Global Sternal Closure Systems Market Growth, Share, Size, Trends and Forecast (2024 - 2030)

The global sternal closure systems market can be segmented based on product type, material, and procedure type, offering insights into various facets of this burgeoning industry. Firstly, in terms of product type, the market is typically categorized into closure devices and bone cement. Closure devices, which include wire cerclage, plates, screws, and cables, represent the majority share of the market. These devices are widely utilized in cardiac surgeries for securing the sternum post-procedure. On the other hand, bone cement, primarily comprising acrylic-based materials, is used to augment sternal stability and promote faster healing.

The market segmentation based on material reveals the diversity in materials employed in sternal closure systems. Stainless steel, titanium, and bioresorbable materials are among the commonly utilized materials. Stainless steel remains a popular choice owing to its strength, durability, and biocompatibility. Titanium, known for its lightweight properties and corrosion resistance, is increasingly favored for its superior performance in cardiac surgical applications. Bioresorbable materials, on the other hand, offer the advantage of gradual degradation over time, reducing the need for subsequent removal procedures.

Procedure type segmentation sheds light on the different surgical techniques where sternal closure systems are employed. The primary procedures include median sternotomy, hemisternotomy, and bilateral thoracosternotomy. Median sternotomy, characterized by a vertical incision along the sternum's midline, is the most common technique used for various cardiac surgeries. Hemisternotomy involves a partial incision of the sternum, typically used in specific cardiac procedures requiring limited access. Bilateral thoracosternotomy, a more extensive approach involving incisions on both sides of the sternum, is utilized for complex cardiac surgeries requiring extensive exposure. Understanding these segmentations provides valuable insights for market players to tailor their offerings to specific surgical needs and preferences.

Global Sternal Closure Systems Segment Analysis

In this report, the Global Sternal Closure Systems Market has been segmented by Product, Material, Procedure and Geography.

Global Sternal Closure Systems Market, Segmentation by Product

The Global Sternal Closure Systems Market has been segmented by Product into Closure Devices - Sternal closure wires, Sternal closure plates & screws and Bone Cement.

The closure devices constitute a significant portion of the market, offering diverse options for securing the sternum post-surgery. Sternal closure wires are commonly used and have been a staple in cardiac surgery for decades due to their reliability and effectiveness in stabilizing the sternum. They provide flexibility in application and are suitable for various sternotomy procedures.

Sternal closure plates & screws represent another vital category within the closure devices segment. These plates and screws offer a more rigid fixation compared to wires, enhancing sternal stability and promoting optimal healing post-surgery. They are particularly beneficial in cases where additional support is required, such as in patients with compromised bone integrity or those undergoing complex cardiac procedures. The versatility and adaptability of plates and screws make them a preferred choice for many cardiac surgeons.

Bone cement is another essential product category in the sternal closure systems market, albeit constituting a smaller segment. Utilized to augment sternal stability and facilitate faster healing, bone cement provides an additional layer of support to the sternum. Typically composed of acrylic-based materials, bone cement offers excellent biocompatibility and durability. Its ability to conform to irregularities in the sternal surface ensures uniform distribution of stress, reducing the risk of complications and promoting successful outcomes in cardiac surgery. As such, bone cement remains a valuable adjunct in sternal closure procedures, particularly in cases where enhanced sternal support is warranted.

Global Sternal Closure Systems Market, Segmentation by Material

The Global Sternal Closure Systems Market has been segmented by Material into Titanium, Polyether Ether Ketone (PEEK), Stainless Steel and Others.

The titanium stands out for its exceptional properties, including high strength-to-weight ratio, corrosion resistance, and biocompatibility. These attributes make titanium a preferred choice for sternal closure systems, particularly in cardiac surgeries where durability and compatibility with bodily tissues are paramount. The widespread adoption of titanium underscores its efficacy in ensuring secure sternal closure post-surgery, contributing significantly to the market's growth.

Polyether Ether Ketone (PEEK) emerges as another notable material in sternal closure systems. Recognized for its excellent mechanical properties, chemical resistance, and radiolucency, PEEK offers distinct advantages in medical applications. Its biocompatibility and ability to withstand sterilization processes make it suitable for prolonged use in surgical implants, including sternal closure devices. As a result, PEEK-based sternal closure systems cater to the demand for lightweight, durable, and biocompatible solutions in cardiac surgery, further diversifying the market's material landscape.

Stainless steel remains a stalwart in the realm of sternal closure systems, owing to its long-established history, affordability, and reliability. Renowned for its robustness, corrosion resistance, and ease of sterilization, stainless steel continues to be a prevalent choice in medical device manufacturing, including sternal closure devices. Its widespread availability and proven track record in clinical settings make it a dependable option for ensuring secure sternal fixation post-cardiac surgery. Despite the emergence of alternative materials, stainless steel maintains its prominence as a foundational material in the sternal closure systems market, catering to diverse surgical needs worldwide.

Global Sternal Closure Systems Market, Segmentation by Procedure

The Global Sternal Closure Systems Market has been segmented by Procedure into Median Sternotomy, Hemisternotomy and Bilateral Thoracosternotomy.

In median sternotomy, involves a vertical incision along the sternum's midline, granting direct access to the heart. This technique is widely utilized across a spectrum of cardiac procedures due to its efficacy and familiarity among surgeons. It allows for comprehensive exposure of the heart's valves and blood vessels, facilitating intricate surgical interventions with precision and ease.

Hemisternotomy represents a specialized approach wherein a partial incision of the sternum is made, typically to access specific areas of the heart requiring surgical intervention. This technique offers a more targeted approach compared to median sternotomy, often employed in procedures where limited access suffices for successful outcomes. Hemisternotomy strikes a balance between surgical invasiveness and access, enabling surgeons to perform procedures with reduced trauma to surrounding tissues while ensuring optimal outcomes for patients.

In contrast, bilateral thoracosternotomy involves incisions on both sides of the sternum, offering a more extensive approach for complex cardiac surgeries necessitating broader exposure of the heart and adjacent structures. This technique provides surgeons with enhanced access to intricate anatomical regions, facilitating the execution of intricate procedures with meticulous precision. Bilateral thoracosternotomy is typically reserved for cases requiring comprehensive visualization and manipulation of cardiac structures, underscoring its utility in demanding surgical scenarios where precision and access are paramount. Understanding these procedural distinctions enables healthcare providers to tailor their approach to individual patient needs, optimizing surgical outcomes in the dynamic landscape of cardiac interventions.

Global Sternal Closure Systems Market, Segmentation by Geography

In this report, the Global Sternal Closure Systems Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa and Latin America.

Global Sternal Closure Systems Market Share (%), by Geographical Region, 2023

North America stands as a prominent market for sternal closure systems, driven by advanced healthcare infrastructure, high prevalence of cardiac diseases, and robust research and development activities. The region is characterized by a well-established healthcare system, facilitating widespread adoption of innovative sternal closure technologies. Additionally, increasing healthcare expenditure and a growing geriatric population contribute to the market's growth in this region.

Europe also holds a significant share in the sternal closure systems market, attributed to factors such as a large patient pool undergoing cardiac surgeries, favorable reimbursement policies, and technological advancements. Countries like Germany, the UK, and France are at the forefront of market growth in Europe, owing to their advanced healthcare facilities and rising awareness about cardiac health among the population. Furthermore, collaborations between academic institutions, healthcare providers, and industry players drive innovation and product development in this region.

In the Asia Pacific region, the sternal closure systems market is witnessing rapid growth propelled by factors such as increasing healthcare investments, rising disposable income, and expanding medical tourism. Countries like China, India, and Japan are witnessing a surge in demand for sternal closure systems due to the growing burden of cardiovascular diseases and an aging population. Efforts to improve healthcare infrastructure and access to advanced medical treatments further fuel market expansion in the region. As healthcare continues to evolve and adapt to the needs of a burgeoning population, the Asia Pacific region presents lucrative opportunities for market players in the sternal closure systems segment.

This report provides an in depth analysis of various factors that impact the dynamics of Global Sternal Closure Systems Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.

Drivers, Restraints and Opportunity Analysis

Drivers

• Open-heart surgeries
• Median sternotomy
• Elderly population

• Cardiac exposure : Cardiac exposure techniques play a pivotal role in the global sternal closure systems market, influencing the choice and utilization of closure devices and procedures. The median sternotomy procedure stands out as the most prevalent technique for cardiac exposure worldwide. Its widespread adoption is attributed to its simplicity, effectiveness, and swift access to the heart's valves and blood vessels. This technique involves a vertical incision along the sternum's midline, providing surgeons with direct and unobstructed access to the heart during various cardiac surgeries. As a result, there's a consistent demand for sternal closure systems designed to secure the sternum post-median sternotomy, ensuring optimal healing and stability.

  Beyond median sternotomy, other cardiac exposure techniques such as hemisternotomy and bilateral thoracosternotomy contribute to the diversity of surgical approaches in cardiac procedures. Hemisternotomy involves a partial incision of the sternum, typically used in specific cardiac surgeries that require limited access to the heart. Meanwhile, bilateral thoracosternotomy represents a more extensive approach, involving incisions on both sides of the sternum, which is employed in complex cardiac surgeries necessitating extensive exposure. Each of these techniques presents unique challenges and requirements for sternal closure, driving innovation and customization in closure systems to meet the diverse needs of cardiac surgeons worldwide.

  The choice of cardiac exposure technique is influenced by various factors, including the nature of the cardiac condition, surgeon preference, patient anatomy, and surgical objectives. Surgeons often evaluate the benefits and limitations of each technique to determine the most suitable approach for a particular patient and procedure. Consequently, the sternal closure systems market continues to evolve with advancements in surgical techniques, materials, and technologies, aimed at optimizing patient outcomes and enhancing surgical efficiency. By understanding the nuances of cardiac exposure techniques, stakeholders in the sternal closure systems market can develop tailored solutions that meet the evolving demands of cardiac surgery practices globally.

Restraints

• Limited Reimbursement
• Alternative Treatment Options
• Regulatory Hurdles

• Surgical Complications : Surgical complications represent a significant concern within the global sternal closure systems market, impacting patient outcomes and healthcare costs. One common complication is sternal dehiscence, characterized by the separation of the sternum following surgery. This complication can lead to serious consequences such as mediastinitis, cardiac tamponade, and even mortality. Factors contributing to sternal dehiscence include patient comorbidities, surgical technique, and the type of sternal closure system used. As such, there is a growing emphasis on the development of sternal closure systems that enhance sternal stability and reduce the risk of postoperative complications.

  Another surgical complication associated with sternal closure systems is deep sternal wound infection (DSWI). DSWI occurs when microorganisms invade the sternal wound, leading to inflammation and tissue damage. This complication poses a significant challenge for healthcare providers, often requiring prolonged hospitalization, antibiotic therapy, and surgical intervention. Strategies to mitigate the risk of DSWI include proper preoperative patient optimization, adherence to sterile techniques during surgery, and the use of antimicrobial agents in sternal closure materials. Addressing the complexities of DSWI is essential for improving patient outcomes and reducing the burden on healthcare resources.

  Sternal instability is a noteworthy complication that can occur following cardiac surgery and sternal closure. Sternal instability refers to the excessive movement or displacement of the sternum, which can impair respiratory function and delay recovery. Risk factors for sternal instability include osteoporosis, obesity, and inadequate sternal fixation techniques. Surgeons must carefully assess patient risk factors and select appropriate sternal closure systems to minimize the occurrence of sternal instability. Furthermore, ongoing advancements in surgical techniques and sternal closure technology aim to mitigate the risk of complications and improve overall surgical outcomes in cardiac patients.

Opportunities

• Aging Population
• Emerging Markets
• Minimally Invasive Techniques

• Patient-Centric Solutions : Patient-centric solutions are increasingly becoming a focal point in the global sternal closure systems market as healthcare providers and manufacturers strive to enhance patient outcomes and satisfaction. One key aspect of patient-centric solutions in this market involves the development of minimally invasive techniques and devices aimed at reducing post-operative complications and enhancing recovery. Innovations such as sternum-sparing approaches and less invasive closure systems contribute to shorter hospital stays, reduced pain, and faster rehabilitation for patients undergoing cardiac surgery. By prioritizing patient comfort and well-being, these solutions not only improve overall healthcare experiences but also drive efficiency in healthcare delivery.

  Another aspect of patient-centric solutions in the sternal closure systems market involves customization and personalization of treatment approaches. Tailoring sternal closure techniques and devices to individual patient characteristics and surgical requirements can optimize outcomes and minimize complications. Advanced imaging technologies and patient-specific modeling techniques enable surgeons to plan and execute procedures with greater precision, ensuring optimal sternal stability and alignment. By offering personalized solutions, healthcare providers can address the diverse needs and preferences of patients, ultimately enhancing satisfaction and adherence to treatment regimens.

  Patient education and engagement initiatives play a crucial role in patient-centric care within the sternal closure systems market. Educating patients about the importance of post-operative care, rehabilitation exercises, and lifestyle modifications can empower them to actively participate in their recovery journey and make informed decisions regarding their health. Providing resources such as online platforms, support groups, and educational materials fosters communication and collaboration between patients, caregivers, and healthcare professionals. By promoting patient empowerment and involvement in their care, these initiatives contribute to improved treatment outcomes, reduced healthcare costs, and overall patient satisfaction in the global sternal closure systems market.

Key players in Global Sternal Closure Systems Market include:

• Depuy Synthes
• Zimmer Biomet Holdings
• Orthofix International N.V.
• A&E Medical
• Kinamed Incorporated
• Abyrx
• Jace Medical
• Jeil Medical Corporation
• Acute Innovations

In this report, the profile of each market player provides following information:

• Company Overview and Product Portfolio
• Key Developments
• Financial Overview
• Strategies
• Company SWOT Analysis