United States Hip Replacement Implants Market to Grow at 5.1% CAGR by 2031 North America Leads with 42% Share Key Players: Zimmer Biomet, Stryker, DePuy Synthes

Market Overview

The global hip replacement implants market is growing at a robust CAGR of 5.1% during the forecast period 2024-2031, driven by an aging population, a rising prevalence of osteoarthritis and hip fractures, and advancements in implant materials and surgical techniques.

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Hip replacement, also known as hip arthroplasty, is a surgical procedure in which an orthopedic surgeon removes the damaged portions of the hip joint and replaces them with artificial components to restore function and relieve pain. The primary goal of this procedure is to reduce discomfort, improve mobility, and enhance a patient's quality of life, enabling them to resume daily activities and physical exercise.

A total hip replacement involves replacing both the acetabulum (hip socket) and the femoral head (thighbone), whereas hemiarthroplasty replaces only the femoral head. Hip replacement surgeries are particularly effective for treating conditions such as osteoarthritis, rheumatoid arthritis, avascular necrosis, and traumatic hip injuries. The market is further supported by innovations in minimally invasive surgery, 3D-printed implants, and advanced biomaterials that improve implant durability and patient recovery outcomes.

Recent Key Developments of United States:

✅ February 2026: Zimmer Biomet launched an advanced smart hip implant system integrated with real-time motion sensors to monitor implant performance post-surgery. The system enhances patient rehabilitation tracking and provides surgeons with actionable insights for long-term implant management.

✅ January 2026: Stryker introduced a next-generation robotic-assisted hip replacement platform designed to improve surgical precision and reduce intraoperative complications. The system demonstrated a 20% reduction in revision surgery rates during early clinical trials.

✅ December 2025: DePuy Synthes (Johnson & Johnson) unveiled a titanium-ceramic hybrid hip implant designed for enhanced biocompatibility and longer wear resistance. The product targets younger, active patients seeking extended implant lifespans.

✅ October 2025: Smith+Nephew expanded its U.S. orthopedic manufacturing facility to increase production of minimally invasive hip replacement components, meeting the growing domestic demand for faster recovery solutions.

✅ August 2025: Exactech announced the rollout of a fully digital planning platform for hip arthroplasty, integrating AI-based preoperative modeling and intraoperative guidance. The solution allows surgeons to optimize implant selection and alignment with greater accuracy.

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Key Players:

Zimmer Biomet Holdings Inc. leads the market with an estimated 22% share, supported by its broad portfolio of total hip systems, robotic-assisted surgery platforms, and advanced implant materials.

Stryker Corporation holds approximately 19% of the market, driven by its Mako robotic system and high-performance hip implants designed for precision and reduced recovery time.

DePuy Synthes (Johnson & Johnson) accounts for around 16%, with a strong focus on minimally invasive implant solutions and 3D-printed acetabular components.

B. Braun Melsungen AG and Wright Medical N.V. together represent about 14% of the market, benefiting from extensive orthopedic expertise and innovative modular implant designs.

DJO Global and Integra LifeSciences collectively hold nearly 12%, focusing on smart implant technologies and patient-specific solutions that enhance clinical outcomes.

LimaCorporate contributes approximately 7%, recognized for its titanium 3D-printed implants and custom-fit systems.

Market Segmentation:

By Product Type
The fixed bearing hip implants segment dominates the market, accounting for approximately 48% of global revenue in 2024, due to their proven reliability, stability, and long clinical success rate. Mobile bearing hip implants hold around 32%, gaining traction for their improved range of motion and reduced wear rates, particularly among younger and more active patients. Partial hip replacement implants contribute roughly 20%, primarily used in hemiarthroplasty procedures for fracture management and targeted hip restoration in elderly patients.

By Material
Among implant materials, metal-on-polyethylene remains the most widely used, representing about 35% of the market, owing to its cost-effectiveness and established biocompatibility. Ceramic-on-polyethylene follows with approximately 25%, favored for its smoother articulation and lower wear rates. Ceramic-on-ceramic implants account for nearly 18%, offering superior longevity and minimal debris generation, making them ideal for younger patients. Metal-on-metal holds around 12%, although its usage has declined due to concerns about metal ion release. Ceramic-on-metal represents the remaining 10%, mainly adopted in advanced hybrid systems that balance durability and comfort.

By End-User
Hospitals dominate the market with an estimated 55% share, as they serve as the primary centers for joint replacement surgeries and complex orthopedic procedures. Specialty clinics account for around 27%, driven by the increasing number of dedicated orthopedic centers offering advanced hip replacement services. Ambulatory surgical centers (ASCs) represent approximately 18% of the market, supported by the growing trend toward minimally invasive and same-day discharge hip arthroplasty procedures, which offer reduced hospital stays and lower overall costs.

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Regional Insights:

North America dominates the global hip replacement implants market, accounting for approximately 42% of total revenue in 2024. The region's leadership is driven by the high prevalence of osteoarthritis, advanced healthcare infrastructure, and widespread adoption of robotic-assisted and minimally invasive surgical techniques. The U.S. leads the regional market with strong R&D activity, favorable reimbursement frameworks, and an aging population increasingly seeking joint replacement procedures.

Europe holds around 28% of the market, supported by an established orthopedic care system, increasing adoption of 3D-printed and customized implants, and growing awareness of early joint replacement benefits. Countries such as Germany, the U.K., and France are key contributors, with healthcare systems actively investing in next-generation implant technologies.

The Asia-Pacific region is the fastest-growing, representing about 20% of the global market. Rapid urbanization, rising disposable incomes, and improving access to advanced orthopedic care in countries like China, India, and Japan are driving demand. The expansion of local manufacturing capabilities and government initiatives to modernize healthcare infrastructure are also strengthening regional growth.

Market Dynamics:

Driver: Increasing Device Launches
The rising number of product launches and technological innovations in hip replacement implants is a key driver of market growth. Leading medical device manufacturers are continuously developing advanced implant systems to enhance patient outcomes, surgical precision, and implant longevity. These new devices are increasingly designed to address the needs of both primary and revision hip arthroplasty procedures through improved materials and modular designs.

For instance, in August 2023, Smith+Nephew introduced the OR3O Dual Mobility System for use in both primary and revision hip replacements. The system features femoral heads and polyethylene inserts made with proprietary OXINIUMTM on XLPE technology, providing enhanced wear resistance and durability. Similarly, in August 2022, Exactech launched the Spartan Stem and Logical Cup System for total hip arthroplasty, offering surgeons and ambulatory surgical centers a comprehensive, flexible solution for personalized patient care.

Beyond product innovations, the growing number of hip replacement procedures globally, coupled with a rising geriatric population and increasing incidence of osteoarthritis, continues to accelerate demand. The adoption of robotic-assisted surgeries and 3D-printed custom implants further underscores the market's shift toward precision medicine and improved patient recovery outcomes.

Restraint: High Cost Associated with Hip Replacement Surgery
Despite technological progress, the high cost of hip replacement surgery remains a major barrier to market expansion, particularly in developing regions. In the United States, the average cost of a hip replacement procedure is approximately USD 12,815, including USD 1,043 for the surgeon's fee and USD 11,772 for hospital expenses. These costs can be significantly higher in private facilities or when advanced robotic systems are used. The financial burden often limits accessibility for uninsured or underinsured patients, thereby constraining procedure volumes.

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