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The sternal closure systems market size is forecast to increase by USD 584.9 million at a CAGR of 5.1% between 2023 and 2028. The market is witnessing significant growth due to the increasing target patient population undergoing cardiothoracic surgeries. Surgical techniques have evolved, leading to advancements in sternotomy procedures. However, these techniques come with risks such as mediastinal injury, sternal instability, dehiscence, and non-union. To mitigate these risks, sternal closure systems using sternal wires, plates, and other fixation devices are gaining popularity. These systems provide better upper body strength support and reduce the risk of complications. Technological advancements in sternal closure systems, including minimally invasive approaches and biocompatible materials, are further driving market growth. In pursuit of enhancing patient outcomes and optimizing surgical workflows, healthcare providers continue to invest in these closure devices. Despite these benefits, the market faces challenges such as high procedural costs and potential complications. Therefore, continuous research and development efforts are essential to improve the safety and efficacy of sternal closure systems.
Sternal closure is a crucial surgical technique employed during cardiac surgeries to secure the sternum after median sternotomy. The mediastinum, the space between the sternum and the spine, requires proper closure to prevent complications such as sternal instability, dehiscence, and non-union. Sternal instability can lead to several issues, including cut-through, increased pain, and even mortality rate. These complications can significantly impact the recovery process and hospitalization cost for cardiac surgery patients. Patients with comorbidities such as lung disease, renal insufficiency, diabetes, obesity, osteoporosis, and nutritional status are more susceptible to these complications. Traditional methods of sternal closure include the use of sternal wires. However, these wires can cause increased postoperative pain and may lead to sternal instability due to the need for upper body strength to maintain sternal stability during the healing process. To address these challenges, sternal closure systems have evolved to include rigorous plate fixation, clips, flat wires, and titanium cables. Rigid plate fixation provides a stable closure and reduces the risk of dehiscence and non-union. Clips and flat wires offer a less invasive alternative, reducing postoperative pain and hospitalization cost. Standard wire cerclage in a transverse configuration and crossed pattern have been commonly used. However, these methods can still lead to sternal instability and may require additional surgical interventions. Innovations in sternal closure systems include the use of advanced materials and configurations to improve stability and reduce complications. These advancements aim to provide optimal sternal closure while minimizing postoperative pain and hospitalization cost for cardiac surgery patients.
The market research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in "USD million" for the period 2024-2028, as well as historical data from 2018 - 2022 for the following segments.
The closure devices segment is estimated to witness significant growth during the forecast period. The market for sternal closure systems in the United States has experienced notable growth, with the closure devices segment holding a prominent position in 2023. This segment's expansion is attributed to the adoption of advanced surgical techniques and the introduction of innovative products. Sternal closure devices, which consist of wires, plates, screws, cables, and clips, provide numerous advantages such as increased stability and decreased risk of complications like sternal instability and dehiscence post-sternotomy surgeries.
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The closure devices segment was the largest segment and valued at USD 1.09 billion in 2018. The escalating prevalence of cardiovascular diseases and the increasing number of open-heart procedures are significant factors fueling the demand for these devices. The closure devices segment is anticipated to persistently expand, fueled by ongoing research and development initiatives aimed at improving product efficacy and safety.
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North America is estimated to contribute 43% to the growth of the global market during the forecast period. Technavio's analysts have elaborately explained the regional trends and drivers that shape the market during the forecast period. The North American market for sternal closure systems is poised for substantial expansion during the forecast period. The United States and Canada are the primary contributors to this market's growth in North America. Several factors are fueling this growth, including the rise in cardiac conditions, technological advancements in sternal closure procedures, favorable medical reimbursement policies, and the entry of international brands. companies are employing innovative marketing strategies, such as social media campaigns and celebrity endorsements, to promote their products. Additionally, the high prevalence of heart diseases in the US is leading to an increased number of cardiothoracic surgeries, thereby boosting the demand for sternal closure systems in the region.
Our researchers analyzed the data with 2023 as the base year, along with the key drivers, trends, and challenges. A holistic analysis of drivers will help companies refine their marketing strategies to gain a competitive advantage.
Increasing target patient population is notably driving market growth. The global market for sternal closure systems is experiencing significant growth due to the expanding pool of patients requiring surgical interventions, primarily driven by the increasing prevalence of cardiovascular diseases and an aging population. According to the World Health Organization (WHO), millions of people succumb to cardiovascular conditions annually, leading to a heightened demand for efficient surgical solutions.
Furthermore, advancements in healthcare infrastructure and heightened awareness of cardiac health are fueling an increase in the number of surgical procedures being performed worldwide. Two common configurations for sternal closure systems are the transverse and crossed patterns. The choice between these configurations depends on various factors, including the patient's age, surgical approach, and surgeon preference. Postoperative pain and hospitalization costs are critical considerations in the selection process.
Technological advancements in sternotomy techniques is the key trend in the market. In the context of cardiovascular diseases (CVDs) being the leading cause of mortality worldwide, the healthcare industry's focus on advanced sternotomy techniques is increasing due to the growing demand from both service providers and patients. Minimally invasive surgeries, robotic valve replacement and repair, Trans-Catheter Aortic Valve Implantation (TAVI), and hybrid surgical procedures are some of the innovative techniques that have emerged to address the limitations of traditional sternotomy methods.
These modern techniques offer several advantages over traditional approaches, such as smaller incisions (2-5 inches) and reduced postoperative recovery time and costs. This trend is expected to create significant opportunities for growth in the market during the forecast period. The epidemiological overview of CVDs, coupled with the prevalence of fungal infections and delayed sternal closure, further prioritizes the need for advanced sternal closure systems. Thus, such trends will shape the growth of the market during the forecast period.
Procedural risks associated with sternal closure is the major challenge that affects the growth of the market. The demand for sternal closure systems in cardiac surgery is increasing due to the rising prevalence of cardiovascular diseases and growing awareness among patients. However, post-surgical complications such as deep sternal wound infection (DSWI) and sternal dehiscence (SD) pose significant challenges.
Consequently, healthcare providers may be hesitant to adopt certain closure systems. Despite the market's potential growth due to the increasing number of surgical procedures, the prevalence of these complications may hinder the market's expansion during the forecast period. Secondary end-points, such as ventilator support, postoperative blood loss, and chest pain, are also crucial considerations in the selection of sternal closure systems. Robicsek type closure is an advanced option that addresses some of these concerns, but its adoption is limited due to cost and availability.
The market forecasting report includes the adoption lifecycle of the market, covering from the innovator's stage to the laggard's stage. It focuses on adoption rates in different regions based on penetration. Furthermore, the report also includes key purchase criteria and drivers of price sensitivity to help companies evaluate and develop their market growth analysis strategies.
Customer Landscape
Companies are implementing various strategies, such as strategic alliances, partnerships, mergers and acquisitions, geographical expansion, and product/service launches, to enhance their presence in the market.
Abyrx Inc: The company offers sternal closure systems such as MONTAGE Settable Bone Putty.
The market research and growth report also includes detailed analyses of the competitive landscape of the market and information about key companies, including:
Qualitative and quantitative analysis of companies has been conducted to help clients understand the wider business environment as well as the strengths and weaknesses of key market players. Data is qualitatively analyzed to categorize companies as pure play, category-focused, industry-focused, and diversified; it is quantitatively analyzed to categorize companies as dominant, leading, strong, tentative, and weak.
Sternal closure is a critical aspect of surgical techniques used in cardiac and thoracic procedures. The mediastinum, the space between the sternum and the vertebral column, requires proper closure to prevent complications such as sternal instability, dehiscence, and non-union. Traditional methods of sternal closure include the use of sternal wires, which can lead to increased pain, mortality rate, and morbidity, especially in cardiac surgery patients with comorbidities such as lung disease, renal insufficiency, diabetes, obesity, osteoporosis, and nutritional status. Sternal instability can result in cut-through wires, sternal dehiscence (SD), and postoperative pain, leading to prolonged hospitalization and higher hospitalization costs. To address these challenges, advanced sternal closure systems have been developed, including rigid plate fixation, clips, flat wires, and titanium cables. These systems offer improved stability, reduced postoperative pain, and lower risk of SD. Standard wire cerclage techniques, such as transverse configuration and crossed pattern, have been used conventionally. However, these methods have limitations, including the risk of infection, postoperative pain, and increased mortality. Robicsek type closure is another alternative, but it has secondary end-points, including the need for ventilator support, postoperative blood loss, chest pain, and mediastinitis. Elderly patients and advanced age are also factors that increase the risk of complications in sternal closure. Delayed sternal closure and fungal infection are additional concerns that require attention in the epidemiological overview of sternal closure systems.
Market Scope |
|
Report Coverage |
Details |
Page number |
131 |
Base year |
2023 |
Historic period |
2018 - 2022 |
Forecast period |
2024-2028 |
Growth momentum & CAGR |
Accelerate at a CAGR of 5.1% |
Market growth 2024-2028 |
USD 5.84 billion |
Market structure |
Concentrated |
YoY growth 2023-2024(%) |
4.8 |
Regional analysis |
North America, Europe, Asia, and Rest of World (ROW) |
Performing market contribution |
North America at 43% |
Key countries |
US, Germany, UK, China, and Japan |
Competitive landscape |
Leading Companies, Market Positioning of Companies, Competitive Strategies, and Industry Risks |
Key companies profiled |
Abyrx Inc., Acumed LLC, B.Braun SE, Changzhou Waston Medical Appliance Co. Ltd, Dispomedica GmbH, Gebruder Martin GmbH and Co. KG, Idear Srl, JACE Medical LLC, Jeil Medical Corp., Johnson and Johnson Services Inc., Kinamed Inc., Praesidia Srl, Stryker Corp., and Zimmer Biomet Holdings Inc. |
Market dynamics |
Parent market analysis, market report , market forecast , Market growth inducers and obstacles, Fast-growing and slow-growing segment analysis, COVID-19 impact and recovery analysis and future consumer dynamics, Market condition analysis for forecast period |
Customization purview |
If our report has not included the data that you are looking for, you can reach out to our analysts and get segments customized. |
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1 Executive Summary
2 Market Landscape
3 Market Sizing
4 Historic Market Size
5 Five Forces Analysis
6 Market Segmentation by Product
7 Customer Landscape
8 Geographic Landscape
9 Drivers, Challenges, and Opportunity/Restraints
10 Competitive Landscape
11 Competitive Analysis
12 Appendix
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