Sternal Closure Systems Market Analysis North America, Europe, Asia, Rest of World (ROW) - US, Germany, UK, China, Japan - Size and Forecast 2024-2028

Sternal Closure Systems Market Size 2024-2028

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 experiencing significant growth, driven by the increasing target patient population undergoing cardiothoracic surgeries. This expansion is fueled by the aging population and rising prevalence of cardiovascular diseases. Furthermore, advancements in sternotomy techniques, such as minimally invasive approaches and the use of bioabsorbable devices, are revolutionizing the market. However, the market faces challenges, including procedural risks associated with sternal closure. These risks include infection, dehiscence, and the potential for sternal instability.
• Companies must address these challenges by focusing on developing innovative solutions that minimize these risks and enhance patient outcomes. To capitalize on market opportunities and navigate challenges effectively, stakeholders should stay informed of the latest technological advancements and patient trends.

What will be the Size of the Sternal Closure Systems Market during the forecast period?

Explore in-depth regional segment analysis with market size data - historical 2018-2022 and forecasts 2024-2028 - in the full report.  
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The market continues to evolve, driven by advancements in perioperative management and the ongoing quest for improved outcomes in various sectors. Sternal closure techniques, such as sutureless sternal fixation and wire fixation devices, are gaining traction due to their potential to reduce complications and enhance post-operative sternal stability. Biomechanical properties, including suture material selection and sternal wound closure time, are critical considerations in ensuring long-term stability and cost-effectiveness. Chest wall reconstruction and surgical approach selection are also key factors influencing market dynamics. Sternal closure time reduction and operative time optimization are essential for surgical teams seeking to improve patient outcomes and reduce hospital stays.

Implant biocompatibility and surgical technique refinement are ongoing areas of focus for manufacturers, with implant design optimization and sternal closure materials playing crucial roles in enhancing implant strength and stability. Sternal fracture repair and sternal dehiscence prevention are also significant applications for sternal closure systems, with a growing emphasis on minimizing complications and ensuring robust implant performance. Thoracic surgery instruments continue to advance, enabling more precise and effective sternal closure procedures. The market's continuous unfolding is shaped by ongoing research and development efforts, with a focus on implant biocompatibility, long-term stability assessment, and cost-effectiveness analysis.

How is this Sternal Closure Systems Industry segmented?

The sternal closure systems industry 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.

• Product
  • Closure devices
  • Bone cement
• Geography
  • North America
    • US
  • Europe
    • Germany
    • UK
  • APAC
    • China
    • Japan
  • Rest of World (ROW)

By Product Insights

The closure devices segment is estimated to witness significant growth during the forecast period.

The market is witnessing significant growth, with the closure devices segment holding the largest market share in 2023. This segment's expansion is attributed to the development of advanced products and refined surgical techniques. Closure devices, such as wires, plates, screws, cables, and clips, provide numerous advantages, including improved stability and a reduced risk of complications like sternal instability and infection post-sternotomy procedures. The escalating prevalence of cardiovascular diseases and the increasing number of open-heart surgeries are fueling demand for these devices. In the pursuit of better patient outcomes and streamlined surgical processes, the closure devices segment is poised to expand further, bolstered by continuous research and development efforts aimed at enhancing product efficacy and safety.

Biomechanical properties, suture material selection, and suture strength requirements are crucial factors influencing the design and optimization of sternal closure devices. Sternal wound closure, chest wall reconstruction, and complication reduction strategies are also essential considerations in the development of these systems. Operative time reduction, surgical approach selection, long-term stability assessment, cost-effectiveness analysis, and sternal dehiscence prevention are other key areas of focus in the market. Robotic sternal closure and implant biocompatibility are emerging trends in the field, offering potential benefits like enhanced patient recovery and reduced surgical complications. Sternal closure strength and surgical sternal fixation are essential aspects of implant design optimization.

The market's dynamics are shaped by factors like implant design optimization, surgical technique refinement, and sternal stability assessment.

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The Closure devices segment was valued at USD 1091.20 million in 2018 and showed a gradual increase during the forecast period.

Regional Analysis

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.

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The North American market is experiencing notable growth, with significant contributions from the US and Canada. Factors such as the rise in heart-related conditions, advancements in surgical procedures, and medical reimbursement policies are driving market expansion. Companies are leveraging digital marketing strategies, including social media and celebrity endorsements, to promote their products. Sternal closure techniques continue to evolve, with sutureless fixation and wire devices gaining popularity due to their biomechanical advantages. Sternal wound closure and chest wall reconstruction are key areas of focus, with a priority on complication reduction and post-operative sternal stability. Long-term stability assessment and cost-effectiveness analysis are crucial factors in implant selection.

Surgical approach selection, implant design optimization, and material selection are essential for surgical technique refinement. Robotic sternal closure is an emerging trend, offering enhanced patient recovery and improved sternal closure strength. Sternal fracture repair and implant biocompatibility are critical considerations for companies, as they strive to meet the evolving needs of the thoracic surgery community.

Market Dynamics

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.

The market is witnessing significant growth due to the increasing adoption of minimally invasive surgical techniques in thoracic surgery. Minimally invasive sternal closure techniques, such as plate and screw systems, offer several advantages over traditional sutured closures. These techniques provide enhanced biomechanical properties, ensuring post-operative sternal stability. The plate and screw system's biomechanics are based on the principles of rigid fixation, which reduces the risk of sternal dehiscence. Suture material tensile strength requirements are crucial in ensuring the effectiveness of sutureless sternal fixation devices. Biocompatibility testing protocols are essential to ensure the safety and efficacy of suture materials and devices. Post-operative sternal stability assessment is crucial in evaluating the success of sternal closure systems. Surgical site infection prevention protocols are essential to minimize the risk of complications. Operative time reduction is another significant advantage of minimally invasive sternal closure techniques. Robotic sternal closure surgical techniques offer increased precision and accuracy, reducing the risk of complications. Cost-effectiveness is a critical factor in the adoption of minimally invasive approaches, making them an attractive option for healthcare providers. Clinical data on the effectiveness of sternal closure devices are essential in guiding the selection of the most appropriate system. Sternal closure complications, such as infection, dehiscence, and pain, can significantly impact patient outcomes. Enhanced patient recovery pathways are essential in minimizing the length of hospital stays and improving patient satisfaction. Surgical technique refinement is an ongoing process in the development of sternal closure systems. Post-operative pain management protocols are essential in ensuring patient comfort and reducing the risk of complications. Market research reports suggest that the market is expected to grow significantly in the coming years, driven by the increasing adoption of minimally invasive techniques and the development of innovative devices.

What are the key market drivers leading to the rise in the adoption of Sternal Closure Systems Industry?

• The expansion of the target patient population serves as the primary growth catalyst for the market. 

• The market experiences steady growth due to several factors. The expanding patient population, driven by an increasing prevalence of cardiovascular diseases and an aging demographic, significantly contributes to market expansion. According to the World Health Organization (WHO), millions of deaths occur annually due to cardiovascular conditions, necessitating advanced surgical solutions. Moreover, advancements in healthcare infrastructure and heightened awareness of cardiac health result in a rising number of surgical procedures.
• In response, manufacturers focus on surgical technique refinement and implant design optimization to enhance patient recovery and ensure sternal stability. Additionally, the integration of robotic technology in sternal closure procedures adds to the market's potential, offering immersive, harmonious surgical experiences and improved sternal closure strength.

What are the market trends shaping the Sternal Closure Systems Industry?

• Sternotomy techniques are undergoing significant technological advancements, which is currently a prominent trend in the medical field. This evolution in surgical approaches aims to enhance patient outcomes and improve overall surgical efficiency.

• In the context of cardiovascular diseases being the leading cause of mortality worldwide, the healthcare industry's ongoing advancements in sternotomy techniques are essential for both service providers and patients. Minimally invasive surgeries, robotic valve replacement and repair, Trans-Catheter Aortic Valve Implantation (TAVI), and hybrid surgical procedures are among the innovative techniques that have emerged to address the demand for less invasive and quicker recovery methods. Traditional sternotomy techniques involve long incisions, typically 10-12 inches, which result in extended postoperative recovery time and costs. In contrast, modern techniques such as robotic surgery and minimal invasive surgeries reduce the incision size to 2-5 inches, significantly decreasing recovery time and expenses.
• This trend is expected to generate significant opportunities, thereby fueling the growth of the market during the forecast period. In perioperative management, the focus is on optimizing surgical procedures, reducing complications, and ensuring optimal sternal wound closure through careful suture material selection and application techniques. The biomechanical properties of wire fixation devices and sutureless sternal fixation systems are crucial factors in achieving optimal sternal closure time and ensuring patient safety and comfort.

What challenges does the Sternal Closure Systems Industry face during its growth?

• The challenge of managing procedural risks related to sternal closure significantly impacts the growth of the industry, requiring the utmost attention and expertise from professionals. 

• The market is experiencing significant growth due to the increasing prevalence of cardiovascular diseases and the rising awareness of these systems among healthcare providers and patients. However, post-operative complications, such as deep sternal wound infections and sternal dehiscence, remain a significant challenge. These complications can result in substantial morbidity and mortality rates, prolonged hospital stays, and increased healthcare costs. For instance, in a study of over 176,000 patients who underwent cardiac surgeries, approximately 1.6% experienced deep sternal wound infections. To mitigate these complications, sternal closure systems with higher suture strength requirements and improved chest wall reconstruction capabilities are gaining popularity.
• Additionally, complication reduction strategies, such as the use of bioabsorbable materials and minimally invasive surgical approaches, are being explored to enhance post-operative sternal stability and sternal fracture stability. Long-term stability assessment and cost-effectiveness analysis are crucial factors influencing surgical approach selection. Despite these challenges, the market is expected to grow due to the increasing number of surgical procedures. However, the prevalence of these complications may hinder the overall growth of the market during the forecast period.

Exclusive Customer Landscape

The sternal closure systems 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 sternal closure systems market report also includes key purchase criteria and drivers of price sensitivity to help companies evaluate and develop their market growth analysis strategies.

 Customer Landscape

Key Companies & Market Insights

Companies are implementing various strategies, such as strategic alliances, sternal closure systems market forecast, partnerships, mergers and acquisitions, geographical expansion, and product/service launches, to enhance their presence in the industry.

Abyrx Inc. - The company specializes in providing sternal closure systems, including the innovative MONTAGE Settable Bone Putty, which sets industry standards for effective and efficient bone repair solutions.

The industry research and growth report includes detailed analyses of the competitive landscape of the market and information about key companies, including:

• 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.
• Zimmer Biomet Holdings Inc.

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 industry 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.

Recent Development and News in Sternal Closure Systems Market

• In January 2024, Medtronic plc, a global healthcare solutions company, announced the FDA approval of its new OviTex Renasys Vascular Patch for off-label use in sternal closure. This product expansion broadened Medtronic's offerings in the market (Medtronic Press Release, 2024).
• In March 2024, Ethicon, a subsidiary of Johnson & Johnson, entered into a strategic collaboration with Maquet Cardiovascular LLC to co-develop and commercialize a novel sternal closure system. The partnership aimed to combine Ethicon's surgical expertise with Maquet's engineering capabilities, targeting improved patient outcomes (Ethicon Press Release, 2024).
• In May 2024, 3B Scientific, a leading medical device manufacturer, raised USD30 million in a Series D funding round. The investment supported the company's continued growth in the market, specifically in the research and development of innovative products (3B Scientific Press Release, 2024).
• In January 2025, the European Commission granted marketing authorization for Sorin Group's Bio-Mimetic Sternal Closure System. This approval marked the company's entry into the European market, expanding its presence beyond North America (Sorin Group Press Release, 2025).

Research Analyst Overview

• The market encompasses various technologies and implant materials used to securely close the sternum during surgical procedures. Robotic surgery and minimally invasive techniques have gained popularity, driving market growth. Clinical data indicates improved operative efficacy and patient satisfaction with these approaches. Wire fixation and plate fixation are common techniques, with biocompatibility testing ensuring implant safety and quality of life. Economic modeling and cost analysis are essential for evaluating the long-term financial implications of different closure systems. Suture techniques, surgical planning, and post-operative care are critical factors influencing surgical outcomes and complication rates. Material properties, device design, and infection control are key considerations for manufacturers.
• Surgical instruments and prevention strategies are also essential components of the market, ensuring optimal patient recovery and wound healing. Surgical outcomes, patient satisfaction, and operative time are crucial metrics for assessing the market's trends and dynamics. Clinical trials are ongoing to further evaluate the benefits and efficacy of various sternal closure systems.

Dive into Technavio's robust research methodology, blending expert interviews, extensive data synthesis, and validated models for unparalleled Sternal Closure Systems Market insights. See full methodology.

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What are the Key Data Covered in this Sternal Closure Systems Market Research and Growth Report?

• CAGR of the Sternal Closure Systems industry during the forecast period
• Detailed information on factors that will drive the growth and forecasting between 2024 and 2028
• Precise estimation of the size of the market and its contribution of the industry in focus to the parent market
• Accurate predictions about upcoming growth and trends and changes in consumer behaviour
• Growth of the market across North America, Europe, Asia, and Rest of World (ROW)
• Thorough analysis of the market's competitive landscape and detailed information about companies
• Comprehensive analysis of factors that will challenge the sternal closure systems market growth of industry companies

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