The First and Only
FDA Approved
Patient Specific Talus Spacer
The First and Only
FDA Approved Paragon 28
Patient Specific Talus Spacer
A novel alternative for Avascular Necrosis of the Ankle
Your Alternative For AVN
Paragon 28
Patient Specific
Talus Spacer
The Paragon 28 Patient Specific Talus Spacer is an additively manufactured, or 3D printed, patient specific implant that is designed and made individually for each patient using CT image data.


Total Talus Replacement
An alternative treatment option to fusion and amputation, the Paragon 28 Patient Specific Talus Spacer is indicated for avascular necrosis of the ankle and requires total talus replacement surgery.
The procedure is designed to relieve pain and preserve motion in the ankle joint by replacing the patient’s damaged talus with a 3D printed replica of his/her bone. Talus replacement surgery is considered a joint sparing procedure as it allows the patient to retain motion in the ankle joint.
Total Talus Replacement
An alternative treatment option to fusion and amputation, the Patient Specific Talus Spacer is indicated for avascular necrosis of the ankle and requires total talus replacement surgery.
The procedure is designed to relieve pain and preserve motion in the ankle joint by replacing the patient’s damaged talus with a 3D printed replica of his/her bone. Talus replacement surgery is considered a joint sparing procedure as it allows the patient to retain motion in the ankle joint.

Potential Benefits of a Paragon 28 Patient Specific Talus Spacer
Potential Benefits of a Patient
Specific Talus Spacer

Reduce Pain

Improve Range of Motion

Enjoy Recreational Activities

Continue Your
Career

Better Quality
of Life
Patients who received a Paragon 28 Patient Specific Talus Spacer in the clinical study showed a reduction in baseline VAS Pain Scores, improvement in ROM, and improvement of functional outcomes based on FAOS subscales, including pain, symptom, activities of daily living, ability to perform sports and recreational activities, and foot/ankle related quality of life. Please refer to the IFU for complete Clinical Data Information.
Be Informed
Learn More About The
Paragon 28 Patient Specific
Talus Spacer
Learn More About The Patient Specific Talus Spacer
The Paragon 28® Patient Specific Talus Spacer has two material options: a cobalt chromium metal alloy and a
titanium alloy with a titanium nitride coating. The Paragon 28 Patient Specific Talus Spacer in cobalt chromium is an additively
manufactured implant made from cobalt chromium metal alloy and produced by laser sintering.
The Paragon 28 Patient Specific Talus Spacer in titanium alloy is an additively manufactured implant made from titanium alloy with a
titanium nitride coating and produced by electron beam melting. The surgeon selects which material is best suited
for his/her patient. The device allows the patient to regain motion and reduce pain without an amputation or fusion
for the treatment of the current condition.

Patient
If you are a patient and want to learn about the benefits of a talus spacer and if it might be right for you, please click here.
Surgeon
If you are a surgeon and want to learn about total talus replacement and if it might be a good solution for your patients, please click here.
Testimonials
Innovative Technology, Impacting Lives
"I am a pharmacist and am able to do my job again. After not being able to walk, I can now stand on my feet for 8 hours a day. I have my life back. I am pain-free, very happy, and very blessed to have found my surgeon and this technology."
Michael, Pennsylvania
“After being diagnosed with AVN, I researched possible treatment options. I did not want to have a fusion and lose motion in my ankle. I knew if the AVN progressed, I would lose my leg. I found the surgeon who performed my total talus replacement and have not had any pain since I came out of the hospital. It has been an amazing process. It gave me my mobility back. I can walk, I can run, and I can keep working. AVN is a crippling thing for human life. I was scared I was going to lose my foot, but I now have my life back.”
Gradie, Tennessee
“Flying is a much-loved hobby of mine. When I was recommended to have a fusion I was upset, not just for the loss of ability to work the rudder pedals in my airplane, but for life motion in general. I am so far from where I was. I am doing great. In July of this year, it will be 4 years, and my ankle is doing great. My grandchildren call me their “Bionic Oma”. I can dance and I can fly! What more could a 70 year girl ask for? I am Blessed.”
Cheryl, Virginia
A Unique Implant Solution made possible through the use of Additive Manufacturing.
Contact Us
WANT TO LEARN MORE ABOUT TOTAL TALUS REPLACEMENT AND WHAT WE CAN DO FOR YOU?
We Look Forward to Hearing From You
Have a question or comment? We are waiting to hear from you…
PSI@paragon28.com
Mailing Address
44 Riverdale Ave. Monmouth Beach, NJ 07750