Mexico was the largest outside supplier.
What this market covers
Implants and frames that stabilise fractured bones. Buyers are hospitals and orthopaedic surgeons.
Typical segments
- Internal fixation plates
- Intramedullary nails
- External fixation frames
- Screws and wires
Source: Eurostat
Why this market is moving now
- Extra-EU import value rose 16% from 2020 to 2025, a direct read on EU demand for sourced supply.
- Supply is concentrated: one country provided a large share of extra-EU imports in 2025.
Key figures
Each figure names the source it came from. Open the source list below to read the quoted line.
| Figure | Value | Year | Source |
|---|---|---|---|
| The EU imported €1.22 billion of products under CN code 90211010 (Orthopaedic appliances) from outside the EU in 2025. | 1.22 EUR billion | 2025 | Eurostat |
| Extra-EU imports of CN 90211010 were up 16% in 2025 compared with 2020 (€1.05 billion), calculated from Eurostat values. | +16 % since 2020 | 2025 | Eurostat |
| EU exports of CN 90211010 to countries outside the EU were worth €929.8 million in 2025. | 929.8 EUR million | 2025 | Eurostat |
| Trade between EU member states in CN 90211010 (intra-EU arrivals) came to €1.74 billion in 2025. | 1.74 EUR billion | 2025 | Eurostat |
| Mexico was the largest non-EU supplier of CN 90211010 to the EU in 2025, with €367.8 million, or 30% of extra-EU imports. | 367.8 EUR million | 2025 | Eurostat |
| EU exports of CN 90211010 to the United States were €161.2 million in 2025. | 161.2 EUR million | 2025 | Eurostat |
| The average value of extra-EU imports of CN 90211010 was €46.29 per kilogram in 2025, calculated from Eurostat value and weight. | 46.29 EUR per kg | 2025 | Eurostat |
| Poland was the largest EU exporter of CN 90211010 to non-EU countries in 2025, at €213.7 million. | 213.7 EUR million | 2025 | Eurostat |
| The EU had 63,227 enterprises in NACE class C3250 (Manufacture of medical and dental instruments and supplies) in 2023. | 63,227 enterprises | 2023 | Eurostat |
| EU enterprises in NACE class C3250 had net turnover of €105.31 billion in 2021. | 105.31 EUR billion | 2021 | Eurostat |
| NACE class C3250 employed 600,000 people across the EU in 2023. | 600,000 persons employed | 2023 | Eurostat |
| The US had 4,547 private establishments in NAICS 339112 (Surgical and medical instrument manufacturing) in 2025. | 4,547 establishments | 2025 | U.S. Bureau of Labor Statistics |
| NAICS 339112 employed an average of 140,413 people in US private industry in 2025. | 140,413 jobs | 2025 | U.S. Bureau of Labor Statistics |
| US employment in NAICS 339112 changed by +4% between 2020 (135,655 jobs) and 2025, calculated from BLS figures. | +4 % since 2020 | 2025 | U.S. Bureau of Labor Statistics |
| Average annual pay in US NAICS 339112 was $109,475 in 2025. | 109,475 USD per year | 2025 | U.S. Bureau of Labor Statistics |
| The FDA has recorded 48 510(k) clearances for devices named "intramedullary nail". | 48 510(k) clearances | 2026 | U.S. Food and Drug Administration |
| 8 of those clearances were issued from 2021 to 2025. | 8 510(k) clearances | 2025 | U.S. Food and Drug Administration |
| Synthes (Usa) holds 5 510(k) clearances for devices named "intramedullary nail". | 5 510(k) clearances | 2026 | U.S. Food and Drug Administration |
| Paragon 28, Inc. holds 4 510(k) clearances for devices named "intramedullary nail". | 4 510(k) clearances | 2026 | U.S. Food and Drug Administration |
| Smith & Nephew, Inc. holds 4 510(k) clearances for devices named "intramedullary nail". | 4 510(k) clearances | 2026 | U.S. Food and Drug Administration |
| Trimed, Inc. holds 3 510(k) clearances for devices named "intramedullary nail". | 3 510(k) clearances | 2026 | U.S. Food and Drug Administration |
| Zimmer, Inc. holds 3 510(k) clearances for devices named "intramedullary nail". | 3 510(k) clearances | 2026 | U.S. Food and Drug Administration |
| Dgimed Ortho, Inc. holds 2 510(k) clearances for devices named "intramedullary nail". | 2 510(k) clearances | 2026 | U.S. Food and Drug Administration |
| PubMed indexed 723 papers mentioning "fracture fixation" in the title or abstract in 2025. | 723 papers | 2025 | U.S. National Library of Medicine |
Sources and method
The figures on this page come from the public sources listed below. Read how we work.
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
Quoted lines
- Figure 1
DS-045409, reporter EU27_2020, product 90211010, partner EXT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 1216884881
- Figure 2
DS-045409, reporter EU27_2020, product 90211010, flow import, 2020 VALUE_IN_EUROS 1053424235; 2025 VALUE_IN_EUROS 1216884881
- Figure 3
DS-045409, reporter EU27_2020, product 90211010, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 929846352
- Figure 4
DS-045409, reporter EU27_2020, product 90211010, partner INT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 1742130717
- Figure 5
DS-045409, reporter EU27_2020, product 90211010, partner MX, flow import, 2025, VALUE_IN_EUROS 367818173
- Figure 6
DS-045409, reporter EU27_2020, product 90211010, partner US, flow export, 2025, VALUE_IN_EUROS 161168610
- Figure 7
DS-045409, reporter EU27_2020, product 90211010, flow import, 2025, VALUE_IN_EUROS 1216884881, QUANTITY_IN_100KG 262890
- Figure 1
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
Quoted lines
- Figure 8
DS-045409, reporter PL, product 90211010, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 213656466
- Figure 8
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
Quoted lines
- Figure 9
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs ENT_NR, 2023, 63227
- Figure 10
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs NETTUR_MEUR, 2021, 105308
- Figure 11
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs EMP_NR, 2023, 600000
- Figure 9
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
Quoted lines
- Figure 12
QCEW 2025 annual, US000, private, NAICS 339112, annual_avg_estabs 4547
- Figure 13
QCEW 2025 annual, US000, private, NAICS 339112, annual_avg_emplvl 140413
- Figure 14
QCEW 2020 annual_avg_emplvl 135655; 2025 annual_avg_emplvl 140413
- Figure 15
QCEW 2025 annual, US000, private, NAICS 339112, avg_annual_pay 109475
- Figure 12
- U.S. Food and Drug Administration: openFDA 510(k) clearances, device_name "intramedullary nail" (2026-11-04)
Quoted lines
- Figure 16
openFDA device/510k device_name:"intramedullary nail", sum of counts by decision_date = 48
- Figure 17
openFDA device/510k decision_date 2021-2025 count = 8
- Figure 16
- U.S. Food and Drug Administration: openFDA 510(k) clearances by applicant, device_name "intramedullary nail" (2026-11-04)
Quoted lines
- Figure 18
applicant.exact "Synthes (Usa)" count 5
- Figure 19
applicant.exact "Paragon 28, Inc." count 4
- Figure 20
applicant.exact "Smith & Nephew, Inc." count 4
- Figure 21
applicant.exact "TriMed, Inc." count 3
- Figure 22
applicant.exact "Zimmer, Inc." count 3
- Figure 23
applicant.exact "Dgimed Ortho, Inc." count 2
- Figure 18
- U.S. National Library of Medicine: PubMed search "fracture fixation"[tiab] AND 2025[dp] (2026-11-04)
Quoted lines
- Figure 24
esearch count 723
- Figure 24
Buyers and suppliers
Who buys
- Hospitals
- Orthopaedic surgeons
- Trauma centres
Large non-EU suppliers to the EU
Companies to watch
Synthes (Usa)
5 FDA 510(k) clearances for devices named "intramedullary nail".
Paragon 28, Inc.
4 FDA 510(k) clearances for devices named "intramedullary nail".
Smith & Nephew, Inc.
4 FDA 510(k) clearances for devices named "intramedullary nail".
Trimed, Inc.
3 FDA 510(k) clearances for devices named "intramedullary nail".
Zimmer, Inc.
3 FDA 510(k) clearances for devices named "intramedullary nail".
Dgimed Ortho, Inc.
2 FDA 510(k) clearances for devices named "intramedullary nail".
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 European Union market - 03Market size, 2021 to 2025
Historical series and growth rates - 04Outlook to 2031
Base, low and high scenarios with stated assumptions - 05Rules, policy and deadlines
Regulation and programmes that change demand - 06Drivers and barriers
What accelerates or slows adoption, by customer segment - 07Prices, costs and margins
Unit economics where public data allows - 08Competitive landscape
8 to 12 company profiles with recent moves - 09Opportunities and risks
For new entrants, suppliers and investors - 10Method and sources
Every assumption and source, listed
Included with the full report
- PDF report, 40 to 60 pages
- Excel data pack
- Ready-to-use charts
- Method note and assumptions
- Written to order in 5 working days
Frequently asked questions
How big is the EU trauma fixation device market?
There is no single official market total. Eurostat trade data shows the EU imported €1.22 billion of goods under CN 90211010 from outside the EU in 2025 and exported €929.8 million.
Where does the EU import trauma fixation device from?
Mexico was the largest non-EU supplier in 2025. Other large suppliers included United States, China, Switzerland.
What is the average import price of trauma fixation device in the EU?
Dividing Eurostat import value by weight gives about €46.29 per kilogram for CN 90211010 in 2025.
Which EU countries export the most trauma fixation device?
Poland led EU exports to non-EU countries in 2025, followed by Germany, Netherlands.
How many trauma fixation device devices are cleared by the FDA?
openFDA lists 48 510(k) clearances for devices named intramedullary nail.
Which companies hold the most FDA clearances for trauma fixation device?
By 510(k) count: Synthes (Usa), Paragon 28, Inc., Smith & Nephew, Inc., Trimed, Inc..
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