
Paragon 28 is owned by Zimmer Biomet Holdings, Inc. (NYSE: ZBH), a global medical technology company headquartered in Warsaw, Indiana. Zimmer Biomet acquired Paragon 28 on April 21, 2025 for approximately $1.1 billion in cash. Paragon 28 operates as a wholly-owned subsidiary focused on foot and ankle orthopedic surgical devices, based in Englewood, Colorado.
Parent Company
Acquired
2025
Status
Publicly Traded
Headquarters
| Brand | Parent Company | Ownership Type |
|---|---|---|
| Paragon 28 | Zimmer Biomet Holdings, Inc. | Wholly owned |
Albert DaCosta founded Paragon 28 in 2010 in Englewood, Colorado. The company was named after the 28 bones in the human foot, reflecting its singular focus on foot and ankle orthopedic surgery. DaCosta had previously worked in the orthopedic device industry and identified foot and ankle as an underserved specialty within musculoskeletal care.
The company began by developing surgical implants and instruments for common foot and ankle procedures including bunion correction, hammertoe fixation, and fracture repair. Paragon 28 designed its products with input from orthopedic surgeons specializing in foot and ankle surgery, targeting procedural approaches that simplified complex operations.
In its first decade, Paragon 28 expanded its product portfolio to cover a wide range of foot and ankle ailments: fracture fixation, forefoot procedures, ankle reconstruction, progressive collapsing foot deformity (PCFD or flatfoot), Charcot foot, and orthobiologics. The company developed the Gorilla plating system, the Phantom intramedullary nail system, and the APEX 3D Total Ankle Replacement System as its flagship product lines.
Paragon 28 went public on the New York Stock Exchange in 2021 under the ticker symbol FNA. The IPO raised capital for product development and commercial expansion. The company reported net revenue of $255.9 to $256.2 million for full year 2024, representing 18.2% to 18.4% reported growth over the prior fiscal year. This double-digit growth rate was a key factor in Zimmer Biomet's acquisition interest.
Zimmer Biomet announced the definitive agreement to acquire Paragon 28 on January 28, 2025. The deal was unanimously approved by both companies' boards of directors. The acquisition closed on April 21, 2025, and Paragon 28 was delisted from the NYSE.
Following the acquisition, Zimmer Biomet continued launching new Paragon 28 products. In October 2025, the company launched the Gorilla Pilon Fusion Plating System and the Phantom TTC Trauma Nail for complex trauma cases. In January 2026, Zimmer Biomet launched the Brachiator Mini-Rail External Fixation System for small bone reconstruction in the foot and ankle. In February 2026, the Phantom Curved TTC Nail System was introduced for hindfoot fusion. In June 2026, the SPIDER MONKEY TTT Bone Transport System was launched for transverse tibial transport procedures.
Zimmer Biomet CEO Ivan Tornos stated at a Morgan Stanley event in September 2025 that he expected to double the size of the SET business over five to seven years through organic and inorganic means, with Paragon 28 as the platform for that growth.
Is Zimmer Biomet publicly traded?
Yes. Zimmer Biomet Holdings, Inc. trades on the New York Stock Exchange under the ticker symbol ZBH. The company is also listed on the SIX Swiss Exchange. Zimmer Biomet is a component of the S&P 500 index. The company was first spun off from Bristol Myers Squibb in August 2001 and has been independently traded since then.
When was Zimmer Biomet founded?
Zimmer Biomet traces its origins to 1927, when Justin O. Zimmer founded Zimmer Manufacturing Company in Warsaw, Indiana, to produce aluminum splints. The modern Zimmer Biomet Holdings, Inc. was incorporated in Delaware in 2001 and was formed through the acquisition of Biomet, Inc. in June 2015, at which point the company changed its name from Zimmer Holdings, Inc. to Zimmer Biomet Holdings, Inc.
Where is Zimmer Biomet headquartered?
Zimmer Biomet is headquartered at 345 East Main Street, Warsaw, Indiana 46580, USA. Warsaw, Indiana, is a major hub for the orthopedic device industry, with Zimmer Biomet as one of its anchor companies. The company operates manufacturing and distribution facilities across the United States, Europe, Asia, and Latin America.
What products does Zimmer Biomet make?
Zimmer Biomet manufactures orthopedic reconstructive products (knee, hip, shoulder, elbow replacements), sports medicine and biologics products, extremities and trauma products, craniomaxillofacial and thoracic products, bone cement, surgical products, and integrated digital and robotic technologies. Key product platforms include ROSA Robotic Solutions, Persona OsseoTi Keel Tibia, Oxford Cementless Partial Knee, Z1 Femoral Hip System, and iTaperloc Complete and iG7 Hip System with iodine-treated implants.
What are Zimmer Biomet's major acquisitions?
Zimmer Biomet's most significant acquisition was Biomet, Inc. in June 2015 for approximately $14.0 billion, which created the current company. Other major acquisitions include Centerpulse AG (2003, $3.2 billion), LDR Holding Corporation (2016, $1 billion), Paragon 28 (April 2025, $1.2 billion), OrthoGrid Systems (2024), Monogram Technologies (2025), and the iovera pain therapy business from Pacira BioSciences (2026, $140 million).
What is ZimVie?
ZimVie Inc. (NASDAQ: ZVIE) is an independent public company that was spun off from Zimmer Biomet in March 2022. ZimVie operates Zimmer Biomet's former spine and dental business. The spin-off allowed Zimmer Biomet to focus on its core orthopedic reconstructive and sports medicine businesses. ZimVie is no longer part of Zimmer Biomet.
Who is the CEO of Zimmer Biomet?
Ivan Tornos serves as Chairman, President, and CEO of Zimmer Biomet. Tornos was appointed CEO in 2023, succeeding Bryan Hanson. Under Tornos's leadership, the company has focused on its "Magnificent Seven" innovation platforms, completed three transformative acquisitions, and initiated a transition to a direct sales model in the U.S.
What is Zimmer Biomet's revenue?
Zimmer Biomet reported FY2025 (ended December 31, 2025) net sales of $8.23 billion, up 7.2% from $7.68 billion in FY2024. Net earnings were $705.1 million, and adjusted net earnings were $1.63 billion. Diluted EPS was $3.55, and adjusted diluted EPS was $8.20. For Q1 2026, net sales were $2.09 billion, up 9.3%, with net earnings of $238.1 million and diluted EPS of $1.22.
Paragon 28 has maintained a relatively clean regulatory record. As a medical device company regulated by the FDA, the brand is subject to stringent quality and reporting requirements.
The company has received FDA 510(k) clearances for its products, including the Gorilla Pilon Fusion Plating System and the Phantom TTC Trauma Nail, both cleared in July 2025 prior to their commercial launch in October 2025. FDA 510(k) clearance requires demonstration of substantial equivalence to a predicate device.
No major product recalls have been publicly reported for Paragon 28 devices. The company's products are classified as Class II medical devices, which require special controls but do not require the more rigorous Premarket Approval (PMA) process associated with Class III devices.
The acquisition by Zimmer Biomet in 2025 proceeded without significant regulatory controversy. The transaction received required regulatory approvals and was approved by Paragon 28 stockholders. The deal closed within the expected timeframe of the first half of 2025.
Zimmer Biomet itself has faced product-related controversies in its broader portfolio, including hip implant recalls and securities litigation in prior years, but these have not been attributed to the Paragon 28 business. Zimmer Biomet maintains compliance monitoring and quality management systems across its acquired brands.
These competing brands operate in the same categories and provide similar products or services. Compare key attributes to understand market positioning and competitive landscape.
| Brand | Parent Company | Country | Founded | Market Position | Primary Market | Gender Target |
|---|---|---|---|---|---|---|
| Zimmer Biomet | USA | 2016 | Premium | Global | All Genders |
Market Positioning: Paragon 28 competes with 1 brands in the same categories, ranging from mass market to luxury positioning.
Geographic Distribution: Competitors are headquartered across multiple regions, indicating global competition in this market segment.
Brand Heritage: Competitor brands range from established heritage brands to newer market entrants, with founding years spanning several decades.
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