Zimmer Biomet Launches Two New Foot and Ankle Solutions for Complex Trauma Cases

Rhea-AI Summary

Zimmer Biomet (NYSE: ZBH) launched two foot and ankle trauma implants on Oct 8, 2025: the Gorilla Pilon Fusion Plating System and the Phantom TTC Trauma Nail. Both products target complex pilon fractures and hindfoot injuries and are available to U.S. foot and ankle specialists.

The Gorilla system provides anatomically contoured dual-column plates, Type II anodized construction, percutaneous guides and long-shaft designs for primary tibiotalar fusion in severely comminuted pilon cases. The Phantom TTC Trauma Nail adds 150/300/350 mm lengths, PRECISION guide technology, up to 8 mm internal compression and Ø7.2/Ø5.0 threaded pegs.

Positive

• Expanded foot and ankle trauma portfolio with two new commercial products
• Gorilla offers dual-column, anatomically contoured plates for pilon fusion
• Phantom TTC Nail adds 150/300/350 mm lengths for complex trauma
• Integrated internal compression in Phantom delivers up to 8 mm

Negative

• Products currently available only to U.S.-based specialists
• Pilon fractures represent a relatively small patient subset (7%–10% of tibial fractures)

Insights

Foot & Ankle Product Strategy Expert

New trauma-focused implants broaden surgical options for severe pilon and hindfoot injuries; commercial availability in the U.S. is immediate.

The announcement describes two commercial product launches by Zimmer Biomet and Paragon 28: the Gorilla® Pilon Fusion Plating System for primary tibiotalar fusion in severe pilon fractures and the trauma-adapted Phantom® TTC Trauma Nail with expanded lengths and fixation options. The release cites that pilon fractures represent approximately 7% to 10% of tibial fractures and emphasizes dual-column fixation, anatomically contoured plates, percutaneous guides, and an integrated internal compression mechanism delivering up to 8 mm of controlled compression for the nail. Specific implant dimensions and options are disclosed, including nail lengths of 150 mm, 300 mm, and 350 mm, peg sizes Ø7.2 mm and Ø5.0 mm, and nail diameters Ø10.0, Ø11.5, and Ø13.0 mm.

Clinical utility depends on surgeon adoption and the devices addressing a documented subset of complex cases where primary fusion is required. Risks and dependencies are implicit: procedural learning, comparative performance versus existing solutions, and real-world outcomes for comminuted or articular‑loss injury patterns. Watch for surgeon feedback and early case series or registry data over the next 12–24 months to gauge uptake and complication rates; also monitor broader availability beyond U.S. specialists and any peer‑reviewed clinical reports that describe fusion rates and functional outcomes.

Gorilla^® Pilon Fusion Plating System Introduced for Complex Ankle Fusions

Phantom^® TTC Trauma Nail Enhances Treatment Options for Complex Hindfoot Injuries

WARSAW, Ind., Oct. 8, 2025 /PRNewswire/ -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH), a global medical technology leader, and Paragon 28, a wholly owned subsidiary, today announced the full commercial launch of two innovative solutions for complex foot and ankle trauma to offer surgeons advanced tools to address challenging pilon fractures and hindfoot injuries with precision and efficiency.

The launches of the Gorilla^® Pilon Fusion Plating System and the Phantom^® TTC Trauma Nail mark a significant expansion of Zimmer Biomet's foot and ankle trauma portfolio.

"The launches of these two products underscore Zimmer Biomet's commitment to developing innovations that help surgeons safely and efficiently address complex clinical problems," said Albert DaCosta, Global President Foot and Ankle, Zimmer Biomet. "By bringing these new solutions to market, we can offer physicians additional technologies to address patient populations that have historically had few reliable options."

The Gorilla Pilon Fusion Plating System
The Gorilla Pilon Fusion Plating System offers a solution for primary tibiotalar fusion in patients with pilon fractures. Pilon fractures account for approximately 7% to 10% of all tibial fractures, with a small but clinically significant group of patients requiring primary ankle fusion due to severe comminution or articular surface loss.¹

Developed in collaboration with leading orthopedic trauma foot and ankle surgeons, the system delivers reliable dual-column fixation for severe or malunited tibial pilon fractures. Its anatomically-contoured plates, precision-engineered instrumentation, and streamlined workflow enable stable fixation and fusion in a single procedure. Dual-plating constructs — available in various lengths — feature contoured anterolateral and medial options, optimized for both open and percutaneous approaches. Type II anodized plates are biomechanically engineered with region-specific thickness and tapered ends to reduce soft tissue disruption. Additional features include advanced percutaneous guides, long-shaft plate designs to span metaphyseal comminution and comprehensive joint preparation instrumentation.

"This is only the second plate on the market specifically designed for primary ankle fusion in the setting of comminuted pilon fractures," said Dr. Clayton Bettin, Division Chief of Hospital Orthopedics at Campbell Clinic in Memphis, Tenn. "The Gorilla Pilon Fusion System offers a lower-profile option that is anatomically contoured and enables stable fixation across both columns. It's a major step forward in treating these otherwise devastating injuries."

The Phantom TTC Trauma Nail
Building on the proven Phantom® TTC Nail platform, the Phantom TTC Trauma Nail provides expanded lengths (150 mm, 300 mm, and 350 mm) and fixation capabilities to manage more demanding trauma cases, including complex pilon fractures requiring tibiotalocalcaneal fusion.

"This new nail allows me to leverage the same trusted Phantom platform I use in elective cases, now adapted for trauma indications," said Dr. Max Michalski, Foot and Ankle orthopedic surgeon at Cedars-Sinai Medical Center.

Key features of the Phantom TTC Trauma Nail include:

• PRECISION^® Guide Technology for consistent, accurate nail placement
• Integrated internal compression mechanism delivering up to 8 mm of controlled compression
• Advanced threaded peg options in Ø7.2 mm and Ø5.0 mm sizes with multiple targeting configurations
• Right and left-specific configurations and diameters (Ø10.0, Ø11.5, Ø13.0 mm) for tailored fixation

Both the Gorilla Pilon Fusion Plating System and the Phantom TTC Trauma Nail are currently available for use by U.S.-based foot and ankle specialists.

About Zimmer Biomet
Zimmer Biomet is a global medical technology leader with a comprehensive portfolio designed to maximize mobility and improve health. We seamlessly transform the patient experience through our innovative products and suite of integrated digital and robotic technologies that leverage data, data analytics and artificial intelligence.

With 90+ years of trusted leadership and proven expertise, Zimmer Biomet is positioned to deliver the highest quality solutions to patients and providers. Our legacy continues to come to life today through our progressive culture of evolution and innovation. 

For more information about our product portfolio, our operations in 25+ countries and sales in 100+ countries or about joining our team, visit www.zimmerbiomet.com or follow on LinkedIn at www.linkedin.com/company/zimmerbiomet or X at www.x.com/zimmerbiomet.

Cautionary Statement Regarding Forward-Looking Statements
This news release contains forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include, but are not limited to, statements concerning Zimmer Biomet's expectations, plans, prospects, and product and service offerings, including new product launches and potential clinical successes. Such statements are based upon the current beliefs and expectations of management and are subject to significant risks, uncertainties and changes in circumstances that could cause actual outcomes and results to differ materially. For a list and description of some of such risks and uncertainties, see Zimmer Biomet's periodic reports filed with the U.S. Securities and Exchange Commission (SEC). These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in Zimmer Biomet's filings with the SEC. Forward-looking statements speak only as of the date they are made, and Zimmer Biomet disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Readers of this news release are cautioned not to rely on these forward-looking statements, since there can be no assurance that these forward-looking statements will prove to be accurate. This cautionary statement is applicable to all forward-looking statements contained in this news release.

Contacts:   Media Troy Kirkpatrick 614-284-1926 troy.kirkpatrick@zimmerbiomet.com   Kirsten Fallon 781-779-5561 kirsten.fallon@zimmerbiomet.com

Investors David DeMartino 646-531-6115 david.demartino@zimmerbiomet.com   Zach Weiner 908-591-6955 zach.weiner@zimmerbiomet.com

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1 Mauffrey, C., Vasario, G., Battiston, B., Lewis, C., Beazley, J., & Seligson, D. (2011). Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications. Acta orthopaedica Belgica, 77(4), 432–440.

 

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SOURCE Zimmer Biomet Holdings, Inc.

FAQ

What did Zimmer Biomet announce on October 8, 2025 regarding ZBH?

Zimmer Biomet announced commercial launches of the Gorilla Pilon Fusion Plating System and the Phantom TTC Trauma Nail for complex foot and ankle trauma.

How does the Gorilla Pilon Fusion System address pilon fractures for ZBH?

The Gorilla system offers anatomically contoured dual-column plates, percutaneous guides and long-shaft designs for primary tibiotalar fusion in severe pilon cases.

What are the key features of the Phantom TTC Trauma Nail from Zimmer Biomet (ZBH)?

Key features include expanded lengths (150/300/350 mm), PRECISION guide technology, up to 8 mm internal compression and Ø7.2/Ø5.0 threaded peg options.

When will U.S. surgeons have access to Zimmer Biomet's new foot and ankle devices?

Both the Gorilla Pilon Fusion Plating System and the Phantom TTC Trauma Nail are currently available for use by U.S.-based foot and ankle specialists.

What patient population do these ZBH products target and how common are those injuries?

They target complex pilon fractures and hindfoot injuries; pilon fractures account for approximately 7%–10% of tibial fractures.