Abstract

This study aims to assess the economic impact of localization policies in Türkiye by examining changes in orthopedic implant usage from 2014 to 2023. It evaluates how the shift toward domestic production affected import dependency, foreign-exchange exposure, product diversity, and healthcare sustainability. Knee and hip prostheses, intramedullary nails, screw-plate systems, and proximal femoral nails (PFN) were analyzed. Implants were classified according to origin (domestic and imported), and unit costs were compared in Turkish Lira and US Dollars between 2014 and 2023. Product diversity and trends in operational use were also examined. By 2023, domestic production of knee and hip prostheses exceeded 95%, reducing import dependency and foreign-exchange exposure. Product variety and utilization increased. Domestic implants were more cost-effective per unit than imported alternatives. However, intramedullary nails remained largely import-dependent, underscoring the need for greater domestic R&D and manufacturing. Quality improvements strengthened prospects for international competitiveness and exports. Türkiye’s localization policies reduced import reliance and costs while fostering industrial growth. This experience may inform other health systems seeking strategic independence. Effective cost management amid an aging population and rising orthopedic demand highlights the broader value of such policies.

Key words: Orthopedic implants, localization policies, health economics, import dependency, cost analysis