Cruciate Ligament Repair Procedures Market

Cruciate Ligament Repair Procedures Market Size and Share:

The global cruciate ligament repair procedures market size was valued at USD 14.2 Billion in 2024. Looking forward, IMARC Group estimates the market to reach USD 32.3 Billion by 2033, exhibiting a CAGR of 9.5% during 2025-2033. North America currently dominates the market, holding a market share of over 28.9% in 2024. The continuous investment by leading companies in research and development (R&D) activities and strategic collaborations, increasing sports-related injuries, and improvements in global healthcare infrastructure represent some of the key factors driving the cruciate ligament repair procedures market share.

The rise in sports and fitness participation has contributed to a greater occurrence of knee injuries, especially those affecting the cruciate ligaments. In 2023, outdoor recreation participation in the United States increased by 4.1%, reaching a record 175.8 million people, representing 57.3% of Americans aged six and older. Participation increased across various demographics and activities, including high-intensity sports such as football, basketball, soccer, and skiing, which involve rapid movements and sudden stops. These movements place significant stress on the knees, increasing the risk of cruciate ligament injuries. Along with this, the rising awareness of sports injuries and improved diagnosis methods are contributing to the cruciate ligament repair procedures market growth. In the past, minor ligament injuries were often ignored or misdiagnosed. Now, with advanced imaging techniques such as MRI and arthroscopy, doctors can identify even partial ligament tears early. As a result, more individuals are receiving timely treatment, lowering the risk of long-term complications and increasing the demand for cruciate ligament repair procedures.

The United States stands out as a key market disruptor with 86.50% share in North America. Osteoarthritis is becoming more common in the country as people live longer. Industry reports indicate that osteoarthritis is the most prevalent among over 100 types of arthritis, affecting 32.5 million adults in the United States. This degenerative joint condition leads to weakened knee ligaments, making them more susceptible to injury. In many cases, an already weakened ligament cannot heal on its own, leading to the need for surgical intervention. Furthermore, the rising aging populations are particularly vulnerable to osteoarthritis-related ligament injuries. As cartilage wears down over time, knee joints become less stable. A sudden movement, minor fall, or even regular physical activity can cause ligament tears, leading to an increased need for surgical repairs.

Cruciate Ligament Repair Procedures Market Trends:

Innovation in surgical techniques

A primary factor driving the cruciate ligament repair procedures market demand is the rapid innovation in surgical techniques. As the medical field continues to advance, more precise, less invasive, and more effective surgical procedures are being developed. Arthroscopic surgery, for instance, is a MI procedure that has seen widespread adoption for ligament repair. These advances improve patient outcomes, reduce recovery times, and minimize post-operative complications, all of which significantly enhance the appeal of these procedures. Furthermore, continuous research and development (R&D) initiatives are expected to usher in new techniques and tools, such as biodegradable implants and robotic surgery, that will further augment the market growth. As of July 2023, India had over 100 robotic installations, and more than 800 skilled robotic surgeons. Also, it has been recorded that more than 12,800 surgeries have been performed with robotic assistance in the past 12 years.

Increase in sports-related injuries

The second major contributor to the growth of the cruciate ligament repair procedures market share is the rising incidence of sports-related injuries. According to reports, sports and recreational injuries increased by 2% in the year 2023. Professional and amateur sports participation has seen a marked increase in recent years, and with it, the occurrence of injuries, including those that impact the cruciate ligament. High-impact sports, such as football, basketball, and soccer, often lead to knee injuries that require repair procedures. The trend towards more active lifestyle is also contributing to this increase, as regular individuals partake in physical activities that can potentially result in ligament injuries.

Improvements in healthcare infrastructure and insurance coverage

Advancements in healthcare infrastructure and expanded insurance coverage are significant factors in the cruciate ligament repair procedures market trends. According to the data furnished by the Ministry of Health and Family Welfare, as on 31st March 2023, India has a total of 1,69,615 sub-centres (SCS), 31,882 primary health centers, 6,359 community health centers, 1,340 sub-divisional/district hospitals (SDHS), 714 district hospitals, and 362 medical colleges. As healthcare systems globally continue to evolve, access to specialized medical procedures, including cruciate ligament repair, is expanding. This increased accessibility, coupled with broader insurance coverage for such procedures, is resulting in more patients seeking and receiving the necessary treatment. Furthermore, with the advent of universal healthcare, and increasing investment in healthcare by several economies, the ability for more individuals to avail of these procedures is expected to propel the market growth.

Cruciate Ligament Repair Procedures Industry Segmentation:

IMARC Group provides an analysis of the key trends in each segment of the global cruciate ligament repair procedures market, along with forecasts at the global, regional, and country levels from 2025-2033. The market has been categorized based on procedure type, application, and end user.

Analysis by Procedure Type:

• Anterior Cruciate Ligament (ACL) Repair
• Posterior Cruciate Ligament (PCL) Repair

According to the cruciate ligament repair procedures market forecast, anterior cruciate ligament (ACL) repair represented the largest segment with 90.3% share. A rising number of sports-related injuries is catalyzing the demand for anterior cruciate ligament (ACL) repair procedures. More people are actively engaging in physical activities, increasing the risk of ACL damage. Apart from this, growing awareness about the long-term implications of untreated ligament injuries is propelling individuals to seek medical intervention promptly. Technological advancements are consistently enhancing the efficiency and success rate of ACL repair procedures. Furthermore, improved accessibility to quality healthcare facilities and expanded health insurance coverage are making these procedures more attainable, driving the demand further.

Analysis by Application:

• Osteoarthritis
• Rheumatoid Arthritis
• Trauma
• Others

According to the cruciate ligament repair procedures market outlook, trauma accounted for the largest market share. The rising prevalence of sports injuries, accidents, and falls is influencing the need for surgical interventions to repair and restore the integrity of the ligaments. Additionally, there is a growing awareness of the long-term consequences of untreated ligament injuries, including chronic pain, instability, and compromised joint function, which is catalyzing the demand for cruciate ligament repair procedures. Furthermore, advancements in surgical techniques and medical technology are continuously improving the outcomes and recovery times, making these procedures more accessible and appealing to trauma patients.

Analysis by End User:

• Hospitals
• Ambulatory Surgical Centers
• Others

According to the report, hospitals represented the largest segment with 48.7% share. Hospitals are continuously advancing their medical infrastructure, equipment, and surgical techniques, allowing for more effective and successful cruciate ligament repair procedures. Additionally, hospitals are expanding their orthopedic departments and specialized teams, further catering to the rising demand. The availability of skilled surgeons and comprehensive post-operative care in hospitals makes them the preferred choice for patients requiring cruciate ligament repair procedures.

Regional Analysis:

• North America
  • United States
  • Canada
• Europe
  • Germany
  • France
  • United Kingdom
  • Italy
  • Spain
  • Others
• Asia-Pacific 
  • China
  • Japan
  • India
  • South Korea
  • Australia
  • Indonesia
  • Others
• Latin America
  • Brazil
  • Mexico
  • Others
• Middle East and Africa

North America dominated the market in 2024 with a share of 28.9%. The strong healthcare infrastructure and easy access to high-class medical facilities, latest equipment, and qualified orthopedic surgeons are some of the factors that propel the North America cruciate ligament repair procedures market. High-contact sports like American football and basketball, which frequently lead to knee injuries, are in high demand, driving the need for cruciate ligament repair surgeries. Extensive insurance coverage in countries such as the U.S. and Canada makes these surgeries affordable for most patients. Rising obesity rates in North America, especially the United States, are also responsible for this market growth. Overweight and obese people are more prone to developing knee-related problems, like ligament tear, and therefore, require cruciate ligament repair surgery.

Key Regional Takeaways:
 

United States Cruciate Ligament Repair Procedures Market Analysis

The United States is a leading market disruptor with 86.50% share in North America. This market for cruciate ligament repair procedures is driven by factors such as the increasing rate of sports injuries, more knowledge about ACL injury, and growing advances in surgical techniques. High participation levels in sports, such as football, basketball, and soccer, are causing the rate of ACL injuries to escalate, especially in young athletes. According to various reports, in the United States, more than 200,000 ACL injuries are reported yearly. Half of them require the reconstruction of their knee. Almost 70 percent happen during agility sports like soccer, basketball, skiing, or football. As more people become active in these sports, the demand for ACL repair procedures is expected to grow. Other related factors include improved awareness of treatment and prevention techniques of ACL by medical professionals in relation to diagnosis and surgery of patients who seek surgical procedures. Technological enhancements like minimally invasive surgical practices, robotic systems for surgery and design of enhanced implants are another contributing factor which enhances the procedure for ACL surgery recovery time significantly with fewer cases of complications in such surgeries; therefore, increasingly attractive ACL repairs. Moreover, the growing elderly population in the U.S. is another key driver, as ACL injuries are common in older adults due to falls or reduced physical activity, driving demand for both preventative and corrective surgeries. 

Asia Pacific Cruciate Ligament Repair Procedures Market Analysis

The primary drivers of the Asia Pacific cruciate ligament repair procedures market are increased focus on healthcare improvements, rising number of people taking part in sports, and a growing prevalence of lifestyle-related injuries. According to GroupM ESP Sporting Nation Report 2024, growth in the sports sector in India stood at 11% on an annual basis. Also, those countries which have seen their economy grow like China, India, and Japan are today experiencing good access to health care, resulting in higher diagnosis and treatment for ACL injuries. Moreover, the region is witnessing a rise in sports activities and younger populations who are increasingly involving themselves in high-impact games like football, basketball, among others, that are driving up the demand for ACL repair surgeries. In support of this trend, the latest medical technology improvements and the proliferation of specialized orthopedic centers are making the ACL repair procedures more accessible and affordable. The most notable innovation is the development of minimally invasive surgical techniques, such as arthroscopy, through small incisions with specialized instruments. This, therefore, ensures faster recovery times and fewer complications for the patient. With less tissue damage, the length of stay in the hospital can be reduced, as well as the speed of rehabilitation, subsequently lowering healthcare costs. Another of the advanced features is robotic-assisted surgeries and computer-assisted navigation systems that provide more precise and personalized surgery.

Europe Cruciate Ligament Repair Procedures Market Analysis

There are various factors driving the Europe cruciate ligament repair procedures market growth. These include increased sports-related injuries, more awareness of ACL injuries, and advancements in technology regarding surgical procedures. Many European countries have a high rate of participation in sports like soccer, rugby, and skiing which is leading to a higher incidence of ACL injuries. According to the reports, in the EU, 1.55 Million people were working in the sports sector which is equivalent to 0.76% of the total employment as of 2023. Consequently, public campaigns and educational programs are contributing to the rising awareness about ACL injuries and the available treatments among the people, thereby enhancing the demand for ACL repair procedures. Other than that, significant advances in the arthroscopy and advanced implant design are leading to better ACL surgeries with lesser recovery times and invasive methods. The European demographic is also an important aspect with the ever-growing elderly population and ACL injury more common with accidents or degeneration in this group. This demographic shift, coupled with improved healthcare systems and access to specialized treatments, is expected to fuel the market for ACL repair procedures in the European region. 

Latin America Cruciate Ligament Repair Procedures Market Analysis

Increased awareness of sports injuries is a growing force that propels the market in this region. In the last few years, countries such as Brazil and Argentina have seen increased popularity of sports like soccer and basketball, thereby raising the rate of ACL injuries. In addition, there have been advances in medical technologies and minimally invasive procedures that are making ACL repair surgeries more affordable and less expensive for patients in this part of the world. Improving healthcare systems and an increase in the number of specialized orthopedic clinics are also helping accelerate the adoption for these procedures. Alongside these, rising middle-class populations in Latin American countries that are spending more on health care will increase the demand further for ACL repair treatments. A hike in geriatric population is additionally providing a good market opportunity. The IBGE reports that the share of elderly individuals (60 years and older) in Brazil's population nearly doubled from 8.7% in 2000 to 15.6% in 2023.

Middle East and Africa Cruciate Ligament Repair Procedures Market Analysis

The growth of the Middle East and Africa's market for cruciate ligament repair procedures is fueled by the increased adoption of sports and physical activities, mainly among the young population, and the increased healthcare spending. Health expenditure in the GCC is expected to reach USD 135.5 Billion by 2027 according to reports, and countries like the UAE and South Africa invest more in infrastructure for sports as well as organizing international sporting events, which further increases participation levels in high-impact sports that result in more ACL injuries. Awareness about ACL injuries is also on the rise, along with availability of advanced surgical techniques, thereby encouraging people to come forward and get themselves treated. Healthcare system development and increased specialized clinics further help in fueling the market in the region. The rising accessibility and sophistication of treatment options for ACL injuries will fuel growth in the region.

Competitive Landscape:

Leading companies in the market are actively enhancing their product offerings and expanding their global reach. Companies are investing in research and development (R&D) to introduce advanced surgical techniques and materials that enhance patient outcomes. They are also pursuing strategic collaborations and partnerships to strengthen their market presence and reach new customers. Expansion into emerging markets is another focus, leveraging the rising demand for orthopedic procedures. These strategies help maintain competitiveness and meet the growing global need for cruciate ligament repair solutions.

The report provides a comprehensive analysis of the competitive landscape in the cruciate ligament repair procedures market with detailed profiles of all major companies, including:

• Arthrex GmbH
• B. Braun SE (B. Braun Melsungen AG)
• Bauerfeind AG
• CONMED Corporation
• Djo LLC (Enovis Corporation)
• Johnson & Johnson
• RTI Surgical
• Tissue Regenix Group Plc
• Xiros Ltd.

Latest News and Developments:

• December 2024: As a world leader in minimally invasive surgical technology, Arthrex revealed new research indicating its advanced ACL reconstruction (ACLR) using the InternalBrace technique offers an effective solution in combating reinjuries for young athletes.
• May 2024: Marshall University Joan C. Edwards School of Medicine is conducting an observational trial on fertilized anterior cruciate ligament reconstruction. Unlike traditional ACL repairs, this technique incorporates a biologic concentrate derived from the patient’s stem cells, bone marrow, and autograft bone, combined with an internal brace designed to enhance stability and accelerate healing.
• February 2022: Cedars-Sinai Kerlan-Jobe Institute now also offers a cutting-edge technology that can be involved in ACL reconstruction called the BEAR Implant. It represents the first such medical device-approved by the US Food and Drug Administration-that assists the body with healing its damaged ACL.
• January 2022: Symbios introduced the ORIGIN CR Total Knee System, finalizing its ORIGIN product line with both monobloc and modular cruciate-retaining options. This advancement allows surgeons to perform custom knee replacements while preserving the posterior cruciate ligament (PCL).

Cruciate Ligament Repair Procedures Market Report Scope:

Key Benefits for Stakeholders:

• IMARC’s report offers a comprehensive quantitative analysis of various market segments, historical and current market trends, market forecasts, and dynamics of the cruciate ligament repair procedures market from 2019-2033.
• The research study provides the latest information on the market drivers, challenges, and opportunities in the global cruciate ligament repair procedures market.
• The study maps the leading, as well as the fastest-growing, regional markets. It further enables stakeholders to identify the key country-level markets within each region.
• Porter's Five Forces analysis assists stakeholders in assessing the impact of new entrants, competitive rivalry, supplier power, buyer power, and the threat of substitution. It helps stakeholders to analyze the level of competition within the cruciate ligament repair procedures industry and its attractiveness.
• Competitive landscape allows stakeholders to understand their competitive environment and provides an insight into the current positions of key players in the market.