According to the Market Statsville Group (MSG), Global Sternal closure systems Market was valued at USD 2800 million in 2023 and is expected to grow from USD 2913 million in 2024 to USD 2520 million by 2033, by exhibiting a CAGR of 4.04% during the forecast period (2024-2033)
The medical devices used to close the sternum and stabilize it after thoracic or cardiac surgeries, including CABG and heart valve replacement, are sternal closure systems. Proper closure of the sternum is essential for the success of such procedures since it helps ensure proper healing and reduces the possibility of complications. There are four different types of sternal closure systems in the market, namely, wire closure systems, plate and screw systems, sternal bonding systems, and sternal slaps. Growth within this market is fairly reasonable globally although diverse between the regions. The market shares of North America and Europe have the highest share due to the advanced state of healthcare infrastructure and high surgical volumes. The Asia-Pacific region is also growing rapidly as healthcare investments are increasing along with cardiac surgery rates. Advanced materials are being used as bio-compatible polymers and titanium alloys for better stability and reduced risk of complications in patients. New techniques and technologies are under research for the development of an effective and safe sternal closure system. They include less invasive methods taking into account reduced surgical trauma devices.
Furthermore, rising rates of cardiovascular diseases and an aged population are compelling the requirement for cardiac surgeries, thus encouraging demand for sternal closure systems. Growth in healthcare infrastructure in emerging markets such as Asia-Pacific and Latin America increases the number of cardiac procedures and thus creates huge growth opportunities in the market. There is a significant concern among medical professionals to reduce postoperative infections and complications. These factors have led to the increased utilization of superior infection control and rapid recovery systems. The concepts of new emerging ideas include patient comfort and the least amount of postoperative pain, which could lead to good outcomes as well as rapid recovery. The sternal closure systems, including the devices, are regulated and overseen by regulatory bodies such as the U.S. FDA, European Medicines Agency (EMA), and other regional apparatuses of these agencies. Strict standards for the safety, efficacy, and quality control of materials are imposed during the manufacturing of sternal closure systems. This influences market dynamics and; hence, product development.
Sternal Closure Systems are surgical devices designed to fixate the sternum after it has been split (sternotomy) to gain access to the thoracic cavity during procedures such as coronary artery bypass grafting (CABG), heart valve replacement, or other major cardiac surgeries. The key objectives of these systems are proper alignment and stability of the sternum to ensure excellent healing with minimal complications such as sternal dehiscence (wound separation) and infection.
The growth factors for the sternal closure systems market have been headed by the increasing trend of cardiac surgeries. This is due to various reasons, such as a greater incidence rate of cardiovascular disease, improved surgical techniques, and demographics. Cardiovascular diseases (CVDs) cause more deaths globally than from any other cause. The World Health Organization estimates CVDs account for about 32% of all deaths worldwide. Increasing incidence of conditions like coronary artery disease, heart failure, and valvular heart disease leads to surgical demand. Recent advances in surgical technology have evolved newer minimally invasive techniques with reduced recovery time and risks.
However, now procedures like PCI and TAVR are conducted more frequently, allowing a much greater range of surgical intervention for patients. The advancement of technological fields such as the improvement of techniques in cardiac surgery-stemal closure methods and the development of advanced imaging technologies surgeries' successes and numbers. These innovations make complex interventions more accessible and safer for a wider scope of patients. The proportion of the aged population is on the rise as most parts of the world are aging. More and more people are at a higher risk of developing cardiovascular conditions, hence more cardiac surgeries. By 2050, the number of people aged 65 years and older will nearly double from 2010, thus significantly impacting the need for cardiac intervention.
The major challenge with the sternal closure systems market is the risk of infection. Generally, postoperative infections are both detrimental to patient recovery and surgical outcomes and increase healthcare costs as a whole. In patients who undergo cardiac surgeries, postoperative infections within the sternum area raise severe concern. These infections may be superficial wound infections or deeper sternal infections and are challenging to treat. Infection can result in prolonged hospital stays and increased surgery, higher healthcare costs, and even death at the end.
Additionally, the infection may also prolong the normal healing time and may affect the general pattern of recovery and thereby the successful outcome of the surgical procedure in the long run. Wire closure systems are highly popular but increase the risk of infection. Wires traversing the sternum will probably furnish windows for possible bacterial entry, thus increasing the potential risk of infections during the postoperative period. Modern systems, utilizing plates and screws, can offer better stability and decrease the risk of instability, possibly lowering it. These, however, carry risks of infection, mostly if not biocompatible materials are used, or if the surgical technique is less than ideal. In the case of sternal bonding systems, the adhesives or bio-compatible glues mainly close up the sternum, which can significantly reduce the chances of infections coming up later due to mechanical methods.
The study categorizes the sternal closure systems market based on type, material, and application area at the regional and global levels.
Based on the application, Cardiac surgical procedure known as coronary artery bypass grafting is the most popular type of heart surgery used to treat CAD. CAD happens when blood vessels known as coronary arteries that bring blood to the heart muscles are restricted or closed. CABG entails the removal of a healthy blood vessel from another part of the body and is used to redirect the blood around the blockage in the heart muscle. Stainless steel wires are that which is usually used to suture the sternum once it has been cracked open to access the heart, also known as sternotomy. These wires are spiraled around the sternum and then twisted to lock the bone firmly into position. In cases of bad bone stock or in situations where a more rigid fixation is needed, plating systems made from titanium alloy may be employed. The methods of sternal closure below are more rigid and can help to minimize the occurrence of sternal dehiscence. Experimental biodegradable implants and other materials, that stimulate bone growth, are also being developed to enhance the experiences of the patients. Sternum, which is the bone, should be ably closed to ensure that such a structure stays rigid, especially during the initial days of healing. A secure closure minimizes pain and discomfort experienced after the operation, check. It means that a stable sternum is least prone to infections, which per se, is a serious complication of cardiac surgery.
Based on the region, Cardiovascular diseases have become widespread in North America, especially in the US, resulting in increased patient demand for cardiac surgeries and sternal closure systems. The area has relatively good access to healthcare services and the population makes extensive use of modern equipment in treatment. Many large-scale companies are from the United States, including DePuy Synthes (Johnson & Johnson), Zimmer Biomet, and Stryker Corporation, which has played a part in the region’s market dominance. The availability of intensive capital investment for research activities and renowned research facilities provide an impetus for the creation of advanced sternal closure systems. The North American market is big and continually growing because of factors such as an aging populace and higher individual healthcare costs.
The sternal closure systems market is a significant competitor and extremely cutthroat in the sector is using strategies including partnerships, product launches, acquisitions, agreements, and growth to enhance their positions in the market. Most sectors of the businesses focus on increasing their operations worldwide and cultivating long-lasting partnerships.
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