Sternal Closure Systems Market Outlook

The global sternal closure systems market was valued at approximately USD 1.7 billion in 2023 and is projected to reach USD 2.6 billion by 2035, with a CAGR of around 5.5% during the forecast period. This projected growth is primarily driven by the increasing prevalence of cardiac and thoracic surgeries, as well as advancements in surgical techniques and technologies. Moreover, the rising geriatric population, coupled with an increase in the number of patients suffering from cardiovascular diseases, is expected to contribute significantly to the market growth. The market is further supported by the growing awareness of effective sternal closure methods, leading to enhanced surgical outcomes and patient recovery. Additionally, ongoing research and development activities aimed at improving the safety, efficacy, and patient comfort of sternal closure systems will boost the market in the coming years.

Growth Factor of the Market

The growth of the sternal closure systems market can be attributed to several factors that are instrumental in driving its expansion. One significant factor is the rising incidence of cardiovascular disorders, which has necessitated an increase in cardiac surgeries. As healthcare facilities strive to improve patient outcomes and minimize postoperative complications, the demand for advanced sternal closure systems has surged. Furthermore, innovations in closure devices that enhance stability and reduce infection risks are becoming increasingly popular, further propelling the market forward. The ongoing advancements in surgical technologies, such as minimally invasive procedures, are also influencing market growth positively, as they offer patients quicker recovery times and less postoperative pain. Additionally, the growing emphasis on patient safety and comfort is prompting healthcare providers to adopt cutting-edge sternal closure products, thereby fostering market development.

Key Highlights of the Market

• The sternal closure systems market is anticipated to witness a CAGR of 5.5% from 2023 to 2035.
• Technological advancements in surgical closure devices are revolutionizing the market landscape.
• The growing prevalence of cardiovascular diseases is driving the demand for cardiac surgeries.
• The market is experiencing a surge in adoption of bioabsorbable materials for sternal closure.
• North America holds the largest market share, driven by advanced healthcare infrastructure and high surgical volumes.

By Product Type

Closure Devices:

Closure devices are a critical segment within the sternal closure systems market, encompassing a variety of products designed to securely close the sternum after cardiac surgery. These devices, which include staples, wires, and specialized closure systems, are essential for ensuring the proper alignment and stabilization of the sternum during the healing process. The increasing adoption of advanced closure devices that offer improved mechanical strength and reduced risk of infection is driving the segment's growth. Furthermore, innovations such as the introduction of robotic-assisted closure devices are anticipated to enhance surgical efficiency and reduce recovery times, thereby furthering the segment's appeal in the medical community.

Bone Cement:

Bone cement plays a vital role in sternal closure systems, providing a crucial adhesive function that ensures the secure attachment of the sternum after surgical procedures. The demand for bone cement is rising due to its ability to enhance the stability of the closure while reducing the risk of complications such as sternal dehiscence. The evolution of bioabsorbable bone cements, which offer the advantage of gradual resorption and eliminate the need for additional surgical procedures, is expected to propel growth within this segment. Additionally, ongoing research and development efforts to enhance the properties of bone cement, such as its compatibility with various materials and its mechanical performance, are likely to contribute to market expansion.

Plates and Screws:

Plates and screws are integral components in the sternal closure systems market, providing robust fixation and stabilization of the sternum post-surgery. These devices are widely used in various surgical applications, offering superior mechanical strength and alignment of the sternum. The increasing preference for metallic plates and screws, particularly those made from titanium and stainless steel, is anticipated to boost this segment's growth. Furthermore, innovations in plate and screw designs that enhance biomechanical stability and reduce the risk of infection are driving adoption rates among healthcare providers. The ongoing development of user-friendly instrumentation for the application of these devices is also expected to favorably impact market dynamics.

Wires:

Wires constitute a significant portion of the sternal closure systems, serving as a traditional yet effective means of securing the sternum during the healing process following thoracic surgery. They are favored for their versatility, ease of use, and ability to provide adequate tensile strength. Despite the emergence of more advanced closure techniques, the demand for wires continues to persist due to their cost-effectiveness and proven reliability. The introduction of specialized wires with improved biocompatibility and enhanced flexibility is expected to further strengthen this segment. Moreover, the rising trend of minimally invasive surgical techniques is leading to innovations in wire products, enhancing their appeal in modern surgical settings.

Sternalock Systems:

Sternalock systems represent an innovative approach to sternal closure, utilizing advanced locking mechanisms to ensure superior fixation of the sternum. These systems are characterized by their ability to minimize tissue trauma and reduce the risk of complications associated with traditional closure methods. The technological advancements in sternalock systems, including the incorporation of bioabsorbable elements, are expected to drive growth within this segment. Surgeons are increasingly recognizing the benefits associated with sternalock systems, including improved stability, ease of use, and the potential for enhanced patient outcomes, contributing to their growing adoption in surgical practice. As more clinical evidence supports the advantages of these systems, the demand for sternalock devices is likely to continue rising.

By Application

Cardiac Surgery:

The application of sternal closure systems in cardiac surgery represents a key segment within the market, as these systems are essential for securing the sternum after procedures such as coronary artery bypass grafting (CABG) and heart valve repair. The increasing incidence of cardiovascular diseases and the rising volume of cardiac surgeries performed globally are significant factors propelling this segment's growth. Surgeons are increasingly adopting advanced sternal closure techniques to improve patient outcomes, reduce postoperative complications, and expedite recovery. Additionally, innovative products specifically designed for cardiac applications are being developed, further driving demand within this segment and enhancing overall surgical safety and efficacy.

Thoracic Surgery:

Thoracic surgery encompasses a broad range of procedures, including lung resections and mediastinal surgeries, where sternal closure systems are critical for ensuring proper healing and stabilization of the chest wall. As the prevalence of lung diseases such as cancer and chronic obstructive pulmonary disease (COPD) rises, the number of thoracic surgeries is also increasing. Consequently, the demand for reputable sternal closure systems tailored for thoracic applications is expected to grow. The introduction of products that reduce the risk of infection and enhance surgical outcomes will likely further stimulate the market in this segment, providing surgeons with reliable options for managing thoracic surgical procedures.

Trauma Surgery:

Trauma surgery, particularly in cases of sternal fractures or injuries, is a critical application area for sternal closure systems. The increasing incidence of traumatic events, which often result in sternal injuries, necessitates the use of effective sternal closure methods to ensure proper healing and minimize complications. Surgeons are increasingly reliant on advanced closure systems that provide optimal stabilization and reduce the risk of postoperative issues. Furthermore, the development of innovative sternal closure products that cater specifically to trauma-related applications is anticipated to foster growth in this segment, offering surgeons improved solutions for addressing complex trauma cases.

Others:

The "Others" category encompasses various applications of sternal closure systems beyond cardiac, thoracic, and trauma surgeries. This segment includes a variety of surgical interventions requiring secure closing mechanisms for the sternum. The growth in this segment is driven by the increasing number of surgical procedures performed for diverse medical conditions, as well as the need for effective stabilization methods across different specialties. The advancements in sternal closure technology are enhancing the versatility of these products, allowing them to be applicable in a wider range of surgical scenarios. As healthcare providers continue to prioritize patient safety and successful surgical outcomes, the demand for sternal closure systems in various other applications is expected to rise steadily.

By User

Hospitals:

Hospitals are the primary end-users of sternal closure systems, as they cater to a significant volume of surgical procedures, especially in cardiac and thoracic surgeries. The growing number of hospitals equipped with advanced surgical facilities is driving the demand for innovative sternal closure products. Additionally, the increasing emphasis on improving patient outcomes and reducing hospital stay durations is prompting healthcare providers to adopt modern closure systems that offer enhanced stability and reduce postoperative complications. Hospitals are becoming more aware of the benefits associated with utilizing advanced sternal closure technologies, contributing to an overall increase in adoption rates within this end-user category.

Ambulatory Surgical Centers:

Ambulatory surgical centers (ASCs) are gaining prominence in the healthcare landscape as they offer outpatient surgical services, often involving less complex procedures. The adoption of sternal closure systems in ASCs is expected to grow due to the increasing trend of performing certain cardiac and thoracic surgeries on an outpatient basis. As patients increasingly opt for outpatient services to minimize hospital stays, ASCs are seeking reliable and effective sternal closure products to ensure successful surgical outcomes. The market for sternal closure systems in ASCs is likely to evolve as these centers embrace new technologies that enhance the quality of care provided to patients.

Specialty Clinics:

Specialty clinics focusing on particular areas of surgery, such as cardiac and thoracic specialties, represent a significant end-user segment for sternal closure systems. These clinics often provide targeted and specialized care, leading to increased demand for advanced sternal closure technologies that enhance the outcomes of specific surgical interventions. The growth in the number of specialty clinics is linked to the rising prevalence of chronic diseases that require surgical intervention. As these clinics continue to adopt cutting-edge sternal closure products that offer improved efficacy and patient safety, their contribution to the overall market is expected to expand substantially.

Others:

The "Others" category includes various healthcare settings where sternal closure systems may be utilized, such as research facilities or teaching hospitals. While the demand for sternal closure systems in these settings may not be as pronounced as in hospitals or specialty clinics, there remains a need for high-quality closure products for surgical training and research purposes. The growth in this segment is driven by ongoing education and training efforts within the medical community, as well as the need for effective products that can facilitate research into new surgical techniques and technologies. As the importance of surgical education and innovation continues to grow, the demand for sternal closure systems in other healthcare environments is also expected to rise.

By Material Type

Stainless Steel:

Stainless steel is one of the most widely used materials in sternal closure systems, known for its excellent mechanical properties and biocompatibility. The high strength-to-weight ratio, corrosion resistance, and ease of sterilization make stainless steel an ideal choice for closure devices, plates, and screws. The demand for stainless steel in sternal closure applications is expected to grow due to its reliability and effectiveness in providing robust fixation of the sternum. Innovations in stainless steel manufacturing processes and the introduction of new grades of stainless steel with enhanced properties are likely to enhance the performance of closure systems, thus driving market growth.

Titanium:

Titanium is gaining traction in the sternal closure systems market due to its superior biocompatibility, lightweight nature, and excellent strength. The use of titanium-based products, such as plates and screws, is increasingly being adopted in surgical procedures, as they offer the advantage of reduced risk of infection and complications. Additionally, titanium's resistance to corrosion and ability to integrate well with biological tissues make it a preferred material in orthopedic and cardiac applications. As healthcare providers continue to prioritize patient safety and outcomes, the demand for titanium in sternal closure systems is expected to witness significant growth.

Bioabsorbable Materials:

Bioabsorbable materials are an emerging segment in the sternal closure systems market, offering the advantage of gradual resorption over time, thereby eliminating the need for removal surgeries. The increasing awareness of the benefits associated with bioabsorbable materials, such as reduced risk of infection and enhanced healing, is driving their adoption in surgical procedures. As research progresses and new bioabsorbable materials with improved mechanical properties are developed, the segment is expected to experience robust growth. The ability to combine bioabsorbable materials with traditional closure devices may further enhance their appeal, leading to increased utilization in various surgical applications.

Polyether Ether Ketone (PEEK):

Polyether Ether Ketone (PEEK) is a high-performance polymer that is gaining popularity in the sternal closure systems market due to its exceptional strength, biocompatibility, and chemical resistance. PEEK is particularly advantageous for applications where lightweight and strong materials are required, making it suitable for closure devices and other surgical components. The increasing preference for PEEK in sternal closure applications is driven by its ability to mimic the mechanical properties of bone and its potential for reducing the risk of complications. As the demand for advanced materials in surgical applications continues to rise, PEEK is expected to see significant growth in the coming years.

Others:

The "Others" category encompasses various alternative materials utilized in sternal closure systems, including composite materials and various alloys. The demand for these materials is driven by the ongoing innovation and research aimed at developing products that enhance surgical outcomes and patient safety. Advances in material science are leading to the creation of novel composites that combine the benefits of traditional materials with improved biocompatibility and functionality. As healthcare providers continue to explore new options for sternal closure, the growth of this segment is likely to continue, offering a diverse range of solutions tailored to the needs of surgical applications.

By Polyether Ether Ketone

PEEK-based Devices:

Devices made from Polyether Ether Ketone (PEEK) are gaining traction in the sternal closure systems market due to their outstanding mechanical properties and biocompatibility. PEEK's inherent strength and resistance to wear make it an ideal choice for applications that demand durability and reliability. The development of PEEK-based devices is paving the way for innovations in sternal closure systems, as these products offer the potential for enhanced patient outcomes and reduced risks associated with traditional materials. As surgical techniques continue to evolve, the adoption of PEEK-based devices is expected to increase, driven by the growing emphasis on patient safety and improved recovery times.

Advantages of PEEK in Sternal Closure:

The advantages of PEEK in sternal closure applications extend beyond its mechanical properties; it also offers excellent radiolucency, allowing for clear imaging post-surgery. This characteristic is particularly valuable in monitoring the healing process without interference from the implant material. PEEK's chemical resistance and the absence of metallic ions further enhance its appeal, reducing the risk of complications related to allergic reactions or toxicity. As surgical practices increasingly prioritize materials that support better healing and reduce the incidence of postoperative complications, PEEK is likely to become a preferred choice in sternal closure systems.

By Region

The regional analysis of the sternal closure systems market highlights the findings that North America is currently the leading market, accounting for approximately 40% of the global share in 2023. The growth in this region is primarily attributed to the presence of advanced healthcare infrastructure, high surgical volumes, and a growing focus on innovative surgical techniques. Additionally, the increasing prevalence of cardiovascular diseases and the rising demand for cardiac surgeries are expected to further fuel market growth in North America. The region is projected to maintain a robust CAGR of around 6% during the forecast period, driven by ongoing research and development activities aimed at improving sternal closure technologies.

In Europe, the sternal closure systems market is anticipated to experience substantial growth, accounting for around 30% of the global share in 2023. The increasing prevalence of cardiovascular diseases, coupled with a growing elderly population, is driving the demand for effective surgical solutions, thereby propelling market growth in this region. The European market is expected to benefit from the ongoing investment in healthcare infrastructure and a surge in the number of healthcare facilities offering advanced surgical services. As a result, Europe is projected to witness a CAGR of approximately 5.2% during the forecast period, contributing significantly to the overall market expansion.

Opportunities

The sternal closure systems market is ripe with opportunities as advancements in technology continue to drive innovation in surgical techniques and materials. The increasing adoption of minimally invasive surgical procedures is one such opportunity that is propelling the demand for sternal closure systems. As surgeons aim to enhance patient recovery times and outcomes, the need for effective closure solutions that minimize tissue trauma has become paramount. The development of novel sternal closure devices that align with these minimally invasive techniques will likely create new avenues for market growth. Additionally, the rising emphasis on patient-centered care further opens opportunities for manufacturers to innovate products that address patient needs, such as customizable closure solutions that enhance comfort and reduce complications.

Moreover, the expansion of healthcare facilities, particularly in developing regions, offers a significant opportunity for the sternal closure systems market. The growing emphasis on improving surgical outcomes, alongside increased investment in healthcare infrastructure, is likely to lead to a rise in surgical procedures requiring sternal closure systems. As healthcare providers seek to adopt advanced technologies to enhance surgical care, the demand for innovative closure solutions is expected to grow. Furthermore, collaborations between manufacturers and healthcare facilities to develop tailored sternal closure products that meet specific surgical needs could drive innovation and bolster market growth.

Threats

The sternal closure systems market faces several threats that could potentially hinder its growth trajectory. The presence of stringent regulatory requirements and lengthy approval processes for new medical devices poses a significant challenge for manufacturers. These regulations often require extensive clinical trials and evidence of product efficacy, which can lead to delays in bringing innovative sternal closure products to market. Additionally, the increasing competition among manufacturers, particularly from low-cost providers, can impact profit margins and market share. As price sensitivity among healthcare providers rises, companies may find it challenging to maintain competitive pricing while ensuring product quality and safety. Furthermore, fluctuating raw material costs and supply chain disruptions can affect production, compelling manufacturers to adopt strategic measures to manage costs effectively.

Another potential threat to the sternal closure systems market is the changing landscape of surgical practices and preferences among healthcare providers. As medical professionals increasingly embrace new technologies and approaches, there is a risk that traditional sternal closure methods may be overshadowed by emerging alternatives. The rise of robotic-assisted surgeries, for instance, may lead to a shift in closure techniques, necessitating manufacturers to adapt their product offerings accordingly. Additionally, the growing trend of outpatient surgeries may reduce the overall number of complex procedures requiring sternal closure, thereby impacting market demand. Addressing these threats will require proactive strategies from manufacturers to stay attuned to industry trends and continuously innovate their products to meet evolving surgical needs.

Competitor Outlook

• Medtronic
• Boston Scientific
• Stryker Corporation
• Zimmer Biomet
• Johnson & Johnson
• Terumo Corporation
• Cook Medical
• Smith & Nephew
• Abbott Laboratories
• Conmed Corporation
• DePuy Synthes
• Integra LifeSciences
• AccuTech
• Cardinal Health
• Medline Industries

The competitive landscape of the sternal closure systems market is characterized by a mix of established medical device companies and emerging players striving to capture market share. Key players in the market, such as Medtronic, Boston Scientific, and Stryker Corporation, are focusing on innovation and research to develop advanced sternal closure systems that enhance surgical outcomes and patient safety. These companies invest heavily in R&D to introduce state-of-the-art technologies, such as bioabsorbable materials and robotic-assisted devices, which are shaping the future of sternal closure practices. The robust product portfolios and strong distribution networks of these established players give them a competitive edge in addressing the diverse needs of healthcare providers.

Emerging players are also making a mark in the sternal closure systems market by introducing innovative solutions and tailored products that cater to specific surgical applications. For instance, companies like Integra LifeSciences and AccuTech are focusing on niche markets and developing unique closure systems that address specific challenges faced by surgeons. These emerging players often emphasize cost-effectiveness and customized solutions to gain traction in an increasingly competitive environment. Collaborations between established companies and startups are also becoming common, enabling knowledge exchange and fostering innovation within the industry.

As the sternal closure systems market continues to evolve, companies must adapt their strategies to remain competitive. Building strong relationships with healthcare providers, understanding their unique needs, and offering tailored solutions will be crucial for success. Companies that prioritize quality, safety, and customer satisfaction are likely to thrive in this dynamic environment. Moreover, ongoing investment in technological advancements and a commitment to enhancing surgical outcomes will be essential for maintaining a competitive edge in the sternal closure systems market.