Latest Update: Impact of current COVID-19 situation has been considered in this report while making the analysis.
Global External Fixation Systems Market by Type (Unilateral Fixation Systems, Bilateral Fixation Systems, Hybrid Fixation Systems, Colles Fracture Fixation Systems, Circular Fixation Systems), By Application (Upper Fixation, Lower Fixation, Pediatrics) And By Region (North America, Latin America, Europe, Asia Pacific and Middle East & Africa), Forecast From 2022 To 2030-report

Global External Fixation Systems Market by Type (Unilateral Fixation Systems, Bilateral Fixation Systems, Hybrid Fixation Systems, Colles Fracture Fixation Systems, Circular Fixation Systems), By Application (Upper Fixation, Lower Fixation, Pediatrics) And By Region (North America, Latin America, Europe, Asia Pacific and Middle East & Africa), Forecast From 2022 To 2030

Report ID: 159459 3300 Machinery & Equipment 377 246 Pages 4.9 (42)
                                          

Market Overview:


The global external fixation systems market is expected to grow at a CAGR of 5.5% from 2018 to 2030. The growth in the market can be attributed to the increasing incidence of fractures and growing demand for minimally invasive surgeries. Additionally, the rising geriatric population is also contributing to the growth of this market. Based on type, the global external fixation systems market can be segmented into unilateral fixation systems, bilateral fixation systems, hybrid fixation systems, colles fracture fixation systems and circular fixation systems. The bilateral fixationsystems segment is expected to account for the largest share of this market in 2018 owingto its high usage rates in orthopedic surgeries.


Global External Fixation Systems Industry Outlook


Product Definition:


External fixation systems are devices that stabilize bone fractures outside of the body. They are often used in cases where the fracture is too complex or unstable for traditional casting methods. External fixation systems use pins or screws to attach a frame to the bone fragments, which then holds them in place while they heal. The importance of external fixation systems lies in their ability to provide stability and alignment to complex fractures, while allowing the patient to move about freely and without pain.


Unilateral Fixation Systems:


Unilateral fixation systems are used in the treatment of fractures, dislocations and other injuries. They are also used for the reconstruction of bones. Unilateral fixation system includes plates, screws, rods & nails and it's advantages over bilateral methods is that it provides better access to fracture sites which results in faster healing process.


Bilateral Fixation Systems:


Bilateral fixation systems are used in external fixation systems to provide stability and support to fractures, dislocations or other injuries of the bone. In addition, they are also used in procedures where it is important to keep two bones parallel such as during a spinal fusion. The system includes screws, plates and rods that can be customized according to the injury site along with an assortment of wires and cables for connecting them all together.


Application Insights:


Global external fixation systems market by application is segmented into upper fixation, lower fixation and pediatrics. The lower fixation segment held the largest share in 2017 due to the increasing number of knee replacement procedures globally. In addition, growing awareness about knee injuries is expected to boost the demand for this procedure over the forecast period.


The upper fixation segment is anticipated to witness significant growth over the forecast period as a result of rising geriatric population suffering from hip fractures across various regions including North America and Europe. According to WHO, it has been estimated that there are approximately 70 million people aged 60 or above in Europe and that number is expected to reach 200 million by 2050 if proper steps are not taken now (in terms of healthcare). This will increase pressure on healthcare system which eventually will drive demand for external fixators worldwide.


Regional Analysis:


North America dominated the global market in 2017 owing to the presence of developed economies, high disposable income, and well-established healthcare infrastructure. Moreover, increasing sports injuries and road accidents are also driving regional growth. In addition, growing adoption of advanced technologies for better results is expected to drive demand from this region. For instance, Zimmer Biomet has introduced its “Z-stick” technology that allows surgeons to precisely position external fixators with minimal training.


Asia Pacific is expected to grow at a lucrative rate over the forecast period due to rising medical tourism in emerging countries such as India & China & Japan & Malaysia etc.


Growth Factors:


  • Increasing incidence of fractures and bone injuries: The increasing incidence of fractures and bone injuries is one of the key growth drivers for the external fixation systems market. According to a study by the Centers for Disease Control and Prevention (CDC), in 2010, around 8.9 million Americans were treated in emergency departments for unintentional injuries, out of which around 2 million were treated for fractures. This number is expected to increase in the coming years due to the rising geriatric population and increasing prevalence of lifestyle-related diseases such as obesity and diabetes.
  • Growing demand for minimally invasive surgeries: External fixation systems are increasingly being used as an alternative to traditional open surgery procedures owing to their ability to provide stability during healing with minimal invasion into surrounding tissues or organs. This has led to a growing demand for external fixation systems among surgeons, which is expected to drive market growth over the forecast period.
  • Technological advancements: The external fixation system market is witnessing rapid technological advancements, with manufacturers introducing new products that are easier-to-use and provide better patient outcomes than traditional devices available in the market today .This is likely to spur adoption rates among surgeons worldwide, thereby driving market growth over the forecast period .

Scope Of The Report

Report Attributes

Report Details

Report Title

External Fixation Systems Market Research Report

By Type

Unilateral Fixation Systems, Bilateral Fixation Systems, Hybrid Fixation Systems, Colles Fracture Fixation Systems, Circular Fixation Systems

By Application

Upper Fixation, Lower Fixation, Pediatrics

By Companies

Depuy Synthes (J&J), Stryker, Orthofix, Smith & Nephew, Wright Medical, Zimmer Biomet, Lima Corporate, Integra LifeSciences, Acumed, Response Ortho, AOS, OsteoMed, And ScienceTechnology, Biotech Medical, Dragonbio (Mindray)

Regions Covered

North America, Europe, APAC, Latin America, MEA

Base Year

2021

Historical Year

2019 to 2020 (Data from 2010 can be provided as per availability)

Forecast Year

2030

Number of Pages

246

Number of Tables & Figures

173

Customization Available

Yes, the report can be customized as per your need.


Global External Fixation Systems Market Report Segments:

The global External Fixation Systems market is segmented on the basis of:

Types

Unilateral Fixation Systems, Bilateral Fixation Systems, Hybrid Fixation Systems, Colles Fracture Fixation Systems, Circular Fixation Systems

The product segment provides information about the market share of each product and the respective CAGR during the forecast period. It lays out information about the product pricing parameters, trends, and profits that provides in-depth insights of the market. Furthermore, it discusses latest product developments & innovation in the market.

Applications

Upper Fixation, Lower Fixation, Pediatrics

The application segment fragments various applications of the product and provides information on the market share and growth rate of each application segment. It discusses the potential future applications of the products and driving and restraining factors of each application segment.

Some of the companies that are profiled in this report are:

  1. Depuy Synthes (J&J)
  2. Stryker
  3. Orthofix
  4. Smith & Nephew
  5. Wright Medical
  6. Zimmer Biomet
  7. Lima Corporate
  8. Integra LifeSciences
  9. Acumed
  10. Response Ortho
  11. AOS
  12. OsteoMed
  13. And ScienceTechnology
  14. Biotech Medical
  15. Dragonbio (Mindray)

Global External Fixation Systems Market Overview


Highlights of The External Fixation Systems Market Report:

  1. The market structure and projections for the coming years.
  2. Drivers, restraints, opportunities, and current trends of market.
  3. Historical data and forecast.
  4. Estimations for the forecast period 2030.
  5. Developments and trends in the market.
  6. By Type:

    1. Unilateral Fixation Systems
    2. Bilateral Fixation Systems
    3. Hybrid Fixation Systems
    4. Colles Fracture Fixation Systems
    5. Circular Fixation Systems
  1. By Application:

    1. Upper Fixation
    2. Lower Fixation
    3. Pediatrics
  1. Market scenario by region, sub-region, and country.
  2. Market share of the market players, company profiles, product specifications, SWOT analysis, and competitive landscape.
  3. Analysis regarding upstream raw materials, downstream demand, and current market dynamics.
  4. Government Policies, Macro & Micro economic factors are also included in the report.

We have studied the External Fixation Systems Market in 360 degrees via. both primary & secondary research methodologies. This helped us in building an understanding of the current market dynamics, supply-demand gap, pricing trends, product preferences, consumer patterns & so on. The findings were further validated through primary research with industry experts & opinion leaders across countries. The data is further compiled & validated through various market estimation & data validation methodologies. Further, we also have our in-house data forecasting model to predict market growth up to 2030.

Regional Analysis

  • North America
  • Europe
  • Asia Pacific
  • Middle East & Africa
  • Latin America

Note: A country of choice can be added in the report at no extra cost. If more than one country needs to be added, the research quote will vary accordingly.

The geographical analysis part of the report provides information about the product sales in terms of volume and revenue in regions. It lays out potential opportunities for the new entrants, emerging players, and major players in the region. The regional analysis is done after considering the socio-economic factors and government regulations of the countries in the regions.

How you may use our products:

  • Correctly Positioning New Products
  • Market Entry Strategies
  • Business Expansion Strategies
  • Consumer Insights
  • Understanding Competition Scenario
  • Product & Brand Management
  • Channel & Customer Management
  • Identifying Appropriate Advertising Appeals

Global External Fixation Systems Market Statistics

8 Reasons to Buy This Report

  1. Includes a Chapter on the Impact of COVID-19 Pandemic On the Market
  2. Report Prepared After Conducting Interviews with Industry Experts & Top Designates of the Companies in the Market
  3. Implemented Robust Methodology to Prepare the Report
  4. Includes Graphs, Statistics, Flowcharts, and Infographics to Save Time
  5. Industry Growth Insights Provides 24/5 Assistance Regarding the Doubts in the Report
  6. Provides Information About the Top-winning Strategies Implemented by Industry Players.
  7. In-depth Insights On the Market Drivers, Restraints, Opportunities, and Threats
  8. Customization of the Report Available

Frequently Asked Questions?


External fixation systems are devices that attach a patient's limbs to external supports in order to maintain their position and prevent movement.

Some of the major companies in the external fixation systems market are Depuy Synthes (J&J), Stryker, Orthofix, Smith & Nephew, Wright Medical, Zimmer Biomet, Lima Corporate, Integra LifeSciences, Acumed, Response Ortho, AOS, OsteoMed, And ScienceTechnology, Biotech Medical, Dragonbio (Mindray).

The external fixation systems market is expected to register a CAGR of 5.5%.

                                            
1. Executive Summary

2. Assumptions and Acronyms Used

3. Research Methodology

4. External Fixation Systems Market Overview
   4.1. Introduction
      4.1.1. Market Taxonomy
      4.1.2. Market Definition
   4.2. Macro-Economic Factors
      4.2.1. Industry Outlook
   4.3. External Fixation Systems Market Dynamics
      4.3.1. Market Drivers
      4.3.2. Market Restraints
      4.3.3. Opportunity
      4.3.4. Market Trends
   4.4. External Fixation Systems Market - Supply Chain
   4.5. Global External Fixation Systems Market Forecast
      4.5.1. External Fixation Systems Market Size (US$ Mn) and Y-o-Y Growth
      4.5.2. External Fixation Systems Market Size (000’ Units) and Y-o-Y Growth
      4.5.3. External Fixation Systems Market Absolute $ Opportunity

5. Global External Fixation Systems Market Analysis and Forecast by Type
   5.1. Market Trends
   5.2. Introduction
      5.2.1. Basis Point Share (BPS) Analysis by Type
      5.2.2. Y-o-Y Growth Projections by Type
   5.3. External Fixation Systems Market Size and Volume Forecast by Type
      5.3.1. Unilateral Fixation Systems
      5.3.2. Bilateral Fixation Systems
      5.3.3. Hybrid Fixation Systems
      5.3.4. Colles Fracture Fixation Systems
      5.3.5. Circular Fixation Systems
   5.4. Absolute $ Opportunity Assessment by Type
   5.5. Market Attractiveness/Growth Potential Analysis by Type

6. Global External Fixation Systems Market Analysis and Forecast by Application
   6.1. Market Trends
   6.2. Introduction
      6.2.1. Basis Point Share (BPS) Analysis by Application
      6.2.2. Y-o-Y Growth Projections by Application
   6.3. External Fixation Systems Market Size and Volume Forecast by Application
      6.3.1. Upper Fixation
      6.3.2. Lower Fixation
      6.3.3. Pediatrics
   6.4. Absolute $ Opportunity Assessment by Application
   6.5. Market Attractiveness/Growth Potential Analysis by Application

7. Global External Fixation Systems Market Analysis and Forecast by Sales Channel
   7.1. Market Trends
   7.2. Introduction
      7.2.1. Basis Point Share (BPS) Analysis by Sales Channel 
      7.2.2. Y-o-Y Growth Projections by Sales Channel
   7.3. External Fixation Systems Market Size and Volume Forecast by Sales Channel 
      7.3.1. Manufacturer/Distributor/Service Provider
      7.3.2. Aftermarket
   7.4. Absolute $ Opportunity Assessment by Sales Channel
   7.5. Market Attractiveness/Growth Potential Analysis by Sales Channel

8. Global External Fixation Systems Market Analysis and Forecast by Region
   8.1. Market Trends
   8.2. Introduction
      8.2.1. Basis Point Share (BPS) Analysis by Region
      8.2.2. Y-o-Y Growth Projections by Region
   8.3. External Fixation Systems Market Size and Volume Forecast by Region
      8.3.1. North America
      8.3.2. Latin America
      8.3.3. Europe
      8.3.4. Asia Pacific
      8.3.5. Middle East and Africa (MEA)
   8.4. Absolute $ Opportunity Assessment by Region
   8.5. Market Attractiveness/Growth Potential Analysis by Region
   8.6. Global External Fixation Systems Demand Share Forecast, 2019-2026

9. North America External Fixation Systems Market Analysis and Forecast
   9.1. Introduction
      9.1.1. Basis Point Share (BPS) Analysis by Country
      9.1.2. Y-o-Y Growth Projections by Country
   9.2. North America External Fixation Systems Market Size and Volume Forecast by Country
      9.2.1. U.S.
      9.2.2. Canada
   9.3. Absolute $ Opportunity Assessment by Country
   9.4. North America External Fixation Systems Market Size and Volume Forecast by Application
      9.4.1. Upper Fixation
      9.4.2. Lower Fixation
      9.4.3. Pediatrics
   9.5. Basis Point Share (BPS) Analysis by Application
   9.6. Y-o-Y Growth Projections by Application
   9.7. North America External Fixation Systems Market Size and Volume Forecast by Type
      9.7.1. Unilateral Fixation Systems
      9.7.2. Bilateral Fixation Systems
      9.7.3. Hybrid Fixation Systems
      9.7.4. Colles Fracture Fixation Systems
      9.7.5. Circular Fixation Systems
   9.8. Basis Point Share (BPS) Analysis by Type
   9.9. Y-o-Y Growth Projections by Type
   9.10. Market Attractiveness/Growth Potential Analysis
      9.10.1. By Country
      9.10.2. By Product Type
      9.10.3. By Application
      9.10.4. By Sales Channel
   9.11. North America External Fixation Systems Demand Share Forecast, 2019-2026

10. Latin America External Fixation Systems Market Analysis and Forecast
   10.1. Introduction
      10.1.1. Basis Point Share (BPS) Analysis by Country
      10.1.2. Y-o-Y Growth Projections by Country
      10.1.3. Latin America Average Pricing Analysis
   10.2. Latin America External Fixation Systems Market Size and Volume Forecast by Country
      10.2.1. Brazil
      10.2.2. Mexico
      10.2.3. Rest of Latin America
   10.3. Absolute $ Opportunity Assessment by Country
   10.4. Latin America External Fixation Systems Market Size and Volume Forecast by Application
      10.4.1. Upper Fixation
      10.4.2. Lower Fixation
      10.4.3. Pediatrics
   10.5. Basis Point Share (BPS) Analysis by Application
   10.6. Y-o-Y Growth Projections by Application
   10.7. Latin America External Fixation Systems Market Size and Volume Forecast by Type
      10.7.1. Unilateral Fixation Systems
      10.7.2. Bilateral Fixation Systems
      10.7.3. Hybrid Fixation Systems
      10.7.4. Colles Fracture Fixation Systems
      10.7.5. Circular Fixation Systems
   10.8. Basis Point Share (BPS) Analysis by Type
   10.9. Y-o-Y Growth Projections by Type
   10.10. Market Attractiveness/Growth Potential Analysis
      10.10.1. By Country
      10.10.2. By Product Type
      10.10.3. By Application
      10.10.4. By Sales Channel
   10.11. Latin America External Fixation Systems Demand Share Forecast, 2019-2026

11. Europe External Fixation Systems Market Analysis and Forecast
   11.1. Introduction
      11.1.1. Basis Point Share (BPS) Analysis by Country
      11.1.2. Y-o-Y Growth Projections by Country
      11.1.3. Europe Average Pricing Analysis
   11.2. Europe External Fixation Systems Market Size and Volume Forecast by Country
      11.2.1. Germany
      11.2.2. France
      11.2.3. Italy
      11.2.4. U.K.
      11.2.5. Spain
      11.2.6. Russia
      11.2.7. Rest of Europe
   11.3. Absolute $ Opportunity Assessment by Country
   11.4. Europe External Fixation Systems Market Size and Volume Forecast by Application
      11.4.1. Upper Fixation
      11.4.2. Lower Fixation
      11.4.3. Pediatrics
   11.5. Basis Point Share (BPS) Analysis by Application
   11.6. Y-o-Y Growth Projections by Application
   11.7. Europe External Fixation Systems Market Size and Volume Forecast by Type
      11.7.1. Unilateral Fixation Systems
      11.7.2. Bilateral Fixation Systems
      11.7.3. Hybrid Fixation Systems
      11.7.4 Colles Fracture Fixation Systems
      11.7.5. Circular Fixation Systems
   11.8. Basis Point Share (BPS) Analysis by Type
   11.9. Y-o-Y Growth Projections by Type
   11.10. Market Attractiveness/Growth Potential Analysis
      11.10.1. By Country
      11.10.2. By Product Type
      11.10.3. By Application
      11.10.4. By Sales Channel
   11.11. Europe External Fixation Systems Demand Share, 2019-2026

12. Asia Pacific External Fixation Systems Market Analysis and Forecast
   12.1. Introduction
      12.1.1. Basis Point Share (BPS) Analysis by Country
      12.1.2. Y-o-Y Growth Projections by Country
      12.1.3. Asia Pacific Average Pricing Analysis
   12.2. Asia Pacific External Fixation Systems Market Size and Volume Forecast by Country
      12.2.1. China
      12.2.2. Japan
      12.2.3. South Korea
      12.2.4. India
      12.2.5. Australia
      12.2.6. Rest of Asia Pacific (APAC)
   12.3. Absolute $ Opportunity Assessment by Country
   12.4. Asia Pacific External Fixation Systems Market Size and Volume Forecast by Application
      12.4.1. Upper Fixation
      12.4.2. Lower Fixation
      12.4.3. Pediatrics
   12.5. Basis Point Share (BPS) Analysis by Application
   12.6. Y-o-Y Growth Projections by Application
   12.7. Asia Pacific External Fixation Systems Market Size and Volume Forecast by Type
      12.7.1. Unilateral Fixation Systems
      12.7.2. Bilateral Fixation Systems
      12.7.3. Hybrid Fixation Systems
      12.7.4. Colles Fracture Fixation Systems
      12.7.5. Circular Fixation Systems
   12.8. Basis Point Share (BPS) Analysis by Type
   12.9. Y-o-Y Growth Projections by Type
   12.10. Market Attractiveness/Growth Potential Analysis
      12.10.1. By Country
      12.10.2. By Product Type
      12.10.3. By Application
      12.10.4. By Sales Channel
   12.11. Asia Pacific External Fixation Systems Demand Share, 2019-2026

13. Middle East & Africa External Fixation Systems Market Analysis and Forecast
   13.1. Introduction
      13.1.1. Basis Point Share (BPS) Analysis by Country
      13.1.2. Y-o-Y Growth Projections by Country
      13.1.3. Asia Pacific Average Pricing Analysis
   13.2. Middle East & Africa External Fixation Systems Market Size and Volume Forecast by Country
      13.2.1. Saudi Arabia
      13.2.2. South Africa
      13.2.3. UAE
      13.2.4. Rest of Middle East & Africa (MEA)
   13.3. Absolute $ Opportunity Assessment by Country
   13.4. Middle East & Africa External Fixation Systems Market Size and Volume Forecast by Application
      13.4.1. Upper Fixation
      13.4.2. Lower Fixation
      13.4.3. Pediatrics
   13.5. Basis Point Share (BPS) Analysis by Application
   13.6. Y-o-Y Growth Projections by Application
   13.7. Middle East & Africa External Fixation Systems Market Size and Volume Forecast by Type
      13.7.1. Unilateral Fixation Systems
      13.7.2. Bilateral Fixation Systems
      13.7.3. Hybrid Fixation Systems
      13.7.4. Colles Fracture Fixation Systems
      13.7.5. Circular Fixation Systems
   13.8. Basis Point Share (BPS) Analysis by Type
   13.9. Y-o-Y Growth Projections by Type
   13.10. Market Attractiveness/Growth Potential Analysis
      13.10.1. By Country
      13.10.2. By Product Type
      13.10.3. By Application
      13.10.4. By Sales Channel
   13.11. Middle East & Africa External Fixation Systems Demand Share, 2019-2026

14. Competition Landscape
   14.1. Global External Fixation Systems Market: Market Share Analysis
   14.2. External Fixation Systems Distributors and Customers
   14.3. External Fixation Systems Market: Competitive Dashboard
   14.4. Company Profiles (Details – Overview, Financials, Developments, Strategy) 
      14.4.1. Depuy Synthes (J&J)
         14.4.1.1. Overview
         14.4.1.2. Financials
         14.4.1.3. Developments
         14.4.1.4. Strategic Outlook
      14.4.2. Stryker
         14.4.2.1. Overview
         14.4.2.2. Financials
         14.4.2.3. Developments
         14.4.2.4. Strategic Outlook
      14.4.3. Orthofix
         14.4.3.1. Overview
         14.4.3.2. Financials
         14.4.3.3. Developments
         14.4.3.4. Strategic Outlook
      14.4.4. Smith & Nephew
         14.4.4.1. Overview
         14.4.4.2. Financials
         14.4.4.3. Developments
         14.4.4.4. Strategic Outlook
      14.4.5. Wright Medical
         14.4.5.1. Overview
         14.4.5.2. Financials
         14.4.5.3. Developments
         14.4.5.4. Strategic Outlook
      14.4.6. Zimmer Biomet
         14.4.6.1. Overview
         14.4.6.2. Financials
         14.4.6.3. Developments
         14.4.6.4. Strategic Outlook
      14.4.7. Lima Corporate
         14.4.7.1. Overview
         14.4.7.2. Financials
         14.4.7.3. Developments
         14.4.7.4. Strategic Outlook
      14.4.8. Integra LifeSciences
         14.4.8.1. Overview
         14.4.8.2. Financials
         14.4.8.3. Developments
         14.4.8.4. Strategic Outlook
      14.4.9. Acumed
         14.4.9.1. Overview
         14.4.9.2. Financials
         14.4.9.3. Developments
         14.4.9.4. Strategic Outlook
      14.4.10. Response Ortho
         14.4.10.1. Overview
         14.4.10.2. Financials
         14.4.10.3. Developments
         14.4.10.4. Strategic Outlook
      14.4.11. AOS
         14.4.11.1. Overview
         14.4.11.2. Financials
         14.4.11.3. Developments
         14.4.11.4. Strategic Outlook
      14.4.12. OsteoMed
         14.4.12.1. Overview
         14.4.12.2. Financials
         14.4.12.3. Developments
         14.4.12.4. Strategic Outlook
      14.4.13. And ScienceTechnology
         14.4.13.1. Overview
         14.4.13.2. Financials
         14.4.13.3. Developments
         14.4.13.4. Strategic Outlook
      14.4.14. Biotech Medical
         14.4.14.1. Overview
         14.4.14.2. Financials
         14.4.14.3. Developments
         14.4.14.4. Strategic Outlook
      14.4.15. Dragonbio (Mindray)
         14.4.15.1. Overview
         14.4.15.2. Financials
         14.4.15.3. Developments
         14.4.15.4. Strategic Outlook
      14.4.16. COMPANY 16
         14.4.16.1. Overview
         14.4.16.2. Financials
         14.4.16.3. Developments
         14.4.16.4. Strategic Outlook
      14.4.17. COMPANY 17
         14.4.17.1. Overview
         14.4.17.2. Financials
         14.4.17.3. Developments
         14.4.17.4. Strategic Outlook
      14.4.18. COMPANY 18
         14.4.18.1. Overview
         14.4.18.2. Financials
         14.4.18.3. Developments
         14.4.18.4. Strategic Outlook
      14.4.19. COMPANY 19
         14.4.19.1. Overview
         14.4.19.2. Financials
         14.4.19.3. Developments
         14.4.19.4. Strategic Outlook
      14.4.20. COMPANY 20
         14.4.20.1. Overview
         14.4.20.2. Financials
         14.4.20.3. Developments
         14.4.20.4. Strategic Outlook

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