ORTHOTICS
Industry Profile, Key Issue and Challenges of the
unorganized sector
Sarvottema Nagpal, Shradha Kochar
10/31/2014
Contents
LEATHER INDUSTRY-OVERVIEW.................................................................................................................... 3
Strengths of Indian leather sector ............................................................. Error! Bookmark not defined.
ORTHOTICS INDUSTRY ................................................................................................................................ 10
CURRENT SCENARIO OF ORTHOTICS MARKET ............................................................................................ 24
UNEXPLORED INDIAN MARKET ................................................................................................................... 25
UNORGANIZED SECTOR OF ORTHOTICS ..................................................................................................... 28
INDIAN SCENARIO ................................................................................................................................... 28
INTERNATIONAL SCENARIO .................................................................................................................... 31
KEY ISSUES OF THE ORTHOTICS MARKET.................................................................................................... 33
ORTHOTICS ASSOCIATION OF INDIA (OAPI)................................................................................................ 34
REFERENCES ................................................................................................................................................ 35
LEATHER INDUSTRY-OVERVIEW
The Leather Industry holds a prominent place in the Indian economy. This
sector is known for its consistency in high export earnings and it is among the
top ten foreign exchange earners for the country.
With an annual turnover of over US$ 7.5 billion, the export of leather and
leather products increased manifold over the past decades and touched US$
4.86 billion in 2011-12, recording a cumulative annual growth rate of about
8.22% (5 years).
The major production centers for leather and leather products in India are
located in Tamil Nadu - Chennai, Ambur, Ranipet, Vaniyambadi, Vellore,
Pernambut, Trichy, Dindigul and Erode ; West Bengal Kolkata ; Uttar Pradesh
Kanpur, Agra, Noida, Saharanpur; Maharashtra Mumbai ; Punjab Jallandhar
; Karnataka Bangalore ; Andhra Pradesh - Hyderabad ; Haryana - Ambala,
Gurgaon, Panchkula, Karnal and Faridabad; Delhi; Madhya Pradesh Dewas
; Kerala Calicut and Ernakulam / Cochin
Tanning Sector Annual production 2 billion Sq.ft. Accounts for 10% of world
leather requirement. Indian colors continuously being selected at the
MODEUROPE Congress.
Footwear Sector - Second largest footwear producer after China. Annual
Production 2065 million pairs. Huge domestic retail market 1950 million pairs
(95%) are sold in domestic market. Footwear export accounts for 45.05% share
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in Indias total leather & leather products export. The Footwear product mix
Gents 52%, Ladies 39% and Children 9%
Leather Garments Sector Second largest producer with annual production
capacity of 16 million pieces. Third largest global exporter. Accounts for 10.43%
share of Indias total leather export
Leather Goods & Accessories Sector including Saddlery & Harness - Fifth
largest global exporter. Annual production capacity - 63 million pieces of
leather articles, 52 million pairs of Industrial gloves & 12.50 million pieces of
Harness & Saddlery items. Accounts for 23.44% share of Indias total export
Product-wise Brands sourced from India:
Footwear
Leather Garments
Armani, Zegna,
Coach, Liz Claiborne,
Abercrombie & Fitch, Harrods, Yves St, Laurent,
Marco Polo, Mango, Tommy Hilfiger, Etienne
Colehaan, Andre
Aigner, Geoffrey Beene,
Maarc, Guess Pierre Marks & Spencer, Guess,
Cardin, Tommy
Next, Pierre Cardin,
Hilfiger, Versace,
Prada, GAP, Levis, H & M,
DKNY, Liz Claiborne, British Home Stores,
Ann Taylor, Nautica, Banana Republic, Furla,
Kenneth Cole, Charter American Eagle
Club, Daniel Hector Outfitters, Bracciliani,
Walmart etc.
Besides, major brands are sourced from India, MNC brands are sold in India and Indian
brands sold in India.
2009-10
2010-11
2011-12
2012-13
807.19
673.37
627.95
841.13
1023.21
1489.35
1534.32
1507.59
1758.67
2077.27
Leather Garments
345.34
426.17
428.62
425.04
572.54
Leather Goods
800.46
873.44
757.02
855.78
1088.09
106.18
92.15
83.39
87.92
107.60
Total
3548.51
3599.46
3404.57
3968.54
4868.71
% Growth
15.99%
1.44%
-5.41%
16.57%
22.68%
Footwear
Source: DGCI&S
% share of various countries in Indias Leather & Leather Products Exports (2012-13)
Major Markets:
The major markets for Indian Leather & Leather Products are Germany with a
share of 15.01%, UK 11.15%, Italy 10.85%, USA 9.02%, Hong Kong 7.38%, France
6.25%, Spain 6.08%, Netherlands 4.07%, Belgium 2.32%, China 2.54%,
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2008-09
2009-10
2010-11
2011-12
% Share
COUNTRY
Germany
493.34
508.45
491.28
575.38
730.77
15.01%
Italy
490.77
461.56
398.56
455.76
528.39
10.85%
UK
417.64
413.24
456.59
505.20
542.99
11.15%
USA
311.21
359.22
296.37
348.13
439.27
9.02%
Hong Kong
280.97
237.72
251.53
325.20
359.51
7.38%
Spain
216.07
219.18
219.13
247.99
295.81
6.08%
France
198.52
221.33
255.29
280.04
304.23
6.25%
Netherlands
134.75
148.77
137.10
155.43
198.29
4.07%
U.A.E.
76.23
85.79
69.06
74.27
109.11
2.24%
Portugal
56.93
48.17
39.39
39.62
46.55
0.96%
Belgium
55.32
54.77
65.39
80.89
113.08
2.32%
China
55.46
49.96
48.58
75.48
123.78
2.54%
Australia
50.44
55.76
53.92
51.81
67.79
1.39%
Denmark
49.58
60.12
55.73
57.75
74.15
1.52%
Sweden
38.99
38.03
36.07
31.36
44.29
0.91%
Canada
36.92
35.29
27.66
29.32
40.01
0.82%
Korea Rep.
29.55
26.17
29.04
31.31
38.22
0.78%
South Africa
27.90
22.45
24.60
32.14
41.17
0.85%
Switzerland
25.79
26.07
27.10
25.02
33.52
0.69%
Austria
25.68
27.22
28.01
27.01
38.43
0.79%
Greece
23.57
17.82
12.77
10.05
10.88
0.22%
Saudi Arabia
15.96
19.28
21.01
22.14
40.89
0.84%
Japan
15.95
20.24
17.19
21.74
33.18
0.68%
Russia
15.77
12.01
6.68
19.99
33.05
0.68%
Indonesia
15.31
13.45
10.08
20.15
25.16
0.52%
Finland
14.39
15.52
9.96
14.57
22.14
0.45%
Ireland
8.15
6.44
5.79
5.36
7.56
0.16%
New Zealand
5.61
5.46
4.29
5.98
7.29
0.15%
361.74
389.97
306.42
399.45
519.20
10.68%
3548.51
3599.46
3404.57
3968.54
Others
Total
4868.71 100.00%
ORTHOTICS INDUSTRY
About Orthotics:
Orthotics is derived from the greek worth ORTHO meaning straight, upright or
correct. It refers to a static or dynamic device and is preferable to splint or brace
which refers only to a static device.
Three point pressure principle forms the mechanical basis for orthotic correction;
a single force is placed at the area of deformity or angulation; two additional
counter forces act in the opposing direction
The functions of Orthotics are:
Prevent Deformity
Assist function of a weak limb
Maintain proper alignment of joints
Inhibit tone
Protect against injury of a weak joint
Allow for maximal functional independence
Facilitate Motion
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Orthotic Goals
Maximize functional mobility skills with orthosis
Maximize independence with donning/doffing
Maximize independence with wearing schedule
Maximize independence with skin inspection
Maximize competence with care of orthosis
Alignment
Correct alignment permits effective function
a. minimizes movement between limb and orthoses (pistoning)
b. minimizes compression on pressure sensitive tissues
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Blucher opening
Balmoral opening
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Heel-Spur pad.
Metatarsal Pad: Neuroma Pad
placed between the metatarsal shafts to relieve nerve pain ans is most commonly
placed between the 3rd and 4th met shafts commonly this is also used with a wider
shoe to achieve relief.
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Cushion Heel
Scaphoid Pad
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UCBL Heel
Thomas Heel
Posting
Rearfoot posting alters the position of the subtalar joint or rearfoot from
heel strike to foot flat. Must be dynamic, control but not eliminate STJ
function.
Varus Post (medial wedge): limits or controls eversion of the
calcaneus and internal rotation of the tibia after heelstrike. Reduces
calcaneal eversion during running
Valgus Post (lateral wedge): controls calcaneus and subtalar joint that are
excessively inverted and supinated at heelstrike.
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Heel Lifts
Accommodates for leg length discrepancy; can be placed inside the shoe
(up to 3/8 inch) or attached to the outer sole.
Accommodates for limitation in ankle joint
dorsiflexion
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Solid Stirrups
Ankle Controls
Free motion: provides mediolateral stability that allows free motion in
dosiflexion and plantarflexion
Solid ankle: allows no movement indicated with sever pain or instability
Limited motion: allows motion to be restricted in one or both directions
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Free Motion
Limited Motion
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Scott-Craig
Lenox HIll
Donjoy
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living. Our rehabilitation experts work with the patients and their near and dear
ones to understand their needs and recommend the best device that will
effectively meet their requirements, functions and lifestyle, Bhanti adds.
The experienced practitioners at CPO evaluate and measure custom orthoses and
prostheses for each patient and the technical experts fabricate the same using
state of the art CAD/CAM technology at its Centralized Fabrication Lab in Delhi. All
the products for patients all over India are solely fabricated at the lab to maintain
consistency in quality. Christopher Cummings, who is a member of American
Academy of Orthotists and Prosthetists, heads the lab. He has more than 22 years
of experience of having worked worldwide.
The company offers a complete range of prosthetics, orthotics, pediatrics and
pedorthics (foot care) solutions to patients. CPO also offers Reciprocating Gait
Orthoses (RGO) device for paraplegics whose lower half body have become
paralyzed on account of some reasons. An RGO is a highly specialised device
which works on the principle of Reciprocating Gait, that is, the flexion in one hip
helps in the extension of other hip which gives the patient stability to stand
without support and allows him to walk.
In prosthetics, CPOs expertise comes into play in fitting the products on any
amputated, uneven or lost limb with the help of customized company-made
sockets, which are manufactured with precision at CPOs computer-aided
centralized fabrication facility. Such customized sockets are easy-to-wear by
patients and it is where the companys forte lies in. The company provides lifetime
support to patients once the fitting process is finished, thereby creating long-term
relationships based on trust and commitment. The unique fitting of the socket is
extremely crucial for long-term comfort of the patient and CPO excels in that.
Post fitting, patients are trained to use their new limbs with exactness.
In orthotics, besides providing solutions for lifestyle problems such as stiff neck,
tennis elbow, back pain, the company has fitted patients with complex orthoses
such as cranial remolding helmets for infants and RGO for paraplegics. The
experienced clinicians of CPO work with patients and their family, to evaluate
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needs and recommend the best device to fit their needs, function and lifestyle.
Besides, it also provides prostheses for mastectomy cases, cosmetic restoration
and recompression therapy garments services.
The company has been remarkable in its treatment of problems related to flat
foot, mechanical low back pain and Diabetic foot, among others through its
customized high-end Foot Insoles, which it designs using the most advanced
technology, hence ensuring maximum accuracy.
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more clinics in the next one year. Our customized products help people get on
with their lives independently by making them resume their normal activities of
living. Our rehabilitation experts work with the patients and their near and dear
ones to understand their needs and recommend the best device that will
effectively meet their requirements, functions and lifestyle, Bhanti adds.
The experienced practitioners at CPO evaluate and measure custom orthoses and
prostheses for each patient and the technical experts fabricate the same using
state of the art CAD/CAM technology at its Centralized Fabrication Lab in Delhi. All
the products for patients all over India are solely fabricated at the lab to maintain
consistency in quality. Christopher Cummings, who is a member of American
Academy of Orthotists and Prosthetists, heads the lab. He has more than 22 years
of experience of having worked worldwide.
The company offers a complete range of prosthetics, orthotics, pediatrics and
pedorthics (foot care) solutions to patients. CPO also offers Reciprocating Gait
Orthoses (RGO) device for paraplegics whose lower half body have become
paralyzed on account of some reasons. An RGO is a highly specialised device
which works on the principle of Reciprocating Gait, that is, the flexion in one hip
helps in the extension of other hip which gives the patient stability to stand
without support and allows him to walk.
In prosthetics, CPOs expertise comes into play in fitting the products on any
amputated, uneven or lost limb with the help of customized company-made
sockets, which are manufactured with precision at CPOs computer-aided
centralized fabrication facility. Such customized sockets are easy-to-wear by
patients and it is where the companys forte lies in. The company provides lifetime
support to patients once the fitting process is finished, thereby creating long-term
relationships based on trust and commitment. The unique fitting of the socket is
extremely crucial for long-term comfort of the patient and CPO excels in that.
Post fitting, patients are trained to use their new limbs with exactness.
In orthotics, besides providing solutions for lifestyle problems such as stiff neck,
tennis elbow, back pain, the company has fitted patients with complex orthoses
29
such as cranial remolding helmets for infants and RGO for paraplegics. The
experienced clinicians of CPO work with patients and their family, to evaluate
needs and recommend the best device to fit their needs, function and lifestyle.
Besides, it also provides prostheses for mastectomy cases, cosmetic restoration
and recompression therapy garments services.
The company has been remarkable in its treatment of problems related to flat
foot, mechanical low back pain and Diabetic foot, among others through its
customized high-end Foot Insoles, which it designs using the most advanced
technology, hence ensuring maximum accuracy.
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INTERNATIONAL SCENARIO
The pace of growth slowed for the orthopedic prosthetics industry due to the
economic downturn in 2008 and 2009. The global knee and hip implants market
was greatly affected as more patients delayed their costly surgeries. According to
GIAs report, the knee and hip implant market is ready for an uptick in part to the
recession ending. The combination of an ending recession and the rising
awareness of the procedure will likely create long-term growth. Favorable
reimbursement scenarios and the surgeons familiarity of the surgical procedures
are likely to improve growth as well, according to the report. The report found
that minimally invasive hip surgeries are gaining popularity due to the patients
desire to maintain an active lifestyle as well as their desire to avoid major surgery.
Sales of knee prosthetics in the United States are driven by a shift towards
customized devices and the growing popularity of knee replacements in younger
patients, the report found. The development of advanced prosthetic implants
involving better design and wear-resistant materials will likely enhance the
growth impact of the industry, the report predicted.
Our heritage is innovation and developing clinically sound solutions for not only
diseases of the joints but the spine, cranial facial, dental, fractures, biologic and
sports medicine, Bill Kolter, senior vice president of corporate communications,
Biomet Inc. told O&P Business News. As long as bone and joint disorders
continue to be the number one source of disability in this country, we are going to
continue to find innovative ways to deliver solutions to patients.
Globally, India, China and Latin America offer growth potential in the prosthetics
market due to their economic growth and elderly population. The United States
and Europe account for the majority of the global orthopedic prosthetics market.
European countries were also hit hard by the recession. Like the United States,
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REFERENCES
1.
2.
3.
4.
https://www.youtube.com/watch?v=q4yxBgQqUVo
http://www.opai.org.in/structure-of-opai/#
http://www.theorthoticgroup.com/
http://www.healio.com/orthotics-prosthetics/industrynews/news/print/o-and-p-business-news/%7Bc2d04446-465a-4c7d-944b21fd57603547%7D/new-report-offers-global-projections-for-orthopedicprosthetic-and-orthotic-markets
5. http://www.mrg.net/News-and-Events/Press-Releases/Orthotic-andProsthetic-Device-Markets-040214.aspx
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