Home » Medical Devices » External Fixators Market

External Fixators Market By Product (Manual, Computer-aided); By Fixation Type (Unilateral and Bilateral, Circular, Hybrid and Others); By End-user (Hospitals, Ambulatory Surgical Centers (ASCs), Orthopedic and Trauma Centers); By Application (Orthopedic Deformities, Fracture Fixation, Infected Fracture, Limb Correction, Others); By Region – Growth, Share, Opportunities & Competitive Analysis, 2024 – 2032

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Published: | Report ID: 5894 | Report Format : PDF
Historical Period  2019-2022
Base Year  2023
Forecast Period  2024-2032
External Fixators Market Size 2023  USD 1,096.89 Million
External Fixators Market, CAGR  10.18%
External Fixators Market Size 2032  USD 2,211.89 Million

Market Overview:

The external fixator market is poised for substantial growth, with estimates indicating a rise from USD 1,096.89 million in 2023 to USD 2,211.89 million by 2032, boasting a compelling compound annual growth rate (CAGR) of 10.18%. Key drivers fueling this growth include the escalating prevalence of bone fractures and deformities due to various factors like osteoporosis and injuries, necessitating effective stabilization and correction through external fixators. Additionally, the increasing preference for minimally invasive surgeries (MIS) is propelling demand, as external fixators offer advantages such as reduced tissue damage, faster recovery times, and less pain compared to traditional open surgeries.

Technological advancements play a crucial role in enhancing the efficacy and user-friendliness of external fixators, with continuous improvements leading to lighter, more durable materials, enhanced design features for patient comfort, and computer-assisted applications for precise placement and monitoring. Moreover, the expanding applications of external fixators beyond traditional fracture fixation to include limb lengthening procedures, complex deformity corrections, and bone infection treatments are broadening the market’s scope. This diversification, coupled with the aging global population leading to a higher prevalence of age-related bone conditions, further drives the demand for external fixators, positioning the market for robust growth.

Emerging trends such as smart external fixators capable of collecting patient data and monitoring healing progress, alongside the development of patient-specific implants tailored to individual anatomy and injury needs, present avenues for differentiation and improved treatment efficacy. Moreover, the rise of telemedicine creates opportunities for remote monitoring of patients using external fixators, enhancing patient convenience and access to specialist care, particularly in remote areas. Manufacturers focusing on developing advanced technologies, expanding into emerging markets, and investing in education and training to raise awareness among healthcare professionals are well-positioned to capitalize on these opportunities and drive further growth in the external fixator market.

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Market Drivers:

The external fixator market is expected to witness substantial growth, projected to reach an estimated value of USD 2,211.89 million by 2032 from USD 1,096.89 million in 2023, reflecting a notable compound annual growth rate (CAGR) of 10.18%. This expansion is propelled by various factors, including the rising incidence of bone fractures and osteoporosis globally. With an aging population, osteoporosis prevalence is increasing, necessitating effective bone stabilization and healing through the use of external fixators. Furthermore, the surge in road accidents, sports injuries, and falls among both older and younger populations is driving demand for external fixators for fracture management, contributing to market growth.

Minimally invasive surgical techniques utilizing external fixators are gaining popularity due to their advantages, such as faster recovery times and reduced patient discomfort compared to traditional open surgery methods. Additionally, the integration of technology into external fixators, such as remote monitoring capabilities, is an emerging trend that enhances patient care and treatment adherence, further fueling market expansion.

The healthcare sector’s increasing focus on minimally invasive procedures is another significant factor contributing to the growth of the external fixator market. With shorter hospital stays, faster recovery times, and reduced postoperative pain, minimally invasive approaches are becoming preferred options for patients and healthcare providers alike.

External fixators, offering a minimally invasive approach for fracture treatment, are thus becoming increasingly attractive alternatives to traditional open surgeries. Moreover, growing awareness among the public, particularly in developing economies, about the benefits of external fixators in treating various bone conditions, coupled with improvements in healthcare infrastructure and insurance coverage, is fostering increased accessibility and demand for these devices, further driving market growth.

Lastly, the expanding applications of external fixators in orthopedics, including limb lengthening, deformity correction surgeries, joint fusions, and complex trauma cases, are broadening their adoption in the orthopedic field, contributing to market expansion in 2021. For example, Orthofix initiated the global launch of its FITBONE intramedullary lengthening system in the first quarter of 2021, which is expected to boost revenue.

Market Trends:

  • Rising Demand for Minimally Invasive Procedures: Patients are increasingly seeking minimally invasive surgical procedures due to their shorter recovery times, reduced postoperative pain, and improved cosmetic outcomes. External fixators offer a minimally invasive solution for treating various bone fractures and deformities, contributing to their growing popularity.
  • Increasing Incidence of Bone Fractures and Deformities: The global population is aging, leading to a higher prevalence of osteoporosis and related bone fractures. Additionally, the rising incidence of sports injuries and traffic accidents further fuels the demand for effective fracture fixation solutions. External fixators offer a versatile approach to treating these conditions. For example, in 2019, there were 178 million new fractures globally, an increase of 33.4% since 1990. There were also 455 million prevalent cases of acute or long-term symptoms of a fracture, an increase of 70.1% since 1990.
  • Advancements in Technology and Design: Manufacturers are constantly innovating to improve the functionality, adjustability, and patient comfort of external fixators. This includes developing lighter, more durable materials, incorporating computer-assisted design (CAD) for customized fixators, and introducing features like self-locking mechanisms for easier application. Innovations such as 3D-printed fixators, bioresorbable implants, and adjustable external fixation systems have improved surgical outcomes, reduced complications, and enhanced patient comfort.
  • Focus on Cost-Effectiveness and Reimbursement: Healthcare providers and payers are increasingly emphasizing cost-effective treatment options. External fixators can be a cost-effective alternative to traditional internal fixation methods due to their lower upfront costs and potentially shorter hospital stays. Additionally, growing healthcare insurance coverage for these devices may encourage wider adoption. For instance, a linear external fixator costs around £110/set in the UK, while a Stryker Hoffman fixator manufactured in India costs around £1000/set, and one manufactured in the UK costs around £2700/set. Reusing temporary external fixator components has been reported to save about 25% of the cost.
  • Expanding Applications in Developing Economies: The rising disposable income and improving healthcare infrastructure in developing economies are creating new opportunities for the external fixator market. As healthcare access improves in these regions, the demand for effective fracture treatment solutions like external fixators is expected to rise. However, the high cost of external fixators presents a dilemma to the healthcare system in developing countries.

Market Restraints and Challenges:

  • High Cost and Limited Reimbursement: External fixators can be expensive, encompassing not just the initial device cost but also factors like surgical implantation, follow-up care, and potential rehabilitation. This high cost can be a significant barrier for patients, particularly in regions with limited healthcare coverage or for those without adequate insurance. Additionally, reimbursement policies from healthcare institutions may not fully cover the cost of external fixators and associated procedures, further restricting patient access.
  • Shortage of Skilled Surgeons and Training: Applying external fixators requires specialized surgical skills and expertise in proper application and maintenance. A shortage of surgeons experienced in external fixation techniques, particularly in certain regions, can limit the widespread adoption of these devices. Furthermore, adequate training programs for healthcare professionals on applying and managing external fixators might be limited, hindering the effective utilization of the technology.
  • Patient Discomfort and Potential Complications: While external fixators offer numerous benefits for fracture management and limb deformity correction, they can also cause discomfort to patients due to the pins and wires used to secure the device. Additionally, potential complications associated with external fixators include pin site infections, irritation, stiffness, and even nerve damage. These potential downsides can lead to patient hesitation in opting for external fixation procedures.
  • Alternatives and Minimally Invasive Techniques: Advancements in surgical techniques and the development of alternative fracture fixation methods, such as minimally invasive surgery (MIS) with plates and screws, pose a competitive challenge to the external fixator market. MIS procedures can offer faster recovery times, less scarring, and potentially reduced discomfort for patients, making them a more attractive option in some cases.
  • Limited Awareness and Market Saturation: While the external fixator market shows promise, particularly in developing regions, there might be a lack of awareness among both patients and healthcare professionals about the full range of applications and benefits these devices offer. Additionally, in established markets, a certain level of saturation with existing external fixator technologies might exist, requiring manufacturers to focus on innovation and differentiation through features and functionalities to attract new users.

Recent Developments:

In March 2022, Orthofix announced that it received United States Food and Drug Administration (USFDA) 510(k) clearance for its TrueLok Evo Ring Fixation system. TrueLok is an advanced external fixation system made of carbon fiber to create a lightweight device for patient comfort. It is used for the fixation of open and closed fractures and the correction of bony or soft tissue defects or deformities in adults and pediatric patients.

Segmentation Analysis:

By Product Type:

  • Manual Fixators: These traditional fixators require manual adjustments by healthcare professionals.
  • Computer-Aided Fixators: These advanced fixators utilize software for precise placement and monitoring of the fixator components, offering greater control and potentially faster healing times.


By Product

  • Manual
  • Computer-aided

By Fixation Type

  • Unilateral and bilateral
  • Circular
  • Hybrid and Others

By End-user

  • Hospitals
  • Ambulatory Surgical Centers (ASCs)
  • Orthopedic and Trauma Centers

By Application

  • Orthopedic Deformities
  • Fracture Fixation
  • Infected Fracture
  • Limb Correction
  • Others

By Regional

  • North America
    • The U.S.
    • Canada
  • Europe
    • The U.K.
    • Germany
    • France
    • Italy
    • Spain
  • Asia Pacific
    • China
    • India
    • Japan
  • Latin America
    • Brazil
    • Mexico
    • Argentina
  • Middle East and Africa
    • South Africa
    • Saudi Arabia

Key player:

  • Smith & Nephew
  • Stryker
  • Zimmer Biomet
  • Orthofix Holdings, Inc.
  • DePuy Synthes
  • Ortho-SUV Ltd.
  • Response Ortho
  • Auxein Medical
  • Acumed

Regional Analysis:

  • North America: Currently holding the largest market share, North America is anticipated to maintain its dominance throughout the forecast period. This is primarily driven by factors like a well-established healthcare infrastructure, high adoption rates of advanced medical technologies, and a growing geriatric population susceptible to bone fractures and orthopedic conditions requiring external fixation procedures.
  • Europe: Europe represents a substantial market for external fixators due to a similar focus on advanced medical care, a growing elderly population, and a rising burden of bone-related injuries. Additionally, strong government support for healthcare initiatives and a well-developed reimbursement framework are expected to propel market growth in this region.
  • Asia-Pacific: This region is projected to witness the fastest growth in the external fixator market. Factors like increasing disposable income, rising awareness of minimally invasive surgeries, and a burgeoning medical device industry in countries like China and India are contributing to this rapid expansion. Additionally, growing investments in healthcare infrastructure and a large patient pool requiring orthopedic procedures are expected to fuel market growth in the Asia-Pacific region.

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Future Outlook:

  • Rising Demand Due to Aging Population: The growing geriatric population worldwide is expected to fuel demand for external fixators used in treating age-related bone fractures and osteoporosis.
  • Increased Minimally Invasive Procedures: The growing preference for minimally invasive surgeries will likely favor the use of external fixators, as they offer a less-invasive alternative to traditional open surgeries for fracture repair.
  • Technological Advancements: Advancements in materials science and design are expected to lead to the development of more lightweight, comfortable, and user-friendly external fixators, improving patient compliance and outcomes.
  • Focus on Cost-Effectiveness: Growing healthcare costs will drive the demand for cost-effective external fixator solutions. Manufacturers are likely to focus on developing cost-efficient materials and production processes.
  • Expanding Applications: The application of external fixators is expected to expand beyond traditional fracture treatment, potentially encompassing areas like limb lengthening and deformity correction.
  • Growing Awareness in Emerging Markets: Rising healthcare awareness and increasing disposable income in emerging economies are expected to create new market opportunities for external fixators.
  • Focus on Remote Patient Monitoring: Advancements in digital health technologies may lead to the integration of remote monitoring systems with external fixators, allowing for improved patient care and reduced hospital stays.
  • Emphasis on Patient Comfort: Manufacturers are likely to prioritize patient comfort by developing external fixators with improved pain management features and easier wearability.
  • Focus on Sustainability: There may be a growing emphasis on the use of sustainable and biocompatible materials in external fixator production, aligning with the increasing focus on environmental responsibility in the healthcare sector.
  • Potential Reimbursement Challenges: Reimbursement policies for external fixators may pose challenges in some regions. Market players will need to navigate these regulations effectively to ensure market access.

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Frequently Asked Questions:

What factors are driving the growth of the external fixator market?

The growth of the external fixator market is primarily driven by factors such as the rising incidence of bone fractures and osteoporosis, ongoing technological advancements, the healthcare industry’s focus on minimally invasive procedures, and expanding applications of external fixators in orthopedics.

How are technological advancements influencing the development of external fixators?

Technological advancements are enhancing the efficacy, comfort, and usability of external fixators through innovations in design, materials, and features. This includes the development of lighter and stronger materials, smart external fixators with remote monitoring capabilities, and patient-specific implants tailored to individual anatomy and injury needs.

What opportunities exist for stakeholders in the external fixator market?

Stakeholders in the external fixator market have opportunities to capitalize on rising market demand by investing in research and development, expanding into emerging markets, and fostering collaborations to enhance education and training programs for healthcare professionals.

How can healthcare providers and patients benefit from the use of external fixators?

External fixators offer several benefits to both healthcare providers and patients, including effective bone stabilization and healing, shorter hospital stays, faster recovery times, reduced postoperative pain, and access to minimally invasive orthopedic procedures.

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