+41 % change
Extra-EU imports of CN 90213990 were up 41% in 2025 compared with 2020 (€1.88 billion), calculated from Eurostat values.
Eurostat2.68 EUR billion
EU exports of CN 90213990 to countries outside the EU were worth €2.68 billion in 2025.
Eurostat4.72 EUR billion
Trade between EU member states in CN 90213990 (intra-EU arrivals) came to €4.72 billion in 2025.
EurostatSource: Eurostat
Why this market is moving now
- Extra-EU import value moved +41% 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.
- US employment in the core industry shifted +4% since 2020.
- Clinical research is active, with studies recruiting now.
What this market covers
Synthetic grafts that replace torn tendons and ligaments, mostly in knee and shoulder repair. Orthopedic surgeons and hospitals buy them.
Typical segments
- Synthetic ligament grafts
- Tendon scaffolds
- Absorbable scaffolds
- Reinforcement meshes
Who buys
- Orthopedic surgeons
- Hospitals
- Sports medicine clinics
Largest non-EU suppliers to the EU
| Country | Import value |
|---|---|
| United States from 1995 -> 2000) | 1,337.0 EUR million |
| Costa Rica | 442.6 EUR million |
| Singapore | 327.7 EUR million |
| Mexico | 136.8 EUR million |
| United Kingdom | 122.5 EUR million |
| Iceland | 59.7 EUR million |
Key figures
Each figure links to the page it came from.
| Figure | Value | Year | Source |
|---|---|---|---|
| The EU imported €2.66 billion of products under CN code 90213990 (Artificial parts of the body) from outside the EU in 2025. | 2.66 EUR billion | 2025 | Eurostat |
| Extra-EU imports of CN 90213990 were up 41% in 2025 compared with 2020 (€1.88 billion), calculated from Eurostat values. | +41 % change | 2025 | Eurostat |
| EU exports of CN 90213990 to countries outside the EU were worth €2.68 billion in 2025. | 2.68 EUR billion | 2025 | Eurostat |
| Trade between EU member states in CN 90213990 (intra-EU arrivals) came to €4.72 billion in 2025. | 4.72 EUR billion | 2025 | Eurostat |
| United States from 1995 -> 2000) was the largest non-EU supplier of CN 90213990 to the EU in 2025, with €1.34 billion, or 50% of extra-EU imports. | 1.34 EUR billion | 2025 | Eurostat |
| EU exports of CN 90213990 to the United States were €256.7 million in 2025. | 256.7 EUR million | 2025 | Eurostat |
| The average value of extra-EU imports of CN 90213990 was €1,415.08 per kilogram in 2025, calculated from Eurostat value and weight. | 1,415.08 EUR per kg | 2025 | Eurostat |
| Netherlands was the largest EU exporter of CN 90213990 to non-EU countries in 2025, at €1.53 billion. | 1.53 EUR billion | 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 % change | 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 |
| ClinicalTrials.gov lists 875 registered studies for the condition "ligament injury". | 875 registered studies | 2026 | U.S. National Library of Medicine (ClinicalTrials.gov) |
| 130 of those studies were recruiting participants when checked in November 2026. | 130 recruiting studies | 2026 | U.S. National Library of Medicine (ClinicalTrials.gov) |
| PubMed indexed 16 papers mentioning "artificial ligament" in the title or abstract in 2025. | 16 papers | 2025 | U.S. National Library of Medicine (PubMed) |
What the full report covers
- 1
Executive summary
The answer on two pages: size, growth and what drives it.
- 2
Market size and outlook
History, the current year and a five-year view with base, low and high cases.
- 3
Segments and regions
Splits by product, buyer and geography across the US, Europe and MEA.
- 4
Company profiles
The main players, how they compete and where they are investing.
- 5
Data and method
Every figure in Excel, with the sources and assumptions behind it.
- 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 artificial tendons and ligaments market?
There is no single official market total. Eurostat trade data shows the EU imported €2.66 billion of goods under CN 90213990 from outside the EU in 2025 and exported €2.68 billion.
Where does the EU import artificial tendons and ligaments from?
United States from 1995 -> 2000) was the largest non-EU supplier in 2025. The next largest were Costa Rica, Singapore, Mexico.
What is the average import price of artificial tendons and ligaments in the EU?
Dividing Eurostat import value by weight gives about €1,415.08 per kilogram for CN 90213990 in 2025.
Which EU countries export the most artificial tendons and ligaments?
Netherlands led EU exports to non-EU countries in 2025, followed by Belgium, Germany.
How many clinical trials study ligament injury?
ClinicalTrials.gov lists 875 registered studies.
How many US companies are in the artificial tendons and ligaments industry?
BLS counts 4,547 private establishments in NAICS 339112 (Surgical and medical instrument manufacturing), the closest official industry.
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)
DS-045409, reporter EU27_2020, product 90213990, partner EXT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 2655121343
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, flow import, 2020 VALUE_IN_EUROS 1881881178; 2025 VALUE_IN_EUROS 2655121343
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 2681653104
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner INT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 4723712522
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner US, flow import, 2025, VALUE_IN_EUROS 1337005786
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner US, flow export, 2025, VALUE_IN_EUROS 256698104
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, flow import, 2025, VALUE_IN_EUROS 2655121343, QUANTITY_IN_100KG 18763
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter NL, product 90213990, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 1532643033
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs ENT_NR, 2023, 63227
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs NETTUR_MEUR, 2021, 105308
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs EMP_NR, 2023, 600000
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339112, annual_avg_estabs 4547
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339112, annual_avg_emplvl 140413
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2020 annual_avg_emplvl 135655; 2025 annual_avg_emplvl 140413
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339112, avg_annual_pay 109475
- U.S. National Library of Medicine (ClinicalTrials.gov): ClinicalTrials.gov API v2, condition "ligament injury" (2026-11-04)
query.cond=ligament injury totalCount 875
- U.S. National Library of Medicine (ClinicalTrials.gov): ClinicalTrials.gov API v2, condition "ligament injury", status recruiting (2026-11-04)
filter.overallStatus=RECRUITING totalCount 130
- U.S. National Library of Medicine (PubMed): PubMed search "artificial ligament"[tiab] AND 2025[dp] (2026-11-04)
esearch count 16
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