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U.S. Direct Anterior Approach Market Size

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

The US Direct Anterior Approach (DAA) market, a significant sector within the orthopedic and surgical field, is characterized by diverse market share positioning strategies as companies aim to capitalize on the demand for innovative hip replacement techniques. A pivotal strategy in this landscape is product differentiation, where orthopedic companies focus on refining and advancing their DAA procedures. This may involve the development of specialized surgical instruments, enhanced implants, or advanced navigational technologies to optimize the surgical process. By offering unique and advanced solutions, companies seek to stand out in a competitive market, positioning themselves as leaders in providing state-of-the-art DAA procedures for hip replacements.

Cost leadership is another critical strategy in the US DAA market, recognizing the importance of affordability and accessibility in healthcare solutions. Companies strive to optimize the costs associated with DAA surgeries without compromising quality. This entails streamlining surgical processes, negotiating favorable agreements with suppliers, and adopting efficient technologies to make DAA procedures more cost-effective. By providing economically viable options, companies not only attract a broader patient base but also contribute to an increased market share in a healthcare landscape where cost considerations are paramount.

Market segmentation is a key aspect of strategic positioning within the US DAA market. Companies acknowledge the diversity in patient needs and surgical preferences and tailor their DAA procedures to address specific patient demographics or conditions. For instance, developing specialized DAA techniques for different age groups, addressing varying levels of hip degeneration, or catering to specific patient profiles allows companies to address niche markets more effectively. This targeted approach not only ensures that the DAA procedures align with the specific requirements of different patient groups but also enhances the overall market presence of these companies.

Strategic collaborations and partnerships play a vital role in the US DAA market, given the multidisciplinary nature of orthopedic surgeries. Companies often engage with orthopedic surgeons, medical institutions, and healthcare providers to enhance their understanding of DAA procedures, access valuable insights from clinical settings, and promote the adoption of their techniques. Collaborative efforts enable companies to stay at the forefront of orthopedic research and innovation, positioning themselves as leaders in the field and reinforcing their market share in the competitive landscape of DAA hip replacement surgeries.

Customer-centric strategies are paramount in the US DAA market, where patient satisfaction and outcomes are of utmost importance. Companies that prioritize patient education, provide clear information about the benefits and risks of DAA procedures, and ensure comprehensive pre- and post-operative support contribute to increased patient satisfaction and loyalty. Building strong relationships with healthcare providers through training programs and ongoing support not only enhances the adoption of DAA procedures but also positively influences the market share of companies offering these advanced orthopedic solutions.

Geographic expansion is a crucial element of market share positioning in the US DAA market. Companies often target regions with a high prevalence of hip-related conditions or where there is a growing demand for minimally invasive hip replacement techniques. Establishing a robust presence in key markets allows companies to adapt their DAA procedures to regional variations in healthcare practices and preferences, contributing to an increased market share on a national scale.

Covered Aspects:

Report Attribute/Metric Details
Market Size Value In 2022 USD 0.8 Billion
Market Size Value In 2023 USD 0.9 Billion
Growth Rate 13.60% (2023-2032)

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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