The global sales of knotless tissue control devices are estimated to be worth USD 494.4 million in 2025 and are anticipated to reach a value of USD 728.6 million by 2035. Sales are projected to rise at a CAGR of 2.7% over the forecast period between 2025 and 2035. The revenue generated by knotless tissue control devices in 2024 was USD 481.4 million.
The knotless tissue control devices market is witnessing remarkable growth, due to some advances in surgical solutions. Advanced surgical instruments such as knotless tissue control devices can be incorporated into standard operating procedures to increase surgical efficiency, shorten operating times, and lessen the risks of conventional suturing methods.
They make knot tying unnecessary in cases of closure of wounds by approximating tissues accurately and securely; hence, they hold great importance in different medical specialties like orthopedics, general surgery, and cardiovascular surgery.
Global Knotless Tissue Control Devices Industry Outlook
| Attributes | Key Insights |
|---|---|
| Historical Size, 2024 | USD 481.4 million |
| Estimated Size, 2025 | USD 494.4 million |
| Projected Size, 2035 | USD 728.6 million |
| Value-based CAGR (2025 to 2035) | 2.7% |
The continuous increase in minimally invasive procedures is introducing greater acceptance in the market, requiring quicker recovery and less patient trauma. The continually increasing prevalence of chronic disorders leading to higher surgical intervention, along with a growing geriatric population vulnerable to conditions like arthritis and cardiovascular disorders are additional factors driving market growth.
Technological advancements have played a significant role in developing market dynamics over the years. The introduction of bioabsorbable knotless devices and products specifically designed for certain surgeries have expanded the scope of application. The innovation addresses the need for precision areas like ophthalmology and plastic surgery, where minimal scarring and maximum cosmetic outcomes are paramount.
Further, the enhanced ease of use offered by these devices has been driving up their acceptance rate amongst healthcare professionals, resulting in less time on training and more assurance of consistent surgical outcomes.
The rising focus on developing healthcare infrastructures in the emerging markets is another critical factor. With more significant investment by both government and private players in cutting-edge medical technologies, the demand for these instruments will rise as healthcare facilities focus on providing more advanced surgical tools such as knotless tissue control devices.
The market will thus grow steadily, as innovation will keep presenting itself coupled with a growing emphasis on patient-centered care.
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A comparative analysis of fluctuations in compound annual growth rate (CAGR) for the knotless tissue control devices market between 2024 and 2025 on a six-month basis is shown below.
By this examination, major variations in the performance of these markets are brought to light, and also trends of revenue generation are captured hence offering stakeholders useful ideas on how to carry on with the market’s growth path in any other given year. January through June covers the first part of the year called half1 (H1), while half2 (H2) represents July to December.
The table below compares the compound annual growth rate (CAGR) for the global knotless tissue control devices market from 2024 to 2025 during the first half of the year. This overview highlights key changes and trends in revenue growth, offering valuable insights into market dynamics.
H1 covers January to June, while H2 spans July to December. In the first half (H1) of the decade from 2024 to 2034, the business is predicted to surge at a CAGR of 3.4%, followed by a slightly lower growth rate of 3.1% in the second half (H2) of the same decade.
| Particular | Value CAGR |
|---|---|
| H1 | 3.4% (2024 to 2034) |
| H2 | 3.1% (2024 to 2034) |
| H1 | 2.7% (2025 to 2035) |
| H2 | 2.2% (2025 to 2035) |
Moving into the subsequent period, from H1 2025 to H2 2035, the CAGR is projected to decrease slightly to 2.7% in the first half and projected to lower at 2.2% in the second half. In the first half (H1) the market witnessed a decrease of 70 BPS while in the second half (H2), the market witnessed a decrease of 90 BPS.
Increasing Number of Surgical Procedures Driving the Growth of the Knotless Tissue Control Devices
Rising surgical procedures worldwide remain an important growth factor of the knotless tissue control devices market. With surgical interventions becoming more readily available due to an older population and chronic diseases, the need for advanced wound closure solutions is climbing.
Knotless tissue control devices, having gained importance in contemporary healthcare facilities, are proving to be essential tools due to their benefits, including uniform distribution of tension, simplifications of surgical workflow, and a reduction in complications.
In this respect, the Centers for Disease Control and Prevention pointedly notes the urgent need for surgeries that attend to aging patients' needs. In 2019, falls were responsible for 83% of deaths from hip fractures, and 88% of emergency department visits and hospitalizations for hip fractures were recorded, where almost 319,000 older adults were hospitalized annually due to injuries from this cause.
An increasing volume of surgeries has an impact on the adoption of knotless tissue control devices, aiding in improving procedural efficiency and patient outcomes. Such devices are preferable among healthcare professionals to meet the rising caseload while ensuring sustained quality and safety in surgeries.
Shift Toward Advanced Wound Closure Techniques in the Knotless Tissue Control Devices Will Drive the Industry
A significant trend in the knotless tissue control devices market is the growing shift towards advanced wound closure methods that prioritize precision and an optimal healing outcome.
Traditional closure techniques such as conventional sutures, staples, and basic wound dressings do not always achieve multi-layer, watertight closure, leading to increasing risks of complications and suboptimal healing. This trend has prompted the adoption of knotless tissue control devices under modern principles of tissue management and wound healing.
Moreover, the knotless devices supported some key principles, including gentle tissue handling, effective hemostasis, obliteration of dead spaces, and tension-free closure, which are extremely important for achieving rapid and efficient healing. These devices eliminate the complexity of knot tying while ensuring uniformity of tension along the wound, thereby reducing the risk of complications arising from knots.
In addition, the development of these wound dressing techniques will augment the knotless tissue control device, establishing a healing-promoting environment by degrading bioburden, minimizing cross-contamination, and enhancing tissue regeneration. The combination of this approach to wound care is gaining a good reputation amongst surgeons and increasing the incorporation of knotless solutions into different surgical specialties.
The drive for improved healing outcomes and the limitations of conventional techniques have continued a trend toward new solutions to wound closure, thus ensuring a positive growth prognosis is being made on the knotless tissue control devices market.
Growing Demand For Advanced Wound Closure Solutions In Emerging Countries Would Provide Lucrative Opportunities For The Market.
The market for knotless tissue control devices has bright growth opportunities as advanced surgical solutions are in increasing demand across developing economies.
Increasing strength in health infrastructure in these regions is moving toward introducing innovative technologies to enhance procedure results and recovery for patients. Very much in demand because of their effectiveness and least complications, knotless tissue control devices can easily meet these demands.
Emerging markets with huge populations and a rising burden of chronic diseases that need surgical intervention give a lucrative opportunity for manufacturers. Governments and private entities in these regions are heavily investing in healthcare modernization, leading to an inviting opportunity for the adoption of advanced wound closure solutions.
Also, increasing medical tourism in countries like India, Thailand, and Mexico acts further toward the better development of the market in availing highly advanced surgical care.
Overall, with the increasing awareness regarding the functionalities of and access to advanced wound closure methods in the healthcare systems, knotless tissue control devices have emerged as promising solutions for filling these market opportunities.
Availability of Alternative Wound Healing Products Pose Challenges to the Market
For the growth of the knotless tissue control devices market to be expected to be hindered by the existence of alternative products as well as restrictions linked with these devices. Alternatives such as conventional sutures, advanced wound dressings, or other new surgical devices are a good match for competition and potentially lower the adoption of knotless tissue control devices.
For example, in April 2021, Dolphin Sutures launched a non-absorbable polytetrafluoroethylene suture, offering additional benefits for wound closure, making it the preferred option for certain surgical applications.
Other challenges affecting the market include the risk of surgical site infections, the high cost of antibacterial equipment, and aesthetic concerns like cross-hatched marks left by traditional sutures. Other developing countries also have counteracting policies, making it possible for advanced wound management solutions to be out of the reach for many, and thus limiting their market growth.
The global sales of knotless tissue control devices recorded a CAGR of 3.2% during the historical period between 2020 and 2024. The growth of the knotless tissue control devices diagnostics industry was positive as it reached a value of USD 728.6 million in 2035 from USD 494.4 million in 2025.
Historical traditional sutures, staples, and manual knotting techniques dominated the market, but despite their effectiveness, these methods had longer procedural durations, a higher risk of complications like knot-related infections, and a more critical prospect of inconsistent closure tension.
This led to the decision to further improve knotless tissue control devices, which emerged as another option with increased efficacy and reliability while offering an easier closure process that is more secure and tension-free. The market for knotless tissue control devices has shown significant development over time, moving from traditional wound closure techniques to modern, innovative, and more efficient solutions.
The use of knotless devices to control tissues has seen a steady rise as it ensures enhanced surgical efficiency, less operating time, and enhanced patient outcomes. The paradigm shift towards minimally invasive surgery and emphasis on patient recovery are some of the conspicuous drivers that have increased the equation for these devices.
The advantages of knotless tissue control devices incorporated by a surgeon and healthcare provider have been made clear; better handling of the tissue and reduced risks of complications ensuring faster healing times for patients. Like general surgery, orthopedics, and plastic surgery, these devices are in many surgical disciplines.
Knotless devices are further considered to have taken an upward trend, whereby going forward, the knotless tissue control devices market should also continue to thrive. With global healthcare developing, the demand for the use of advanced wound closure solutions will increase.
Such factors include an increasing number of aged patients, growing surgical procedures, and a tendency for more patient-centric care, which can all be predicted to augment the same for some time. Going forward, with surgical procedures going to become more invasive, so will the demand for accurate, reliable, and easy-to-use wound closure solutions.
Tier 1 companies are the major companies as they hold a 54.2% share worldwide. Tier 1 firms are medical device industry leaders, providing a diverse variety of products with a global reach, substantial market presence, and large R&D investments.
They dominate the knotless tissue control market with cutting-edge technological solutions and large-scale manufacturing capabilities. Prominent companies within tier 1 include Johnson & Johnson Services, Inc., Medtronic, Medline Industries, Inc., Stryker Corporation, and B. Braun Melsungen AG.
Tier 2 companies are relatively smaller as compared with tier 1 players. The tier 2 companies hold a share of 29.7% worldwide. These companies often provide more economical products, which appeals to cost-conscious healthcare providers and institutions.
Tier 2 manufacturers frequently experiment with novel materials and technologies, resulting in differentiated products that can compete effectively in specialized markets. Key Companies under this category include Smith & Nephew, Zimmer Biomet, Boston Scientific, ConMed Corporation, Mölnlycke Health Care, and others
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The section below covers the industry analysis for the knotless tissue control devices market for different countries. Industry demand analysis on key countries in several regions of the globe, including North America, Asia Pacific, Europe, and others, is provided.
The United States is anticipated to remain at the forefront in North America, with a CAGR of 0.9% through 2035. In South Asia & Pacific, India is projected to witness the highest CAGR in the market of 3.4% by 2035.
| Countries | Value CAGR (2025 to 2035) |
|---|---|
| United States | 0.9% |
| Germany | 1.0% |
| France | 1.5% |
| United Kingdom | 1.1% |
| China | 3.0% |
| India | 3.4% |
The United States dominates the global market with high share in 2024. The United States is expected to exhibit a CAGR of 0.9% throughout the forecast period (2025 to 2035).
The United States' requirement for advanced surgical solutions is greatly impacted by the prevalence of chronic illnesses: the need for surgical procedures is on the rise due to a growing number of patients suffering from cardiovascular diseases, diabetes, and cancers. As tissue closure is known for providing wound closure-that is both secure and tension-free-there is a high demand for the knotless tissue control devices.
In addition, this is aided in terms of growth by the presence of big players in the market. They are all looking at various technological innovations to improve their devices so that they may meet the rapidly-growing demand for minimally invasive surgeries. This allows surgical outcomes to be optimized while minimizing time in recovery and any resulting complications-powerful factors in modern surgery.
Over and above, the increasing prevalence of chronic diseases and constant innovations in elevation of tissue closure technologies shape the future for knotless tissue control devices in the USA.
In 2024, the United Kingdom held a dominant revenue in the Western Europe market and is expected to grow with a CAGR of 1.1%.
As per the report of the National Joint Registry, approximately 160,000 total knee and hip replacements are carried out every year only in England and Wales. The tissue control devices market is driven by increasing surgeries of hip and knee replacement in the UK. Aging populations mean that a rise in joint disorders translates into a corresponding rise in orthopedic surgeries.
The increasing demand for procedures such as hip and knee replacement is driving the need for advanced tissue closure solutions that ensure safety and reliability in such procedures, especially in minimally invasive surgeries. Thus, tissue control devices are now advancing in order to achieve benefits such as enhanced efficiency of surgery, shorter recovery times, and better results for patients.
Surgery volume and developments in surgery technologies continue to push demand among knotless tissue control devices, as the care providers continue to seek better solutions for complex procedures and better overall patient care.
China occupies a leading value share in East Asia market in 2024 and is expected to grow with a CAGR of 3.0% during the forecasted period.
The knotless tissue control device market in China is greatly driven by the increasing awareness of advanced surgical devices and the increased emphasis by industry participants on gaining competitive advantages.
With healthcare standards improving and more patients opting for advanced surgical solutions, the growth in demand for innovative tissue closure technologies is rapidly developing. This includes advanced products like knotless tissue control devices, which are being selected more frequently for their efficiency in minimally invasive surgeries.
Industry players are investing heavily in research and development to enhance their product offerings, intending to provide reliable, effective, and cost-efficient solutions. Furthermore, an expanding healthcare system in China will continue to create demand for tissue closure devices of high quality as more and more hospitals and specialized clinics introduce these advanced technologies.
This combination of rising awareness, technological progress, and competition in the market is fostering the growth of the market of knotless tissue control devices in China.
The section contains information about the leading segments in the industry. Based on product type, nonabsorbable polymers is expected to account 41.7% of the global share in 2025.
| Product Type | Nonabsorbable Polymers |
|---|---|
| Value Share (2025) | 41.7% |
By product type, nonabsorbable polymers are expected to hold a share of 41.7% in 2025. The knotless tissue control devices market is dominated by non-absorbable polymer knotless tissue control devices, which owe dominance to their superior durability, strength, and reliability in several surgical interventions.
Non-absorbable devices are preferred because they ensure the long-term stability of the tissue in place and, therefore, don't fail as absorbable devices would. Non-absorbable devices have an advantage because, during the entire healing process, they continue to provide consistent support and adequately maintain the tissue in a closed position for an extended time.
The fact that they are not removable means they are preferred for some long-term support surgeries such as orthopedic, cardiovascular, and gastrointestinal surgeries.
Their capacity to last throughout the protracted healing phase without affecting the patient's health and to reduce the incidence of postoperative wound dehiscence or risk of infection is aiding in adoption. Thus, these determining factors substantially account for the remarkable growth in the knotless tissue control devices.
| By End User | Hospital |
|---|---|
| Value Share (2025) | 62.7% |
Hospital will account for 62.7% of the indication segment in 2025, and exhibit the highest CAGR in the forecast period.
Hospitals are the main end-users of the market, commanding a large share in demand due to their key role in enacting a wide range of surgical procedures. The advances in the medical infrastructure of these hospitals, however, make them the primary areas for outsourcing and employing these innovations in surgical tools such as knotless tissue control devices.
Complex surgeries done in various specializations, including orthopedics, general surgical and cardiovascular procedures, require adequate and fast closure of wounds.
They also frequently enjoy economies of scale in the long run, allowing these hospitals to invest in more sophisticated and expensive devices. The ascending trend in preference for knotless tissue control devices in hospitals continues to drive the knotless tissue control device market.
Key manufacturers in the knotless tissue control device market are focusing on innovative solutions that enhance surgical efficiency, improve patient outcomes, and reduce recovery time. They are prioritizing advanced materials, such as bioinductive and bioresorbable compounds, which support natural tissue healing and minimize long-term complications.
The market is experiencing robust growth driven by rising demand for minimally invasive surgical techniques, increasing cases of sports injuries, and advancements in orthopedic and soft tissue repair technologies.
Recent Industry Developments in Knotless Tissue Control Devices:
In terms of service, the industry is divided into Short-Term, Long-Term and Nonabsorbable Polymers.
In terms of end user, the industry is segregated into Hospitals, Ambulatory Surgical Centers, Trauma Centers, Medical Device Manufacturers, Pharmaceutical Companies, and Research Centers and Laboratory
Key countries of North America, Latin America, East Asia, South Asia & Pacific, Western Europe, Eastern Europe, and Middle East and Africa (MEA) have been covered in the report.
The global sales for knotless tissue control devices is projected to witness CAGR of 2.7% between 2025 and 2035.
The global sales of knotless tissue control devices stood at USD 481.4 million in 2024.
The global sales of knotless tissue control devices is anticipated to reach USD 728.6 million by 2035 end.
China is expected to show a CAGR of 3.0% in the assessment period.
The key players operating in the global knotless tissue control devices industry include Johnson & Johnson Services, Inc., Medtronic, Medline Industries, Inc., Stryker Corporation, B. Braun Melsungen AG, Smith & Nephew, Zimmer Biomet, Boston Scientific, ConMed Corporation, Mölnlycke Health Care.
| Estimated Base Year Value (2021) | USD 1,509.8 Million |
|---|---|
| Anticipated Forecast Value (2027) | USD 2,876.9 Million |
| Projected Growth Rate (2022 to 2032) | 8.4% CAGR |
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