Ireland was the largest exporter with 24% of the world total, and the United States was the largest buyer. Makers worldwide hold 7 FDA 510(k) clearances for total ankle replacement devices.
What this market covers
Implants that replace a worn ankle joint to relieve pain and keep motion. Surgeons and hospitals buy them for patients with severe ankle arthritis.
Typical segments
- Fixed bearing implants
- Mobile bearing implants
- Revision implants
- Patient specific instruments
Why this market is moving now
- World trade grew 16% from 2019 to 2024, a direct read on cross-border demand.
- Italy is gaining ground: its exports rose 63% from 2019 to 2024, the fastest among the ten largest exporters.
Key figures
Global figures for this market, with the year each one describes. Use Cite to copy a reference to this page.
| Figure | Value | Year | Cite |
|---|---|---|---|
| World exports of artificial joints for orthopaedic purposes (HS 902131), the trade category that includes total ankle replacement, were worth $13.55 billion in 2024. | 13.55 USD billion | 2024 | |
| World exports were 16% higher in 2024 than in 2019 ($11.68 billion), calculated from the annual totals. | +16 % since 2019 | 2024 | |
| Ireland was the largest exporter in 2024, with 24% of world exports ($3.29 billion). | 24 % of world exports | 2024 | |
| The three largest exporters, Ireland, the United States and Switzerland, shipped 52% of world exports in 2024. | 52 % of world exports | 2024 | |
| The United States was the largest importer in 2024, buying $3.32 billion, or 24% of world imports. | 24 % of world imports | 2024 | |
| 46 countries exported more than $1 million of this product in 2024. | 46 countries | 2024 | |
| The average world export price was about $713.27 per kilogram in 2024, calculated from value and weight. | 713.27 USD per kg | 2024 | |
| Countries exported 19.0 thousand tonnes of this product in 2024. | 19.0 thousand tonnes | 2024 | |
| Among the ten largest exporters, Italy grew fastest, with exports up 63% from 2019 to 2024. | +63 % since 2019 | 2024 | |
| Makers worldwide hold 7 FDA 510(k) clearances for total ankle replacement devices. | 7 510(k) clearances | 2026 | |
| Depuy Orthopaedics holds 2 FDA 510(k) clearances for total ankle replacement devices. | 2 510(k) clearances | 2026 | |
| Tornier holds 2 FDA 510(k) clearances for total ankle replacement devices. | 2 510(k) clearances | 2026 | |
| Howmedica holds 1 FDA 510(k) clearances for total ankle replacement devices. | 1 510(k) clearances | 2026 | |
| In2Bones Sas holds 1 FDA 510(k) clearances for total ankle replacement devices. | 1 510(k) clearances | 2026 | |
| Tornier S.A.S. holds 1 FDA 510(k) clearances for total ankle replacement devices. | 1 510(k) clearances | 2026 | |
| Researchers worldwide published 159 papers on total ankle arthroplasty in 2025. | 159 papers | 2025 |
Calculated figures (shares, changes and prices per kilogram) are plain arithmetic on the reported values. Read how we work.
Buyers and suppliers
Who buys
- Orthopaedic surgeons
- Hospitals
- Ambulatory surgery centers
Largest exporting countries, 2024
Largest importing countries, 2024
Companies to watch
Depuy Orthopaedics
2 FDA 510(k) clearances for total ankle replacement devices.
Tornier
2 FDA 510(k) clearances for total ankle replacement devices.
Howmedica
1 FDA 510(k) clearances for total ankle replacement devices.
In2Bones Sas
1 FDA 510(k) clearances for total ankle replacement devices.
Tornier S.A.S.
1 FDA 510(k) clearances for total ankle replacement devices.
What the full report covers
- 01Executive summary
The answer in one page: size, direction and what moves it - 02Market definition and scope
What is in and out of the global market - 03Global market size, 2021 to 2025
Historical series and growth rates - 04Countries and regions
Demand, supply and trade by country and region - 05Outlook to 2031
Base, low and high scenarios with stated assumptions - 06Rules, policy and deadlines
Regulation and programmes that change demand - 07Drivers and barriers
What accelerates or slows adoption, by customer segment - 08Prices, costs and margins
Unit economics where public data allows - 09Competitive landscape
8 to 12 company profiles with recent moves - 10Opportunities and risks
For new entrants, suppliers and investors - 11Method and assumptions
How every figure was built
Included with the full report
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- Excel data pack
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- Method note and assumptions
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Frequently asked questions
How big is the global total ankle replacement market?
There is no single official market total. World exports of HS 902131 reached $13.55 billion in 2024, a direct measure of cross-border trade.
Which countries export the most total ankle replacement?
Ireland led world exports in 2024 with 24% of the total, followed by the United States, Switzerland and Germany.
Which countries import the most total ankle replacement?
The United States was the largest importer in 2024, followed by the Netherlands, Belgium and Germany.
Is world trade in total ankle replacement growing?
World exports were 16% higher in 2024 than in 2019.
What is the average export price of total ankle replacement?
Dividing world export value by weight gives about $713.27 per kilogram in 2024.
How many total ankle replacement devices are cleared by the FDA?
Makers worldwide hold 7 FDA 510(k) clearances for total ankle replacement devices.
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