Growth Factors of sternal closure systems Market
The global sternal closure systems market is witnessing steady growth, driven by the rising prevalence of cardiovascular diseases (CVD) and increasing demand for open-heart surgeries worldwide. The market was valued at USD 2.10 billion in 2025, projected to reach USD 2.22 billion in 2026, and is expected to grow to USD 3.53 billion by 2034, exhibiting a CAGR of 6.00% during the 2026-2034 forecast period. North America dominated the market in 2025 with a 45.0% share, due to the high prevalence of cardiac diseases and rapid adoption of technologically advanced orthopedic devices.
Sternal closure systems are specialized orthopedic devices used to stabilize and fix the sternum after a sternotomy, a surgical procedure performed to access organs in the chest, mainly the heart. With the global burden of cardiovascular diseases increasing, the demand for open-heart surgeries and associated sternal closure devices is expected to grow significantly.
Market Impact of COVID-19
The COVID-19 pandemic caused a notable disruption in the sternal closure systems market. Due to government guidelines postponing elective surgeries, demand declined sharply. In 2020, the market experienced a -27.80% decline, highlighting the vulnerability of surgical device markets during global health crises. However, the launch of new innovative products by 2023 is anticipated to drive market recovery and sustained growth.
Market Drivers
The primary factor driving market growth is the rising prevalence of cardiovascular diseases globally. According to the World Health Organization (WHO), approximately 71.9 million people died worldwide due to CVD. Consequently, the number of open-heart surgeries has increased; in the U.S. alone, around 500,000 open-heart surgeries are performed annually.
Other drivers include:
- Innovative product launches and approvals: Technologically advanced sternal closure devices, such as A&E Medical Corporation's Sternal Cable System (FDA approved 2020), offer alternatives to traditional wire systems, improving surgical outcomes.
- Mergers, acquisitions, and collaborations: Key players like Zimmer Biomet are actively acquiring smaller orthopedic device manufacturers to expand product portfolios and market reach.
Market Restraints
The market faces some restraints due to the increasing adoption of minimally invasive surgeries. These procedures involve lower complications, shorter hospital stays, and reduced recovery time, decreasing the need for traditional sternal closure systems. For instance, in the U.S., around 200,000 minimally invasive coronary bypass surgeries are performed annually, limiting the demand for conventional devices.
Segmentation Analysis
By Product
- Sternal closure devices dominated the market in 2026 with a 67.57% share, driven by technological advancements and growing open-heart surgeries.
- Bone cement holds a smaller share, mainly adopted in developing regions such as Latin America and the Middle East & Africa.
By Material
- Titanium held the largest market share in 2026 at 46.84%, due to high biocompatibility, corrosion resistance, and durability.
- PEEK is emerging as a significant material segment owing to R&D investments and innovations in device manufacturing.
- Stainless steel continues to be used but at a lower adoption rate compared to titanium and PEEK.
By Procedure
- Median sternotomy dominated in 2026 with a 53.14% share, due to its widespread adoption among geriatric patients and lower postoperative infection rates.
- Other procedures include bilateral sternotomy and hemisternotomy, which hold smaller market shares.
Regional Insights
- North America: The leading region, with market revenue of USD 0.94 billion in 2025 and projected to reach USD 0.91 billion by 2026, driven by high prevalence of CVD and adoption of advanced devices.
- Europe: Growth supported by public healthcare infrastructure, CE-mark approvals, day-care surgeries, and increasing healthcare expenditure. The UK is projected at USD 0.09 billion by 2026, Germany USD 0.15 billion.
- Asia Pacific: Fastest-growing market, supported by aging populations, increasing cardiovascular disease prevalence, and expanding healthcare infrastructure. Japan projected at USD 0.15 billion, China USD 0.11 billion, India USD 0.05 billion by 2026.
- Latin America & Middle East & Africa: Moderate growth expected, driven by increasing healthcare accessibility and infrastructure improvements.
Key Industry Players
The market exhibits moderate competition with key players focusing on mergers, acquisitions, and innovative product launches. Prominent companies include:
- Johnson & Johnson Services Inc. (U.S.)
- Zimmer Biomet (U.S.)
- KLS Martin Group (Germany)
- B Braun Medical (Germany)
- Stryker (U.S.)
- Jace Medical, LLC (U.S.)
- Kinamed Incorporated (U.S.)
- Idear S.R.L (Argentina)
- Acute Innovations (U.S.)
Recent industry developments include:
- June 2021: Able Medical Devices launched the Valkyrie Thoracic Fixation System, a single-use radiolucent plating system.
- March 2021: Abyrx Inc.'s Montage Bone Putty advanced to Phase 2 clinical trials for sternal fixation.
- January 2019: A&E Medical Corporation received FDA 510(k) clearance for Thorecon Rigid Fixation System.
Conclusion
The global sternal closure systems market is expected to grow from USD 2.10 billion in 2025 to USD 3.53 billion by 2034, at a CAGR of 6.00%. Growth is primarily driven by the rising prevalence of cardiovascular diseases, increasing number of open-heart surgeries, and the launch of innovative sternal closure devices. While the adoption of minimally invasive surgeries poses a challenge, technological advancements, material innovations, and strategic collaborations among key players are anticipated to sustain market expansion. North America leads the market, whereas Asia Pacific is poised to witness the fastest growth due to increasing healthcare infrastructure and aging populations.
ATTRIBUTES DETAILS
Segmentation
By Product
- Sternal Closure Devices
- Wires
- Plates and Screws
- Clips and Cables
- Bone Cement
By Procedure
- Median Sternotomy
- Bilateral Sternotomy
- Hemisternotomy
By Material
- Stainless Steal
- Titanium
- PEEK
By Geography
- North America (Product, Procedure, Material)
- USA (By Product)
- Canada (By Product)
- Europe (Product, Procedure, Material)
- UK (By Product)
- Germany (By Product)
- France (By Product)
- Italy (By Product)
- Spain (By Product)
- Scandinavia (By Product)
- Rest of Europe (By Product)
- Asia Pacific (Product, Procedure, Material)
- Japan (By Product)
- China (By Product)
- India (By Product)
- Australia (By Product)
- Southeast Asia (By Product)
- Rest of Asia Pacific (By Product)
- Latin America (Product, Procedure, Material)
- Brazil (By Product)
- Mexico (By Product)
- Rest of Latin America (By Product)
- Middle East & Africa (Product, Procedure, Material)
- GCC (By Product)
- South Africa (By Product)
- Rest of MEA (By Product)