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Smith+Nephew first-quarter misses expectations as knee implants falter

By Thomson Reuters May 6, 2026 | 1:23 AM

By Nithyashree R B

May 6 (Reuters) – Medical products company Smith+Nephew missed first-quarter sales expectations and flagged slower first-half sales, sending its shares down nearly 5% on Wednesday, while predicting a stronger second half when it launches ​a new prosthetic knee.

In the three months ended March 28, the ‌knee-implant business underperformed as the company said it had deliberately limited volumes ahead of its third-quarter product launch.

Overall underlying revenue growth was 3.1%, just under expectations of 3.2% from a company-compiled poll and below a 6.2% fourth-quarter growth.

Smith+Nephew, which makes orthopaedic implants and wound dressings, completed a ‌three-year turnaround ​at the end of last year that was ⁠aimed at driving sales and ⁠cutting costs to ease margin pressure from inflation and supply chain disruptions.

CFO SAYS SECOND-HALF ACCELERATION EXPECTED

On an investor call, CFO John Rogers said first‑half sales growth was likely to be around 3.5% – below consensus of about 4.2%. That ​would be followed by growth of around 8% in the second half, he said, bringing the company to expected annual growth of around 6%.

At 1145 GMT, ⁠London-listed shares had recovered from early losses of ⁠nearly 5% and were down 1.8% at 1,138.5 pence each, ​underperforming the wider index.

The company’s unexpected $500 million share buyback announcement failed to inspire investors ​as some warned of possible outlook downgrades for the year, including brokerage ‌ODDO BHF.

Referring to the second-half expected improvement, ODDO BHF analyst Oliver Metzger said “a back-end phasing is often not so attractive for investors”.

YEARS OF WEAKNESS IN US KNEE-IMPLANT BUSINESS

Orthopaedics, which account for about 40% of Smith+Nephew’s sales, are a focus as the ⁠company seeks to overcome years of weak performance in the U.S. knee-implant business.

In the quarter, U.S. knee implants fell by 10.3%, leading to overall growth of just 0.8% ⁠at the unit.

U.S. tariffs ‌are expected to have a $60 million impact on Smith+Nephew’s trading ⁠profit in 2026, the company said.

Changes from the start of ​this ‌year to U.S. reimbursement policy for skin substitutes and energy ​price surges ⁠driven by the war in the Middle East, where the company has sizeable operations, add to the risks to profitability.

Smith+Nephew said, however, it has largely hedged energy costs for 12 months, and has fixed‑price supplier contracts and cost‑saving programmes in place.

(Reporting by Nithyashree R B in Bengaluru; Writing by Pushkala Aripaka; Editing by Subhranshu Sahu, Thomas ​Derpinghaus and Barbara Lewis)