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U.S. Direct Anterior Approach Market Analysis

ID: MRFR//4725-CR | 100 Pages | Author: Rahul Gotadki| July 2018

The US Direct Anterior Approach (DAA) market for hip replacement surgery is undergoing significant trends that are reshaping the landscape of orthopedic interventions. A noteworthy trend driving the market is the increasing adoption of the Direct Anterior Approach for hip replacement surgeries. This surgical technique involves accessing the hip joint from the front, minimizing muscle and tissue disruption compared to traditional approaches. As patients and surgeons alike seek less invasive procedures with faster recovery times and reduced postoperative pain, the Direct Anterior Approach has gained popularity as a viable alternative.

Technological advancements are playing a pivotal role in shaping the market trends of the US Direct Anterior Approach. Surgical innovations, including specialized instruments and navigation systems, contribute to the precision and efficiency of DAA procedures. The incorporation of robotics and advanced imaging technologies enhances the surgeon's ability to perform hip replacements with greater accuracy, further fueling the adoption of the Direct Anterior Approach.

Another significant trend is the emphasis on outpatient or same-day hip replacement surgeries facilitated by the Direct Anterior Approach. As advancements in surgical techniques and anesthesia protocols enable quicker recovery, outpatient hip replacements are becoming a viable option for select patients. This trend aligns with the broader healthcare movement towards ambulatory care and patient-centric models, offering increased convenience and reduced healthcare costs for suitable candidates.

Furthermore, the market is witnessing increased collaboration between orthopedic surgeons, medical device manufacturers, and healthcare institutions to refine and optimize the Direct Anterior Approach. Surgeons and industry experts collaborate to share best practices, develop innovative instruments, and streamline the learning curve associated with adopting this technique. This collaborative trend aims to enhance the overall efficiency and effectiveness of DAA procedures, making them more accessible to a broader range of patients.

The rise of value-based care and bundled payment models is influencing the market dynamics of the US Direct Anterior Approach. Healthcare providers and payers are increasingly focused on delivering high-quality care with improved patient outcomes while controlling costs. The potential for reduced hospital stays, quicker recovery, and lower complication rates associated with DAA align with the objectives of value-based care models, making this approach an attractive option for healthcare systems aiming to provide efficient and cost-effective orthopedic services.

Moreover, there is a growing demand for patient education and awareness regarding the benefits and risks of the Direct Anterior Approach. As more patients seek information about available surgical options, orthopedic surgeons and healthcare organizations are actively engaging in educational initiatives to empower individuals in making informed decisions about their hip replacement surgeries. This trend reflects a shift towards shared decision-making and patient-centered care in orthopedics.

Despite these positive trends, challenges such as the learning curve associated with adopting the Direct Anterior Approach and variability in patient outcomes persist. Surgeons transitioning to this technique may face challenges in mastering the specific skills required for DAA procedures. Ongoing education, training programs, and mentorship opportunities are crucial for overcoming these challenges and ensuring the successful integration of the Direct Anterior Approach into mainstream orthopedic practices.

Covered Aspects:

Report Attribute/Metric Details
Segment Outlook Type and Region

US Direct Anterior Approach Market Overview


US Direct Anterior Approach Market Size was valued at USD 0.9 Billion in 2023. The direct anterior approach market industry is projected to grow from USD 1.02 Billion in 2024 to USD 2.52 Billion by 2032, exhibiting a compound annual growth rate (CAGR) of 11.94% during the forecast period (2024 - 2032). The expansion can be seen as a result of beneficial reimbursement policies, an increase in arthritis sufferers, and technological developments in this area. The government's initiative to allocate more funds and create new policies has also decreased the wait time for hip reconstructions and boosted the number of procedures. These market drivers have the potential to significantly fuel market expansion. The need for and cost of revision surgery are reduced by technological breakthroughs like newly created prostheses with stronger and more reliable joints.


US Direct Anterior Approach Market Overview1


Source Secondary Research, Primary Research, MRFR Database and Analyst Review


Direct Anterior Approach Market Trends



  • Increased prevalence of osteoarthritis is driving the market growth


One of the main causes of geriatric hip discomfort being worsened is osteoarthritis. The rise in the number of senior persons is another factor whose positive impact on the market is projected. There are already almost 42.6 million Americans over 65, and by 2030, that number is anticipated to considerably rise. The direct anterior approach (DAA) is a minimally invasive surgical treatment that involves only a small incision and no tendon-cutting. This method has the advantages of short operation times, minimal postoperative discomfort, and speedy patient recovery. Thus, the prevalence of disorders of the lower extremities such osteoarthritis (OA) and osteoporosis, as well as hip and osteoporosis issues, are all contributing reasons to the market CAGR. Furthermore, it is simpler to support market expansion because industrialized countries have access to developing healthcare infrastructure and improvements in minimally invasive surgery technology. 130 million individuals will suffer osteoarthritis by 2050, according to a report by the Osteoarthritis Research Society International.


Enhance advantages and benefits with technological breakthroughs in the orthopedics sectors and include more technologies, which will spur market expansion and consumer demand in response to expanding government reimbursement programmes and rising medical industry investment. As a result, the market will grow as more people have access to new technology and can benefit from it. Leading market players actively participate in the introduction of new products and carry out ongoing research to find new products with improved performance that will expand the direct anterior's customer base. During the projection period, the top market players will invest more money in new surgical advancements and market expansion.


3D printing technology is a new key advance in the field that is being used more commonly in direct anterior approach. The invention is used to create guidelines for each patient that are customized to their needs in order to align the implants properly and in accordance with the initial design. This is known as patient-specific instrumentation. Using a CT scan, this technique customizes a preoperative plan for each patient's anatomy. It aids the operating doctor in accurately planning and carrying out the acetabular implant placement while preserving hip stability. The development of computer assistance and automation has made it possible to reduce human error, improve implant placement accuracy, and restore natural hip mechanics. Thus, driving the direct anterior approach market revenue.


Direct Anterior Approach Market Segment Insights


Direct Anterior Approach Type Insights


The US Direct Anterior Approach market segmentation, based on type includes S. Total Hip Replacement by DAA and S. Total Hip Replacement Market for DAA by ASC. The S. total hip replacement by DAA segment dominated the market because there is less scarring after this type of surgery, the healing period is shorter, and the hospital stay is shorter.


Figure 1 US Direct Anterior Approach Market, by Type, 2023 & 2032 (USD Billion)US Direct Anterior Approach Market, by Type, 2022 & 2032


Source Secondary Research, Primary Research, MRFR Database and Analyst Review


Direct Anterior Approach Regional Insights


The U.S. direct anterior approach (total hip replacement) in ACS market has been expanding as a result of the rising demand for minimally invasive procedures. The advantages of minimally invasive surgery could fuel market growth in the US during the course of the forecast. In order to strengthen their market position, large producers are also focusing on technological developments and expanding their geographic reach. Furthermore, the market in the United States has expanded as a result of these companies' use of continual innovation as a competitive advantage. Increased injury rates and rising obesity rates may also encourage market growth. The region's market has benefited greatly from the presence of a top-notch healthcare system. Key producers are launching new products to keep the market afloat.


Direct Anterior Approach Key Market Players & Competitive Insights


Leading market players are investing heavily in research and development in order to expand their product lines, which will help the direct anterior approach market, grow even more. Market participants are also undertaking a variety of strategic activities to expand their  footprint, with important market developments including new product launches, contractual agreements, mergers and acquisitions, higher investments, and collaboration with other organizations. To expand and survive in a more competitive and rising market climate, direct anterior approach industry must offer cost-effective items.


Manufacturing locally to minimize operational costs is one of the key business tactics used by manufacturers in the US Direct Anterior Approach industry to benefit clients and increase the market sector. In recent years, the direct anterior approach industry has offered some of the most significant advantages to market. Major players in the direct anterior approach market attempting to increase market demand by investing in research and development operations include Smith & Nephew, Proliance Surgeons, OrthAlign Inc., Bone & Joint Surgery Clinic, Center for Special Surgery, Stryker Corporation, Orthoillinois, Zimmer Biomet, Johnson & Johnson Services Inc. (DePuy Synthes) and The Hip and Knee Center.


ENT, sports medicine, advanced wound treatment, orthopedic reconstruction, and trauma are among the fields in which Smith & Nephew Plc develops, produces, and markets medical devices. The business provides hip and knee implants to replace worn, sick, or injured joints, robotics-assisted technologies, and trauma-related goods to stabilize fractures and repair deformities. Additionally, it provides products for treating wounds and equipment for removing and repairing soft tissue. Surgeons, nurses, nurse practitioners, doctors, general practitioners, purchasing staff in hospitals, and health insurers are just a few of the people Smith & Nephew sells its goods to.


Healthcare for the musculoskeletal system is the primary business focus of Zimmer Biomet Holdings Inc. The business creates, manufactures, and sells orthopedic reconstructive products, biologics, sports medicine, extremities, and trauma products, as well as a variety of integrated digital and robotic solutions for the thorax and the craniomaxillofacial region, office-based technologies, and related surgical items. Its goods and services help treat patients with conditions or wounds to the bones, joints, and supporting soft tissues. Hospitals, healthcare dealers, orthopedic surgeons, neurosurgeons, other specialists, stocking distributors, and healthcare purchasing organisations are among the markets that Zimmer Biomet serves with its goods.


Key Companies in the direct anterior approach market include



  • Smith & Nephew

  • Proliance Surgeons

  • OrthAlign Inc.

  • Bone & Joint Surgery Clinic

  • Center for Special Surgery

  • Stryker Corporation

  • Orthoillinois

  • Zimmer Biomet

  • Johnson & Johnson Services Inc. (DePuy Synthes)

  • The Hip and Knee Center


High Pressure Seals Industry Developments


June 2018 HipGrid NINE, developed by OrthoGrid equipment for outpatient total hip replacement, increases the usefulness of C-arm imaging equipment, which are frequently seen in hospitals and ambulatory surgery centers.


Direct Anterior Approach Market Segmentation


US Direct Anterior Approach Type Outlook (USD Billion, 2018-2032)



  • S. Total Hip Replacement by DAA

  • S. Total Hip Replacement Market for DAA by ASC

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