Innovative Products, Quality Solutions

Exclusively Foot and Ankle

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Par·a·gon (noun)


An ideal instance; a perfect embodiment of a concept. A model or pattern of excellence or perfection.

Twen·ty·eight (noun)


The second perfect number. The number of bones in the human foot including the sesamoid bones.

Welcome to commitment to foot and ankle. Welcome to Paragon 28.

Paragon 28 was established in 2010 to address unmet and under-served needs of the foot and ankle community. We are dedicated to creating tailored solutions and tools to improve the treatment of even the most difficult foot and ankle conditions. Paragon 28 operates under the following principles: inclusion and respect of individual surgeon’s preferences, creative innovation, high-quality, cost-effective implants, and a strong belief that through research and innovation, we can create new and improved solutions to the challenges faced by foot and ankle specialists.

Foot and ankle surgeons are our primary focus at Paragon 28. We listen to your ideas, your criticisms, and what needs to be better. We seek to understand your hesitance and frustrations with certain procedures and focus on how we can make things easier. The name “Paragon 28” was chosen by design — to never lose focus on our goal to advance the science of foot and ankle surgery.

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The key to innovation is reinventing the space in which we work, rather than filling that space with more products.


Currently we have spent:









Developing innovative solutions for the foot and ankle surgeon.


Surgeries Supported


Patents Filed

MTP Plating System

The MTP Plating system features 32 total plates to address fusion of the metatarsophalangeal joint. Beginning with instrumentation, this system was designed to be an all-inclusive solution for primary arthrodesis, revision arthrodesis and graft-spanning arthrodesis. Patent-pending Spin Guard Reamers and MTP Precision Guide assist in cartilage removal for joint preparation and provide a consistent lag screw trajectory to avoid all plating screws. Three different dorsiflexion options of 0°, 5°, and 10° are offered in the primary and short arthrodesis plates to service differing anatomies. Revision and graft-spanning plates provide 5° dorsiflexion and 1.6 mm of thickness to maximize rigidity. Paragon 28’s PRESERVE MTP Length Restoring Grafts equip surgeons with a pre-cut, sized, and aseptically processed solution for a shortened first ray.

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