Every year, over one million people worldwide undergo open-heart surgery in the fight against cardiovascular disease. American Heart Association reports that each year in the United States, over 700,000 open-heart surgeries are performed requiring mid-line sternotomies. Sternal closure systems are used for closing the sternum or the breastbone after sternal reconstructive surgical procedures. The SternaLock Blu System of Zimmer Biomet applies the proven principles of locking rigid fixation to sternal closure and offers a rigid fixation alternative for mid-line sternotomies as well as a variety of minimally invasive approaches including the mini-sternotomy and mini-thoracotomy. The SternaLock Blu plate’s thinner and anatomical design help address the challenges associated with fixating a 90-degree sternal incision or rib osteotomy. The plates increase stability at the osteotomy site, while still allowing for minimally invasive access.

STERNAL CLOSURE SYSTEMS MARKET OUTLOOK

Increasing prevalence of cardiovascular diseases and growing availability of medical reimbursements across major markets are boosting sternal closure systems market globally. Moreover, launch of innovative devices to produce tight closure and stable union at sternum for patients undergoing cardiothoracic surgery is also expected to boost the market growth. For instance, in January 2017, JACE Medical, LLC launched pre-monoblock sternal plates in the U.S. These plates are used prior to surgery and work as implant positioner. However, limited awareness among healthcare providers about novel sternal closure techniques is hampering the market growth.

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STERNAL CLOSURE SYSTEMS MARKET SEGMENTAL OVERVIEW

The report analyses the global sternal closure systems market based on product, procedure, material and geography. 

STERNAL CLOSURE SYSTEMS MARKET BY PRODUCT

The sternal closure systems market is categorized into various products such as closure devices including wires, plates screws, clips and cables; and bone cement. DePuy Synthes CMF offers the Sternal ZIPFIX System and the Titanium Sternal Fixation System to help close the sternum following heart surgery and surgeries of the thoracic cavity that necessitate sternal closure. The Sternal ZIPFIX System enables fast sternal closure with consistent tensioning of a sternal band along a sternotomy or fracture of the sternum. The system primarily consists of PEEK (polyetheretherketone) implants and an application instrument.

STERNAL CLOSURE SYSTEMS MARKET BY PROCEDURE

Various procedures of the sternal closure systems market comprise of median sternotomy, hemisternotomy and bilateral thoracosternotomy. The Zimmer Biomet microfixation sternal closure system is intended for use in the stabilization and fixation of fractures of the anterior chest wall including sternal fixation following sternotomy and sternal reconstructive surgical procedures, to promote fusion.

STERNAL CLOSURE SYSTEMS MARKET BY MATERIAL

Various materials included in this market are stainless steel, polyether ether ketone (PEEK) and titanium. The titanium sternal fixation system of DePuy Synthes provides stable internal fixation of the sternum for primary or secondary closure and repair, and is particularly useful following debridement of the sternum, or when sternal bone quality is insufficient.

STERNAL CLOSURE SYSTEMS MARKET BY GEOGRAPHY 

By geography, the global sternal closure systems market is studied across the countries of key regions such as, North America, Europe, Asia Pacific and rest of the world regions which includes Latin America, and Middle East Africa. In 2018, North America dominated the market owing to factors such as technological innovations, increasing healthcare spending, and swelling government initiatives to create awareness regarding sternal closure products. Moreover, Asia-Pacific sternal closure systems market is expected to grow at the fastest CAGR due to rising government initiatives for the modernization of healthcare infrastructure, large population base and growing incidence of cardiothoracic diseases.

STERNAL CLOSURE SYSTEMS MARKET KEY PLAYERS

The leading market players of the global sternal closure systems market are AE Medical, Abyrx, Acute Innovations, Depuy Synthes (A Part of Johnson Johnson), Dispomedica, Idear S.R.L, Jace Medical, Jeil Medical Corporation, Kinamed Incorporated, KLS Martin Group, Media Group Australia Pty Ltd, Orthofix International N.V., Praesidia SRL and Zimmer Biomet Holdings. Mergers and acquisitions and product portfolio expansion are primary strategies adopted by industry players. For instance, in June 2017, DePuy Synthes, a subsidiary of Johnson and Johnson acquired Innovative Surgical Solutions, LLC. Also, AE Medical Corporation acquired RTI Surgical’s Cardiothoracic Closure business in August 2017. RTI Surgical’s Cardiothoracic Closure business offers cable-based plate products such as Tritium SPC System.

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