europe, Asia Pacific, the Middle East & Africa, Latin America, and the GCC Countries. Over the span of the forecast period, the nailing systems market is expected to grow at the fastest rate in the Asia Pacific region. Over the projected period, the Asia Pacific market is expected to develop at the greatest rate due to factors such increasing healthcare spending and an extensive population base.

The primary interviews conducted for this report can be categorized as follows:

• By Company Type: Tier 1 - 48%, Tier 2 - 36%, and Tier 3 - 16%
• By Designation: C-level - 14%, Director-level - 76%, and Others - 10%
• By Region: North America – 40%, Europe – 32%, Asia Pacific – 20%, Latin America – 5%, Middle East & Africa – 2%, and the GCC Countries – 1%
Lists of Companies Profiled in the Report:
Johnson & Johnson MedTech (US), Stryker (US), Zimmer Biomet (US), Globus Medical (US), Smith+Nephew (UK), Orthofix Medical Inc. (US), B. Braun Medical Inc. (Germany), Enovis (US), Paragon 28, Inc. (US), Arthrex, Inc. (US), Acumed LLC (US), Advanced Orthopaedic Solution (US), Aysam Orthopaedics & Medical Devices (Turkey), MEDIN, a.s. (Czech Republic),
OrthoXel (Ireland), Tasarimmed Tibbi Mamuller San. Tic A.S. (Turkey), Waston Medical Corporation (China), Citieffe s.r.l. (Italy), Normmed Medical (Turkey), TST (Turkey), Intercus (Germany), Ortho Life Systems Pvt.Ltd. (India), INVAMED (US), GPC medical (India), TRUEMED (Turkey)

Study Coverage:
In this report, the nailing systems market has been categorized based on product type (femoral intramedullary nails, tibial intramedullary nails, humeral intramedullary nails, and other nailing systems), indication (femoral fracture, tibial fracture, metaphyseal fracture, humeral fracture, hip fracture, and other indications.), material (stainless steel and titanium alloy), age group (below 19 years and above 19 years), end user (hospitals & ambulatory surgical centers and speciality/orthopedic clinics), and region (North America, Europe, Asia Pacific, Latin America, Middle East & Africa, and the GCC Countries).
Information regarding the main drivers, restraints, opportunities, and trends influencing the nailing systems market's expansion is includes detail in this study. An intensive study of the key players in the nailing systems market has been done to provide insights into their business profile, service offered, note worthy strategies, acquisitions and expansions, and other deals made pertaining to the market. This study examines the fragmented landscape of emerging nailing systems startups.
Reasons to buy this report:
The report will help the market leaders/new entrants in this market with information on the closest approximations of the revenue numbers for the overall nailing systems market and the subsegments. This report will help stakeholders understand the competitive landscape and gain more insights to position their businesses better and to plan suitable go-to-market strategies. The report also helps stakeholders understand the pulse of the market and provides them with information on key market drivers, challenges, opportunities, and restaints.
The report provides insights on the following pointers:
• Analysis of key drivers: (growing geriatric population, rising number of sports and accident-related treatments, and increasing number of fracture cases), restraints (high costs associated with orthopedic treatment, and risk of complications associated with nailing systems), opportunities (growth opportunities offered by emerging market, development of hybrid nailing system and biodefradable and resorbable nailing systems, and infection prevention and antimicrobial coatings), and challenges (lack of skilled surgeons, and competition from alternative treatment methods) influencing the growth of the in Nailing systems market.
• Product Development/ Innovation: The report offers valuable insights driving product development and innovation by identifying emerging trends. The research and development expenditure of a company helps to evaluate the product development and innovations.

• Market Development: Comprehensive information about lucrative markets – the report analyses the nailing systems market across varied regions.
• Market Diversification: Exhaustive information about untapped geographies, and investments in the nailing systems market
• Competitive Assessment: In-depth assessment of market shares, growth strategies, and product offerings of leading players like include Johnson & Johnson MedTech (US), Stryker (US), Zimmer Biomet (US) are among others, in the nailing systems market strategies.

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Table of Contents

1 INTRODUCTION 26
1.1 STUDY OBJECTIVES 26
1.2 MARKET DEFINITION 26
1.3 STUDY SCOPE 27
1.3.1 MARKETS COVERED & REGIONAL SCOPE 27
1.3.2 INCLUSIONS & EXCLUSIONS 28
1.3.3 YEARS CONSIDERED 28
1.4 CURRENCY CONSIDERED 29
1.5 STAKEHOLDERS 29
2 RESEARCH METHODOLOGY 30
2.1 RESEARCH DATA 30
2.1.1 SECONDARY DATA 30
2.1.1.1 Key data from secondary sources 32
2.1.2 PRIMARY DATA 32
2.1.2.1 Primary sources 33
2.1.2.2 Key industry insights 34
2.1.2.3 Key data from primary sources 34
2.1.2.4 Breakdown of primary interviews 35
2.2 MARKET SIZE ESTIMATION 35
2.2.1 BOTTOM-UP APPROACH 36
2.2.1.1 Approach 1: Patient-based approach 36
2.2.1.2 Approach 2: Presentations of companies and primary interviews 37
2.2.1.3 Approach 3: Primary interviews 37
2.2.1.4 Growth forecast 38
2.2.1.5 CAGR projections 38
2.2.2 TOP-DOWN APPROACH 39
2.3 MARKET BREAKDOWN & DATA TRIANGULATION 40
2.4 RESEARCH ASSUMPTIONS 41
2.4.1 STUDY-RELATED ASSUMPTIONS 41
2.4.2 PARAMETRIC ASSUMPTIONS 41
2.5 RESEARCH LIMITATIONS 42
2.6 RISK ASSESSMENT 42
3 EXECUTIVE SUMMARY 43
 
4 PREMIUM INSIGHTS 48
4.1 NAILING SYSTEMS MARKET OVERVIEW 48
4.2 NAILING SYSTEMS MARKET, BY REGION 49
4.3 NORTH AMERICA: NAILING SYSTEMS MARKET, BY AGE GROUP AND COUNTRY (2023) 49
4.4 GEOGRAPHIC GROWTH OPPORTUNITIES 50
5 MARKET OVERVIEW 51
5.1 INTRODUCTION 51
5.2 MARKET DYNAMICS 51
5.2.1 DRIVERS 51
5.2.1.1 Growing geriatric population 51
5.2.1.2 Rising number of sports and accident-related orthopedic injuries 53
5.2.1.3 Increasing number of fracture cases 54
5.2.2 RESTRAINTS 55
5.2.2.1 High costs associated with orthopedic treatments 55
5.2.2.2 Complications associated with nailing systems 55
5.2.2.3 Lack of skilled surgeons 56
5.2.2.4 Competition from alternative treatment methods 56
5.2.3 OPPORTUNITIES 57
5.2.3.1 Growth opportunities offered by emerging markets 57
5.2.3.2 Increasing use of 3D printing in nailing systems 57
5.2.3.3 Development of hybrid, biodegradable, and resorbable nailing systems 58
5.2.3.4 Infection prevention and antimicrobial coatings 58
5.2.4 CHALLENGES 59
5.2.4.1 Lack of skilled surgeons 59
5.2.4.2 Competition from alternative treatment methods 60
5.3 TRENDS/DISRUPTIONS IMPACTING CUSTOMERS’ BUSINESSES 60
5.4 PRICING ANALYSIS 61
5.5 VALUE CHAIN ANALYSIS 63
5.6 SUPPLY CHAIN ANALYSIS 64
5.7 ECOSYSTEM ANALYSIS 65
5.8 INVESTMENT & FUNDING SCENARIO 66
5.9 TECHNOLOGY ANALYSIS 67
5.9.1 KEY TECHNOLOGIES 67
5.9.1.1 Femoral intramedullary nails 67
5.9.2 ADJACENT TECHNOLOGIES 67
5.9.2.1 Bioabsorbable materials 67
5.10 PATENT ANALYSIS 68
5.11 TRADE ANALYSIS 69
5.11.1 IMPORT DATA 69
5.11.2 EXPORT DATA 69
5.12 KEY CONFERENCES & EVENTS, 2025–2026 70
5.13 PORTER’S FIVE FORCES ANALYSIS 71
5.13.1 THREAT OF NEW ENTRANTS 72
5.13.2 THREAT OF SUBSTITUTES 72
5.13.3 BARGAINING POWER OF SUPPLIERS 73
5.13.4 BARGAINING POWER OF BUYERS 73
5.13.5 INTENSITY OF COMPETITIVE RIVALRY 73
5.14 REGULATORY ANALYSIS 73
5.14.1 REGULATORY LANDSCAPE 73
5.14.1.1 North America 73
5.14.1.1.1 US 73
5.14.1.1.2 Canada 75
5.14.1.2 Europe 76
5.14.1.3 Asia Pacific 77
5.14.1.3.1 China 77
5.14.1.3.2 Japan 78
5.14.1.3.3 India 79
5.14.1.4 Latin America 80
5.14.1.4.1 Brazil 80
5.14.1.4.2 Mexico 80
5.14.1.5 Middle East & Africa 80
5.14.2 REGULATORY BODIES, GOVERNMENT AGENCIES, AND OTHER ORGANIZATIONS 81
5.15 KEY STAKEHOLDERS & BUYING CRITERIA 83
5.15.1 KEY STAKEHOLDERS IN BUYING PROCESS 83
5.15.2 BUYING CRITERIA 84
5.16 IMPACT OF GENERATIVE AI ON NAILING SYSTEMS MARKET 84
5.16.1 INTRODUCTION 84
5.16.2 MARKET POTENTIAL FOR NAILING SYSTEMS 84
5.16.3 KEY COMPANIES IMPLEMENTING AI 86
5.16.4 FUTURE OF GENERATIVE AI IN NAILING SYSTEMS 86
6 NAILING SYSTEMS MARKET, BY PRODUCT 87
6.1 INTRODUCTION 88
6.2 FEMORAL INTRAMEDULLARY NAILS 88
6.2.1 SUPRACONDYLAR NAILS 91
6.2.1.1 Increasing incidence of femoral fractures to stimulate growth 91
6.2.2 GAMMA INTRAMEDULLARY NAILS 94
6.2.2.1 Rising number of road-related accidents to support growth 94
6.3 TIBIAL INTRAMEDULLARY NAILS 97
6.3.1 INCREASING FOCUS ON ADVANCED ORTHOPEDIC DEVICES TO ENCOURAGE GROWTH 97
 
6.4 HUMERAL INTRAMEDULLARY NAILS 100
6.4.1 GROWING INCLINATION TOWARD INTRAMEDULLARY NAILING TO DRIVE MARKET 100
6.5 OTHER NAILING SYSTEMS 103
7 NAILING SYSTEMS MARKET, BY INDICATION 107
7.1 INTRODUCTION 108
7.2 FEMORAL FRACTURES 108
7.2.1 GROWING EMPHASIS ON DIAGNOSIS AND QUALITY TREATMENT TO FUEL MARKET 108
7.3 TIBIAL FRACTURES 111
7.3.1 GROWING NUMBER OF TRAUMA-RELATED INCIDENTS TO DRIVE MARKET 111
7.4 METAPHYSEAL FRACTURES 114
7.4.1 GROWING INCIDENCE OF FRACTURES TO FUEL DEMAND 114
7.5 HUMERAL FRACTURES 117
7.5.1 INCREASING INCIDENCE OF ARM FRACTURES TO ACCELERATE DEMAND FOR NAILING SYSTEMS 117
7.6 HIP FRACTURES 120
7.6.1 RISING NUMBER OF PATIENTS UNDERGOING HIP SURGERY TO SUPPORT GROWTH 120
7.7 OTHER INDICATIONS 123
8 NAILING SYSTEMS MARKET, BY MATERIAL 127
8.1 INTRODUCTION 128
8.2 STAINLESS STEEL 128
8.2.1 GROWING AFFORDABILITY AND AVAILABILITY OF STAINLESS STEEL TO DRIVE MARKET 128
8.3 TITANIUM ALLOY 131
8.3.1 BIOCOMPATIBILITY AND ABILITY TO WITHSTAND HIGH STRESS TO PROPEL DEMAND 131
9 NAILING SYSTEMS MARKET, BY AGE GROUP 135
9.1 INTRODUCTION 136
9.2 BELOW 19 YEARS 136
9.2.1 INCREASING SPORTS-RELATED INJURIES TO DRIVE SEGMENTAL GROWTH 136
9.3 ABOVE 19 YEARS 139
9.3.1 RISING GERIATRIC POPULATION TO DRIVE MARKET GROWTH 139
10 NAILING SYSTEMS MARKET, BY END USER 143
10.1 INTRODUCTION 144
10.2 HOSPITALS & AMBULATORY SURGICAL CENTERS 144
10.2.1 RISING NUMBER OF ORTHOPEDIC SURGERIES TO DRIVE MARKET GROWTH 144
10.3 SPECIALTY/ORTHOPEDIC CLINICS 147
10.3.1 RISING NUMBER OF ORTHOPEDIC CLINICS TO SUPPORT MARKET GROWTH 147
11 NAILING SYSTEMS MARKET, BY REGION 151
11.1 INTRODUCTION 152
11.2 NORTH AMERICA 152
11.2.1 MACROECONOMIC OUTLOOK FOR NORTH AMERICA 153
11.2.2 US 157
11.2.2.1 Rising sports-related injuries and strong presence of key players to drive market 157
11.2.3 CANADA 160
11.2.3.1 Growing incidence of bone-related degenerative diseases to drive market 160
11.3 EUROPE 163
11.3.1 MACROECONOMIC OUTLOOK FOR EUROPE 163
11.3.2 GERMANY 167
11.3.2.1 Rising geriatric population to ensure continued demand for nailing systems 167
11.3.3 FRANCE 170
11.3.3.1 Growing prevalence of musculoskeletal injuries to support market growth 170
11.3.4 UK 173
11.3.4.1 Rising injuries to drive UK market 173
11.3.5 ITALY 176
11.3.5.1 Increasing public awareness of preventive care for musculoskeletal injuries to drive market growth 176
11.3.6 SPAIN 179
11.3.6.1 Increasing product availability to support market growth 179
11.3.7 REST OF EUROPE 182
11.4 ASIA PACIFIC 185
11.4.1 MACROECONOMIC OUTLOOK FOR ASIA PACIFIC 186
11.4.2 JAPAN 190
11.4.2.1 Rapidly growing geriatric population to propel market 190
11.4.3 CHINA 193
11.4.3.1 Modernization of healthcare facilities and expanding patient pool to drive market 193
11.4.4 INDIA 196
11.4.4.1 Increasing number of hospitals adopting robotic-assisted joint replacement surgery to support market growth 196
11.4.5 REST OF ASIA PACIFIC 199
11.5 LATIN AMERICA 202
11.5.1 MACROECONOMIC OUTLOOK FOR LATIN AMERICA 202
11.5.2 BRAZIL 205
11.5.2.1 Strong foothold of global manufacturers in Brazil to support market growth 205
 
11.5.3 MEXICO 208
11.5.3.1 Favorable investment scenario for medical device manufacturers to favor market growth 208
11.5.4 REST OF LATIN AMERICA 211
11.6 MIDDLE EAST & AFRICA 215
11.6.1 INCREASING CAMPAIGNS TO BOOST AWARENESS OF ORTHOPEDIC DISORDERS TO FUEL GROWTH 215
11.6.2 MACROECONOMIC OUTLOOK FOR MIDDLE EAST & AFRICA 215
11.7 GCC COUNTRIES 219
11.7.1 EMPHASIS ON INFRASTRUCTURAL DEVELOPMENT AND HEALTHCARE ACCESS TO SUPPORT MARKET GROWTH 219
11.7.2 MACROECONOMIC OUTLOOK FOR GCC COUNTRIES 220
12 COMPETITIVE LANDSCAPE 224
12.1 OVERVIEW 224
12.2 KEY PLAYER STRATEGY/RIGHT TO WIN, 2023 224
12.2.1 OVERVIEW OF STRATEGIES ADOPTED BY KEY PLAYERS IN NAILING SYSTEMS MARKET (2021–2023) 224
12.3 REVENUE ANALYSIS, 2019−2023 226
12.4 MARKET SHARE ANALYSIS, 2023 227
12.4.1 RANKING OF KEY MARKET PLAYERS 228
12.5 COMPANY EVALUATION MATRIX: KEY PLAYERS, 2023 229
12.5.1 STARS 229
12.5.2 EMERGING LEADERS 229
12.5.3 PERVASIVE PLAYERS 229
12.5.4 PARTICIPANTS 229
12.5.5 COMPANY FOOTPRINT: KEY PLAYERS, 2023 231
12.5.5.1 Company footprint 231
12.5.5.2 Region footprint 232
12.5.5.3 Product footprint 232
12.5.5.4 Indication footprint 233
12.5.5.5 Material footprint 234
12.6 COMPANY EVALUATION MATRIX: STARTUPS/SMES, 2023 235
12.6.1 PROGRESSIVE COMPANIES 235
12.6.2 RESPONSIVE COMPANIES 235
12.6.3 DYNAMIC COMPANIES 235
12.6.4 STARTING BLOCKS 235
12.6.5 COMPETITIVE BENCHMARKING: STARTUPS/SMES, 2023 237
12.6.5.1 Detailed list of key startups/SMEs 237
12.6.5.2 Competitive benchmarking of key startups/SMEs 238
12.7 COMPANY VALUATION AND FINANCIAL METRICS 239
12.8 BRAND/PRODUCT COMPARISON 240
 
12.9 COMPETITIVE SCENARIO 241
12.9.1 PRODUCT LAUNCHES 241
12.9.2 DEALS 241
12.9.3 EXPANSIONS 242
12.9.4 OTHER DEVELOPMENTS 242
13 COMPANY PROFILES 243
13.1 KEY PLAYERS 243
13.1.1 JOHNSON & JOHNSON MEDTECH (DEPUY SYNTHES) 243
13.1.1.1 Business overview 243
13.1.1.2 Products offered 244
13.1.1.3 Recent developments 245
13.1.1.3.1 Deals 245
13.1.1.4 MnM view 245
13.1.1.4.1 Key strengths 245
13.1.1.4.2 Strategic choices 245
13.1.1.4.3 Weaknesses & competitive threats 246
13.1.2 STRYKER 247
13.1.2.1 Business overview 247
13.1.2.2 Products offered 248
13.1.2.3 Recent developments 249
13.1.2.3.1 Deals 249
13.1.2.4 MnM view 249
13.1.2.4.1 Right to win 249
13.1.2.4.2 Strategic choices 249
13.1.2.4.3 Weaknesses & competitive threats 249
13.1.3 ZIMMER BIOMET 250
13.1.3.1 Business overview 250
13.1.3.2 Products offered 251
13.1.3.3 Recent developments 252
13.1.3.3.1 Deals 252
13.1.3.3.2 Other developments 252
13.1.3.4 MnM view 252
13.1.3.4.1 Right to win 252
13.1.3.4.2 Strategic choices 253
13.1.3.4.3 Weaknesses & competitive threats 253
13.1.4 GLOBUS MEDICAL 254
13.1.4.1 Business overview 254
13.1.4.2 Products offered 255
13.1.4.3 Recent developments 256
13.1.4.3.1 Product launches 256
13.1.4.3.2 Deals 256
13.1.5 SMITH+NEPHEW 257
13.1.5.1 Business overview 257
13.1.5.2 Products offered 258
13.1.5.3 Recent developments 259
13.1.5.3.1 Deals 259
13.1.5.3.2 Expansions 259
13.1.5.4 MnM view 260
13.1.5.4.1 Key strengths 260
13.1.5.4.2 Strategic choices 260
13.1.5.4.3 Weaknesses & competitive threats 260
13.1.6 ORTHOFIX MEDICAL INC. 261
13.1.6.1 Business overview 261
13.1.6.2 Products offered 262
13.1.6.3 Recent developments 263
13.1.6.3.1 Deals 263
13.1.6.4 MnM view 263
13.1.6.4.1 Key strengths 263
13.1.6.4.2 Strategic choices 263
13.1.6.4.3 Weaknesses & competitive threats 263
13.1.7 B. BRAUN MEDICAL INC. 264
13.1.7.1 Business overview 264
13.1.7.2 Products offered 265
13.1.7.3 Recent developments 266
13.1.7.3.1 Deals 266
13.1.8 ENOVIS 267
13.1.8.1 Business overview 267
13.1.8.2 Products offered 268
13.1.8.3 Recent developments 269
13.1.8.3.1 Product launches 269
13.1.8.3.2 Deals 269
13.1.8.3.3 Expansions 270
13.1.9 PARAGON 28, INC. 271
13.1.9.1 Business overview 271
13.1.9.2 Products offered 272
13.1.9.3 Recent developments 272
13.1.9.3.1 Product launches 272
13.1.9.3.2 Deals 272
13.1.10 ARTHREX, INC. 273
13.1.10.1 Business overview 273
13.1.10.2 Products offered 273
 
13.2 OTHER PLAYERS 274
13.2.1 ACUMED LLC 274
13.2.2 ADVANCED ORTHOPAEDIC SOLUTIONS 274
13.2.3 AYSAM ORTHOPAEDICS & MEDICAL DEVICES 275
13.2.4 MEDIN, A.S. 276
13.2.5 ORTHOXEL 277
13.2.6 TASARIMMED TIBBI MAMULLER SAN. TIC A.Ş. 277
13.2.7 WASTON MEDICAL CORPORATION 278
13.2.8 CITIEFFE S.R.L. 279
13.2.9 NORMMED MEDICAL 280
13.2.10 TST 281
13.2.11 INTERCUS 282
13.2.12 ORTHO LIFE SYSTEMS PVT. LTD. 282
13.2.13 INVAMED 283
13.2.14 GPC MEDICAL 284
13.2.15 TRUEMED 284
14 APPENDIX 285
14.1 DISCUSSION GUIDE 285
14.2 KNOWLEDGESTORE: MARKETSANDMARKETS’ SUBSCRIPTION PORTAL 289
14.3 CUSTOMIZATION OPTIONS 291
14.4 RELATED REPORTS 291
14.5 AUTHOR DETAILS 292