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72

LISI 2015

2015 highlights

Concentration

Harnessing the new deal

Themarkets for bone surgeryhave experienced, like last year, veryheterogeneous

growth, with rising levels ranging, according to the relevant universe from

3% to over 10%. Being mature, the market for bone joint reconstruction (hips,

knees) increased at the mercy of developments among an aging population.

Obesity also plays an important role in the developed countries. The increase

in living standards in the emerging countries (China, India) finally constitutes

an important growth factor.

Mass destocking in US markets

Themarkets concerned by the spine and traumatology have also benefited from

themassive destocking carried out in 2014 by themajor customers in the US. The

latter have indeed anticipated the establishment of the Excise Tax on inventories

of implants manufactured by the OEMs, intended to finance the health reform

in the US (Obama Care). Themarkets for extremity implants (shoulders, hands),

have also experienced high levels of growth in 2015, with rebounds greater than

10%. These increases are related to the progress in operating techniques and to

the emergence of new implantation solutions.

An active year in Mergers & Acquisitions

The year 2015 also sawa strong recovery inmergers and acquisitions transactions

in the OEM sectors and in subcontracting in bone surgery. The number one

worldwide, Zimmer has bought its competitor Biomet, among the top 5

worldwide; Wright Medical acquired the Tornier Company and Tecomet finally

got its hands on the orthopedic branch of Symmetry Medical, becoming the

leading subcontractor on the market. These reconciliations have led to some

rationalizations of the ranges and increases in volumes that are favorable to

the market. The players are continuing their restructuring in order to support,

both upstream and downstream, a dynamic market in full reconfiguration. A

favorable environment for LISI MEDICAL, which subcontracts implants for the

entire human body.

The markets for bone surgery have remained dynamic

in 2015. Driven in the US by a strong destocking movement,

they also benefited from the concentration movement

that the sector is experiencing and that is causing

a reconfiguration of supplies and ranges.

LISI MEDICAL

+10

%

growth on average

of the markets for

extremities implants

in 2015

+

4

1

%

sales growth

for LISI MEDICAL

in the United States

LISI MEDICAL Fasteners Neyron