Table of contents
The Exactech Vantage Total Ankle System was recalled because its polyethylene liners came in defective packaging. The FDA warns that oxidation can cause faster wear, cracking and revision surgery.
Plaintiffs allege the same oxidation harms people with Exactech ankle, knee and hip implants. Their cases are consolidated in federal MDL No. 3044 before Judge Nicholas G. Garaufis.
Exactech’s Chapter 11 plan was confirmed on September 17, 2025, and a litigation trust sued TPG in 2026. No ankle-specific settlement or trial date has been announced. The named defendants are Exactech, Inc. and Exactech U.S., Inc.
Lawsuit at a glance
- Case or litigation name: In re: Exactech Polyethylene Orthopedic Products Liability Litigation, MDL No. 3044
- Defendants: Exactech, Inc. and Exactech U.S., Inc.
- Court and docket number, when available: MDL No. 3044, U.S. District Court for the Eastern District of New York
- MDL number, judge, and case count, when an MDL exists: MDL No. 3044, Eastern District of New York, Judge Nicholas G. Garaufis
- Filing date: October 7, 2022 (JPML order centralizing the cases)
- Main allegations: Plaintiffs allege oxidation of the polyethylene in Exactech hip, knee and ankle devices causes debris, cracking and loosening that require revision surgery
- Products or people involved: Exactech Vantage Total Ankle System polyethylene liners, plus Exactech knee (Optetrak, Truliant) and hip (Connexion GXL) polyethylene devices, made 2004 to August 2021
Latest Exactech Ankle Lawsuit Updates
February 11, 2026: Becker’s Reports Litigation Trust Suit Against TPG
Becker’s Hospital Review reported that the Exactech Litigation Trust sued TPG and other entities in the Delaware Court of Chancery. The trust alleges TPG concealed known implant defects [1]. TPG called the allegations “categorically false.” The trust’s suit is a separate case from MDL No. 3044, and the allegations have not been decided.September 17, 2025: Court Confirms Exactech Restructuring Plan
Exactech announced it received court confirmation of its restructuring plan and approval of the sale of its assets to a new ownership group [2]. The plan followed the bankruptcy filing of October 29, 2024. Exactech makes the Vantage ankle liners named in the recall. The company said the sale would close over the coming weeks.March 21, 2025: Exactech Reports $10 Million Deal with TPG
Law360 reported a $10 million settlement of potential claims against Exactech’s equity sponsor, TPG. Exactech told a bankruptcy judge in Delaware about the deal [3]. The report came while the bankruptcy that began on October 29, 2024 was still pending. TPG is also the defendant in the trust’s 2026 suit described above.October 29, 2024: Exactech Files for Chapter 11
MassDevice reported that Exactech entered court-supervised Chapter 11 restructuring in the U.S. Bankruptcy Court for the District of Delaware. The process started an asset sale to address legal liabilities [4]. The filing came after the recalls of 2021 and 2022. The MDL over those polyethylene devices had been centralized in 2022.March 7, 2024: Court Dismisses Exactech’s Parent from the MDL
HarrisMartin reported that Judge Nicholas G. Garaufis dismissed Exactech’s parent company and affiliates from the MDL. He found plaintiffs did not plead facts that warrant veil piercing [5]. The ruling concerned how the claims were pleaded.March 23, 2023: FDA Issues Safety Communication
An FDA safety communication reminded patients and providers of a packaging problem. Exactech knee, ankle and hip devices were packaged in defective bags [6]. The FDA says the bags were missing one of the oxygen barrier layers. On August 5, 2024, its page was updated to point readers to the Exactech recall website.October 7, 2022: Panel Centralizes the Cases as MDL No. 3044
The Judicial Panel on Multidistrict Litigation centralized the Exactech polyethylene cases as MDL No. 3044. The Eastern District of New York received them, as the panel’s transfer order of February 6, 2023 recounts [7].October 4, 2021: FDA Posts Vantage Ankle Recall as Class 2
The FDA’s recall database posted Exactech’s recall of the Vantage Total Ankle System polyethylene liners (Z-0024-2022) as a Class 2 recall [8]. Exactech, Inc. is the recalling firm.What Is the Vantage Total Ankle System?
According to the Exactech recall page, the Vantage Total Ankle System is an Exactech ankle replacement. Its polyethylene liner components come in fixed-bearing and mobile-bearing versions [9]. Those liner components are the parts named in the recall.Who May Be Affected?
People with an Exactech ankle, knee or hip replacement made between 2004 and August 2021 may be affected. The FDA says these devices were recalled in 2021 and 2022. The JPML transfer order names these Exactech polyethylene devices:- Vantage Total Ankle System polyethylene liners
- Optetrak knee components
- Truliant knee components
- Connexion GXL hip components
Reported Injuries or Damages
Plaintiffs in MDL No. 3044 allege that oxidation of the polyethylene in Exactech devices causes inflammation and debris. They allege the debris cracks and loosens the device. They say this leads to revision surgery. The FDA safety communication names oxidation as a risk. It says oxidation can lead to faster wear or failure. It can also crack or break a component. The FDA also says some recalled devices are associated with an increased risk of revision surgery and bone loss. These are regulator statements, while the MDL claims remain allegations. The FDA tells patients to see a provider about new or worse pain or swelling, trouble bearing weight, grinding or other noise, or weakness.Recall and Regulatory Background
The FDA recall database lists the Vantage Total Ankle System recall as Z-0024-2022. The Exactech recall page lists 2,959 fixed-bearing and 761 mobile-bearing liners sold globally from 2004 to February 22, 2022. Exactech says it saw clinical performance concerns with its knee and ankle polyethylene inserts. The recall alone does not decide who is responsible for any injury. For knee devices, see the Exactech knee lawsuit page.Evidence to Preserve
Keep these records together and add dated notes as your symptoms change, because they show what happened with your implant:- Your implant serial number and the result of the Exactech online lookup
- Records from your surgery that name the implant
- Medical records and X-rays that show wear, loosening or revision
- Photographs that relate to your symptoms or recovery
- Purchase and billing records for the surgery and later care
- Letters or notices from Exactech or your surgeon
- Dated notes on pain, swelling or other symptoms
Filing Deadlines
Filing deadlines for implant injury claims come from state law, so your deadline depends on where you live and on when the injury and its link to the implant became known. A missed deadline can end a claim even when the facts are strong, so talk to a lawyer about your situation promptly.Frequently Asked Questions
Is There an Exactech Ankle Settlement?
There is no Exactech ankle settlement, bellwether trial or class action. The MDL covers hip, knee and ankle devices together, and the trust’s suit against TPG is a separate case.Is Exactech Still in Business?
Exactech is still in business and operates under its confirmed restructuring plan. It named Aurelio Sahagun CEO in August 2025, and the plan lets a new ownership group acquire its operations and assets.Was the Exactech Ankle Implant Recalled?
Yes, the Exactech Vantage ankle implant was recalled. The recalled polyethylene liners use product lines 350-21-XX and 350-22-XX for the fixed-bearing version and 350-41-XX and 350-42-XX for the mobile-bearing version.What Does the Research Say About Exactech Ankle Implant Failure?
The research on Exactech ankle implant failure comes from the FDA, whose safety communication says oxidation of the polyethylene can lead to wear, cracking and revision surgery. The FDA does not recommend surgery to remove well-functioning Exactech joint replacement devices.Has TPG Been Held Liable for Exactech’s Implants?
TPG has not been reported as held liable for Exactech’s implants. TPG says it intends to vigorously defend itself against the trust’s claims, and no ruling on those claims has been reported.How Do I Look up My Exactech Knee or Ankle Device?
You can look up an Exactech knee or ankle device in the company’s online database, which the FDA safety communication points patients to. You will need your device serial number to use it.References
- https://www.beckershospitalreview.com/orthopedics/lawsuit-alleges-exactech-concealed-orthopedic-implant-defects/
- https://www.massdevice.com/exactech-can-proceed-restructuring-asset-sale/
- https://law360.com/articles/2314065/exactech-strikes-10m-deal-with-tpg-in-ch-11
- https://www.massdevice.com/exactech-begins-court-supervised-restructuring-prepares-for-asset-sale-to-address-legal-liabilities/
- https://harrismartin.com/publications/4/drugs/articles/31878/exactech-parent-company-affiliates-dismissed-from-federal-mdl/
- https://www.fda.gov/medical-devices/safety-communications/risks-exactech-joint-replacement-devices-defective-packaging-fda-safety-communication
- https://www.jpml.uscourts.gov/sites/jpml/files/MDL-3044-Transfer_Order-1-23.pdf
- https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfres/res.cfm?start_search=1&event_id=88570
- https://www.exac.com/recall-information/


