Global Sternal Closure Systems Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Product;
Closure Devices - [Sternal Closure Wires, Sternal Closure Plates & Screws] and Bone CementBy Material;
Titanium, Polyether Ether Ketone (PEEK), Stainless Steel, and OthersBy Procedure;
Median Sternotomy, Hemisternotomy , and Bilateral ThoracosternotomyBy End User;
Hospitals and Clinics, Research Institutes, and OthersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Sternal Closure Systems Market Overview
Sternal Closure Systems Market (USD Million)
Sternal Closure Systems Market was valued at USD 2,714.54 million in the year 2024. The size of this market is expected to increase to USD 3,840.05 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 5.1%.
Global Sternal Closure Systems Market Growth, Share, Size, Trends and Forecast
*Market size in USD million
CAGR 5.1 %
Study Period | 2025 - 2031 |
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Base Year | 2024 |
CAGR (%) | 5.1 % |
Market Size (2024) | USD 2,714.54 Million |
Market Size (2031) | USD 3,840.05 Million |
Market Concentration | Medium |
Report Pages | 302 |
Major Players
- Depuy Synthes
- Zimmer Biomet Holdings
- Orthofix International N.V.
- A&E Medical
- Kinamed Incorporated
- Abyrx
- Jace Medical
- Jeil Medical Corporation
- Acute Innovations
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Global Sternal Closure Systems Market
Fragmented - Highly competitive market without dominant players
The Sternal Closure Systems Market is rapidly evolving, fueled by advancements in cardiac procedures and the transition towards rigid fixation technologies. Increasing adoption of rigid closure devices is evident, with nearly 60% of procedures now shifting from wire-based methods. This transition is enhancing post-surgical recovery and reducing complications, boosting the market’s clinical relevance.
Technological Advancements
The market has seen notable innovations in material science and fixation design, particularly with the rise of titanium and bioabsorbable devices. Titanium-based closures have registered a 40% spike in adoption due to their long-term stability and patient compatibility. The development of absorbable solutions is also attracting interest, offering alternatives that align with emerging surgical preferences.
Improved Surgical Outcomes
Hospitals and clinicians are increasingly drawn to advanced closure systems for their ability to reduce infection rates by 35% and improve patient recovery metrics. This shift toward safer and more efficient post-operative care has resulted in over 70% of installations occurring in hospital settings, reinforcing their dominance in procedural use.
Rising Procedure Volumes
An uptick in cardiovascular surgeries has driven a 25% surge in the demand for sternal closure products. This trend is further supported by the growing prevalence of cardiac conditions and the need for effective, durable sternum stabilization methods. Medical institutions are thus expanding procurement to meet the increasing patient load.
Investment and Industry Momentum
Strategic investments and collaborations have intensified, with funding for sternal innovations climbing by 30%. Companies are focusing on launching next-generation products tailored to modern surgical environments. These dynamics underscore a market landscape defined by innovation, partnerships, and a commitment to elevating procedural safety.
Sternal Closure Systems Market Recent Developments
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In September 2023, Abyrx, a market player, acquired expanded FDA approval for its mouldable bone putty, MONTAGE. This expanded approval includes this product for cardiothoracic surgery after sternotomy. MONTAGE can enable heart surgeons to improve sternal repair and closure
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In May 2022, Granulab’s subsidiary KPOWER introduced Prosteomax, a halal-certified synthetic bone cement in Malaysia. It can be used for dental, orthopedics, cranial, and maxillofacial applications.
Sternal Closure Systems Market Segment Analysis
In this report, the Sternal Closure Systems Market has been segmented by Product, Material, Procedure, End User, and Geography.
Sternal Closure Systems Market, Segmentation by Product
The Sternal Closure Systems Market has been segmented by Product into Closure Devices - Sternal closure wires, Sternal closure plates & screws and Bone Cement.
Sternal Closure Wires
Sternal closure wires remain a fundamental component in sternal fixation procedures, accounting for a significant portion of the market. Their cost-effectiveness, ease of use, and reliability make them a preferred choice in many surgical settings. Despite the emergence of advanced closure devices, wires continue to be widely adopted due to their proven efficacy in median sternotomy procedures.
Sternal Closure Plates & Screws
Sternal closure plates and screws have gained prominence for providing enhanced sternal stability and reducing the risk of postoperative complications. These devices are particularly beneficial for patients with osteoporotic bones or those undergoing revision surgeries. The segment is experiencing growth driven by technological advancements and increasing surgeon preference for rigid fixation methods.
Bone Cement
Bone cement is utilized in sternal closure to augment the fixation strength, especially in patients with compromised bone quality. It serves as an adjunct to traditional closure methods, enhancing the overall mechanical stability of the sternum. The adoption of bone cement is growing in complex cases, contributing to improved patient outcomes and reduced healing times.
Sternal Closure Systems Market, Segmentation by Material
The Sternal Closure Systems Market has been segmented by Material into Titanium, Polyether Ether Ketone (PEEK), Stainless Steel and Others.
Titanium
Titanium holds a dominant share in the sternal closure systems market, accounting for approximately 55% of the global revenue. This material is favored for its exceptional biocompatibility, corrosion resistance, and high strength-to-weight ratio, which are critical for long-term implant performance. The increasing adoption of titanium in sternal plates and screws highlights its pivotal role in modern sternal closure solutions.
Polyether Ether Ketone (PEEK)
PEEK is an emerging material in the sternal closure systems market, offering a unique combination of high strength and radiolucency. Representing around 20% of the market share, PEEK components are increasingly used in complex cases due to their lightweight properties and biocompatibility. Surgeons appreciate PEEK’s ability to reduce postoperative imaging artifacts while maintaining reliable mechanical stability.
Stainless Steel
Stainless steel remains a staple in the sternal closure systems market, with a market share of roughly 15%. Known for its durability and cost-effectiveness, it continues to be a popular choice in various healthcare settings. However, stainless steel’s higher weight and potential for corrosion have led to a gradual shift towards alternative materials like titanium and PEEK for certain applications.
Others
The 'Others' category includes materials such as carbon fiber composites and novel biomaterials, contributing to around 10% of the market share. These materials are gaining interest for their unique combination of biomechanical properties and tissue compatibility. The innovation in this segment reflects a growing demand for customized sternal closure solutions that cater to specific patient needs.
Sternal Closure Systems Market, Segmentation by Procedure
The Sternal Closure Systems Market has been segmented by Procedure into Median Sternotomy, Hemisternotomy and Bilateral Thoracosternotomy.
Median Sternotomy
Median sternotomy remains the most commonly performed procedure, representing around 70% of the sternal closure systems market. This approach provides excellent access to the heart and great vessels during cardiac surgeries. The widespread adoption of median sternotomy is driven by its versatility and proven safety record in a variety of complex procedures.
Hemisternotomy
Hemisternotomy accounts for approximately 20% of the market share, offering a less invasive alternative for specific cardiac surgeries. This procedure reduces postoperative pain and hospital stays, while maintaining sufficient surgical access. Its growing popularity is linked to advancements in minimally invasive surgical techniques and a focus on enhanced patient recovery.
Bilateral Thoracosternotomy
Bilateral thoracosternotomy, though less common, holds about 10% of the market. It is employed in complex thoracic procedures requiring extensive access to both pleural cavities. The use of sternal closure systems in this context ensures rigid fixation and optimal healing, particularly in cases with significant anatomical challenges.
Sternal Closure Systems Market, Segmentation by End User
The Sternal Closure Systems Market has been segmented by End User into Hospitals and Clinics, Research Institutes, and Others.
Hospitals and Clinics
Hospitals and clinics dominate the sternal closure systems market, accounting for approximately 75% of the total revenue. These facilities handle a large volume of cardiac surgeries and complex thoracic procedures, driving the need for advanced sternal fixation systems. High adoption rates are supported by strong regulatory compliance and an emphasis on infection prevention.
Research Institutes
Research institutes represent about 15% of the market, focusing on clinical trials and the development of innovative sternal closure technologies. These centers contribute to advancements in biomaterials and fixation techniques, driving future growth. Their role is crucial in enhancing product performance and improving patient outcomes.
Others
The 'Others' category, comprising specialized healthcare facilities and ambulatory surgery centers, accounts for roughly 10% of the market share. These facilities rely on cost-effective solutions and are increasingly adopting minimally invasive procedures. Growth in this segment is driven by rising healthcare access in emerging markets.
Sternal Closure Systems Market, Segmentation by Geography
In this report, the 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, 2024
North America
North America leads the sternal closure systems market, capturing approximately 40% of the global share. The region's dominance is driven by a strong presence of leading healthcare providers, high prevalence of cardiovascular diseases, and advanced surgical techniques. Continuous investment in innovative technologies and stringent regulatory frameworks further support growth.
Europe
Europe accounts for around 25% of the global market share, supported by a robust healthcare infrastructure and a focus on minimally invasive surgeries. Increasing adoption of advanced biomaterials for sternal closure and a rising number of cardiac surgeries contribute to market expansion. Key players in Europe continue to invest in R&D and training to enhance outcomes.
Asia Pacific
Asia Pacific is witnessing rapid growth, contributing to approximately 20% of the global market share. Rising healthcare expenditure, an expanding network of specialty hospitals, and an increasing number of cardiac procedures drive the regional market. Countries like China and India are at the forefront of adopting modern surgical techniques and advanced fixation materials.
Middle East and Africa
The Middle East and Africa collectively represent about 8% of the sternal closure systems market. Growth is fueled by government-led healthcare initiatives and a rising focus on infection prevention and surgical outcomes. The increasing adoption of sternal closure devices in private clinics and tertiary hospitals is boosting demand.
Latin America
Latin America contributes nearly 7% to the global market share. Countries like Brazil and Mexico are key growth drivers, supported by expanding healthcare facilities and a focus on improving surgical techniques. Efforts to increase access to healthcare and invest in cost-effective sternal closure solutions contribute to market development in the region.
Market Trends
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.
Comprehensive Market Impact Matrix
This matrix outlines how core market forces—Drivers, Restraints, and Opportunities—affect key business dimensions including Growth, Competition, Customer Behavior, Regulation, and Innovation.
Market Forces ↓ / Impact Areas → | Market Growth Rate | Competitive Landscape | Customer Behavior | Regulatory Influence | Innovation Potential |
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Drivers | High impact (e.g., tech adoption, rising demand) | Encourages new entrants and fosters expansion | Increases usage and enhances demand elasticity | Often aligns with progressive policy trends | Fuels R&D initiatives and product development |
Restraints | Slows growth (e.g., high costs, supply chain issues) | Raises entry barriers and may drive market consolidation | Deters consumption due to friction or low awareness | Introduces compliance hurdles and regulatory risks | Limits innovation appetite and risk tolerance |
Opportunities | Unlocks new segments or untapped geographies | Creates white space for innovation and M&A | Opens new use cases and shifts consumer preferences | Policy shifts may offer strategic advantages | Sparks disruptive innovation and strategic alliances |
Drivers, Restraints and Opportunity Analysis
Drivers
- Increase in open-heart surgeries
- Use of median sternotomy technique
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Growing elderly patient population - The rise in the elderly patient population is a key driver for the growth of the sternal closure systems market, as aging individuals are more likely to suffer from cardiovascular diseases requiring surgical interventions such as open-heart surgery. With age-related conditions like coronary artery disease and valvular heart disorders becoming more prevalent, the demand for secure and reliable post-operative solutions like sternal closure devices continues to grow. These systems ensure proper chest stabilization, reduce the risk of complications, and support faster recovery in elderly patients.
Older patients often present with lower bone density and compromised healing capacity, necessitating advanced closure technologies that offer enhanced stability and infection control. The shift toward minimally invasive techniques and improved surgical care in geriatric cardiology further boosts the adoption of specialized sternal closure systems. As global demographics shift toward an aging population, the market is expected to experience sustained growth driven by the increasing need for effective surgical solutions in elderly cardiac patients.
Restraints
- Limited reimbursement policy coverage
- Availability of alternative treatment options
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Challenging regulatory approval hurdles - Challenging regulatory approval hurdles represent a significant restraint for the sternal closure systems market, as these devices are classified under high-risk medical equipment and must meet rigorous standards before entering the market. Regulatory bodies such as the FDA and EMA require extensive clinical evidence to verify the safety, efficacy, and durability of these systems, especially given their application in critical cardiac surgeries. The lengthy and complex approval process can delay product launches and increase development costs, deterring innovation and slowing the entry of advanced technologies.
Additionally, manufacturers face difficulties in maintaining compliance across different countries due to varying regulatory frameworks and documentation requirements. This inconsistency complicates global market expansion and limits access to novel sternal closure technologies in several regions. Smaller companies, in particular, struggle to navigate these barriers, leading to reduced competition and limited availability of alternative or improved products for surgeons and patients alike.
Opportunities
- Growth opportunities in emerging markets
- Rising adoption of minimally invasive techniques
- Shift toward patient-centric healthcare solutions - The growing shift toward patient-centric healthcare solutions is creating notable opportunities in the sternal closure systems market. This trend emphasizes personalized treatment strategies that prioritize patient safety, comfort, and recovery outcomes. In response, manufacturers are developing advanced closure devices that offer better post-operative stability, reduced risk of infection, and minimal pain, thereby enhancing the overall healing experience for patients undergoing sternotomy procedures.
Modern sternal closure technologies are increasingly being designed with features that support faster recovery and reduced hospital stays, aligning with healthcare systems' goals of improving efficiency while maintaining high standards of care. These patient-focused innovations help minimize complications.
Competitive Landscape Analysis
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
- Market Share Analysis
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Product
- Market Snapshot, By Material
- Market Snapshot, By Procedure
- Market Snapshot, By End User
- Market Snapshot, By Region
- Sternal Closure Systems Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
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Increase in open-heart surgeries
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Use of median sternotomy technique
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Growing elderly patient population
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- Restraints
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Limited reimbursement policy coverage
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Availability of alternative treatment options
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Challenging regulatory approval hurdles
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- Opportunities
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Rapidly aging global population
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Growth opportunities in emerging markets
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Rising adoption of minimally invasive techniques
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- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Sternal Closure Systems Market, By Product, 2021 - 2031 (USD Million)
- Closure Devices
- Sternal closure wires
- Sternal closure plates
- Sternal closure clips
- Sternal closure cables & screws
- Bone Cement
- Closure Devices
- Sternal Closure Systems Market, By Material, 2021 - 2031 (USD Million)
- Titanium
- Polyether Ether Ketone (PEEK)
- Stainless Steel
- Others
- Sternal Closure Systems Market, By Procedure, 2021 - 2031 (USD Million)
- Median Sternotomy
- Hemisternotomy
- Bilateral Thoracosternotomy
- Sternal Closure Systems Market, By End User, 2021 - 2031 (USD Million)
- Hospitals and Clinics
- Research Institutes
- Others
- Sternal Closure Systems Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN(Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Sternal Closure Systems Market, By Product, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Depuy Synthes
- Zimmer Biomet Holdings
- Orthofix International N.V.
- A&E Medical
- Kinamed Incorporated
- Abyrx
- Jace Medical
- Jeil Medical Corporation
- Acute Innovations
- Company Profiles
- Analyst Views
- Future Outlook of the Market