Exactech, a US-based medical technology company, has announced the global introduction of GPS Ankle, marking it as the first navigation system designed for ankle replacement.

The inaugural international surgery using this technology was carried out in Melbourne, Australia. This event signified the initial application of navigation technology for ankle replacement surgery outside the US, according to Exactech.

The GPS Ankle system features a proprietary active tracker technology and a compact touchscreen tablet. It is designed to provide surgeons with dynamic feedback during surgery.

Initially launched in the US in late 2024, the system is compatible with Exactech’s Vantage Total Ankle System. This includes the mobile bearing implant, which was utilised in the recent surgery.

Part of the Active Intelligence ecosystem, GPS Ankle offers surgeons data-driven solutions aimed at enhancing patient outcomes. In pre-clinical testing, it demonstrated accuracy within 2mm and 2° when compared to CT-based surgical planning.

Exactech said that GPS Ankle is presently available under special access provisions in Australia.

The Exactech artificial intelligence (AI)-powered technology offers surgeons real-time navigation and insights. This allows for the selection and testing of implant sizes, resection heights, and adjustments in varus/valgus, rotation, slope, and medial/lateral positions.

Exactech president and CEO Darin Johnson said. “By seamlessly integrating advanced technology with real-time analytics, GPS empowers surgeons to make data-driven decisions throughout total joint surgery.

“We are thrilled that Australia is our first international market to use this groundbreaking technology, and we look forward to expanding its continued positive impact within Australia and beyond.”

The compact system operates in the sterile field and with its touchscreen tablet, providing seamless connectivity and real-time surgical plan adjustments with intraoperative instrument guidance.

Integrated CT visibility may also help reduce fluoroscopy time. The system is compatible with the Vantage Total Ankle System, including curved and flat talar implants, and new 3D/3D+ tibial implants.