Sternal Closure Systems Market Size, Share and Trends 2025 to 2034

What is the Sternal Closure Systems Market Size?

The global sternal closure systems market size is valued at USD 2.97 billion in 2025 and is predicted to increase from USD 3.13 billion in 2026 to approximately USD 4.77 billion by 2034, expanding at a CAGR of 5.43% from 2025 to 2034. Increasing cardiovascular diseases across the globe are turning into fatal conditions that need to be treated precisely; along with that, accidental injuries to the sterna affecting the quality of patients' lives after surgeries are the major cause driving the sternal closure systems market globally

Sternal Closure Systems Market Key Takeaways

• In terms of revenue, the global sternal closure systems market was valued at USD 2.81 billion in 2024.
• It is projected to reach USD 4.77billion by 2034.
• The market is expected to grow at a CAGR of 5.43% from 2025 to 2034.
• North America dominated the sternal closure systems market with the largest market share of 34% in 2024.
• Asia Pacific is expected to witness the fastest growth in the market during the forecasted years.
• By type, the closure devices segment accounted for the largest market share in 2024.
• By type, the bone cement segment is expected to grow at a CAGR of 3.12% during the forecasted years.
• By procedure, the median sternotomy segment accounted for the largest market share of 52% in 2024.
• By procedure, the bilateral thoracosternotomy segment is anticipated to have the fastest growth rate in the market during the forecasted years.
• By material type, the titanium segment contributed the biggest market share of 44% in 2024.
• By material type, the PEEK segment is anticipated to witness the fastest growth in the market during the forecasted years.

What are Sternal Closure Systems?

The sternal closure systems market is expected to showcase a significant growth rate during the forecasted years owing to the increasing rate of cardiovascular diseases globally. Sternal closure devices refer to orthopedic devices that are used for the fixation of the sternum after a sternotomy and stabilize it properly with natural alignment. Sternotomy is basically a medical procedure where the chest cavity is opened with the help of surgical tools, done by highly skilled medical professionals to access the organs beneath the breastbone of the human body.

Cardiovascular diseases are frequent these days due to the sedentary lifestyle with contaminated foods, especially foods grown inorganically with harmful pesticides, which is one of the prime reasons for health decline. Cardiovascular injury is another reason why sternotomy is done to treat the damaged part of the chest area, which majorly happens due to accidents. These two reasons led to the increasing number of heart surgeries worldwide, fuelling the sternal closure systems market prominently on a wider scale and aiding in rising demand for sternal closure devices.

What is the impact of AI on the sternal closure systems market?

Artificial Intelligence (AI) is significantly impacting the market growth of sternal closure systems for various reasons, like enhancing surgical procedures and improving precision by analyzing data with the help of machine learning algorithms. Due to the accuracy, intricate surgeries can become more sophisticated and data-driven, leading to reduced complications and faster recovery with a positive impact on the health of the patients.

Moreover, AI-driven imaging and diagnostics help in preoperative decisions and personalized planning for the treatment of individuals for better outcomes and faster recovery time. After operating on the patient, the AI-based tools can be used to measure medical terms like heart rate, blood pressure, and HB level after sugar, which are crucial factors that can affect patients' health prominently. AI tools developed for medical procedures further fuel the global sternal closure systems market.

What are the Growth Factors in the Sternal Closure Systems Market?

• Increasing rate of orthopedic surgeries worldwide.
• Increasing prevalence of cardiovascular diseases due to unhealthy lifestyles.
• Rising cases of accidents where open heart surgeries were needed.
• Rising operations sternotomy boosting the demand for sternal closure devices.
• Major key players are actively participating in mergers, acquisitions, and collaborations for the innovative launch of sterna devices.
• Technological advancement for bettering the results after open surgeries includes the development of highly efficient sternal closure devices, such as sternal cable systems.

Sternal Closure Systems Market Outlook

• Industry Growth Overview: The sternal closure systems market is anticipated to see steady growth between 2025 and 2030, primarily attributed to rising cardiac surgery volumes and increasing utilization of progressively advanced fixation technologies. Growth is further driven by a progressively flexible adoption of rigid plate systems, along with increasing utilization of minimally invasive cardiac procedures, particularly in the Asia-Pacific and North America.
• Sustainability Trends: Sustainability influenced the market as hospitals expressed preferences toward biocompatible, corrosion-resistant, and recyclable materials. To meet stricter safety and environmental guidelines, primarily in the European Union's medical regulation, manufacturers increased research and development in titanium alloys and bioresorbable polymers.
• Global Expansion: Major market players underwent expansion activities into Southeast Asia, Eastern Europe, and LATAM to address increased cardiac care demand and build supply chain capabilities in these markets. Companies also provided investment in local manufacturing and surgeon-training programs to facilitate the adoption of advanced closure technologies.
• Major Investor: Private equity and strategic investors began entering the field because of excellent margins, increasing surgical volumes, and high regulatory barriers to entry. Investors were attracted to companies developing plate-and-screw systems, novel closure devices, and AI-guided surgical technologies.
• Startup Ecosystem: Emerging companies began expanding the startup space with innovations in bioresorbable fixation, personalized 3D-printed implants, and sensor-enabled closure systems. Young companies in the United States, Germany, and India attracted significant venture capital (VC) funding for their safer, patient-specific, and technology-enabled sternal closure systems.

Market Scope

Market Dynamics

Drivers

The increasing rate of open-heart surgeries due to medical complications

A significant growth factor for the proliferation of the sternal closure systems market is increasing health-related complications, leading to open heart surgeries globally. The global market is driven by various prominent factors, including increasing instances of cardiovascular diseases due to unhealthy habits, a sedentary working culture, and wrong eating practices. The subsequent rise in open heart surgeries has increased the demand for sternal closure system devices for the precise outcomes of delicate practices like open heart surgeries.

• According to the data published by WHO, nearly 71,900,000 people had been affected and died from cardiovascular diseases as a prime cause. Moreover, in the case of India, it is estimated that nearly 1,00,000 open heart surgeries have been done annually to date. In the U.S., 5,00,000 surgeries were performed related to cardiovascular diseases, especially open-heart surgeries.

Restraints

The inclination toward minimally invasive surgery

A major restraining factor that hinders the sternal closure systems market growth is the inclination of individuals for minimally invasive surgeries across the globe. Chronic diseases like diabetes, thyroid, and CVDs can be optimally managed with the help of minimally invasive and non-invasive treatments, hindering the market growth further. This is due to the ongoing scientific advancements in the medical sector, which have led to the development of technically well-structured devices that help in precise surgeries without operating on the human system.

• In February 2022, Evonik Venture Capital invested in the U.S.-based start-up CircumFix Solutions, which has designed a novel sternal closure instrument to improve patient recovery after open chest surgery

Opportunity

Approval of technologically innovative orthopedic/ sternal products.

A major opportunity that the sternal closure systems market holds is the approval of technologically advanced sternal products by authorities like the FDA and others. Major key players in the market are striving for opportunities to merge and acquire developing companies in the market to expand their portfolios and strengthen their roots.

The Sternal Talon launched by KLS Martin Group. which is a lightweight titanium closure device designed to encircle the sternum, helps in precisely yielding a stable closure by effectively distributing the strength of closure over the entire length of the sternotomy. After multiple strength tests performed by professionals, its superiority over wires is accepted widely, and tests have confirmed its ease of placement.

Type Insights

The closure devices segment accounted for largest sternal closure systems market share in 2024. The growth of this segment is attributed to the increasing launching rate of innovative medical devices, which is exponentially increasing, contributing to the growth of the market further. These devices are affordable and convenient for medical professionals since they help speed up recovery after intricate, deep surgeries.

The bone cement segment is anticipated to grow rapidly in the sternal closure systems market during the forecasted years. This segment is growing due to the ongoing studies showing its effect on the patients who have gone through surgeries, which showcased a noticeable positive and healing change in the bone structure. The sternal reconstruction in patients is a crucial aspect of the surgeries since it enables individuals to live normal routines again; due to this, many key players are introducing new devices for medical professionals to use for intricate surgeries of bones.

• 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.

Procedure Insights

The median sternotomy segment accounted for the largest share of the sternal closure systems market in 2024. The medical process known as osteotomies is mostly performed across the world since this process allows deep access to the lungs, heart, and area around the heart to treat precisely. This is performed mostly with valve replacement surgery for the heart. Similarly, median sternotomy helps lower the complications and infections involved after surgery, fuelling this segment's growth.

The bilateral thoracosternotomy segment is anticipated to have the fastest growth rate in the sternal closure systems market during the forecasted years. The growth of this segment is due to the increasing prevalence of cardiac surgeries across the globe, owing to the huge number of people suffering from cardiovascular diseases with other health complications.

• According to data published by WHO in 2023, chronic obstructive pulmonary disease is the notable cause of death around the globe.

Material Type Insights

The titanium segment dominated the global sternal closure systems market in 2024. The growth of this segment is due to the benefits offered by titanium, such as the ability to join human bone structures accurately since titanium is a bio-compatible and non-toxic material with affordable prices. It also provides resistance to corrosive possibilities, leading it to be the most demanding material for medical procedures.

The PEEK segment is anticipated to witness the fastest growth in the sternal closure systems market during the forecasted years. The growth of this segment is attributed to various factors like increasing investments in R&D by major key players in the market and technological advancements in medical products, including properties like biocompatibility of the material. Many products are made with the help of PEEK material.

Regional Insights

U.S. Sternal Closure Systems Market Size and Growth 2025 to 2034

The U.S. sternal closure systems market size is exhibited at USD 757.35 million in 2025 and is projected to be worth around USD 1,242.47 million by 2034, poised to grow at a CAGR of 5.61% from 2024 to 2034.

North America accounted for the largest share of the sternal closure systems market in 2024. The growth of this region is due to the presence of major market players in the U.S. and their active involvement. Moreover, the burden of cardiovascular diseases is increasing and creating a sense of fear among the masses, leading to awareness about surgeries for a healthy heart and overall health since the heart is the key organ of the human system.

• According to the data published by WHO in 2023, nearly 6 lakh more people died due to CVDs, mainly due to heart attacks, highlighting the importance of technological advancements required to treat heart disease, fuelling the sternal closure systems market growth further.
• In January 2023, Able Medical Devices introduced looped wire sutures for closing a patient's chest after open-heart surgery. These sutures offer more robust sternal closure compared to traditional wire sutures and double the surface area of single wires.

Asia Pacific is expected to witness the fastest growth in the sternal closure systems market during the forecasted years. Growth of the region is due to the increasing rate of the geriatric population and investment in robust healthcare infrastructure with well-equipped, technically sound structures to treat various diseases, including chronic ones and CVDs as well. The market is expanding due to evolving countries like India, Japan, and China and their active participation in the advancement of the medical sector.

In India, the sternal closure systems market is witnessing exponential growth owing to factors like rising geriatric population rates, cardiovascular diseases, and chronic diseases. To treat this, technological advancement in the medical sector is further fuelling the market in India.

In China, the sternal closure systems market is fuelling due to the increasing healthcare expenditure annually along with numerous initiatives taken by major key players in the country to offer the best healthcare facilities to improve the results of surgeries like open heart surgery, which is crucial one among the surgeries proceeding in the medical sector.

Why did Europe experience Rapid Growth in the Sternal Closure Systems Market?

Europe expanded at a rapid rate due to robust regulations around medical devices, talented surgeons, and the high demand for advanced cardiac procedures. Numerous hospitals made the switch to rigid plate systems to improve recovery road safety. The sector sought to develop and test biocompatible materials while developing newer implants, generally aiding the transition to more accepted modern closure devices. Multiple areas of potential growth were backed through grant-writing in research, an aging population base, and the onset of new heart centers throughout EasternEurope.

Germany Sternal Closure Systems Market Trends

Germany led the European sternal closure systems market due to the highly successful cardiac surgery programs supported by its top-of-the-line hospital infrastructure. Surgeons adopted titanium plates and bioresorbable systems, which were immensely popular because of the resulting healing outcomes. Substantial funding from the government likewise led to many new product development cycles and rapid approvals for medical devices.
Manufacturers teamed with surgeons to test new fixation technologies and bring the advanced technologies to the market, confirming Germany's position as the main contributor to Europe's growth in modern sternal closure products.

Why did Latin America experience Rapid Growth in the Sternal Closure Systems Market?

Latin America has been experiencing rapid growth due to increased cardiac surgery volume and improved hospital technology. Newer closure systems have been adopted to improve safety and minimize complications, with faster recovery. Regional governments have pursued the improvement of public health systems while creating better access to advanced implants for patients.

Local opportunities have been enhanced as global companies have expanded local manufacturing and educational programs. Recognition of the increased incidence of heart-related illnesses, in combination with improved insurance, placed the region on a path towards safer, more efficient sternal fixation technology.

Brazil Sternal Closure Systems Market Trends

Brazil led the region in cardiac surgeries more than any other Latin American nation, therefore contributing more to the region's increased sternal closure device utilization. The country has undertaken the implementation of advanced surgical technology, which has enabled many hospitals to expand their surgical approach with modern fixation systems.
Improved government support and growth within the private healthcare sector, reaching more patients, led Brazil to incorporate stronger, lighter titanium plates. Advanced training programs for surgeons further established Brazil as a national leader and improved patients' overall capability and quality of care delivery.

Why did the Middle East & Africa experience Robust Growth in the Sternal Closure Systems Market?

The Middle East & Africa region exhibited robust growth as countries heavily invested in cardiac care infrastructure. The number of specialized heart centers has increased, resulting in a heightened demand for modern closure systems. The region's hospitals implemented titanium plates and hybrid fixation devices that helped mitigate risk for patients undergoing surgical procedures. Opportunities were provided with the growth of medical tourism, increased awareness of cardiac disease, and government initiatives to attract advanced technologies to developing healthcare systems offered by manufacturers internationally.

Saudi Arabia Sternal Closure Systems Market Trends

Saudi Arabia initially led the region due to significant investments in world-class hospitals and advanced cardiac care centers. The country embraced the use of rigid plate systems quickly as they further improved outcomes and complications. The government's programs expanded to provide more training for surgical staff and encouraged global device manufacturers to provide hospitals with modern devices. Saudi Arabia emerged as a leading market for sternal closure technologies by raising awareness for cardiac disease and providing access for patients to higher-quality specialized care.

Sternal Closure Systems Market Companies

• Johnson & Johnson
• Zimmer Biomet
• KLS Martin Group
• Orthofix Medical Inc.
• Kinamed Incorporated
• B. Braun SE
• Acumed LLC
• ABYRX, INC.
• IDEAR S.R.L
• ABLE MEDICAL DEVICES

Segments Covered in the Report

By Type

• Closure Devices
• Bone Cement

By Procedure

• Median Sternotomy
• Hemisternotomy
• Bilateral Thoracosternoton
• Others

By Material

• Stainless Steel
• Polyether Ether Ketone (PEEK)
• Titanium
• Others

By Geography

• North America
• Asia Pacific
• Europe
• Latin America
• Middle East & Africa