PHOENIX, Oct. 29, 2026 /PRNewswire/ -- Dr. Jason Patterson, an orthopedic surgeon with OrthoArizona, is the first surgeon in the world to perform total ankle replacement surgery using Stryker's new Prophecy Incompass patient-specific instrumentation. Dr. Patterson completed three procedures in July 2026.
OrthoArizona Surgeon First in the World to Perform Prophecy Incompass Total Ankle Replacement
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StrykerOrthoArizonaProphecy Incompasspatient-specific instrumentationtotal ankle replacement surgery
Dr. Jason Patterson performed the first total ankle replacement surgery using Stryker's new Prophecy Incompass patient-specific instrumentation.
The Prophecy system uses a patient's own CT scan to build a custom, 3D-printed surgical guide before the operation begins. Paired with Stryker's Incompass total ankle system, it gives surgeons the flexibility to switch between implant types, stemmed or pegged, during surgery if a patient's anatomy calls for it once the joint is exposed.
"Stryker's Prophecy Incompass technology lets me build a plan around that specific patient's anatomy before I ever step into the operating room, instead of relying on a generic template," said Dr. Patterson. "Patients feel that difference in their recovery. It's a more predictable path back to walking without pain."
Dr. Patterson has used CT-guided, patient-specific instrumentation for ankle replacement since 2015. He said the newest generation of this technology makes implant placement more consistent and surgery more efficient.
Total ankle replacement is a procedure where precision plays an instrumental role in outcomes. Accurate implant positioning affects stability, mobility and how long a replacement holds up over time, making it one of the more technically demanding procedures in orthopedics. OrthoArizona's adoption of Prophecy Incompass reflects a broader commitment across the organization to putting the most advanced tools available into the hands of its surgeons.
"Dr. Patterson set a new bar for ankle surgery, and he did it here, at OrthoArizona," said Dr. Rajan Bhatt, CEO of OrthoArizona. "Patients in Arizona shouldn't have to travel somewhere else to get access to the most advanced orthopedic care available. That's exactly why we keep investing in physicians and technology like this, so patients can get that level of innovation right here at home."
As Prophecy Incompass continues to roll out, OrthoArizona and Dr. Patterson plan to build on this milestone, evaluating how technology can extend to more complex and revision ankle caes. Patients interested in learning more can visit orthoarizona.org
About OrthoArizona
Founded in 1994, OrthoArizona is the largest physician-led orthopedic group in the Southwest and Arizona's premier provider of comprehensive musculoskeletal care, with more than 300 healthcare providers across more than 30 centers and 15 ambulatory surgery centers throughout the Phoenix metro area. The group treats the full range of musculoskeletal conditions, with subspecialty care in sports medicine, spine, total joint replacement, hand and wrist, shoulder and elbow, foot and ankle, interventional pain management and podiatric surgery, supported by advanced imaging, physical therapy and outpatient surgical care.
Trusted by elite athletes and major sports franchises, OrthoArizona proudly serves as the team physician for the Arizona Cardinals and Arizona Rattlers, and provides medical support for organizations including the Phoenix Suns, Arizona Diamondbacks, Chicago White Sox, Chicago Cubs, Oakland A's and San Francisco Giants. For more information, visit orthoarizona.org.
SOURCE OrthoArizona
Author
TH
TJ Halvorson
The De Angelis Group | Orthopedics This Week | MSK Innovations
Why This Matters
Two Perspectives
MBA Lens: Economic and industry impact
OrthoArizona's Dr. Jason Patterson was the first globally to use Stryker's Prophecy Incompass total ankle replacement system, a strategic move enhancing OrthoArizona's market position as a leader in advanced orthopedic care. This adoption reflects a commitment to investing in cutting-edge technology and physicians, aiming to attract patients seeking innovative solutions and potentially increasing market share in a competitive healthcare landscape.
- Stryker's Prophecy Incompass system offers patient-specific instrumentation, potentially driving adoption through improved surgical efficiency and outcomes.
- OrthoArizona's early adoption provides a competitive differentiator, positioning them as a premier provider of advanced musculoskeletal care in the Southwest.
PhD Lens: Clinical and outcomes impact
Dr. Jason Patterson performed the world's first total ankle replacements using Stryker's Prophecy Incompass patient-specific instrumentation. This technology utilizes a patient's CT scan to create a custom 3D-printed surgical guide, enhancing implant placement precision. The system also offers intraoperative flexibility to switch between stemmed or pegged implants, adapting to individual patient anatomy for potentially improved stability and longevity.
- The Prophecy system employs CT-guided, 3D-printed patient-specific instrumentation to optimize implant positioning for total ankle replacement.
- Enhanced precision and consistency in implant placement are critical for long-term stability, mobility, and overall patient outcomes in this technically demanding procedure.
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Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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