ACL Reconstruction Market - Regional Analysis
North America Market Insights
North America market is expected to garner the highest share of 40.3% by the end of 2035. The market’s upliftment in the region is highly attributed to the presence of innovative surgical facilities, an increase in the sports injury prevalence, and the existence of strong public healthcare funding. According to an article published by the CMS in June 2025, there has been an increase in Medicare expenditure by 8.1%, amounting to USD 1,029.8 billion as of 2023, while Medicaid services grew by 7.9% to USD 871.7 billion within the same year, making it suitable for the market’s growth.
The ACL reconstruction market in the U.S. is growing significantly, owing to the continuous rise in sports-based injuries, a surge in the aging population, and an increase in the availability of reimbursement services. As per an article published by NLM in June 2022, a total of 4,263 ACL reconstructions were performed in a clinical study, wherein 2.2%, which is 92, of patients were readily insured through Medicaid. In addition, 26 patients with this coverage demonstrated a compliance rate of 28.3%, thereby symbolizing the importance of insurance and reimbursement services in the country, which are positively impacting the market.
The ACL reconstruction market in Canada is also growing due to the presence of a single-payer healthcare system, an increase in provincial government expenditure to diminish backlogs, a focus on standardized procedures, and the adoption of affordable technologies. Besides, in June 2025, the government in Ontario made an investment of USD 155 million for two years and is poised to add 57 newest diagnostic centers and community surgical facilities to offer CT scans and MRI. This investment will assist 1.2 million people in the country to gain accessibility to publicly funded services rapidly. Besides, licenses will also be issued for 35 centers and will cater to almost 828,000 people within two years, thus suitable for the market’s upliftment.
Sports Injuries and Fatal Injuries in North America Impacting the Market
|
U.S. (2024) |
Canada (2022) |
|||
|
Injuries and Illnesses |
Female |
Male |
Fatal Injuries |
Total Incidences |
|
Overall injuries |
17 |
16 |
Road |
44 |
|
Athletes with injury |
9 (21.9%) |
10 (16.7%) |
Commute |
4 |
|
Overall illnesses |
6 |
7 |
Water |
3 |
|
Athletes with illnesses |
5 (12.2%) |
5 (8.3%) |
Rail |
2 |
|
Injury incidence per 1,000 |
48.2 |
31 |
Broadway |
1 |
Sources: NLM; Government of Canada
APAC Market Insights
Asia Pacific in the ACL reconstruction market is expected to emerge as the fastest-growing region during the projected duration. The market’s development in the region is highly driven by an increase in accessibility to orthopedic surgeries, a surge in sports injuries, and the presence of tactical health and medical investments. Besides, as stated in the July 2022 NLM article, the Ministry of Health in Indonesia has readily implemented a suitable rate for ACLR procedures within a range of IDR 9,586,400 TO 31,379,800 (USD 677 to USD 2,215), which is positively impacting the market in the overall region.
The ACL reconstruction market in China is gaining increased traction, owing to the presence of the National Medical Products Administration, increased government expenditures, enhanced focus on public orthopedic hospital upgradation, along with localized device production. As stated in an article published by Frontiers Organization in August 2023, a clinical study was conducted, wherein 73 patients from the country underwent successful ACLR. The study indicated non-contact injury as the ultimate type of ACL injury, constituting 84.9% of overall injuries. Besides, 75.35% of injuries occurred regularly during sports activities and 24.7% during military training, thus symbolizing the importance of the market in the country.
The ACL reconstruction market in India is also growing due to the existence of the government’s Ayushman Bharat scheme to effectively provide standard health and medical coverage, along with an upsurge in the patient population. According to an article published by the PIB in April 2025, the Pandit Deendayal Upadhyay National Welfare Fund for sportspersons has offered a one-time aid of ₹5 lakh and ₹5,000 as a monthly pension, along with ₹10 lakhs for medical assistance and injuries caused during sport-related competitions and training, thereby boosting the market’s exposure.
Europe Market Insights
Europe in the ACL reconstruction market is projected to steadily grow and develop by the end of the forecast timeline. The market’s growth in the region is highly fueled by aging demographics, a rise in injury rates, and government-based investments and funding for minimally invasive surgeries, along with an increase in the supply of MRI devices. Besides, countries such as Germany, France, Italy, the UK, and Spain are considered notable contributors to the market in the overall region. Meanwhile, the wide-ranging reimbursement programs under national health approaches have readily facilitated the rapid adoption of arthroscopic surgical equipment and graft fixation devices.
The ACL reconstruction market in Germany is gaining increased exposure, owing to a surge in funding for ACL reconstruction treatments, the presence of the Federal Ministry of Health for integrating sports medicine into national guidelines, and the increased conduct of procedural surgeries across ambulatory centers under public coverage. According to an article published by Germany Health in 2025, the expense of ACL reconstruction surgery in the country begins at EUR 10.5, followed by EUR 15.0 in Switzerland, EUR 11.8 in Austria, and EUR 8.5 in the Czech Republic, thereby denoting a huge growth opportunity for the overall market.
The ACL reconstruction market in France is also growing due to the aspect of increased focus on ambulatory surgery, the role of the National Authority for Health (HAS) for effectively evaluating the economic and clinical value, and significant government expenditure for health and medical services. As stated in the 2025 World Bank Data Organization report, the present health spending accounts for 11.8% of GDP, which readily contributes to the market’s growth in the country. Besides, the 2023 OECD data report indicated that the health spending in the country has reached EUR 4,200, catering to 12.3% of GDP, which is also bolstering the market.
MRI Machines 2023 Export and Import in Europe
|
Countries |
Export |
Import |
|
Germany |
USD 1.7 billion |
USD 762 million |
|
Netherlands |
USD 779 million |
USD 597 million |
|
UK |
USD 604 million |
USD 192 million |
|
France |
USD 143 million |
USD 332 million |
|
Poland |
USD 63 million |
USD 135 million |
|
Italy |
USD 37.4 million |
USD 158 million |
|
Hungary |
USD 34.5 million |
USD 32.1 million |
|
Switzerland |
USD 22.5 million |
USD 77 million |
Source: OEC