Dynamic Hip Screws

Dynamic Hip Screws Market Outlook

The global dynamic hip screws market is projected to reach a value of USD 1.23 billion by 2035, with a compound annual growth rate (CAGR) of 7.4% during the forecast period from 2025 to 2035. The increasing prevalence of hip fractures, particularly among the aging population, coupled with advancements in surgical techniques and materials, is driving the demand for dynamic hip screws. Additionally, the rising number of orthopedic surgeries and growing awareness of minimally invasive surgical procedures are contributing to market growth. The expansion of healthcare infrastructure and the increasing number of orthopedic clinics and hospitals globally further enhance the consumption of dynamic hip screws. The market dynamics are also influenced by technological advancements, such as the development of bio-compatible materials and innovative screw designs that improve patient outcomes.

Growth Factor of the Market

The dynamic hip screws market is experiencing robust growth due to several key factors. First and foremost, the aging global population is leading to an increased incidence of hip fractures, necessitating effective surgical intervention. Furthermore, the rise in obesity rates has been linked to higher susceptibility to orthopedic issues, including fractures. The advancements in minimally invasive surgical techniques, which facilitate quicker recovery and reduced hospital stays, are also propelling market growth. Additionally, increased healthcare expenditure in emerging economies is contributing to the establishment of more orthopedic centers, further driving demand for dynamic hip screws. The growing trend towards outpatient surgeries and the associated cost-effectiveness are promoting the use of dynamic hip screws in various healthcare settings.

Key Highlights of the Market

• The market is projected to achieve a CAGR of 7.4% from 2025 to 2035.
• North America is anticipated to hold a significant market share due to advanced healthcare infrastructure.
• Technological innovations in screw design are improving patient outcomes and surgical efficacy.
• Increased awareness regarding orthopedic surgeries is driving demand for dynamic hip screws.
• The expansion of outpatient surgical centers is creating new distribution avenues for dynamic hip screws.

By Product Type

Single Compression Screw:

The single compression screw is a staple in orthopedic surgery due to its straightforward design and ease of use. This type of screw is primarily utilized in the fixation of hip fractures, providing adequate compression to stabilize the bone fragments during the healing process. Its simple mechanism allows for quick insertion and reduced surgical time, making it an ideal choice for many surgeons. The market for single compression screws is growing as they are effective in treating various types of fractures, leading to a higher preference among orthopedic practitioners. Furthermore, continuous innovation and improvements in materials are enhancing the performance and reliability of single compression screws, contributing to their market expansion.

Double Compression Screw:

Double compression screws are designed to offer enhanced stabilization compared to their single compression counterparts. By providing two points of compression, these screws are particularly effective in complex fracture scenarios where additional support is required. The increasing complexity of orthopedic cases and the need for more robust fixation methods are propelling the adoption of double compression screws. Additionally, advancements in screw technology are allowing for greater biomechanical stability, thereby reducing the risk of complications post-surgery. Surgeons are increasingly opting for double compression screws to improve patient outcomes and accelerate recovery times, leading to significant growth in this segment of the market.

Sliding Screw System:

The sliding screw system is a sophisticated option designed for managing intertrochanteric fractures of the hip. This type of screw allows for sliding movement, enabling better alignment and stabilization of the bone during the healing process. The market for sliding screw systems is experiencing growth due to their unique capabilities in achieving optimal screw placement and facilitating dynamic stabilization. As the medical community recognizes the advantages of sliding screw systems in complex hip fracture repairs, their adoption is increasing. Furthermore, technological advancements in this area are continuously enhancing their efficacy, contributing to a positive market outlook.

Cannulated Screws:

Cannulated screws are specifically designed to be inserted over a guide wire, allowing for precise placement in various surgical scenarios. Their use is gaining traction in the dynamic hip screws market, primarily due to their versatility and the ability to minimize soft tissue trauma during surgery. This characteristic is particularly advantageous in elderly patients who may have compromised bone integrity. The increasing utilization of cannulated screws in orthopedic procedures is contributing to their market growth, as surgeons appreciate the improved accuracy and reduced recovery times associated with their use. As the demand for less invasive surgical options rises, cannulated screws are set to play a significant role in the market.

Blade-Plate Fixation:

Blade-plate fixation is an advanced method utilized for stabilizing complex fractures and providing a strong construct during the healing process. This approach allows for better load distribution across the fractured area, which is crucial for achieving optimal healing outcomes. The demand for blade-plate fixation is increasing, particularly in cases where traditional screw fixation may not provide sufficient stability. As surgical techniques evolve and the understanding of biomechanics improves, blade-plate fixation is becoming more popular among orthopedic surgeons. This trend is further supported by ongoing research and development efforts aimed at enhancing the design and materials used in blade-plate fixation systems.

By Application

Hip Fractures:

Hip fractures represent one of the primary applications for dynamic hip screws, making this segment a crucial driver of market growth. As the elderly population continues to expand, the incidence of hip fractures is on the rise, necessitating effective surgical solutions. Dynamic hip screws are essential in these scenarios, as they provide the necessary stabilization and support for bone healing. The advancements in screw technology and design are further facilitating successful outcomes in hip fracture surgeries. Additionally, the increasing awareness and diagnosis of hip fractures are leading to an uptick in surgical interventions, thereby positively affecting market demand in this application.

Hip Replacements:

The application of dynamic hip screws in hip replacement surgeries is growing as these screws play a critical role in stabilizing the implant and ensuring proper alignment. As the number of hip replacement procedures increases due to aging populations and lifestyle-related conditions, the demand for reliable fixation solutions like dynamic hip screws is also rising. Surgeons are becoming more inclined to use these screws to enhance the longevity of hip implants and improve patient outcomes. This segment benefits from advancements in surgical techniques and materials, which further bolster the effectiveness of hip replacements utilizing dynamic hip screws.

Orthopedic Surgeries:

Dynamic hip screws are widely utilized in various orthopedic surgeries beyond just hip fractures and replacements. Their versatile applications make them valuable for a range of conditions requiring stable fixation. Surgeons often prefer dynamic hip screws for their ease of use and effectiveness in achieving desired surgical outcomes. The growing number of orthopedic surgeries being performed worldwide is contributing to the increased demand for dynamic hip screws. Additionally, improvements in surgical techniques and patient management are further enhancing the relevance and application of dynamic hip screws in the orthopedic surgical landscape.

Trauma Cases:

Trauma cases often require immediate surgical intervention, and dynamic hip screws are a primary solution for stabilizing fractures resulting from accidents or falls. The urgency associated with trauma cases drives demand for reliable and effective fixation devices that can facilitate rapid surgery and recovery. The market for dynamic hip screws in trauma applications is expanding as hospitals and surgical centers increase their capacities to handle trauma patients. The recognition of the importance of timely intervention in trauma cases further underscores the significance of dynamic hip screws in orthopedic trauma care.

Others:

This category encompasses various other applications of dynamic hip screws, including experimental and less common uses in orthopedic surgeries. The versatility of dynamic hip screws allows them to adapt to diverse surgical scenarios, making them a valuable asset in many procedures. Surgeons are continually exploring new applications for dynamic hip screws, driven by ongoing research and advancements in orthopedic techniques. This segment is expected to see growth as innovations emerge and the understanding of dynamic hip screws' potential expands, further contributing to the overall market growth.

By Distribution Channel

Hospitals:

Hospitals remain the primary distribution channel for dynamic hip screws, accounting for a significant share of the market. The presence of specialized orthopedic departments within hospitals facilitates the demand for dynamic hip screws, as these institutions are equipped to handle complex surgical procedures. Hospitals often have established relationships with leading manufacturers, ensuring a steady supply of high-quality dynamic hip screws for their surgical teams. Furthermore, advancements in hospital infrastructure and increased investment in surgical technology are contributing to the growth of this channel. As surgical volumes increase, hospitals are likely to continue driving the demand for dynamic hip screws.

Orthopedic Clinics:

Orthopedic clinics are emerging as an essential distribution channel for dynamic hip screws, particularly as outpatient surgeries gain popularity. These specialized clinics are focused on providing targeted orthopedic care and often perform elective surgeries, including hip surgeries. The ability of orthopedic clinics to offer personalized care and shorter wait times is driving their growth in the dynamic hip screws market. Additionally, the adoption of advanced surgical techniques and technologies in these clinics is facilitating the increased use of dynamic hip screws. As more patients seek orthopedic care in outpatient settings, the demand for dynamic hip screws through orthopedic clinics is expected to rise.

Ambulatory Surgical Centers:

Ambulatory surgical centers (ASCs) are increasingly becoming a vital distribution channel for dynamic hip screws as they provide a cost-effective solution for outpatient surgeries. ASCs focus on same-day discharge for patients, offering convenience and efficiency. The rising trend towards outpatient surgeries has led to a growth in ASCs, where dynamic hip screws play a crucial role in facilitating quick and effective surgical procedures. The cost savings associated with performing surgeries in ASCs compared to traditional hospitals are attracting both patients and providers, further driving the demand for dynamic hip screws in this channel.

Online Stores:

The emergence of online stores as a distribution channel for dynamic hip screws is transforming the landscape of orthopedic device procurement. With the increasing digitization of healthcare, surgeons and hospitals are increasingly turning to e-commerce platforms to source surgical supplies, including dynamic hip screws. Online stores offer a wide range of products, competitive pricing, and the convenience of placing orders from anywhere. This trend is particularly appealing to smaller clinics and practices that may not have the purchasing power or storage capacity of larger hospitals. As online shopping becomes more mainstream in the medical field, the demand for dynamic hip screws through online stores is poised to grow.

Others:

This category includes various other distribution channels that may not fit into the traditional classifications. It encompasses specialized medical supply distributors, surgical equipment rental services, and local healthcare providers that may offer dynamic hip screws to specific patient demographics. The diversity of distribution channels in this segment highlights the adaptability of the market and the growing recognition of dynamic hip screws' importance in various surgical settings. As the market evolves, alternative distribution methods are likely to gain prominence, contributing to the overall growth of dynamic hip screws.

By Material Type

Stainless Steel:

Stainless steel remains one of the most widely used materials for dynamic hip screws due to its excellent strength, corrosion resistance, and biocompatibility. The durability of stainless steel makes it suitable for load-bearing applications in hip surgeries where stabilization is paramount. Additionally, advancements in stainless steel processing are improving the performance and reliability of dynamic hip screws made from this material. As the demand for reliable and cost-effective surgical solutions continues to grow, stainless steel dynamic hip screws are expected to maintain a significant presence in the market.

Titanium:

Titanium is increasingly gaining popularity as a material for dynamic hip screws due to its lightweight properties and superior biocompatibility. The use of titanium in orthopedic applications reduces the risk of corrosion and ensures better integration with the body, which is critical for long-term implant success. Surgeons are increasingly opting for titanium dynamic hip screws in cases where patient comfort and minimizing foreign body reactions are priorities. The growing awareness of the benefits of titanium in orthopedic surgeries is contributing to its rising demand in the dynamic hip screws market.

Cobalt Chromium:

Cobalt chromium is another advanced material used in the manufacturing of dynamic hip screws, prized for its excellent mechanical properties and resistance to wear and corrosion. This material is particularly beneficial in high-stress applications, offering superior strength compared to traditional materials. The market for cobalt chromium dynamic hip screws is expanding as surgeons seek advanced solutions for complex fractures and demanding orthopedic cases. The ongoing research and development in cobalt chromium alloys are enhancing their performance, leading to increased adoption in the dynamic hip screws market.

Other Alloys:

This category includes a range of alternative alloys utilized in the production of dynamic hip screws, aiming to provide specific benefits depending on the surgical application. Various custom alloys are being developed to enhance the mechanical properties, corrosion resistance, and overall effectiveness of dynamic hip screws. As advancements in material science continue to evolve, the exploration of new alloys is expected to facilitate novel applications and improvements in dynamic hip screws. The demand for these specialized materials is likely to grow as surgeons seek innovative solutions to optimize surgical outcomes.

By Region

The North American region dominates the dynamic hip screws market, accounting for approximately 40% of the global market share. The presence of advanced healthcare infrastructure, a high prevalence of hip fractures, and a growing aging population are key factors driving this substantial market share. Additionally, the continuous advancements in surgical techniques and the increasing number of orthopedic surgeries being performed further bolster the demand for dynamic hip screws in this region. The market is expected to grow at a CAGR of 6.8% during the forecast period, fueled by technological innovations and the rising demand for minimally invasive surgical procedures.

Europe is also a significant player in the dynamic hip screws market, comprising around 30% of the global market. The region's growing elderly population and the increasing focus on orthopedic care are major contributors to market growth. Countries such as Germany, France, and the UK are leading in this segment due to their advanced healthcare systems and rising awareness of orthopedic treatments. The market in Europe is projected to witness a CAGR of 7.1% from 2025 to 2035, driven by increased investments in healthcare infrastructure and the introduction of innovative surgical products.

Opportunities

The dynamic hip screws market presents a multitude of opportunities for growth, particularly in emerging economies where healthcare infrastructure is rapidly developing. As countries invest in improving medical facilities and expanding access to orthopedic care, the demand for dynamic hip screws is likely to increase. Furthermore, the rising prevalence of lifestyle-related diseases that contribute to orthopedic issues creates a significant opportunity for manufacturers to cater to the growing patient population. As awareness of the importance of orthopedic health continues to rise, there is an opportunity for companies to educate healthcare professionals and patients about the benefits of dynamic hip screws, thereby increasing market penetration.

Another notable opportunity lies in the technological advancements shaping the dynamic hip screws market. Innovations such as 3D printing and advanced materials are opening new avenues for the development of more effective and patient-friendly orthopedic devices. Companies that invest in research and development to create cutting-edge dynamic hip screws, tailored to meet specific clinical needs, are likely to gain a competitive edge in the market. Additionally, partnerships with healthcare providers and participation in orthopedic conferences can further enhance visibility and foster collaborations that drive sales and market expansion.

Threats

The dynamic hip screws market faces several threats that could impact its growth trajectory. One significant concern is the increasing competition from alternative fixation devices and technologies that may offer improved outcomes or lower costs. As advancements in medical technology continue to accelerate, manufacturers of dynamic hip screws must continuously innovate to maintain their market share. Furthermore, the potential for regulatory changes and stricter approval processes for medical devices could hinder the introduction of new products, slowing market growth. Companies need to remain vigilant and adaptable to navigate the competitive landscape effectively.

Additionally, the rising costs of healthcare and surgical procedures may pose a challenge to the dynamic hip screws market. As hospitals and surgical centers seek to minimize expenses, they may opt for more cost-effective solutions, potentially impacting the demand for dynamic hip screws. The market may also be influenced by reimbursement challenges and differences in regional healthcare policies, which can create disparities in access to orthopedic surgical solutions. Manufacturers must develop strategies to address these economic pressures and ensure that their products remain accessible to healthcare providers and patients alike.

Competitor Outlook

• Stryker Corporation
• DePuy Synthes (Johnson & Johnson)
• Zimmer Biomet Holdings, Inc.
• B. Braun Melsungen AG
• Smith & Nephew PLC
• Medtronic PLC
• NuVasive, Inc.
• Orthofix Medical Inc.
• Wright Medical Group N.V.
• Exactech, Inc.
• Heraeus Medical GmbH
• CarboFix Orthopedics, Inc.
• Integra LifeSciences Corporation
• Acumed LLC
• Orthopaedic Implant Company

The competitive landscape of the dynamic hip screws market is characterized by the presence of numerous established players and emerging companies. Major corporations such as Stryker Corporation, DePuy Synthes, and Zimmer Biomet dominate the market, leveraging their extensive product portfolios and advanced technologies to maintain a strong foothold. These companies are continually investing in research and development, leading to the introduction of innovative products that cater to the evolving needs of orthopedic surgeons and patients. The competition is expected to intensify as new entrants enter the market with unique offerings and innovative technologies, potentially disrupting traditional market dynamics.

Key players in the market focus on strategic partnerships and collaborations to expand their product offerings and enhance their market presence. For instance, Stryker Corporation has been actively acquiring smaller companies to bolster its portfolio of orthopedic devices, while DePuy Synthes emphasizes the importance of innovation through continuous investments in R&D. Furthermore, these companies are increasingly focused on improving customer experiences and providing comprehensive training to healthcare professionals, ensuring that they are well-equipped to utilize dynamic hip screws effectively in surgical procedures.

In addition to established companies, new players are emerging in the dynamic hip screws market, driven by advancements in technology and a growing demand for specialized orthopedic solutions. These emerging companies often focus on niche markets and innovative products that address specific surgical challenges, allowing them to carve out a place in the competitive landscape. As the orthopedic market continues to evolve, the landscape of dynamic hip screws is likely to witness significant changes, with ongoing innovation and strategic maneuvers shaping the future of the industry.

• 1 Appendix

  • 1.1 List of Tables
  • 1.2 List of Figures

• 2 Introduction

  • 2.1 Market Definition
  • 2.2 Scope of the Report
  • 2.3 Study Assumptions
  • 2.4 Base Currency & Forecast Periods

• 3 Market Dynamics

  • 3.1 Market Growth Factors
  • 3.2 Economic & Global Events
  • 3.3 Innovation Trends
  • 3.4 Supply Chain Analysis

• 4 Consumer Behavior

  • 4.1 Market Trends
  • 4.2 Pricing Analysis
  • 4.3 Buyer Insights

• 5 Key Player Profiles

  • 5.1 Acumed LLC
    • 5.1.1 Business Overview
    • 5.1.2 Products & Services
    • 5.1.3 Financials
    • 5.1.4 Recent Developments
    • 5.1.5 SWOT Analysis
  • 5.2 Medtronic PLC
    • 5.2.1 Business Overview
    • 5.2.2 Products & Services
    • 5.2.3 Financials
    • 5.2.4 Recent Developments
    • 5.2.5 SWOT Analysis
  • 5.3 Exactech, Inc.
    • 5.3.1 Business Overview
    • 5.3.2 Products & Services
    • 5.3.3 Financials
    • 5.3.4 Recent Developments
    • 5.3.5 SWOT Analysis
  • 5.4 NuVasive, Inc.
    • 5.4.1 Business Overview
    • 5.4.2 Products & Services
    • 5.4.3 Financials
    • 5.4.4 Recent Developments
    • 5.4.5 SWOT Analysis
  • 5.5 Smith & Nephew PLC
    • 5.5.1 Business Overview
    • 5.5.2 Products & Services
    • 5.5.3 Financials
    • 5.5.4 Recent Developments
    • 5.5.5 SWOT Analysis
  • 5.6 Stryker Corporation
    • 5.6.1 Business Overview
    • 5.6.2 Products & Services
    • 5.6.3 Financials
    • 5.6.4 Recent Developments
    • 5.6.5 SWOT Analysis
  • 5.7 Heraeus Medical GmbH
    • 5.7.1 Business Overview
    • 5.7.2 Products & Services
    • 5.7.3 Financials
    • 5.7.4 Recent Developments
    • 5.7.5 SWOT Analysis
  • 5.8 B. Braun Melsungen AG
    • 5.8.1 Business Overview
    • 5.8.2 Products & Services
    • 5.8.3 Financials
    • 5.8.4 Recent Developments
    • 5.8.5 SWOT Analysis
  • 5.9 Orthofix Medical Inc.
    • 5.9.1 Business Overview
    • 5.9.2 Products & Services
    • 5.9.3 Financials
    • 5.9.4 Recent Developments
    • 5.9.5 SWOT Analysis
  • 5.10 Wright Medical Group N.V.
    • 5.10.1 Business Overview
    • 5.10.2 Products & Services
    • 5.10.3 Financials
    • 5.10.4 Recent Developments
    • 5.10.5 SWOT Analysis
  • 5.11 CarboFix Orthopedics, Inc.
    • 5.11.1 Business Overview
    • 5.11.2 Products & Services
    • 5.11.3 Financials
    • 5.11.4 Recent Developments
    • 5.11.5 SWOT Analysis
  • 5.12 Orthopaedic Implant Company
    • 5.12.1 Business Overview
    • 5.12.2 Products & Services
    • 5.12.3 Financials
    • 5.12.4 Recent Developments
    • 5.12.5 SWOT Analysis
  • 5.13 Zimmer Biomet Holdings, Inc.
    • 5.13.1 Business Overview
    • 5.13.2 Products & Services
    • 5.13.3 Financials
    • 5.13.4 Recent Developments
    • 5.13.5 SWOT Analysis
  • 5.14 Integra LifeSciences Corporation
    • 5.14.1 Business Overview
    • 5.14.2 Products & Services
    • 5.14.3 Financials
    • 5.14.4 Recent Developments
    • 5.14.5 SWOT Analysis
  • 5.15 DePuy Synthes (Johnson & Johnson)
    • 5.15.1 Business Overview
    • 5.15.2 Products & Services
    • 5.15.3 Financials
    • 5.15.4 Recent Developments
    • 5.15.5 SWOT Analysis

• 6 Market Segmentation

  • 6.1 Dynamic Hip Screws Market, By Application
    • 6.1.1 Hip Fractures
    • 6.1.2 Hip Replacements
    • 6.1.3 Orthopedic Surgeries
    • 6.1.4 Trauma Cases
    • 6.1.5 Others
  • 6.2 Dynamic Hip Screws Market, By Product Type
    • 6.2.1 Single Compression Screw
    • 6.2.2 Double Compression Screw
    • 6.2.3 Sliding Screw System
    • 6.2.4 Cannulated Screws
    • 6.2.5 Blade-Plate Fixation
  • 6.3 Dynamic Hip Screws Market, By Material Type
    • 6.3.1 Stainless Steel
    • 6.3.2 Titanium
    • 6.3.3 Cobalt Chromium
    • 6.3.4 Other Alloys
  • 6.4 Dynamic Hip Screws Market, By Distribution Channel
    • 6.4.1 Hospitals
    • 6.4.2 Orthopedic Clinics
    • 6.4.3 Ambulatory Surgical Centers
    • 6.4.4 Online Stores
    • 6.4.5 Others

• 7 Competitive Analysis

  • 7.1 Key Player Comparison
  • 7.2 Market Share Analysis
  • 7.3 Investment Trends
  • 7.4 SWOT Analysis

• 8 Research Methodology

  • 8.1 Analysis Design
  • 8.2 Research Phases
  • 8.3 Study Timeline

• 9 Future Market Outlook

  • 9.1 Growth Forecast
  • 9.2 Market Evolution

• 10 Geographical Overview

  • 10.1 Europe - Market Analysis
    • 10.1.1 By Country
      • 10.1.1.1 UK
      • 10.1.1.2 France
      • 10.1.1.3 Germany
      • 10.1.1.4 Spain
      • 10.1.1.5 Italy
  • 10.2 Asia Pacific - Market Analysis
    • 10.2.1 By Country
      • 10.2.1.1 India
      • 10.2.1.2 China
      • 10.2.1.3 Japan
      • 10.2.1.4 South Korea
  • 10.3 Latin America - Market Analysis
    • 10.3.1 By Country
      • 10.3.1.1 Brazil
      • 10.3.1.2 Argentina
      • 10.3.1.3 Mexico
  • 10.4 North America - Market Analysis
    • 10.4.1 By Country
      • 10.4.1.1 USA
      • 10.4.1.2 Canada
  • 10.5 Dynamic Hip Screws Market by Region
  • 10.6 Middle East & Africa - Market Analysis
    • 10.6.1 By Country
      • 10.6.1.1 Middle East
      • 10.6.1.2 Africa

• 11 Global Economic Factors

  • 11.1 Inflation Impact
  • 11.2 Trade Policies

• 12 Technology & Innovation

  • 12.1 Emerging Technologies
  • 12.2 AI & Digital Trends
  • 12.3 Patent Research

• 13 Investment & Market Growth

  • 13.1 Funding Trends
  • 13.2 Future Market Projections

• 14 Market Overview & Key Insights

  • 14.1 Executive Summary
  • 14.2 Key Trends
  • 14.3 Market Challenges
  • 14.4 Regulatory Landscape

Segments Analyzed in the Report

The global Dynamic Hip Screws market is categorized based on

By Product Type

• Single Compression Screw
• Double Compression Screw
• Sliding Screw System
• Cannulated Screws
• Blade-Plate Fixation

By Application

• Hip Fractures
• Hip Replacements
• Orthopedic Surgeries
• Trauma Cases
• Others

By Distribution Channel

• Hospitals
• Orthopedic Clinics
• Ambulatory Surgical Centers
• Online Stores
• Others

By Material Type

• Stainless Steel
• Titanium
• Cobalt Chromium
• Other Alloys

By Region

• North America
• Europe
• Asia Pacific
• Latin America
• Middle East & Africa

Key Players

• Stryker Corporation
• DePuy Synthes (Johnson & Johnson)
• Zimmer Biomet Holdings, Inc.
• B. Braun Melsungen AG
• Smith & Nephew PLC
• Medtronic PLC
• NuVasive, Inc.
• Orthofix Medical Inc.
• Wright Medical Group N.V.
• Exactech, Inc.
• Heraeus Medical GmbH
• CarboFix Orthopedics, Inc.
• Integra LifeSciences Corporation
• Acumed LLC
• Orthopaedic Implant Company