Sternal Closure System Market By Product Type (Closure Devices, {Wires, Plates & Screws, Cables, Clamps, Others}, Bone Cement), By Procedure (Median Sternotomy, Hemisternotomy, Bilateral Thoracosternotomy), By Material (Stainless Steel, Titanium, Polyether Ether Ketone (PEEK), Bioabsorbable Materials, Other), By Application (Cardiovascular Surgery, Thoracic Surgery, Orthopedic Trauma Surgery, Others), By End User (Hospitals, Cardiac Centers, Ambulatory Surgical Centers (ASCs), Global Market Size, Segmental analysis, Regional Overview, Company share analysis, Leading Company Profiles and Market Forecast, 2025 – 2035

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Industry Outlook

The Sternal Closure System Market accounted for USD 2.82 Billion in 2024 and is expected to reach USD 5.16 Billion by 2035, growing at a CAGR of around 5.64% between 2025 and 2035. The Sternal Closure System Market experiences steady growth as the number of cardiothoracic surgeries increases, mainly because open-heart procedures that require sternotomy continue to rise. The market experiences growth due to increasing cardiovascular diseases, together with improved surgical technology and expanding elderly demographics. The market demand for rigid fixation systems, including titanium plates, along with resorbable devices, increases because they provide superior healing results while preventing infections during patient recovery. Modern market developments include both the development of patient-friendly biocompatible materials and minimally invasive surgical techniques. The market currently holds its most significant presence in North America, yet the Asia-Pacific region demonstrates the fastest predicted growth because of healthcare infrastructure development.

Report Scope:

Market Dynamics

Rising cardiovascular disease burden drives demand for sternal closure systems in open-heart surgeries globally.

Cardiovascular diseases (CVDs) continue to affect more people worldwide at a concerning rate due to population aging as well as inactive habits combined with unhealthy diets, tobacco use, and mounting stress. The present health conditions drive an increased frequency of three major heart conditions that consist of coronary artery disease, heart failure, and valvular disorders. The majority of these medical situations require open-heart surgical procedures using median sternotomy techniques that require surgeons to open the breastbone (sternum) to reach the heart region. Patients who have undergone chest surgeries need sternal closure systems to stabilize their chest while their bodies heal. The number of annual cardiac surgeries worldwide triggers substantial growth in the market demand for dependable sternal closure devices because millions of these procedures take place worldwide. The importance of sternal fixation has increased to become an essential element of post-surgical treatment measures. Hospitals, along with surgeons, direct their focus toward advanced closure systems to simultaneously minimize operative complications while achieving better postoperative recovery results because patient numbers undergoing complex medical procedures keep increasing.

Stronger and more durable closure methods gain more importance because of high rates of repeat surgeries, as well as risks such as sternal dehiscence and infections. Titanium plates combined with sternal wires and resorbable implants have become increasingly popular rigid fixation systems because they effectively reduce the number of post-operative complications. The rapidly increasing heart disease burden generates pressure on healthcare providers to minimize patient hospitalization times and revisit rates, which advances the value of next-generation sternal closure solutions. The growing medical market demands push medical device companies into conducting research, which enables them to develop innovative products to boost bone healing and patient safety standards. Global expansion of the sternal closure system market has become increasingly prominent because heart care services are expanding rapidly in various geographical regions.

A growing geriatric population increases surgical interventions, boosting the need for secure sternal fixation solutions.

Scientific progress in healthcare fields results in extended life expectancy, thus medical experts predict an increase in the older adult population worldwide. Traditional age-related changes increase elderly people's vulnerability to developing chronic health conditions, including heart disease and hypertension, together with diabetes and multiple cardiovascular disorders. Open-heart surgeries, including coronary artery bypass grafting (CABG) and valve replacements, need to be performed on patients who face these conditions. A median sternotomy procedure becomes essential for surgeons to perform heart-related surgeries due to the requirement of accessing the heart by cutting the breastbone. Secure sternal fixation solutions are needed more frequently to support elderly patients with weak bones because their healing processes require additional time until recovery and to minimize risks such as chest dehiscence.

Improved surgical treatment of elderly patients is becoming more important while healthcare professionals work to minimize post-operative complications and shorten recovery periods because of population aging. Secure sternal closure systems become essential for older patients due to their elevated risk of infections, together with poor bone healing potential and additional post-operative complications. The medical world adopts resorbable sternal plates together with titanium fixation devices as well as innovative sternal wires because these solutions provide better stability and speed up recovery while maintaining patient safety. The elderly population growth creates both increased medical procedure requirements while prompting manufacturers to develop convenient and gentle surgical technologies to optimize senior recovery. The rising elderly population in the market requires advanced sternal closure devices that deliver high-quality postoperative care for aged patients.

The high cost of advanced sternal closure devices limits accessibility in low-resource settings.

Multiple advanced sternal fixation devices, which include titanium plates, resorbable sternal systems, and robotic-assisted closure technologies, remain unaffordable in numerous low-resource environments. Developing countries, together with other low-resource regions, experience severe budgetary restrictions that limit their healthcare funds. Hospitals in these places cannot acquire the newest effective sternal fixation systems because they face restricted access to advanced medical technologies. Medical devices currently cost so much that healthcare providers have limited ability to optimize care delivery for patients needing open-heart surgical procedures, thus restricting access to necessary treatments. The high cost acts as the primary limiting factor for enhanced sternal closure solutions because it prevents broad market acceptance in resource-constrained healthcare facilities.

The cost structure burdens healthcare institutions while restricting patient access to healthcare through financial challenges, particularly in regions demanding high self-payments from patients. Open-heart surgery patients in economically constrained areas tend to rely on traditional sternal wires since these cost-effective alternatives make them more available in these specific settings. Such outdated procedures do not deliver equivalent stability after surgery, nor similar post-operative healing results like premium solutions provide. The lack of access to advanced sternal closure technology widens economic differences globally, which reduces the worldwide expansion of this technology market.

Expansion of healthcare infrastructure in emerging economies creates new market opportunities.

The fast expansion of healthcare infrastructure across emerging economies creates numerous business prospects in the sternal closure system market. Multiple countries across the Asia-Pacific, along with Latin America and the African continent, dedicate significant funds to build better healthcare facilities for their expanding citizenry. Medical technologies experienced rising demand because of recent developments in cardiothoracic surgery practice. These regions see rising healthcare budgets combined with modern medical facility establishment that enables accessibility to premium sternal closure devices, including titanium fixation systems and resorbable sternal plates that were inaccessible before.

The growth of healthcare facilities in emerging markets increases their adoption of international care standards that incorporate advanced sternal closure systems. Responding to an increased cardiovascular disease rate in these areas, together with growing demands for sure and productive fixation systems for the sternum, drives this expanding market trend. Global medical device partnerships and local manufacturing enable such medical devices to become more accessible due to their cost-effectiveness. The expansion of the sternal closure system market becomes possible through the continuous growth of these economies, which opens fresh market opportunities for both domestic and international participants.

The development of bioabsorbable and patient-specific closure systems drives innovation.

The development of patient-specific and bioabsorbable sternal closure systems creates new chances for market innovation. The body dissolves bioabsorbable materials more easily than traditional sternal wires and titanium plates because these devices will be absorbed after insertion. Medical devices protect patients by minimizing both post-treatment complications and surgical operations, as well as infection risks. Bioabsorbable systems attract growing interest because the market wants devices that are both minimally invasive and biocompatible. Better surgical closure techniques develop because medical advancement enables treatment options that cater to individual patient needs and natural anatomy features to enhance postoperative recovery.

The market for sternal closure underwent significant changes because patient-specific and bioabsorbable solutions outperform traditional techniques in multiple ways. The developed solutions help medical healing while aligning with existing person-directed healthcare requirements. Pioneering medical imaging techniques, together with 3D printing capabilities, let device manufacturers manufacture tailor-made closing tools that replicate patients' exact anatomical requirements, so operations become safer and healing speeds up after surgery. Bioabsorbable medical products minimize healthcare costs since they eliminate the need to undertake surgeries to remove traditional fixation hardware.

Industry Experts Opinion

"FiberTape® sternal closure offers a familiar, straightforward method for reapproximating and stabilizing the sternum following open-heart surgery. It serves as an all-suture alternative to stainless wires, providing enhanced compression along the sternum for optimal closure."

• Dr. Clarence Owen, Cardiothoracic Surgeon, Greensboro, NC

Segment Analysis

Based on Product Type, the Sternal Closure System Market is segmented into Closure Devices and Bone Cement. Wires lead the market today largely because they have been used for years while maintaining affordable prices during sternotomy procedures. Rigid fixation methods gain popularity in the plates & screws sub-segment due to their strong advantages in assuring sternal stability and lowering the possibility of dehiscence. The adoption of rigid closure devices for cardiac procedures increases because physicians recognize biocompatible material improvements, together with improved clinical evidence, which demonstrates better patient outcomes after surgery.

Based on Procedure, the Sternal Closure System Market is segmented into Median Sternotomy, Hemisternotomy, and Bilateral Thoracosternotomy. The median sternotomy segment claims the largest market share since surgeons frequently use this method to conduct CABG operations and valve replacement procedures. Its popularity results from surgeons knowing this procedure well and the ability to use it with patients of different populations. The market for sternal closure systems expands through ongoing innovation of surgical procedures requiring solutions that match their distinct requirements.

Regional Analysis

North America experiences the largest share in the Sternal Closure System Market because of multiple factors like extensive cardiothoracic operations, along with advanced healthcare systems and prevailing market leaders in this region. The United States, in particular, accounts for a significant share due to its high prevalence of cardiovascular diseases, favourable reimbursement policies, and rapid adoption of advanced surgical technologies such as rigid fixation systems. The market leadership of North America in the industry continues to grow due to constant investments in research and development and product launches by the main manufacturers operating in the area.

Asia-Pacific Sternal Closure System Market is the fastest-growing region as the region observes rising medical spending, increased knowledge of heart health, and a growing number of elderly patients prone to heart diseases. The Asian countries China, India, and Japan are reporting rising cardiothoracic surgical procedures, which the medical tourism growth and improved specialized healthcare service access. Market expansion in the region moves forward because governments invest in healthcare infrastructure modernization and because international medical device manufacturing companies continuously increase their presence.

Competitive Landscape

The competitive landscape of the Sternal Closure System Market includes various well-established companies that conduct product innovation and strategic alliances to hold their market leadership position. The market leader status belongs to Zimmer Biomet and Johnson & Johnson (DePuy Synthes) alongside KLS Martin Group and B. Braun Melsungen AG which maintain a diverse product range consisting of wires plates and screws.

The market participants maintain active involvement in R&D efforts to develop modern rigid fixation systems and biocompatible materials that aim to deliver improved clinical results. The rising market demand from emerging economies leads companies to adopt regional expansions and acquisitions, and mergers as strategies for global expansion.

Sternal Closure System Market, Company Shares Analysis, 2024

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Recent Developments

• In September 2023, Abyrx obtained expanded FDA approval to expand the usage of its mouldable bone putty MONTAGE on its market. The extended FDA approval allows the use of this product for cardiothoracic surgical procedures performed after sternotomy. MONTAGE helps heart surgeons achieve better results during the procedure of sternal repair and closure.

Report Coverage

By Product Type

• Closure Devices
  • Wires
  • Plates & Screws
  • Cables
  • Clamps
  • Others
• Bone Cement

By Procedure

• Median Sternotomy
• Hemisternotomy
• Bilateral Thoracosternotomy

By Material

• Stainless Steel
• Titanium
• Polyether Ether Ketone (PEEK)
• Bioabsorbable Materials
• Other

By Application

• Cardiovascular Surgery
• Thoracic Surgery
• Orthopedic Trauma Surgery
• Others

By End User

• Hospitals
• Cardiac Centers
• Ambulatory Surgical Centers (ASCs)

By Region

North America

• U.S.
• Canada

Europe

• U.K.
• France
• Germany
• Italy
• Spain
• Rest of Europe

Asia Pacific

• China
• Japan
• India
• Australia
• South Korea
• Singapore
• Rest of Asia Pacific

Latin America

• Brazil
• Argentina
• Mexico
• Rest of Latin America

Middle East & Africa

• GCC Countries
• South Africa
• Rest of the Middle East & Africa

List of Companies:

• Zimmer Biomet Holdings, Inc
• Johnson & Johnson
• A&E Medical Corporation
• Orthofix Medical Inc.
• KLS Martin Group
• B. Braun Melsungen AG
• Medtronic plc
• SternaLock
• Peters Surgical
• Praesidia Srl
• RTI Surgical
• Cook Medical
• Geister Medizintechnik GmbH
• Jace Medical, LLC
• Amedica Corporation

Frequently Asked Questions (FAQs)