Cruciate Ligament Repair Procedures Market - Growth, Trends, COVID-19 Impact, and Forecasts (2022 - 2027)

The Cruciate Ligament Repair Procedures Market is Segmented by Procedure (Anterior Cruciate Ligament (ACL) Repair and Posterior Cruciate Ligament (PCL) Repair), End User (Hospitals, Ambulatory Surgical Centers, and Other End Users), and Geography (North America, Europe, Asia-Pacific, Middle East and Africa, and South America). The report offers the value (in USD million) for the above segments.

Market Snapshot

Cruciate Ligament Repair Procedures Market Size
Study Period: 2018 - 2026
Base Year: 2021
Fastest Growing Market: Asia Pacific
Largest Market: North America
CAGR: 8.5 %
Cruciate Ligament Repair Procedures Market Key Players

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Market Overview

The cruciate ligament repair procedures market is expected to register a CAGR of 8.5% during the forecast period.

According to the World Health Organization (WHO), the COVID-19 impact on sports medicine and sports surgery was negative. Moreover, relative public interest in an anterior cruciate ligament (ACL), meniscus, rotator cuff, anterior cruciate ligament (ACL) surgery, meniscus surgery, and rotator cuff surgery was declined by 34.78%, 43.95%, 31.37%, 42.70%, 51.88%, and 53.32%, respectively, from January 1, 2020, to March 15, 2020, versus March 15, 2020, to May 10, 2020. According to a research study by Ajith K. Subhash et al., published in Arthroscopy, Orthopedic Sports Medicine and Arthroscopy, patient and surgical cases were negatively affected by various factors, such as public interest after the onset of the COVID-19 pandemic.

The factors driving the market include increasing demand for minimally invasive procedures, rising incidence of sports-related injuries.

Anterior cruciate ligament (ACL) injuries increase at all levels of sports, including elite athletics. ACL injuries may affect a player's long life and other long-term consequences, such as the development of future arthritis, according to Rafael A Buerba's article published in 2020, citing sports injuries. As cruciate ligament repair procedures are mostly performed in knee ligament injuries, thus, increasing incidences of knee injuries may propel the growth of the overall market.

Moreover, increasing participation in the sport globally may raise the number of knee injuries populations. The rising prevalence of anterior cruciate ligament (ACL) injuries, worldwide, may lead to high adoption of cruciate ligament correction surgeries, thus, driving the overall market.

For instance, according to the data published by Maxime Gautier in 2019, in France, more precisely, 31% of skiing injuries were found in the knees, and 17% of which were anterior cruciate ligament ruptures. The lower limbs are at high risk of injury for skiers, and in total, more than 50% of injuries were recorded on the legs and knees. However, the high cost of procedures and low reimbursement rates may hamper the market to a certain extent over the forecast period.

Scope of the Report

As per the scope, cruciate ligaments, also known as cruciform ligaments, are pairs of ligaments that intersect each other like the letter X, and they usually occur in the knee joint and atlantoaxial joint. The cruciate ligament repair procedures market is segmented by procedure (anterior cruciate ligament (ACL) repair, posterior cruciate ligament (PCL) repair), end user (hospitals, ambulatory surgical centers, and other end users), and geography (North America, Europe, Asia Pacific, Middle-East and Africa, and South America). The report offers the value (in USD billion) for the above segments.

By Procedure
Anterior Cruciate Ligament (ACL) Repair
Posterior Cruciate Ligament (PCL) Repair
By End User
Ambulatory Surgical Centers
Other End Users
By Geography
North America
United States
United Kingdom
Rest of Europe
Asia Pacific
South Korea
Rest of Asia Pacific
Middle-East and Africa
South Africa
Rest of Middle-East and Africa
South America
Rest of South America

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Key Market Trends

Anterior Cruciate Ligament (ACL) Repair Segment is Estimated to Witness a Healthy Growth Rate Over the Forecast Period

Some of the factors driving the anterior cruciate ligament (ACL) repair segment growth include an increasing number of anterior cruciate ligament injuries, increasing participation in sports activities, such as basketball and football, and technological advancements, such as minimally invasive surgical techniques, are associated with ACL repairs procedures.

The outbreak of COVID-19 worldwide showed an impact on the market studied as surgical procedures were kept on hold to prevent the spread of the COVID-19 virus. There is tremendous pressure on hospitals and other healthcare centers in providing services to COVID-19 patients is also one of the factors inhibiting the hospitals and surgical centers in providing services. For instance, according to Thirunarayanan V, published in October 2020, outpatient orthopedic services decreased by 75% during this pandemic in India. The percentage of surgeons who operated less than 5 cases per week before the pandemic was 39.4%, which rose to 94.1% during the pandemic.

An anterior cruciate ligament (ACL) repair procedure includes repairing and reconstructing the anterior cruciate ligament (ACL) by using a graft to replace the ligament. For example, in some of the cases, in avulsion fracture, the bone fragment connected to the ACL is reattached to the bone. Moreover, the low healing capacity of anterior cruciate ligaments may promote segment growth.

Anterior cruciate ligament (ACL) injuries commonly occur in sportspersons, and they are often caused by a sudden stop or change in direction that may occur in sports, such as basketball, football, soccer, downhill skiing, and gymnastics.

For instance, according to the study 'Results on sports-related injuries in children from NHS emergency care dataset Oxfordshire pilot: an ecological study' published in 2018, in the United Kingdom, it was found that children and adolescents aged between 0–19 years were accounted for almost half (47.4%) of sports injury-related emergency department attendances and almost one-quarter (23.5%) of sports injury-related admissions for all ages. For male 0–19-year-olds, the three main sports were (in order) football (soccer), rugby union, and rugby league, and for females, trampoline, netball, and horse-riding. Almost one-quarter of emergency department sports-related injuries recorded were fractures, the highest percentage to the upper limbs. Thus, all the above factors are expected to contribute to the excellent growth of this segment over the forecast period.

Cruciate Ligament Repair Procedures Market Trends

North America is Expected to Hold a Significant Share in the Market Over the Forecast Period

Some of the factors driving the market growth in the North American region include the rising geriatric population, rising prevalence of sports injuries, increasing incidences of anterior cruciate ligament injuries, rising patient preference for minimally invasive procedures, and technological advancements.

According to the ORTHOWORLD 2020, in the United States, orthopedic procedures were being delayed for 2 to 8 weeks, particularly in areas heavily impacted by COVID-19 like the US coasts. Healthcare systems were diverted substantial resources to COVID-19 management and treatment. Moreover, recruitment for device trials was expected to be paused or delayed, even if the trial has recently received approval.

According to the study 'Anterior Cruciate Ligament Knee Injuries' published in 2020, the anterior cruciate ligament (ACL) is frequently injured among athletes and trauma victims. 100,000 to 200,000 ACL ruptures occur per year in the United States alone.

Additionally, according to the National Safety Council (NSC), in 2019, exercise, with or without exercise equipment, accounted for about 468,000 injuries, the most of any category of sports and recreation. Bicycling followed with about 417,000 injuries, basketball with 404,000 injuries, and football with 292,000 injuries. Therefore, the rising burden of injuries is expected to boost market growth in the coming years.

In August 2019, Fuse Medical launched 'Sterizo total Knee Replacement System' based on the latest technology, offering a wide range of sizes as well as multi stabilization options, such as Cruciate Retained, Ultra Congruent Anterior Stabilized, and Posterior Stabilized. Thus, considering the factors mentioned above, it is expected to fuel the market growth in the North American region over the forecast period.

Cruciate Ligament Repair Procedures Market Report

Competitive Landscape

The cruciate ligament repair procedures market is moderately competitive. Some companies currently dominating the market are Zimmer Biomet, Stryker Corporation, DePuy Synthes (Johnson and Johnson), Smith & Nephew PLC, CONMED Corporation, Corin, Arthrex Inc., Exactech Inc., DJO Global Inc., and others.

Recent Developments

  • In December 2020, the US FDA granted marketing authorization to the Bridge-Enhanced ACL Repair (BEAR) Implant from MIACH Orthopaedics Inc., under the De Novo premarket review pathway. The BEAR Implant has been indicated for patients at least 14 years of age, showing a complete rupture of the anterior cruciate ligament (ACL).
  • In September 2020, Johnson & Johnson (Ethicon Inc.) launched a novel, easy-to-use staple line reinforcement device for bariatric, thoracic, and general surgery. It offers significant improvements in ease of use, functionality, and/or efficiency.

Table of Contents


    1. 1.1 Study Assumptions and Market Definition

    2. 1.2 Scope of the Study




    1. 4.1 Market Overview

    2. 4.2 Market Drivers

      1. 4.2.1 Increasing Demand for Minimally Invasive Procedures

      2. 4.2.2 Rising Incidence of Sports-related Injuries

    3. 4.3 Market Restraints

      1. 4.3.1 High Cost of Procedures

    4. 4.4 Industry Attractiveness - Porter's Five Forces Analysis

      1. 4.4.1 Bargaining Power of Buyers/Consumers

      2. 4.4.2 Bargaining Power of Suppliers

      3. 4.4.3 Threat of New Entrants

      4. 4.4.4 Threat of Substitute Products

      5. 4.4.5 Intensity of Competitive Rivalry


    1. 5.1 By Procedure

      1. 5.1.1 Anterior Cruciate Ligament (ACL) Repair

      2. 5.1.2 Posterior Cruciate Ligament (PCL) Repair

    2. 5.2 By End User

      1. 5.2.1 Hospitals

      2. 5.2.2 Ambulatory Surgical Centers

      3. 5.2.3 Other End Users

    3. 5.3 By Geography

      1. 5.3.1 North America

        1. United States

        2. Canada

        3. Mexico

      2. 5.3.2 Europe

        1. Germany

        2. United Kingdom

        3. France

        4. Italy

        5. Spain

        6. Rest of Europe

      3. 5.3.3 Asia Pacific

        1. China

        2. Japan

        3. India

        4. Australia

        5. South Korea

        6. Rest of Asia Pacific

      4. 5.3.4 Middle-East and Africa

        1. GCC

        2. South Africa

        3. Rest of Middle-East and Africa

      5. 5.3.5 South America

        1. Brazil

        2. Argentina

        3. Rest of South America


    1. 6.1 Company Profiles

      1. 6.1.1 Zimmer Biomet

      2. 6.1.2 Stryker Corporation

      3. 6.1.3 DePuy Synthes (Johnson and Johnson)

      4. 6.1.4 Smith & Nephew PLC

      5. 6.1.5 CONMED Corporation

      6. 6.1.6 Corin

      7. 6.1.7 Arthrex Inc.

      8. 6.1.8 Exactech Inc.

      9. 6.1.9 DJO Global Inc.

      10. 6.1.10 Tissue Regenix Group PLC

      11. 6.1.11 Integra Lifesciences Holding Corporation

      12. 6.1.12 Medtronic PLC

      13. 6.1.13 MIACH Orthopaedics Inc.

      14. 6.1.14 Mathys Ltd Bettlach

      15. 6.1.15 Bauerfeind AG

    2. *List Not Exhaustive

**Competitive Landscape covers- Business Overview, Financials, Products and Strategies and Recent Developments

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Frequently Asked Questions

The Global Cruciate Ligament Repair Procedures Market market is studied from 2018 - 2026.

The Global Cruciate Ligament Repair Procedures Market is growing at a CAGR of 8.5% over the next 5 years.

Asia Pacific is growing at the highest CAGR over 2021- 2026.

North America holds highest share in 2020.

Zimmer Biomet, CONMED Corporation, DePuy Synthes (Johnson and Johnson), Stryker Corporation, Smith & Nephew PLC are the major companies operating in Global Cruciate Ligament Repair Procedures Market.

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