What ITS does

ITS (I.T.S. GmbH), legally headquartered in Lassnitzhöhe (Graz), Austria, is a privately held medical device company founded in 1997 by Herbert Bernsteiner and Dr. Eva Ruprechter that develops, manufactures, and distributes titanium orthopaedic trauma implants — plates, screws, nails, and specialized implants — for fracture repair across virtually all anatomical regions. Its technology platform is built around multi-directional polyaxial locking mechanisms (screw angulation of +/- 15 degrees), 100% titanium construction (Grade 2 plates with titanium alloy screws allowing interchangeable locking and non-locking screw use), and patented DyCon (Dynamic Control) technology in the HIP-G Proximal Femur Nail that enables controlled dynamization (0mm, 5mm, 10mm) to prevent medial migration while supporting fracture compression. The product catalog covers more than 90% of trauma indications and spans 30+ named products across upper extremity, lower extremity, pelvis, hand, foot, and pediatric applications, with key flagship systems including the Pelvic Reconstruction System Phoenix (PRS PHX), HIP-G, and Proximal Humeral Locking Plate System Phoenix.

ITS sells hardware to hospitals and trauma/orthopaedic surgery centers through a hybrid distribution model: direct sales offices in Austria (HQ), the United States (Maitland, FL via wholly-owned subsidiary U.S. Implant Solution, LLC), and Germany (Frankfurt), complemented by distributor networks across 30+ countries spanning Europe, Latin America, the Middle East, Africa, China, Australia, and the UK. Pricing is not publicly disclosed and follows quote-based B2B arrangements determined through direct sales engagement with healthcare providers. GTM emphasis sits on surgical training and education via the ITS. Academy (online, launched 2022), the in-house ITS. Training Center at Austrian headquarters, and active participation in major orthopaedic conferences (AAOS, OTA, SOMOS, DKOU, ISOLS). The company has no public listing, has not raised institutional venture or private equity rounds, and was taken over by Mag. Wolfgang Auf in 2018. ITS does not develop or expose any software, APIs, or digital products — its offering is purely physical medical hardware.

The customer base consists of orthopaedic and trauma surgeons and the hospitals/surgical centers where they practice; customer logos are not individually disclosed, and testimonials are categorized as general "Healthcare Professionals" and "Trauma Surgery Centers" rather than named accounts. ITS holds sector compliance through Austromed, Eucomed, and AdvaMed, and has obtained ANVISA clearance for the full portfolio in Brazil (March 2025). In November 2025, ITS added an exclusive DACH distribution agreement with IlluminOss, expanding into minimally invasive fracture stabilization — the first major third-party brand extension of its otherwise wholly proprietary catalog.

Name

ITS

Legal name

I.T.S. GmbH

Website

https://its-implant.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

101–250 employees

Short description

ITS (I.T.S. GmbH) is an Austrian privately held medical device company founded in 1997 that designs, manufactures, and distributes titanium orthopaedic trauma implants — plates, screws, nails, and specialized implants — covering over 90% of fracture indications for hospitals and trauma surgeons across more than 30 countries.

Ownership category

akta.pro rank

Product category

Orthopaedic Trauma Implants

NAICS

Surgical Appliance and Supplies Manufacturing (339113)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Orthopedic Trauma & Extremities Fixation (Plates/Screws/Nails/External Fixation) (HLAHAEAB)

Keywords

• Orthopaedic trauma implants
• Fracture fixation devices
• Titanium surgical plates
• Intramedullary nailing systems
• Bone fracture repair

Headquarters

HQ city

Lassnitzhohe

HQ country

Austria

HQ region

Europe

Offices3 records

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

Operations, Supply Chain, Personnel, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medical Device Sales: ITS generates revenue through the sale of orthopaedic implants and surgical instruments to hospitals, surgical centers, and healthcare providers worldwide. Products include plates, screws, nails, and specialized implants, along with corresponding surgical instrumentation.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

ITS develops, manufactures, and distributes orthopaedic trauma implants including plates, screws, nails, and specialized fixation devices made from titanium. The product portfolio covers over 90% of trauma indications and addresses fractures across the entire skeleton, from pelvis to foot, with multi-directional locking and dynamization technologies.

Product overview

ITS offers a comprehensive portfolio of orthopedic implants for trauma surgery, including plates (locking plates, compression plates, tubular plates), screws (cannulated, headless compression, twist-off), nails (proximal femur, flexible titanium, flexible children), and specialized implants (sacral rods, intramedullary claw). All implants are manufactured from 100% titanium for biocompatibility and durability. The portfolio is organized into four main categories: Plates (22 products covering upper extremity, lower extremity, and general applications), Screws (4 products), Nails (1 product in US, 3 internationally), and Special Implants (1 product). Key product lines include the Pelvic Reconstruction System Phoenix (PRS PHX) for pelvic fractures, HIP-G Proximal Femur Nail with patented DyCon technology for controlled dynamization, and Proximal Humeral Locking Plate System Phoenix for shoulder fractures. The portfolio covers over 90% of all trauma indications and emphasizes full compatibility across the system, intuitive ease of use, and innovative features like multi-directional locking and anatomical pre-contoured designs.

Differentiator

Problem solved

Functional benefit

Brands

• ITS. Academy: Training platform for medical professionals opened in 2022, offering courses and education in trauma surgery techniques.
• ITS. Training Center

Products and services

• Pelvic Reconstruction System Phoenix (PRSPHX) Locking plate system designed for pelvic fracture reconstruction in trauma surgery.
• HIP-G Proximal Femur Nail Intramedullary nail system for proximal femur fracture fixation.
• Proximal Humeral Locking Plate System Phoenix (PHLPHX) Locking plate system designed for proximal humerus fracture fixation.
• Clavicle Locking Plates System (CLS) Locking plate system for clavicle fracture fixation.
• Clavicle Hook Locking Plate (CHLP) Specialized locking plate with hook design for clavicle fracture fixation.
• Cannulated Screws (CAS) Cannulated screw system for various trauma applications requiring minimally invasive insertion.
• Headless Compression Screws (HCS) Headless compression screw system for fracture compression applications.
• Twist-Off Screws (TOS) Specialty screws with twist-off design for trauma fixation applications.
• Cannulated Recon Cancellous Screw (CRCS) Cannulated reconstruction cancellous screw for cancellous bone fracture fixation.
• Sacral Rods (SR) Rods designed for sacral fracture fixation.
• Distal Humeral Locking Plates (DHL) Locking plate system for distal humerus fracture fixation.
• Olecranon Locking Plates (OLS) Locking plate system for olecranon fracture fixation.
• Universal Forearm Locking Plates System (UFS) Universal locking plate system for forearm (radius/ulna) fracture fixation.
• PROlock Radius Locking Plate 2 (PRL2) Second-generation radius locking plate for distal radius fracture fixation.
• PROlock Radius Locking Plates (PRLP) Locking plate system for radius fracture fixation.
• Distal Ulna Locking Plate (DUL) Locking plate for distal ulna fracture fixation.
• Straight Compression Locking Plate (SCL) Straight locking plate with compression capability for long bone fractures.
• Straight Locking Plates System (SLS) Straight locking plate system for general long bone fracture fixation.
• Tubular Locking Plates System (TLS) Tubular locking plate system for small bone fracture fixation.
• Ulna Osteotomy II (UOL2) Specialized plate system for ulna osteotomy procedures.
• Hand Locking Plates System (HLS) Locking plate system for hand bone fracture fixation.
• Intra Medullary Claw (IMC) Intramedullary claw implant for fracture fixation.
• Epiphysis Screw (ES) Screw for epiphyseal fracture fixation applications.
• Distal Femur Locking System (DFL) Locking plate system for distal femur fracture fixation.
• Proximal Lateral Tibia Locking Plate (PTL) Locking plate for proximal lateral tibia fracture fixation.
• Proximal Medial Tibia Locking Plate (PROMET) Locking plate for proximal medial tibia fracture fixation.
• Distal Anterolateral Tibia Locking Plate (DTL) Locking plate for distal anterolateral tibia fracture fixation.
• Pilon Locking Plates System (PLS) Locking plate system for pilon (tibial plafond) fracture fixation.
• Fibula Locking Plate (FL) Locking plate for fibula fracture fixation.
• Calcaneus Locking Plates (CAL, CALmi) Locking plate system for calcaneus (heel bone) fracture fixation, including minimally invasive variant.
• Hallux Osteotomy Locking Plate (HOL) Locking plate for hallux (great toe) osteotomy procedures.
• Foot Locking Plates System (FLS) Locking plate system for various foot bone fracture fixations.
• Flexible Children Nail (FCN) Flexible intramedullary nail designed for pediatric fracture fixation.
• Flexible Titanium Nail (FTN) Flexible titanium intramedullary nail for long bone fracture fixation.

Quantifiable outcome

• Over 90% of trauma indications covered
• +1 more outcomes

Named customers2 records

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• IlluminOsscoreChannel Partner/ Reseller/ Distributor · 1 November 2025Effective November 1, 2025, ITS became the exclusive distribution partner for IlluminOss products in Germany and Austria. This collaboration adds an innovative solution for minimally invasive fracture stabilization to ITS portfolio.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Skeletal Dynamics: U.S.-based orthopedic trauma specialist focused on upper extremity and fracture fixation plates/screws. A niche direct competitor to ITS in hand/wrist/elbow implant systems with similar mid-sized company profile.
• Medartis: Swiss-headquartered specialist in implants for trauma and extremities with proprietary locking screw technology. Closest comparable in size, strategy, and product focus (specialist trauma, mid-cap Europe-based manufacturer).
• Orthofix: Orthopedic specialist focused on trauma, spine and biologics with similar mid-cap profile to ITS. Competes directly in fracture fixation plating and bone growth stimulation, publicly listed and comparable in size.
• Acumed (Enovis): Acumed specializes in orthopedic implants for upper extremity, distal radius, and small bone trauma—directly overlapping with many of ITS's product lines (Hand, Wrist, Elbow plates and screws). A focused trauma specialist owned by Enovis.

Broad incumbents

• Arthrex: Privately held orthopedic device giant with growing extremities and trauma portfolio that overlaps with several ITS plate and screw lines. A larger specialist incumbent with similar surgeon-focused development model.
• DePuy Synthes (Johnson & Johnson): The global market leader in orthopedic trauma implants (plates, screws, nails) and the most direct competitor to ITS's full trauma portfolio. Johnson & Johnson's orthopedic franchise dwarfs ITS in scale, R&D and distribution reach.
• Smith+Nephew: Smith+Nephew's orthopedic trauma and extremities business (including hip nailing and plating systems) overlaps directly with ITS's trauma portfolio. A large multinational incumbent competing in similar hospitals globally.
• Zimmer Biomet: Zimmer Biomet's trauma franchise competes in plates, screws and nails for fracture fixation. One of the four global orthopedic trauma majors with comparable product breadth to ITS but at much larger scale.
• B. Braun / Aesculap: Aesculap (B. Braun's orthopedic division) competes in trauma plates, screws and intramedullary nails, with deep European distribution that overlaps ITS's strongest markets (Germany, Austria, broader EU).
• Stryker: Stryker's Trauma & Extremities division competes head-on with ITS across plates, screws, and intramedullary nailing. A top-three global trauma incumbent with extensive direct hospital sales force and far greater financial resources.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/itsimplants
• LinkedInlinkedin.com/company/its-implants

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ITS