Product Portfolio Expansion and Commercial Progress
Launched multiple new systems (Nanoplasty, Percuplasty 3D MIS, SpeedMTP) and announced upcoming Lapiplasty Lightning, SpeedTMT, SuperBite screws and SpeedXM. Company says these new offerings more than double accessible market relative to Lapiplasty alone and expand TAM by approximately $300M with SuperBite + SpeedXM commercialization planned in Q3 2026.
Rapid Early Adoption by Surgeon Base
Adoption uptake: ~35% of Lapiplasty surgeon users have incorporated at least one of the three new bunion systems (up from 25% in Q4 2025). Over 3,300 active surgeon customers; ~30% of new surgeons who first used a new bunion system have also used Lapiplasty (early pull-through).
Procedure Volume Momentum
Sustained mid-single-digit procedure volume growth reported in Q1 2026, supporting management's view of accelerating market penetration and utilization of the expanded product portfolio.
Strong Gross Margin Profile
Gross margin remained high at 79.3% in Q1 2026 (very close to prior year 79.7%), and management expects to maintain gross margins in the high-70% range as new products scale.
Improved Cash Position and Reduced Cash Burn
Cash, cash equivalents and marketable securities totaled $51.9M as of March 31, 2026 — up ~$3.5M vs $48.4M at Dec 31, 2025. Management expects ~50% reduction in cash usage for full year 2026 vs 2025 and progress toward cash-flow breakeven.
Reaffirmed FY 2026 Guidance and Discipline
Company reaffirmed previously raised full-year revenue guidance of $202M–$212M (a decline of 5% to 0% vs FY2025) and expects an adjusted EBITDA loss of $4M–$6M for 2026, signaling conservative planning and disciplined investment while prioritizing commercialization.