Sternal Closure Systems Market - Global Industry Size, Share, Trends, Opportunity, and Forecast, Segmented By Product (Closure Devices, Bone Cement), By Procedure (Median Sternotomy, Hemisternotomy, Bilateral Thoracosternotomy), By Material (Stainless Steel, PEEK, Titanium, Others), By Region, and By Competition, 2019-2029F

Market Overview

Global Sternal Closure Systems Market was valued at USD 2.76 billion in 2023 and will see an steady growth in the forecast period at a CAGR of 5.62% to 2029. Sternal closure systems are medical devices designed to facilitate the closure of the sternum, the central bone in the chest, following surgical procedures, particularly cardiac and thoracic surgeries. The sternum, or breastbone, is a long flat bone located in the center of the chest and serves as an important structural support for the rib cage. During cardiac surgeries such as coronary artery bypass grafting (CABG), valve replacement or repair, and thoracic surgeries including lung surgeries, it is often necessary to make an incision in the sternum to access the heart or thoracic cavity. Following the completion of the surgical procedure, the sternum must be securely closed to promote healing, stabilize the chest wall, and protect vital structures within the chest.

Technological advancements in surgical techniques, including minimally invasive procedures, have expanded the indications for sternal closure systems. Minimally invasive approaches require specialized closure systems designed to accommodate smaller incisions and reduced tissue trauma, driving innovation and adoption in the market. The aging population worldwide contributes to the increasing demand for cardiac surgeries and sternal closure procedures. As individuals age, they are more likely to develop cardiovascular diseases and require surgical interventions, driving the growth of the sternal closure systems market. Healthcare providers are increasingly focused on improving patient safety, surgical outcomes, and quality of care. Secure sternal closure is essential for minimizing the risk of post-operative complications such as sternal dehiscence and mediastinitis, leading to the widespread adoption of sternal closure systems.

Key Market Drivers

Advancements in Surgical Techniques

Advancements in surgical techniques have led to the widespread adoption of minimally invasive procedures for various cardiac and thoracic surgeries. Minimally invasive approaches typically involve smaller incisions and reduced tissue trauma compared to traditional open surgeries. As a result, there is a growing demand for sternal closure systems that are specifically designed to accommodate these minimally invasive techniques. Minimally invasive surgical techniques require specialized sternal closure systems that are flexible, easy to use, and capable of providing secure closure while minimizing tissue trauma. These closure systems may include innovative designs, such as sutures, clips, or sternal plates, that offer enhanced stability and support during the healing process. Minimally invasive procedures are associated with a lower risk of post-operative complications, such as sternal dehiscence and mediastinitis, compared to traditional open surgeries. Secure sternal closure is essential for preventing these complications and promoting optimal healing following cardiac and thoracic surgeries. Advancements in surgical techniques, coupled with the use of specialized sternal closure systems, contribute to improved patient outcomes. Minimally invasive approaches are associated with shorter hospital stays, faster recovery times, reduced post-operative pain, and improved cosmetic results compared to traditional open surgeries. These benefits enhance patient satisfaction and quality of life.

Surgeons prefer to use sternal closure systems that are compatible with minimally invasive techniques and offer reliable performance. Advanced closure systems that facilitate secure sternal closure and minimize the risk of complications provide surgeons with greater confidence during surgical procedures. Advancements in technology drive innovation in sternal closure systems, leading to the development of new materials, designs, and techniques. Manufacturers continually invest in research and development to improve the effectiveness, safety, and usability of sternal closure systems, aligning with the evolving needs of surgeons and patients. As patients and healthcare providers increasingly recognize the benefits of minimally invasive procedures, there is a growing demand for sternal closure systems that support these techniques. Manufacturers respond to market demand by developing specialized closure systems that address the unique requirements of minimally invasive surgeries. This factor will help in the development of the Global Sternal Closure Systems Market.

Growing Aging Population

As individuals age, they are more susceptible to cardiovascular diseases such as coronary artery disease, valvular heart disease, and congestive heart failure. These conditions often require surgical interventions, including cardiac procedures that involve sternotomy and sternal closure. The increasing prevalence of cardiovascular diseases among the aging population drives the demand for sternal closure systems. The aging population experiences a higher incidence of cardiac conditions that necessitate surgical treatment. As a result, there is a greater need for cardiac surgeries such as coronary artery bypass grafting (CABG), valve repair or replacement, and aortic surgeries, all of which require sternal closure. The growing aging population contributes to the rising demand for sternal closure systems to support these surgical procedures. Older patients often present with multiple comorbidities and complex medical histories, which may increase the complexity of surgical cases. Surgeons may encounter challenges related to sternal closure in older patients, including compromised sternal integrity, reduced bone quality, and increased risk of post-operative complications. The demand for sternal closure systems capable of addressing these challenges is driven by the aging population's need for cardiac surgeries.

Advances in healthcare, medical technology, and disease management have led to prolonged life expectancy globally. As individuals live longer, they are more likely to develop age-related cardiovascular conditions that require surgical treatment. The increasing life expectancy of the aging population contributes to the sustained demand for sternal closure systems over time. Older adults are increasingly focused on maintaining their quality of life and participating in activities that enhance their well-being. Cardiac surgeries, including those requiring sternal closure, can improve quality of life by alleviating symptoms, restoring cardiac function, and prolonging life expectancy. The demand for sternal closure systems reflects the aging population's desire to preserve and improve their quality of life through surgical interventions. Healthcare systems worldwide must adapt to the needs of an aging population by investing in infrastructure, resources, and specialized care services. This includes the availability of cardiac surgical facilities, trained healthcare professionals, and access to sternal closure systems that meet the unique needs of older patients undergoing cardiac surgeries. This factor will pace up the demand of the Global Sternal Closure Systems Market.

Emerging Markets and Economic Development

Economic development in emerging markets often leads to higher healthcare expenditure as governments and individuals allocate more resources to healthcare infrastructure, services, and technologies. Increased healthcare spending supports the expansion of cardiac care facilities, the adoption of advanced medical technologies, and the demand for sternal closure systems to support cardiac surgeries. Economic development facilitates the development and improvement of healthcare infrastructure in emerging markets. This includes the establishment of specialized cardiac care centers, hospitals, and surgical facilities equipped with the latest medical equipment and technologies required for cardiac procedures, including sternal closure systems. Emerging markets are experiencing a growing burden of cardiovascular diseases due to factors such as urbanization, changing lifestyles, and aging populations. The increasing prevalence of cardiovascular diseases drives the demand for cardiac surgeries, including those requiring sternal closure, in emerging markets. Economic development enables emerging markets to gain access to advanced medical technologies and innovations, including sternal closure systems. As healthcare infrastructure improves and healthcare providers receive training on the latest surgical techniques and technologies, the adoption of sternal closure systems increases to enhance patient outcomes and safety.

Economic development is often accompanied by an increased demand for quality healthcare services among the population in emerging markets. Patients seek access to advanced medical treatments, including cardiac surgeries, to address their healthcare needs and improve their quality of life. The demand for sternal closure systems is driven by the growing expectations for safe, effective, and reliable cardiac procedures. Governments in emerging markets may implement healthcare initiatives and policies aimed at improving access to healthcare services, reducing the burden of disease, and enhancing healthcare outcomes. These initiatives may include subsidies, incentives, and regulations that promote the adoption of advanced medical technologies, including sternal closure systems, in cardiac care. Recognizing the growth potential in emerging markets, manufacturers of sternal closure systems are expanding their presence and distribution networks in these regions. They may tailor their products and pricing strategies to meet the needs and preferences of healthcare providers and patients in emerging markets, driving market growth and penetration. This factor will accelerate the demand of the Global Sternal Closure Systems Market.

Key Market Challenges

Market Saturation and Competition

The market for sternal closure systems is highly competitive, with numerous manufacturers vying for market share. Intense competition leads to price pressure and the need for differentiation through product innovation, quality improvement, and service offerings. In some segments of the market, sternal closure systems may become commoditized, with little differentiation among products in terms of features and functionality. This can lead to price-based competition, eroding profit margins for manufacturers and distributors. Larger companies may engage in consolidation strategies, such as mergers and acquisitions, to gain market dominance and competitive advantage. This consolidation can create barriers to entry for smaller players and limit choice for consumers. Accessing international markets requires navigating complex regulatory frameworks, cultural differences, and varying reimbursement systems. Manufacturers must adapt their strategies to meet the unique requirements of each market while remaining competitive on a global scale. Building and maintaining strong customer relationships is critical in a competitive market environment. Manufacturers must focus on delivering value-added services, fostering loyalty, and differentiating themselves based on customer satisfaction and support.

Risk of Adverse Events

Adverse events related to sternal closure systems can compromise patient safety and result in serious complications such as sternal dehiscence, mediastinitis, and wound infections. Ensuring the safety and well-being of patients undergoing cardiac and thoracic surgeries is a primary concern for healthcare providers and manufacturers alike. Poor sternal closure techniques or inadequate sternal fixation can lead to post-operative complications, prolong hospital stays, and increase healthcare costs. Adverse events may necessitate additional medical interventions, including surgical revisions, antibiotic therapy, and wound care management, further burdening patients and healthcare systems. Maintaining quality control and assurance throughout the manufacturing process is essential for minimizing the risk of adverse events associated with sternal closure systems. Manufacturers must adhere to strict quality standards, conduct comprehensive testing, and implement robust quality management systems to ensure product safety and efficacy. Regulatory authorities impose stringent requirements and standards to ensure the safety, effectiveness, and quality of medical devices, including sternal closure systems. Compliance with regulatory guidelines is necessary to obtain market approval and maintain patient trust in the safety and reliability of sternal closure products. Proper training and expertise are essential for surgeons performing sternal closure procedures. Inadequate surgical technique or lack of proficiency in sternal closure methods can increase the risk of adverse events and compromise patient outcomes. Continuous education and training programs help ensure that healthcare professionals possess the necessary skills and knowledge to perform sternal closure procedures safely and effectively.

Key Market Trends

Increasing Demand for Minimally Invasive Procedures

Patients often prefer minimally invasive procedures due to perceived benefits such as smaller incisions, reduced post-operative pain, shorter recovery times, and improved cosmetic outcomes compared to traditional open surgeries. The desire for less invasive treatment options drives the demand for sternal closure systems compatible with minimally invasive approaches. Technological advancements and innovations in surgical techniques have expanded the scope of minimally invasive procedures across various medical specialties, including cardiac and thoracic surgery. Surgeons now have access to advanced instrumentation, imaging technologies, and surgical tools that enable them to perform complex procedures through smaller incisions with greater precision and efficiency. Minimally invasive procedures minimize tissue trauma and disruption compared to traditional open surgeries, leading to faster recovery times and reduced post-operative complications. Sternal closure systems designed for minimally invasive approaches help maintain sternal stability while facilitating optimal healing and recovery following cardiac and thoracic surgeries. Minimally invasive techniques are associated with improved patient outcomes, including lower rates of wound infections, reduced hospital stays, and faster return to normal activities. The adoption of sternal closure systems tailored to minimally invasive procedures contribute to enhanced patient satisfaction, reduced healthcare costs, and improved overall healthcare quality. Minimally invasive approaches are increasingly utilized for a wide range of cardiac and thoracic procedures, including coronary artery bypass grafting (CABG), valve repair or replacement, atrial fibrillation surgery, and thoracic surgeries. As surgeons gain experience and confidence in performing minimally invasive procedures, the demand for sternal closure systems compatible with these techniques continues to grow.

Segmental Insights

Product Insights

The closure devices segment is projected to experience rapid growth in the Global Sternal Closure Systems Market during the forecast period. There is a growing trend towards minimally invasive cardiac surgeries and thoracic procedures, which require specialized closure devices suitable for smaller incisions and reduced tissue trauma. Closure devices designed for minimally invasive approaches offer benefits such as faster recovery times, shorter hospital stays, and improved cosmetic outcomes, driving their adoption in clinical practice. The rising incidence of cardiovascular diseases, including coronary artery disease, congestive heart failure, and valvular heart disease, contributes to the growing demand for cardiac surgeries that require sternal closure. As the prevalence of these conditions continues to increase, particularly among aging populations, the need for effective closure devices rises accordingly. Healthcare providers are increasingly prioritizing patient safety, surgical outcomes, and quality of care. Closure devices play a critical role in achieving secure sternal closure, minimizing the risk of complications such as sternal dehiscence and mediastinitis, and promoting optimal healing following cardiac and thoracic surgeries.

Procedure Insights

The median sternotomy segment is projected to experience rapid growth in the Global Sternal Closure Systems Market during the forecast period. Median sternotomy, which involves a vertical incision through the sternum, is a common approach for many cardiac surgeries. As minimally invasive techniques continue to gain popularity, particularly for procedures like minimally invasive coronary artery bypass grafting (CABG) and valve surgeries, the demand for sternal closure systems suitable for median sternotomy procedures is expected to rise. Technological advancements have led to the development of new surgical techniques that allow for smaller incisions and reduced trauma to the sternum. These techniques often require specialized sternal closure systems designed to provide adequate stability and support while accommodating the unique requirements of minimally invasive procedures. Minimally invasive approaches offer several potential benefits to patients, including shorter recovery times, reduced post-operative pain, and improved cosmetic outcomes compared to traditional open surgeries. As healthcare providers prioritize patient-centered care and strive to optimize surgical outcomes, there is growing interest in adopting techniques that minimize surgical trauma and enhance patient recovery. The indications for median sternotomy procedures continue to expand beyond traditional cardiac surgeries to include procedures such as thoracic surgeries, aortic surgeries, and certain oncological interventions. This broader range of applications increases the demand for sternal closure systems capable of accommodating diverse surgical techniques and patient populations.

Regional Insights

North America emerged as the dominant region in the Global Sternal Closure Systems Market in 2023.

Recent Developments

• InJanuary 2023, Able Medical Devices, a subsidiary of JM Longyear, launched itsnew stainless-steel Valkyrie Looped Sternotomy Sutures. These sutures arespecifically designed for closing a patient's chest following open-heartsurgery, providing a stronger sternal closure compared to conventional wiresutures. Offering double the surface area of single wires, the Valkyrie suturescome in 14-inch lengths and are available in sizes of 48mm and 55mm. Moreover,they can be equipped with three distinct needle configurations to suitdifferent surgical requirements.

Key Market Players

• ZimmerBiomet
• Medical Devices Business Services, Inc. (Johnson & Johnson)
• KLS Martin SE & Co. KG
• Acumed LLC
• IDEAR S.R.L
• Kinamed Incorporated
• JACE Medical, LLC
• B. Braun SE