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The Brachiator System expands the company's external fixation portfolio capabilities into the forefoot and midfoot.
January 21, 2026
By: Michael Barbella
Zimmer Biomet Holdings Inc., together with its wholly owned subsidiary Paragon 28, have launched the Brachiator Mini-Rail External Fixation System, a platform designed for precise, multi-planar correction, rapid construct assembly, and workflow efficiency for bone deformity correction and foot/ankle fracture stabilization.
The Brachiator System expands Zimmer Biomet’s external fixation portfolio capabilities into the forefoot and midfoot, where millimeters matter. Engineered with extensive surgeon feedback, the system combines compact design, universal pin compatibility, and intuitive clamp mechanics to support a wide range of procedures.
“Developed in close collaboration with leading surgeons, the Brachiator Mini-Rail System was purpose-built to support bone deformity correction and fracture stabilization of the foot and ankle—including metatarsal lengthening and shortening and first MPJ distraction—where precision down to the millimeter can determine outcomes,” said Albert DaCosta, global president of Foot and Ankle for Zimmer Biomet. “This technology empowers surgeons with versatile fixation for complex cases while prioritizing efficiency and workflow optimization. It also underscores our broader commitment to tackling healthcare’s most pressing challenges and elevating the standard of care across musculoskeletal health.”
Where conventional mini fixators rely on rigid, fixed-angle clamps—or require mid-procedure construct teardown to achieve adequate reduction—the Brachiator System introduces built-in, in-plane and out-of-plane rotational control. This enables surgeons to perform fine, multi-axis reduction even after pins are placed. The compact rail and carriage design maintains a ≥2 cm soft-tissue–friendly profile above the skin surface, which is designed to support patient tolerance and postoperative management.1
Zimmer Biomet is a global medical technology provider with a portfolio designed to maximize mobility and improve health. Its products and integrated digital and robotic technologies leverage data, data analytics, and artificial intelligence. Leveraging more than 90 years of leadership and proven expertise, Zimmer Biomet aims to deliver high-quality solutions to patients and providers. The company maintains operations in more than 25 countries and sells its products in over 100 countries.
Reference1 Data on file with Paragon 28
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