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.

Get to know us


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

TITAN 3-D™ Wedge System

The TITAN 3-D™ Wedge System is a porous titanium wedge that provides an alternative to allograft/autograft bone for an Evans Calcaneal Osteotomy for lateral column lengthening or a Cotton Osteotomy for plantar flexion of the medial cuneiform. The TITAN 3-D™ Wedge System builds on Paragon 28’s portfolio of osteotomy wedges and uses the same patented shapes as the PRESERVE™ Evans and Cotton Wedges.

The TITAN 3-D™ Wedges have an open geometry with a three-dimensional scaffold that allows for blood entry, bone through growth, and the incorporation of biologics if used. Each wedge has a central opening which allows for passage of a 3.5 or 4.0mm screw across the osteotomy to help increase stability of the construct.  In order to ensure accurate and consistent placement of this crossing screw, both wedge families leverage the patented PRECISION GUIDE™ System. To increase the coefficient of friction and minimize the chance of implant expulsion, the TITAN 3-D™ wedges are built with spikes which interface with bony surfaces.  To facilitate accurate implantation, the system includes product specific inserters which thread onto the back of each wedge and have a strike plate to aid in final seating. The system also includes resection guides which limit excessive bone removal if explanation is required.

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