Company Description
Treace Medical Concepts, Inc. (NasdaqGS: TMCI) is a medical technology company focused on advancing the standard of care for the surgical management of bunion and related midfoot deformities. According to the company, bunions are complex three-dimensional deformities that originate from an unstable joint in the middle of the foot and affect tens of millions of Americans, with a meaningful subset estimated as annual surgical candidates. Treace concentrates on instrumented 3D bunion correction procedures that aim to address the root cause of the deformity and help patients return to active lifestyles.
The company operates in the surgical and medical instrument manufacturing industry and designs, manufactures and markets systems used by physicians and surgeons in bunion and midfoot procedures. Treace describes itself as driving a fundamental shift in the surgical treatment of bunions and related midfoot deformities, with a portfolio that combines implants, specialized instrumentation and defined surgical methods.
Core bunion correction platform
Treace has pioneered and patented the Lapiplasty® 3D Bunion Correction® System, which it describes as a combination of instruments, implants and surgical techniques designed to correct all three planes of the bunion deformity and secure the unstable joint. The goal of the Lapiplasty procedure is to address the underlying joint instability that gives rise to the bunion, while enabling patients to resume active lifestyles after surgery. The company highlights clinical data from its ALIGN3D™ Lapiplasty study, a prospective, multicenter post‑market study evaluating radiographic recurrence, maintenance of correction and patient‑reported outcomes following the Lapiplasty procedure.
Treace characterizes itself as a pioneer and leader in instrumented 3D bunion correction and notes that it maintains a leading position in the bunion market, with a bunion‑focused sales force and an expanding surgeon customer base. The company reports that thousands of surgeons actively use its technologies, representing a portion of the estimated U.S. surgeons performing bunion surgery.
Expanded portfolio for bunion and midfoot deformities
To support surgeons and bunion patients across different deformity patterns, Treace has developed additional systems that build on its Lapiplasty platform:
- Adductoplasty® Midfoot Correction System — designed for reproducible surgical correction of midfoot deformities, including combined metatarsus adductus and hallux valgus correction when used with Lapiplasty.
- Nanoplasty® 3D Minimally Invasive Bunion Correction System — a minimally invasive osteotomy system described as a MIS 3D bunion correction procedure performed through a small hidden incision, with guided saw cuts, instrumentation to dial in 3D correction and locking fixation intended to enable rapid weightbearing.
- Percuplasty™ Percutaneous 3D Bunion Correction System — a second minimally invasive osteotomy system performed through small percutaneous incisions, using self‑drilling screw implants and instrumentation designed to dial in 3D correction and target implant placement.
- SpeedMTP® / SpeedMTP™ MTP Fusion System — a system that extends Treace’s SpeedPlate® rapid compression fixation technology to provide a fusion option for bunion patients with arthritic great toe (MTP) joints, combining SpeedPlate dynamic compression with Fastpitch® locking screws in an ultra‑low profile construct.
Treace reports that it has brought these newer systems from limited market release to full market release, expanding its bunion technology portfolio and providing surgeons with options across the spectrum of bunion surgery, including minimally invasive osteotomy procedures and fusion‑based approaches.
Fixation and digital planning technologies
Beyond procedure‑specific systems, Treace continues to expand its presence in the foot and ankle market through fixation platforms and digital tools. The company has introduced SpeedPlate® Rapid Compression Implants, which it describes as a fixation platform with versatility across Lapiplasty, Adductoplasty and SpeedMTP procedures, as well as other common bone fusion procedures of the foot. SpeedPlate technology is also featured in specialized implants such as the SpeedPlate MicroQuad™ used in the Micro‑Lapiplasty® minimally invasive system.
Treace also offers IntelliGuide™ patient specific, pre‑op planning and cut guide technology, a platform that delivers personalized 3D‑printed cut guides for Lapiplasty and Adductoplasty procedures. According to the company, IntelliGuide provides intelligent pre‑operative 3D planning and titanium 3D‑printed guides with integrated 3D correction to support a streamlined surgical workflow.
Additional complementary technologies highlighted by Treace include the SpeedAkin™ Anatomic Compression Implant used in Akin osteotomy procedures and biologic products commonly used in foot and ankle fusion procedures, such as CortiFuse™ Flowable Cortical Fibers and procedure‑specific allograft wedges.
Innovation pipeline and clinical evidence
Treace emphasizes ongoing product innovation and clinical research as central to its strategy. The company has announced new technologies such as Lapiplasty® Lightning™ technology, which expands upon the Lapiplasty System with advanced instrumentation designed to reduce surgical steps, correct in all three planes and streamline workflow with SpeedPlate rapid compression fixation. Treace has reported the first surgical case utilizing Lapiplasty Lightning and has described plans for limited market release followed by broader commercialization.
The company’s ALIGN3D Lapiplasty clinical study is a prospective, multicenter post‑market study designed to evaluate consistency and reliability of three‑dimensional correction, maintenance of correction following accelerated return to weightbearing, clinical radiographic healing, pain, quality of life and range of motion outcomes. Interim analyses have reported early return to weightbearing in a walking boot, low radiographic recurrence rates at multi‑year follow‑up and continued improvement in pain and patient‑reported scores over time.
Treace is also conducting the MTA3D™ Adductoplasty® clinical study, a prospective, multicenter post‑market study evaluating combined Adductoplasty and Lapiplasty procedures for patients with metatarsus adductus and hallux valgus. Interim data have shown early return to weightbearing, clinically significant improvements in radiographic measures of midfoot and bunion deformity correction and reductions in pain and patient‑reported scores at one year.
Financial profile and capital structure
Treace describes itself as a commercial‑stage company and reports revenue from its portfolio of bunion and midfoot surgical technologies. The company has discussed revenue growth over prior periods, changes in operating expenses, net loss and Adjusted EBITDA, as well as liquidity levels consisting of cash, cash equivalents, marketable securities and availability under its revolving credit facility. It uses non‑GAAP measures such as Adjusted EBITDA to evaluate operating performance and to provide additional perspective on trends in its business.
In a Form 8‑K, Treace disclosed that it entered into a new senior secured loan and revolving credit arrangement providing term loan capacity and a revolving credit facility, secured by substantially all of the company’s assets, including intellectual property. Proceeds were used in part to repay and terminate prior term loan and revolving credit agreements. The loan agreements include interest‑only periods, amortization terms, prepayment fees and financial covenants related to minimum liquidity and, in certain circumstances, minimum revenue.
Market focus and surgeon adoption
Treace’s communications emphasize a focused mission on bunion and related midfoot deformities. The company reports that its bunion‑focused sales organization supports surgeon adoption of its expanded suite of 3D bunion technologies, contributing to growth in procedure volumes and an expanding base of active surgeons using its systems. It also notes participation in major orthopedic and healthcare investor conferences, surgeon training events and investor days where it highlights new product innovations and clinical data.
According to its public statements, Treace views evolving surgeon and patient preferences for minimally invasive bunion solutions, competitive dynamics and broader economic conditions as important factors influencing procedure volumes and demand for elective bunion surgery. The company has referenced these dynamics in the context of its financial outlook and guidance updates.
Regulatory reporting and governance
Treace Medical Concepts, Inc. is incorporated in Delaware and files periodic reports, current reports and other disclosures with the U.S. Securities and Exchange Commission under Commission File Number 001‑40355. The company has reported changes to its credit facilities, board composition and leadership roles through Form 8‑K filings, and it references its Annual Report on Form 10‑K and Quarterly Reports on Form 10‑Q for detailed risk factors and financial information.
FAQs about Treace Medical Concepts, Inc. (TMCI)
- What does Treace Medical Concepts, Inc. do?
Treace Medical Concepts, Inc. is a medical technology company focused on advancing the standard of care for the surgical management of bunion and related midfoot deformities. It designs, manufactures and markets systems that combine instruments, implants and surgical methods for 3D bunion correction and midfoot procedures. - What is the Lapiplasty® 3D Bunion Correction® System?
The Lapiplasty 3D Bunion Correction System is Treace’s flagship platform. It is described as a combination of instruments, implants and surgical techniques designed to surgically correct all three planes of the bunion deformity and secure the unstable joint, addressing the root cause of the bunion and helping patients return to active lifestyles. - How does Treace address minimally invasive bunion surgery?
Treace offers two systems for minimally invasive osteotomy procedures: the Nanoplasty® 3D Minimally Invasive Bunion Correction System and the Percuplasty™ Percutaneous 3D Bunion Correction System. These systems are designed to provide 3D bunion correction through small incisions with guided instrumentation and fixation intended to support predictable correction and early weightbearing. - What is the Adductoplasty® Midfoot Correction System?
The Adductoplasty Midfoot Correction System is designed for reproducible surgical correction of midfoot deformities, including combined metatarsus adductus and hallux valgus correction when used with Lapiplasty. It is also being evaluated in the MTA3D™ clinical study for radiographic and patient‑reported outcomes. - What role does SpeedPlate® technology play in Treace’s products?
SpeedPlate Rapid Compression Implants form a fixation platform that Treace applies across multiple procedures, including Lapiplasty, Adductoplasty and SpeedMTP procedures, as well as other foot fusion surgeries. SpeedPlate technology is also incorporated into systems such as SpeedMTP and Micro‑Lapiplasty to provide dynamic compression and stable fixation in low‑profile constructs. - What is IntelliGuide™ patient specific technology?
IntelliGuide patient specific, pre‑op planning and cut guide technology is a platform that delivers personalized 3D‑printed cut guides for Lapiplasty and Adductoplasty procedures. It provides pre‑operative 3D planning and titanium 3D‑printed guides with integrated 3D correction to support a streamlined surgical workflow. - How does Treace support its clinical claims?
Treace references prospective, multicenter post‑market clinical studies such as ALIGN3D™ for Lapiplasty and MTA3D™ for combined Adductoplasty and Lapiplasty procedures. Interim data from these studies have reported early return to weightbearing, maintenance of radiographic correction and improvements in pain and patient‑reported outcomes over defined follow‑up periods. - What financial information does Treace provide to investors?
Treace reports revenue, gross profit, operating expenses, net loss, liquidity and other financial metrics in its earnings releases and SEC filings. It also presents non‑GAAP measures such as Adjusted EBITDA, which it defines and reconciles to GAAP results, to highlight underlying trends in its operating performance. - What recent financing arrangements has Treace disclosed?
In a Form 8‑K, Treace disclosed entering into a Loan and Security Agreement for a term loan facility and a Credit Agreement for a revolving loan facility with lenders affiliated with SLR. The loans are secured by substantially all of the company’s assets, including intellectual property, and include interest‑only periods, amortization terms, prepayment fees and financial covenants related to liquidity and, under certain conditions, revenue. - On which exchange does TMCI trade and what is the company’s sector?
Treace Medical Concepts, Inc. trades on the Nasdaq Global Select Market under the ticker symbol TMCI. It operates in the surgical and medical instrument manufacturing industry within the broader manufacturing sector.