Gyder Surgical's Pin-Less Hip Navigation System Debuts in US Commercial Surgery
Key Insights
Gyder Surgical (search) successfully completed the first commercial surgeries in the United States using its GYDER® Hip Navigation System (search) in February 2026, performed by Dr. Paul M. Lombardi at Tri-County Orthopedics (search)' Joint Replacement Institute.
The system represents the world's first commercially available pin-less and image-less computer-assisted technology for real-time guidance during total hip arthroplasty (search) using the anterior approach.
The technology offers surgeons accurate acetabular cup (search) placement without invasive metallic pins or CT/X-ray imaging, reducing risks of pelvic pain (search), fracture (search), bursitis (search), and retained metal fragments.
Gyder Surgical (search) has achieved a significant milestone in orthopedic surgery with the successful completion of the first commercial surgeries in the United States using its GYDER® Hip Navigation System (search). The procedures were performed in February 2026 by Dr. Paul M. Lombardi, M.D., a fellowship-trained orthopedic surgeon and recognized leader in joint replacement surgeries at the Tri-County Orthopedics (search)' Joint Replacement Institute outpatient center in New Jersey.
Revolutionary Pin-Less Technology
The GYDER® System represents the world's first commercially available pin-less and image-less computer-assisted technology for real-time guidance during total hip arthroplasty (search) using the anterior approach. The system's patented technology offers surgeons real-time guidance for accurate acetabular cup (search) placement without invasive metallic pins or reliance on CT or X-ray imaging, significantly reducing risks such as pelvic pain (search), fracture (search), bursitis (search), and retained metal fragments.
Dr. Lombardi expressed enthusiasm about the technology's performance, stating, "After using the GYDER® Hip Navigation System (search) in my ASC, my impression is that it is incredibly accurate without the use of pins or X-ray and adds minimal additional time to the procedure, while seamlessly entering into the surgical flow of the operation."
Addressing Growing Outpatient Demand
Hip replacement (search) surgeries in U.S. outpatient centers have increased significantly over the past decade, creating demand for technologies that can integrate seamlessly into ambulatory surgery center workflows. The GYDER® Hip Navigation System (search)'s quick calibration and registration capabilities make it particularly well-suited for these settings, enabling easy integration into existing workflows with minimal disruption.
Studies have demonstrated that enhanced cup placement accuracy helps reduce potential post-surgical complications, improving patient outcomes and lowering healthcare costs. The system streamlines procedures while enhancing patient safety and outcomes, addressing key concerns in the rapidly growing outpatient orthopedic surgery market.
Commercial Availability and Future Impact
The GYDER® Hip System has previously received US FDA 510(k) clearance and is commercially available in both the United States and Australia. The technology has been successfully utilized in surgical procedures conducted in Australia and India prior to its U.S. commercial debut.
Sujit Dike, CEO of Gyder Surgical (search), emphasized the significance of this milestone: "The first commercial use of the GYDER® Hip System in the United States marks a significant milestone in delivering accessible orthopedic navigation technology to meet rising patient demand, especially in outpatient centers. The GYDER® Hip System streamlines procedures without requiring major changes to surgical practice."
The successful implementation of this technology represents a potential shift in how hip replacement (search) surgeries are performed, offering surgeons enhanced precision while reducing patient risk and procedural complexity. As outpatient orthopedic procedures continue to grow, technologies like the GYDER® system may become increasingly important for maintaining surgical accuracy while meeting efficiency demands in ambulatory settings.