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, 2020-2030F

Market Overview

The Global Sternal Closure Systems Market, valued at USD 2.76 Billion in 2024, is projected to experience a CAGR of 5.70% to reach USD 3.85 Billion by 2030. Sternal closure systems encompass a range of medical devices designed to re-approximate and stabilize the sternum following a median sternotomy, primarily performed during open-heart surgeries. The global market for these systems is driven by several critical factors including the escalating global prevalence of cardiovascular diseases and the demographic shift towards an aging population, both of which necessitate an increasing volume of cardiac surgical procedures. Additionally, continuous technological advancements in surgical techniques and the development of more effective closure devices contribute significantly to market expansion. According to the American Heart Association, more than 2.4 million open-heart surgeries were performed globally in 2022, underscoring the substantial demand for sternal closure solutions.

Despite these growth drivers, the market faces a notable challenge stemming from the potential for sternal wound complications such as dehiscence, non-union, and infections, which can lead to extended hospital stays and increased healthcare costs. The high cost associated with advanced sternal closure technologies also presents an impediment, particularly in healthcare systems with constrained budgets.

Key Market Drivers

The global sternal closure systems market is significantly influenced by the rising global prevalence of cardiovascular diseases and continuous advancements in sternal closure system technologies. The increasing burden of cardiovascular diseases necessitates a higher volume of cardiothoracic surgical procedures, directly driving demand for reliable sternal closure solutions. According to the World Health Organization, 2025-07-31, "Cardiovascular diseases (CVDs)", an estimated 19.8 million people died from CVDs in 2022, representing approximately 32% of all global deaths, with 85% of these deaths attributed to heart attack and stroke. This persistent disease burden underscores the growing requirement for interventions that rely on effective sternal stabilization. Concurrently, technological advancements enhance the efficacy and safety of sternal closure. For example, according to MDPI, April 2023, "Improving Sternal Closure Outcomes in Cardiac Surgery: Polyethylene Suture Tapes vs. Steel Wires", suture tape systems reduced sternal wound infections from 5% to 1% and sternal dehiscence from 5% to 0% in high-risk cardiac surgery patients compared to traditional steel wire closures. Such innovations directly improve patient outcomes and reduce postoperative complications, fostering increased adoption of advanced devices.

The continuous demand for sophisticated sternal closure methods is evident in the high volume of cardiac procedures globally. According to ResearchGate, 2025-08-07, "Global Prevalence Post-Sternotomy Pain Syndrome (PSPS) after Cardiac Surgery: Systematic Reviews and Meta-Analyse", over 2 million individuals undergo sternotomy for heart surgery annually, highlighting the extensive application of these systems in clinical practice.

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Key Market Challenges

A significant impediment to the growth of the Global Sternal Closure Systems Market is the high cost associated with advanced sternal closure technologies. Healthcare systems worldwide face substantial financial pressures, which directly influence their procurement decisions for specialized medical devices. The elevated price point of innovative sternal closure solutions can restrict their adoption, particularly in institutions operating under stringent budget limitations. This often leads to a preference for more economical, traditional methods, even if newer systems offer improved patient outcomes or reduced complication rates.

According to the American Hospital Association, hospitals absorbed $130 billion in underpayments from Medicare and Medicaid in 2023 alone. These financial shortfalls limit capital investments and operational flexibility, compelling hospitals to prioritize essential expenditures and delay upgrades to medical equipment. This constrained spending environment directly hampers the market expansion for advanced sternal closure systems, as healthcare providers may defer or avoid purchasing these higher-priced technologies despite their potential clinical advantages.

Key Market Trends

The two most significant trends influencing the Global Sternal Closure Systems Market are the shift towards minimally invasive surgical approaches and the development of antimicrobial-coated sternal closure devices. These trends represent distinct directions in surgical practice and product innovation.

The shift towards minimally invasive surgical approaches is significantly impacting the sternal closure market by altering the volume and type of procedures requiring sternal re-approximation. As surgical techniques evolve, a growing number of cardiac procedures are being performed through smaller incisions or in ambulatory surgical settings, potentially reducing the need for traditional median sternotomies. According to the American College of Cardiology, the number of cardiac procedures being performed in ambulatory surgery centers has grown significantly over the last decade, reflecting this broader trend towards less invasive interventions. The American College of Cardiology launched its CV ASC Registry Suite in February 2024 to specifically track cardiac procedures increasingly performed outside hospital settings, highlighting the growing volume and importance of these evolving surgical environments.

The development of antimicrobial-coated sternal closure devices is another pivotal trend, directly addressing the critical issue of postoperative sternal wound infections. These infections represent a significant complication, leading to increased patient morbidity, extended hospital stays, and higher healthcare costs. Consequently, there is a substantial drive to enhance the safety profile of sternal closure systems through infection-preventative innovations. According to a February 2024 study published in the Annals of Thoracic Surgery, 3.2% of patients developed a sternal wound infection within three months of follow-up among 2693 cases reviewed between 2020 and 2022, underscoring the ongoing clinical challenge these advanced coatings aim to mitigate.

Segmental Insights

The Closure Devices segment is currently the fastest-growing in the Global Sternal Closure Systems Market, a trend driven by substantial advancements in surgical technology and superior patient outcomes. These devices, encompassing sternal wires, plates, and screws, offer enhanced sternal stability, effectively reducing the risk of postoperative complications such as infections and sternal dehiscence compared to conventional methods. Furthermore, innovations in biocompatible materials like titanium and PEEK contribute to faster healing and improved long-term results. The increasing global incidence of cardiovascular diseases and the subsequent rise in open-heart surgeries, particularly median sternotomies, further propel the demand for these efficient and reliable closure solutions, which also benefit from supporting clinical evidence and favorable reimbursement landscapes.

Regional Insights

North America leads the global sternal closure systems market due to a high incidence of cardiovascular diseases, which drives the demand for open-heart surgeries. The region benefits from a well-developed healthcare infrastructure and the substantial presence of key medical device manufacturers actively engaged in product innovation. Furthermore, a robust regulatory environment, overseen by bodies such as the U. S. Food and Drug Administration, ensures stringent quality and safety standards, fostering confidence and adoption of advanced sternal closure technologies. This combination of significant patient volume, technological leadership, and a supportive regulatory landscape contributes to North America's market dominance.

Recent Developments

• In August 2024, DePuy Synthes, a Johnson & Johnson MedTech company, introduced its MatrixSTERNUM™ Fixation System. This advanced plate and screw system was launched to enhance stability and secure the anterior chest wall following open-heart and other major chest surgeries. Designed to offer stronger locking strength, faster chest fixation, and thinner, low-profile plates compared to other market offerings, the system aims to promote improved healing and reduce complications for patients. Its multi-hole screw guides were developed to enable a more rapid and precise plate fixation process, potentially streamlining surgical procedures in the global sternal closure systems market.

• In January 2024, Able Medical Devices received U.S. FDA approval for its Valkyrie RIB system. This significant regulatory clearance allows the system to be used for stabilizing and fixing chest fractures, specifically including those requiring sternal reconstructive surgeries and trauma fractures. The introduction of this device represented an advancement in solutions available within the sternal closure systems market, providing surgeons with a new option for managing complex chest wall injuries and improving patient outcomes. This approval underscored the company's commitment to developing specialized fixation solutions for various thoracic applications.

• In January 2024, Orthofix Medical Inc. and SeaSpine Holdings Corporation completed a merger, forming an expanded entity in the spine and orthopedic industry. This collaboration, approved by stockholders of both companies, aimed to create a comprehensive portfolio encompassing biologics, spinal hardware, bone growth therapies, and specialized orthopedic solutions. As Orthofix is an established participant in the sternal closure systems market, this strategic merger significantly enhanced the company's overall research and development capabilities and market reach, potentially impacting its future innovations and offerings within the sternal closure segment.

• In January 2024, Able Medical Devices expanded its portfolio of thoracic fixation products with the introduction of the Valkyrie RIB system, which received FDA approval. This new system was designed to supplement the company's existing Valkyrie thoracic fixation system, broadening the range of solutions available for chest wall stabilization. The Valkyrie RIB system's approval for fixing chest fractures, including those of the sternum, marked a notable development in providing comprehensive options for surgeons performing complex thoracic procedures and sternal closure.

Key Market Players

• Zimmer Biomet
• 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

Report Scope:

In this report, the Global Sternal Closure Systems Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

• Sternal Closure Systems Market, By Product:

o   Closure Devices

o   Bone Cement

• Sternal Closure Systems Market, By Procedure:

o   Median Sternotomy

o   Hemisternotomy

o   Bilateral Thoracosternotomy

• Sternal Closure Systems Market, By Material:

o   Stainless Steel

o   PEEK

o   Titanium

o   Others

• Sternal Closure Systems Market, By Region:

o   North America

§  United States

§  Canada

§  Mexico

o   Europe

§  France

§  United Kingdom

§  Italy

§  Germany

§  Spain

o   Asia Pacific

§  China

§  India

§  Japan

§  Australia

§  South Korea

o   South America

§  Brazil

§  Argentina

§  Colombia

o   Middle East & Africa

§  South Africa

§  Saudi Arabia

§  UAE

Competitive Landscape

Company Profiles: Detailed analysis of the major companies presents in the Global Sternal Closure Systems Market.

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Company Information

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