The Innovation ContinuesNew Products

Explore our latest product launches, system enhancements, and surgeon-driven solutions designed to address some of the most complex challenges in foot and ankle care.

SMART28® PCFD

3D Surgical Planning System

 

SMART28® PCFD is a cloud-based application designed for the diagnosis and surgical planning of Progressive Collapsing Foot Deformity (PCFD).

This platform features AI-powered algorithms and is intended to be used to support orthopedic healthcare professionals in the diagnosis and surgical planning of Progressive Collapsing Foot Deformity (PCFD) in a hospital or clinic environment.

The software also combines three-dimensional mathematical models, radiographic measurements, surgical planning tools, and visualization technology into a single workflow using weight-bearing CT imaging

https://paragon28.com/app/uploads/2026/11/SMART28-Portal-Laptop-1.gif
https://paragon28.com/app/uploads/2026/10/newMegalodon_hero.png

Megalodon™ Dynamic Compression System

Maintaining compression while achieving stable fixation can be critical across foot and ankle reconstruction. MEGALODON™ was developed to combine the dynamic properties of nitinol with a broad, four-leg implant design and a controlled insertion method to provide surgeons with a versatile fixation option across forefoot, midfoot, and hindfoot procedures. 

The MEGALODON™ System harnesses the superelastic properties of nitinol to generate active compression as the implant returns toward its pre-deformed shape following deployment.

This dynamic response is designed to help maintain bone apposition in the presence of minor settling or remodeling at the surgical site.

axIOLink® PCFD Tether System

The axIOLink® PCFD Tether System is designed to address Progressive Collapsing Foot Deformity (PCFD) by reconstructing the Interosseous Talocalcaneal Ligament (ITCL)—the primary stabilizer of the subtalar joint and a key contributor to peritalar subluxation.1-4

Utilizing a minimally invasive soft-tissue reconstruction approach, the system enables surgeons to restore subtalar alignment while supporting concurrent spring ligament and deltoid ligament reconstruction procedures.

https://paragon28.com/app/uploads/2026/08/po-axio.png
https://paragon28.com/app/uploads/2026/10/Foot_CMYK-002.png

PRIMAL™ OCD Cartilage Repair System

Designed specifically for the unique anatomy of the first metatarsophalangeal joint, the Primal™ OCD System provides
surgeons with a reproducible, stepwise technique for preparing the defect, sizing the implant, and achieving surfaceflush implantation.

Dedicated instrumentation includes a Flush Guide, implant-specific reamers, cortical pin guide, implant inserter, and fixation instruments that work together to support accurate implant placement while helping control implant depth and orientation throughout the procedure.

BioCushion Adipose Allograft

Provides surgeons with a minimally invasive alternative that preserves the architecture of native adipose tissue while providing immediate cushioning support at the treatment site.

The technology is designed to integrate with host tissue over time while helping restore the protective environment needed to reduce pain, improve function, and support tissue durability.

https://paragon28.com/app/uploads/2026/06/biocushion-thumb.png
https://paragon28.com/app/uploads/2026/09/geniethumb.png

Genie™ & GenieSP™ Knotless Anchor System

The Genie™ & GenieSP™ Biocomposite and PEEK Anchors offers a reproducible and versatile knotless solution designed for secure soft tissue to bone fixation, self-punching ease, including a fully Biocomposite option to accommodate various soft tissue repairs.

The anchor systems are designed to deliver consistent, secure soft tissue fixation for a wide range of orthopedic repair procedures. Available in Biocomposite and PEEK materials, the Genie™ portfolio is designed with the surgeon in mind to provide for optimal fixation and efficiency in the operating room.

PRECISION® PUSHER

Provides surgeons with a minimally invasive alternative that preserves the architecture of native adipose tissue while providing immediate cushioning support at the treatment site.

The technology is designed to integrate with host tissue over time while helping restore the protective environment needed to reduce pain, improve function, and support tissue durability.

https://paragon28.com/app/uploads/2026/02/Website_Hero_Shot_Precision_Pusher_ext.png

Coming Soon

Minimally invasive targeting instrumentation
Flatfoot reconstruction products
Sterile, procedure-ready implants
Soft-tissue fixation applications

References

  1. Lintz F, Pozzessere E, Carfì C, et al. Reconstruction of the interosseous talocalcaneal ligament in progressive collapsing foot deformity: A review of the literature and description of a novel surgical technique. Journal of Foot & Ankle Surgery. 2025.
  2. de Cesar Netto C, Barbachan Mansur NS, Talaski G, et al. From Asymptomatic Flatfoot to Progressive Collapsing Foot Deformity: Peritalar Subluxation Is the Main Driver of Symptoms. JBJS. 2025.
  3. Mania S, Beeler S, Wirth S, Viehöfer A. Talocalcaneal Ligament Reconstruction Kinematic Simulation for Progressive Collapsing Foot Deformity. Foot & Ankle International. 2024.
  4. Tochigi Y, Amendola A, Rudert MJ, et al. The Role of the Interosseous Talocalcaneal Ligament in Subtalar Joint Stability. Foot & Ankle International. 2004.

Connect With a RepContact Us

Not all products available for sale in all markets. To determine availability in your marketplace, please contact your local Paragon 28 representative or complete the contact form.

    By submitting your information, you agree to Paragon 28’s privacy policy

    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

    Paragon 28 a Zimmer Biomet company logo
    14445 Grasslands Dr. Englewood, CO 80112

    Follow us:

    SOCIAL
    CALL US

    The name “Paragon 28” was chosen by design — to never lose focus on our goal to advance the science of foot and ankle surgery.

    © 2026 Paragon 28, Inc.

    Privacy Policy

    Legal Notice