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Hip Replacement Market Size, Share & COVID-19 Impact Analysis, By Procedure (Total Replacement, Partial Replacement, and Revision & Hip Resurfacing), By End-User (Hospitals & Ambulatory Surgery Centers, Orthopedic Clinics, and Others) and Regional Forecast, 2021-2028

Region : Global | Format: PDF | Report ID: FBI100247



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The global hip replacement market size was USD 6.57 billion in 2020. The global impact of COVID-19 has been unprecedented and staggering, with the market witnessing a negative demand shock across all regions amid the pandemic. Based on our analysis, the global market exhibited a huge decline of 12.1% in 2020. The market is anticipated to grow from USD 6.91 billion in 2021 to USD 9.91 billion in 2028 at a CAGR of 5.3% during the 2021-2028 period. The sudden rise in CAGR is attributable to this market’s demand and growth, returning to pre-pandemic levels once the pandemic is over.

The prevalence of osteoarthritis is increasing gradually and has become an economic burden for many countries worldwide. Hip osteoarthritis causes degeneration of the hip joint and can be treated by hip arthroplasty. In hip surgery, the damaged cartilage and bone component are replaced by a hip prosthesis. The procedures are increasing significantly due to the aging population, active government support, and improving patient knowledge regarding replacement surgeries. This, in turn, is positively impacting the product demand.

Decline in Hip Replacement to Hinder Market Growth amid COVID-19  

The impact of the COVID-19 pandemic on the market is expected to reflect a declining growth across the analysis period. In an attempt to help battle the pandemic and reserve essential health care resources, surgeons have been instructed only to perform necessary surgical procedures. Most hip and knee arthroplasty surgery did not meet the definition of necessary surgery and got canceled of these imposed restrictions. As per the American Association of Hip & Knee Surgeons (AAHKs), it was projected that around 30,000 primary and 3000 revision hip and knee arthroplasty procedures were canceled each week amid COVID-19 restrictions regarding unnecessary surgery. Many cases were canceled because of the pandemic, which resulted in significant financial losses for health care institutions and may have a profound impact on the patients.


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Increased Awareness of Hip Replacement Surgery is Boosting the Market Growth

One of the key trends to the hip replacement market growth is the incorporation of online tools for patients who underwent hip surgeries. Healthcare organizations are swiftly scaling up the programs, and increased awareness of online resources is estimated to offer lucrative growth opportunities for the market. In the past few years’ patients have started referring to web-based tools and online resources to gain information for specific diseases. Joint replacement is one such area seeing the introduction of several online tools which help the patient through their surgeries, communicating with the orthopedic surgeons, and provide post-surgery information. For instance, BMC Journal broadcasted an article related to the RECOVER-E mobile app under development that helps patients recovering from knee and hip surgeries.

Additionally, in August 2021, Meitra Hospital Kozhikode announced the launch of Robotic Joint Replacement Surgery. It is a mega step towards introducing advanced, innovative, and cutting-edge technology to ensure faster and complete recovery of patients requiring joint replacement surgeries. The CORI-Robotic Joint Replacement Surgical System makes Meitra a fully equipped center to conduct all categories of total or partial hip and knee replacement surgeries, thus making it the first and only training center for conducting Robotic Arthroplasty (Joint Replacement Surgery) in India.


Favorable Health Reimbursement to Surge the Market Growth

Adequate health coverage and reform in health reimbursement policies for joint replacement procedures are anticipated to propel the demand for hip implants. To provide affordable and quality care to all the people, the governments of different countries have launched various health reimbursement schemes for joint replacement surgeries. This has led to an increase in the number of people undergoing hip arthroplasty, fostering the market.

 Rapid Adoption of Customized Hip Prostheses to Boost the Market

The market for hip arthroplasty implants is projected to expand with the increasing demand for customized implants for males and females. Since each patient has a unique anatomy, the sizes of implants differ. Many manufacturers are focusing on 3D printing technology for patient-specific implants.

The introduction of 3-D printing technology to manufacture orthopedic implants resulted in a huge surge of customized implants. Many orthopedic companies are developing cutting-edge technology that can be used to supply technically advanced replacement prostheses, which is likely to favor the market.


Lawsuits and Product Recalls of Hip Replacement Devices to Hamper Market Growth

The volumes of replacement surgery are rising speedily. However, the complications related to the use of the implant are a major factor that can likely hamper the growth of the global market in the anticipated years. The lawsuits claim patients were left with serious side effects because of the device defects. The related side effects comprise allergic reactions, metal poisoning, infection, and bone loss. Major companies like Zimmer Biomet have faced various individual lawsuits and class action lawsuits owing to the malfunction of their orthopedic replacement devices. For instance,

In August 2019, there were nearly 2,000 Stryker replacement lawsuits in state and federal courts. Additionally, the significant product recalls of the hip and knee replacement devices for major key players around the globe are estimated to hamper the market's growth in the coming years. According to the U.S. FDA, from 2003 to 2019, there were more than 13,000 recalls of knee replacement components and systems. Zimmer Biomet recorded the highest number of recalls, followed by Johnson and Johnson Services Inc. and Smith & Nephew.


By Procedure Analysis

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Partial Hip Replacement Segment to Witness Remarkable Growth

Based on procedure, the market can be segmented into total and partial replacement, and revision & hip resurfacing. The total replacement segment is estimated to dominate the market in 2020 due to the increase in total hip arthroplasty. According to the Rheumatology advisor article, researchers projected that the total annual counts of total hip arthroplasty increased by 34% in 2020 to 498,000 replacements, by 75% in 2025 to 652,000 replacements, by 129% in 2030 to 850,000 replacements, and by 284% in 2040 to 1,429,000 replacements. This, coupled with the rapid adoption of robots for THA (Total Hip Arthroplasty) procedures, is projected to drive the total segment during the forecasted timeframe.

The increasing preference for partial replacement surgeries, rising prevalence of hip osteoarthritis, and new product launches are factors attributable to the significant growth of the partial replacement segment. The rising need for revision procedure after wearing out of previously implanted product and shift towards hip resurfacing are major factors contributing to the revision and hip resurfacing growth.

By End-user Analysis

Increase in Number of Hip Procedures to Drive the Growth of Hospitals & ASCs Segment

On the basis of the end-user, the market is segmented into hospitals & ambulatory surgery centers (ASCs), orthopedic clinics, and others. In terms of revenue, the hospitals & ambulatory surgery centers segment held a major share of the market in 2018. This can be attributable to the increasing number of hospital surgeries, favorable health reimbursement, and rapid adoption of robots for replacement surgeries. 

The orthopedic clinics segment is anticipated to expand during the projected period owing to the rising number of orthopedic surgeons and replacement surgeries in outpatient settings.                                      


North America Hip Replacement Market Size, 2020 (USD Billion)

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The market size in North America stood at USD 2.30 billion in 2020. North America is projected to dominate the market throughout the forecast period. Primary factors responsible for the expansion of the market in North America are the rising number of hip Arthroplasty and increasing strategic collaborations between major players. In December 2020, Conformis, Inc. announced the U.S. commercial launch of the Cordera Match Hip System. The company also in the past year announced the U.S. Food and Drug Administration clearance for the Cordera Hip System on September 29, 2020. This is poised to surge the demand for hip arthroplasty implants in the U.S.

In Europe, the market for hip prostheses is anticipated to expand, owing to favorable health reimbursement, increased demand for customized implants, and an increased number of surgeries. As per the Organization for Economic Cooperation and Development, in countries like Switzerland, Germany, Italy, and France, the number of replacement surgeries for hip per 100,000 populations are 308, 299, 172, and 241, respectively, indicating the increase in demand for hip implants in the forecast period. The Asia Pacific market is growing faster due to factors such as the cumulative efforts of manufacturers to establish a presence in the Asia Pacific through a direct or indirect distribution network and the launch of new products.

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Latin America, and Middle East & Africa are anticipated to experience moderate growth due to the lower number of orthopedic surgeons and low-income progress. However, a rising number of orthopedic injuries & diseases and the rise in the adoption of implants are likely to drive the market growth in Latin America and the Middle East & Africa.


Zimmer Biomet, DePuy Synthes, and Stryker to Account for More than Half of the Market Share

In terms of market revenue, Zimmer Biomet, DePuy Synthes, and Stryker held a leading position around the globe. Zimmer Biomet accounted for the highest market share owing to the higher sales of the company’s hip implants. On the other hand, a strong sales force, focus on both organic and inorganic growth, and strategic collaborations are primary reasons for the leading position of DePuy Synthes and Stryker.


  • Zimmer Biomet (Indiana, U.S.)

  • DePuy Synthes Companies (Johnson & Johnson Services, Inc.) (Raynham, MA, U.S.)

  • Smith & Nephew (London, U.K.)

  • Stryker (Michigan, U.S.)

  • Exactech, Inc. (Florida, U.S.)

  • Gruppo Bioimpianti s.r.l (Milan, Italy)

  • Conformis (Massachusetts, U.S.)s

  • MicroPort Scientific Corporation (Shanghai, China)

  • B. Braun Melsungen AG (Melsungen, Germany)


  • July 2021 - Medacta announced the expansion of the hip revision Portfolio. Its first surgeries utilize AMIS(R)-K Long, Iliac Screw Mpact 3D Metal, and 3D Metal(R) B-Cage. Together with the M-Vizion Modular Femoral Revision Stem, these products further widen the Medacta Hip Revision Platform.

  • August 2021 - Zimmer Biomet Holdings, Inc., a worldwide medical technology company, announced that the company had received the U.S. Food and Drug Administration (FDA) 510(k) clearance of the ROSA Hip System for robotically-assisted direct anterior total hip replacement.


An Infographic Representation of Hip Replacement Implants Market

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The hip replacement research report provides qualitative and quantitative insights on the industry and a detailed analysis of market size and growth rate for all possible segments in the market. Along with this, the report provides an elaborative analysis of market dynamics and the competitive landscape. Various key insights provided in the report are the number of replacement procedures for key countries, new product launches, regulatory scenario and overview of reimbursement policies in key countries, recent industry developments such as mergers & acquisitions, and key hip replacement industry trends. The report provides qualitative and quantitative insights on the global market trends and a detailed analysis of market size & growth rate for all possible segments in the market.

Report Scope & Segmentation



Study Period


Base Year


Estimated Year


Forecast Period


Historical Period



  Value (USD billion)


  Procedure, End-user, Region

By Procedure

  • Total Replacement

  • Partial Replacement

  • Revision & Hip Resurfacing

By End-User

  • Hospitals & Ambulatory Surgery Centers

  • Orthopedic Clinics

  • Others

By Geography

  • North America (By Procedure, By End-user and by Country)

    • U.S. (By Procedure)

    • Canada (By Procedure)

  • Europe (By Procedure, By End-user and by Country)

    • U.K. (By Procedure)

    • Germany (By Procedure)

    • France (By Procedure)

    • Italy (By Procedure)

    • Spain (By Procedure)

    • Rest of Europe (By Procedure)

  • Asia Pacific (By Procedure, By End-user and by Country)

    • China (By Procedure)

    • Japan (By Procedure)

    • India (By Procedure)

    • Australia (By Procedure)

    • Southeast Asia (By Procedure)

    • Rest of Asia Pacific (By Procedure)

  • Latin America (By Procedure, By End-user and by Country)

    • Brazil (By Procedure)

    • Mexico (By Procedure)

    • Rest of Latin America (By Procedure)

  • Middle East & Africa (By Procedure, By End-user and by Country)

    • GCC (By Procedure)

    • South Africa (By Procedure)

    • Rest of Middle East & Africa (By Procedure)

Frequently Asked Questions

Fortune Business Insights says that the global market size was USD 6.57 billion in 2020 and is projected to reach USD 9.91 billion by 2028.

In 2020, the North America market value stood at USD 2.30 billion.

Growing at a CAGR of 5.3%, the market will exhibit steady growth in the forecast period (2021-2028).

The total segment is the leading segment in this market during the forecast period

The rapid adoption of customized hip implants and favorable health reimbursement policies are the key factors driving the market.

Zimmer Biomet, DePuy Synthes, and Stryker are the top players in the market.

North America dominated the market share in 2020.

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