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Japan Knee Replacement Market

ID: MRFR/HC/43440-HCR
200 Pages
Garvit Vyas
October 2025

Japan Knee Replacement Market Research Report By End User (Clinics and Hospitals, Rehabilitation Centres, Specialty Centres), By Product Type (Partial Knee Reconstructive Implants, Total Knee Reconstructive Implants, Medical Pivot Implants, Fixed Bearing Implants, Revision Knee Reconstructive Implants, Mobile Bearing Implants, Others) and By Materials (Metal Alloy, Ceramic Material, Strong Plastic Parts) - Forecast to 2035

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Japan Knee Replacement Market Infographic
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Japan Knee Replacement Market Summary

As per MRFR analysis, the Japan knee replacement market Size was estimated at 411.75 USD Million in 2024. The Japan knee replacement market is projected to grow from 455.35 USD Million in 2025 to 1245.88 USD Million by 2035, exhibiting a compound annual growth rate (CAGR) of 10.59% during the forecast period 2025 - 2035.

Key Market Trends & Highlights

The Japan knee replacement market is poised for growth driven by demographic shifts and technological innovations.

  • The aging population in Japan is contributing to an increased demand for knee replacement procedures.
  • Technological advancements in surgical techniques are enhancing patient outcomes and recovery times.
  • The market is supported by healthcare policy initiatives aimed at improving access to knee replacement surgeries.
  • Rising incidence of osteoarthritis and increased healthcare expenditure are key drivers propelling market growth.

Market Size & Forecast

2024 Market Size 411.75 (USD Million)
2035 Market Size 1245.88 (USD Million)
CAGR (2025 - 2035) 10.59%

Major Players

Zimmer Biomet (US), Stryker (US), DePuy Synthes (US), Smith & Nephew (GB), Medtronic (US), Ottobock (DE), Exactech (US), Aesculap (DE), B. Braun (DE)

Japan Knee Replacement Market Trends

The knee replacement market in Japan is currently experiencing notable growth, driven by an aging population and increasing prevalence of knee-related disorders. As the demographic landscape shifts, the demand for knee replacement procedures is expected to rise, reflecting a broader trend towards improved healthcare services. Innovations in surgical techniques and prosthetic technologies are also contributing to this expansion, enhancing patient outcomes and satisfaction. Furthermore, the Japanese healthcare system's focus on advanced medical technologies supports the adoption of new procedures, which may lead to a more efficient and effective treatment landscape. In addition, the knee replacement market is influenced by various factors, including economic conditions and healthcare policies. The government’s commitment to providing quality healthcare services may facilitate access to knee replacement surgeries, potentially increasing the number of procedures performed. Moreover, the integration of minimally invasive techniques and robotic-assisted surgeries could reshape the treatment paradigm, offering patients quicker recovery times and reduced hospital stays. Overall, the knee replacement market appears poised for continued growth, reflecting both demographic trends and advancements in medical technology.

Aging Population

Japan's demographic shift towards an older population is a primary driver of the knee replacement market. As individuals age, the incidence of knee-related ailments tends to increase, leading to a higher demand for surgical interventions.

Technological Advancements

Innovations in surgical techniques and prosthetic designs are transforming the knee replacement market. Enhanced materials and minimally invasive procedures are improving patient outcomes and satisfaction, making surgeries more appealing.

Healthcare Policy Support

The Japanese government's focus on enhancing healthcare services is likely to positively impact the knee replacement market. Policies aimed at improving access to advanced medical treatments may facilitate an increase in surgical procedures.

Japan Knee Replacement Market Drivers

Rising Healthcare Expenditure

Japan's increasing healthcare expenditure is a significant driver for the knee replacement market. As the government allocates more resources to healthcare, the availability of funds for orthopedic procedures, including knee replacements, is improving. In 2025, healthcare spending is projected to reach approximately ¥42 trillion, reflecting a commitment to enhancing patient care. This rise in expenditure is likely to facilitate better access to advanced surgical options and rehabilitation services, thereby promoting the growth of the knee replacement market. As patients gain access to improved healthcare services, the demand for knee replacements is expected to rise correspondingly.

Increased Awareness and Education

There is a growing awareness regarding knee health and the benefits of knee replacement surgeries in Japan. Educational campaigns by healthcare providers and organizations are informing the public about the options available for treating severe knee pain. This increased awareness is likely to drive more patients to seek consultations and consider knee replacement as a viable option. The knee replacement market is benefiting from this trend, as more individuals are recognizing the potential for improved quality of life post-surgery. Additionally, the rise of online health resources and patient support groups is facilitating informed decision-making among potential candidates.

Government Initiatives and Funding

Government initiatives aimed at improving healthcare access and affordability are influencing the knee replacement market in Japan. Recent policies have focused on increasing funding for orthopedic surgeries, including knee replacements, thereby reducing the financial burden on patients. This support is crucial, as the average cost of a knee replacement surgery can exceed ¥1,000,000. With government backing, more patients may be encouraged to undergo these procedures, leading to a projected increase in the number of surgeries performed annually. Such initiatives are likely to enhance the overall growth trajectory of the knee replacement market.

Rising Incidence of Osteoarthritis

The increasing prevalence of osteoarthritis in Japan is a critical driver for the knee replacement market. As the population ages, the incidence of osteoarthritis, a degenerative joint disease, rises significantly. It is estimated that approximately 30% of individuals aged 65 and older in Japan suffer from this condition, leading to a growing demand for knee replacement surgeries. The knee replacement market is likely to experience substantial growth as more patients seek surgical interventions to alleviate pain and restore mobility. Furthermore, the economic burden associated with osteoarthritis management, including medication and physical therapy, may push patients towards considering knee replacement as a more viable long-term solution.

Advancements in Surgical Techniques

Innovations in surgical techniques are transforming the knee replacement market in Japan. Minimally invasive procedures, such as arthroscopic surgery, are gaining traction, allowing for quicker recovery times and reduced hospital stays. These advancements not only enhance patient outcomes but also increase the overall efficiency of healthcare systems. The introduction of robotic-assisted surgeries is also noteworthy, as it improves precision and reduces the risk of complications. As these technologies become more widely adopted, the knee replacement market is expected to expand, with a projected growth rate of around 8% annually over the next five years.

Market Segment Insights

By Procedure: Total Knee Replacement (Largest) vs. Partial Knee Replacement (Fastest-Growing)

In the Japan knee replacement market, the segmentation by procedure illustrates that Total Knee Replacement holds a significant share among the options available. This procedure has been historically favored due to its comprehensive nature in addressing severe osteoarthritis, allowing for improved mobility and quality of life among patients. Meanwhile, Partial Knee Replacement is gaining momentum as an appealing alternative for patients with less extensive damage, indicating a shift in preference towards less invasive options. The growth trends indicate an increasing inclination towards Partial Knee Replacement, which is recognized as the fastest-growing segment in recent years. This shift can be attributed to advancements in surgical techniques and technology, which have made this procedure more accessible and effective. Additionally, an aging population, coupled with a rise in awareness about knee health, fuels the desire for procedures that offer quicker recovery and less risk of complications, making Partial Knee Replacement increasingly attractive to both physicians and patients.

Total Knee Replacement: Dominant vs. Partial Knee Replacement: Emerging

Total Knee Replacement remains the dominant player in the Japan knee replacement market, characterized by its ability to address complex knee conditions with a high success rate. Patients typically opt for this procedure when they have multifaceted knee issues, making it a preferred choice among orthopedic surgeons. On the other hand, Partial Knee Replacement has emerged as a favorable alternative for less severe cases, attracting patients who seek a less invasive solution. This procedure preserves more bone and tissue than its total counterpart, leading to decreased recovery times and less postoperative pain. As a result, while Total Knee Replacement continues to hold a strong market share, Partial Knee Replacement is rapidly gaining recognition and preference, highlighting a diversification in patient choices.

By Material: Metal Alloy (Largest) vs. Ceramic (Fastest-Growing)

In the Japan knee replacement market, the segment values showcase diverse materials including Metal Alloy, Ceramic, Polyethylene, Cemented, and Cementless. Among these, Metal Alloy retains the largest market share due to its durability and compatibility with surgical procedures, while Ceramic is gaining traction rapidly, appealing to patients seeking improved biocompatibility and lower wear rates. This distribution indicates a market leaning towards robust solutions alongside innovative materials. Growth trends in this segment reflect a shifting preference towards advanced materials. The demand for Ceramic implants is propelled by increasing patient awareness of benefits such as reduced allergic reactions and enhanced longevity. Meanwhile, the Cemented segment is witnessing stable growth as it continues to be favored for its proven performance, ensuring a competitive landscape where both established and emerging materials vie for market presence.

Metal Alloy (Dominant) vs. Ceramic (Emerging)

The Metal Alloy segment is dominant in the Japan knee replacement market, primarily due to its strength and established track record over decades of surgical applications. This material is highly favored for its reliability in supporting joint functionality and longevity. On the other hand, the Ceramic segment, while emerging, is rapidly gaining popularity due to its superior wear resistance and aesthetic appeal. Unlike Metal Alloys, Ceramics offer the advantage of reduced friction and lower ion release into the body, which enhances patient safety and comfort. As consumers become more educated about their options, the balance between these two materials is shifting, presenting both challenges and opportunities for manufacturers.

By End User: Hospitals (Largest) vs. Ambulatory Surgical Centers (Fastest-Growing)

The Japan knee replacement market showcases a dynamic distribution of end users, with hospitals holding a significant share as the dominant segment. Hospitals are preferred due to their advanced infrastructure, availability of skilled surgeons, and comprehensive post-operative care, resulting in widespread acceptance among patients. Ambulatory Surgical Centers, while smaller in share, are rapidly gaining traction as they offer efficiency, lower costs, and quicker recovery times, appealing particularly to outpatient procedures. Growth trends in the segment are primarily driven by the increasing aging population and the rising prevalence of knee-related ailments. Hospitals continue to invest in advanced surgical technologies and procedures, improving outcomes and patient experiences. Meanwhile, Ambulatory Surgical Centers are emerging as a go-to option for many patients seeking minimally invasive procedures, further fueling their growth in the market.

Hospitals (Dominant) vs. Ambulatory Surgical Centers (Emerging)

Hospitals dominate the Japan knee replacement market due to their established reputation, ability to cater to complex cases, and comprehensive facilities that provide all-encompassing care. They typically have high volumes of procedures, which enhances their expertise. In contrast, Ambulatory Surgical Centers are emerging as a competitive alternative by focusing on outpatient knee replacement surgeries. These centers enable same-day discharge and are designed for efficiency, reducing the overall patient healthcare cost. They appeal particularly to healthy patients requiring knee replacements, given the expected lower complication rates and quicker recovery times. As surgical techniques continue to evolve, Ambulatory Surgical Centers are expected to grow their share significantly, reflecting changing patient preferences towards convenience and cost savings.

By Age Group: 50-65 (Largest) vs. Above 65 (Fastest-Growing)

Within the age group segments, those aged 50-65 hold the largest market share in the Japan knee replacement market, demonstrating significant demand due to the increasing prevalence of age-related joint issues. This demographic exhibits a strong inclination towards knee replacement surgery as a means to restore mobility and quality of life, resulting in a more substantial proportion of surgeries performed within this age bracket. In contrast, the over 65 segment is identified as the fastest-growing category in the market. This growth is driven by the aging population and advancements in surgical techniques, leading to better outcomes and lower risks. As more individuals in this age group become eligible for knee replacements, the demand for procedures specifically tailored for older patients increases, further expanding this segment's significance.

50-65: Dominant vs. Above 65: Emerging

The 50-65 age group is characterized by a robust demand for knee replacement surgeries, largely due to the onset of osteoarthritis and other degenerative joint diseases that typically surface during this phase of life. Patients within this bracket are often more active and seek surgical solutions to maintain functionality. Conversely, the above 65 age group, while currently smaller in market share, is emerging rapidly due to demographic shifts and enhanced surgical technologies. Many older adults are now more receptive to surgery as a result of better health management and support systems, resulting in increased accessibility and acceptance of knee replacement as a viable option, thus driving this segment's growth.

Get more detailed insights about Japan Knee Replacement Market

Key Players and Competitive Insights

The knee replacement market in Japan is characterized by a competitive landscape that is both dynamic and multifaceted. Key growth drivers include an aging population, increasing prevalence of osteoarthritis, and advancements in surgical techniques. Major players such as Zimmer Biomet (US), Stryker (US), and DePuy Synthes (US) are strategically positioned to leverage these trends. Zimmer Biomet (US) focuses on innovation through the development of advanced implant technologies, while Stryker (US) emphasizes regional expansion and partnerships to enhance its market presence. DePuy Synthes (US) is actively pursuing digital transformation initiatives to improve surgical outcomes, collectively shaping a competitive environment that prioritizes technological advancement and patient-centric solutions.

In terms of business tactics, companies are increasingly localizing manufacturing to reduce costs and enhance supply chain efficiency. The market structure appears moderately fragmented, with several key players exerting influence over various segments. This fragmentation allows for a diverse range of products and services, fostering competition that drives innovation and quality improvements across the board.

In October 2025, Stryker (US) announced the launch of a new robotic-assisted surgical system designed to enhance precision in knee replacement procedures. This strategic move is significant as it aligns with the growing trend towards minimally invasive surgeries, potentially improving patient recovery times and outcomes. By investing in robotic technology, Stryker (US) positions itself as a leader in surgical innovation, likely attracting a broader customer base.

In September 2025, Zimmer Biomet (US) expanded its partnership with a leading Japanese healthcare provider to enhance the distribution of its knee replacement products. This collaboration is crucial as it not only strengthens Zimmer Biomet's market presence but also facilitates access to advanced technologies for local healthcare professionals. Such strategic alliances may enhance the company's competitive edge in a rapidly evolving market.

In August 2025, DePuy Synthes (US) launched a new digital platform aimed at improving surgical planning and patient engagement in knee replacement procedures. This initiative reflects a broader trend towards digitalization in healthcare, suggesting that companies are increasingly recognizing the importance of integrating technology into their offerings. By enhancing the surgical experience through digital tools, DePuy Synthes (US) may improve patient satisfaction and outcomes, further solidifying its market position.

As of November 2025, current competitive trends in the knee replacement market include a pronounced focus on digitalization, sustainability, and the integration of artificial intelligence (AI) into surgical practices. Strategic alliances are becoming increasingly vital, as companies seek to combine resources and expertise to drive innovation. The competitive landscape is likely to evolve from traditional price-based competition towards a model that emphasizes technological advancement, supply chain reliability, and superior patient outcomes. This shift indicates that companies must prioritize innovation and quality to differentiate themselves in a crowded marketplace.

Key Companies in the Japan Knee Replacement Market market include

Industry Developments

Recent developments in the Japan Knee Replacement Market show a growing focus on innovative surgical techniques and advanced materials, with major companies, including Mizuhho Medical and Zimmer Biomet, actively contributing to research and development. Current affairs indicate that companies like Stryker and Smith & Nephew are launching new knee prostheses designed to enhance patient mobility and longevity, driven by the increasing elderly population in Japan, which reached approximately 28% as of 2022. 

In the last few years, particularly in March 2021, MediKey made strides in digital healthcare integration to enhance surgical outcomes and patient recovery times. The market has seen notable mergers, with Nipro expanding its orthopedic portfolio following a strategic acquisition in early 2022, strengthening its market position in Japan. Growth in market valuation has been significant; for example, Aesculap recorded a 15% increase in sales due to rising demand for minimally invasive surgeries as healthcare providers aim to improve patient experiences.

The current valuation trends reflect a competitive landscape, with organizations like DePuy Synthes continually innovating to cater to the evolving needs of healthcare professionals and patients alike in Japan.

Future Outlook

Japan Knee Replacement Market Future Outlook

The Knee replacement Market in Japan is projected to grow at a 10.59% CAGR from 2024 to 2035, driven by technological advancements, an aging population, and increasing healthcare expenditure.

New opportunities lie in:

  • Development of robotic-assisted surgical systems for enhanced precision
  • Expansion of telehealth services for pre- and post-operative care
  • Introduction of personalized implant solutions based on patient-specific anatomy

By 2035, the knee replacement market is expected to achieve substantial growth and innovation.

Market Segmentation

Japan Knee Replacement Market End User Outlook

  • Hospitals
  • Ambulatory Surgical Centers
  • Specialty Clinics

Japan Knee Replacement Market Material Outlook

  • Metal Alloy
  • Ceramic
  • Polyethylene
  • Cemented
  • Cementless

Japan Knee Replacement Market Age Group Outlook

  • Under 50
  • 50-65
  • Above 65

Japan Knee Replacement Market Procedure Outlook

  • Total Knee Replacement
  • Partial Knee Replacement
  • Revision Knee Replacement

Report Scope

MARKET SIZE 2024 411.75(USD Million)
MARKET SIZE 2025 455.35(USD Million)
MARKET SIZE 2035 1245.88(USD Million)
COMPOUND ANNUAL GROWTH RATE (CAGR) 10.59% (2024 - 2035)
REPORT COVERAGE Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
BASE YEAR 2024
Market Forecast Period 2025 - 2035
Historical Data 2019 - 2024
Market Forecast Units USD Million
Key Companies Profiled Zimmer Biomet (US), Stryker (US), DePuy Synthes (US), Smith & Nephew (GB), Medtronic (US), Ottobock (DE), Exactech (US), Aesculap (DE), B. Braun (DE)
Segments Covered Procedure, Material, End User, Age Group
Key Market Opportunities Integration of advanced robotics and minimally invasive techniques enhances patient outcomes in the knee replacement market.
Key Market Dynamics Technological advancements and regulatory changes drive growth in Japan's knee replacement market, enhancing patient outcomes and surgical efficiency.
Countries Covered Japan

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FAQs

What is the expected market size of the Japan Knee Replacement Market in 2024?

The Japan Knee Replacement Market is expected to be valued at 549.0 million USD in 2024.

What will be the market value of the Japan Knee Replacement Market by 2035?

By 2035, the Japan Knee Replacement Market is projected to reach a value of 1977.0 million USD.

What is the anticipated CAGR for the Japan Knee Replacement Market from 2025 to 2035?

The Japan Knee Replacement Market is expected to witness a CAGR of 12.353% from 2025 to 2035.

What is the market value of the Japan Knee Replacement Market for clinics and hospitals in 2024?

In 2024, the market value for clinics and hospitals in the Japan Knee Replacement Market is estimated at 329.0 million USD.

How much is the Japan Knee Replacement Market projected to be worth for rehabilitation centres by 2035?

By 2035, the Japan Knee Replacement Market for rehabilitation centres is anticipated to reach 449.9 million USD.

What is the market size for specialty centres in the Japan Knee Replacement Market in 2024?

The market size for specialty centres in the Japan Knee Replacement Market is valued at 96.0 million USD in 2024.

Who are the key players in the Japan Knee Replacement Market?

Major players in the Japan Knee Replacement Market include Mizuhho Medical, Tokyo Medical University, Stryker, Zimmer Biomet, and Smith & Nephew.

What are the market values for clinics and hospitals in 2035?

The market value for clinics and hospitals in the Japan Knee Replacement Market is projected to be 1189.2 million USD by 2035.

What trends are shaping the growth of the Japan Knee Replacement Market?

Growing aging population and advancements in surgical techniques are key trends driving the growth of the Japan Knee Replacement Market.

What challenges does the Japan Knee Replacement Market face?

The Japan Knee Replacement Market faces challenges such as high surgical costs and variability in reimbursement policies.

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