Posted byOrthoEx Posted in
Posted on Jul 21, 2017

ENGLEWOOD, Colo.July 21, 2017 /PRNewswire/ — Since its inception, Paragon 28 has obsessed over every aspect of foot and ankle surgery. Committed to creating tailored solutions to improve surgical outcomes, Paragon 28® has launched innovative products and instrumentation that help to streamline procedures, allow surgeons flexibility in technique and approach, and facilitate reproducible results benefitting both the surgeon and patient.

PROMO or Proximal Rotational Metatarsal Osteotomy is a hallux valgus correction system designed to allow complete bunion correction in multiple planes. Recent studies have shown that up to 87% of hallux valgus (bunion) deformities contain a frontal plane rotational deformity.1  While traditional single-plane procedures such as the scarf or chevron osteotomes only correct the transverse deformity, PROMO simultaneously corrects the metatarsal internal pronation as well as the varus deformity through a single, oblique osteotomy.

The patent-pending PROMO System contains a series of custom jigs and implants utilized in the measurement, construction and fixation of an oblique plane osteotomy specific to the patient’s deformity. Unique plates are included that are sized and shaped around the oblique angulation of the osteotomy. PROMO also includes a PRECISION™ guided system which enables the user to place a cross screw across the osteotomy while avoiding hardware collision with the plating construct.

Features & Benefits:

  • Corrects all deformity parameters including rotation in the frontal plane
    • May help decrease chance of recurrence2
  • Single Oblique Osteotomy
    • Reduces the likelihood of shortening which can help prevent transfer metatarsalgia
    • Osteotomy allows for placement of an interfragmentary screw which increases the rigidity of the construct
  • Custom jigs aid in construction of the oblique plane osteotomy
    • Repeatable and streamlined technique
  • Avoids fusing the first TMT joint
    • Helps sustain patient joint health

Paragon 28 is grateful for the significant contributions Dr. Emilio Wagner, MD, and Dr. Pablo Wagner, MD, made as surgeon designers of this system.

For additional information on the PROMO™ Triplanar Correction System, visit the Paragon 28 website at

1  Kim Y, Kim JS, Young KW, et al. A new measure of tibial sesamoid position in hallux valgus
in relation to the coronal rotation of the first metatarsal in CT scans. Foot Ankle Int. 2015; 36(8): 944-52.

2  Wagner P, Wagner E, Ortiz C. Rotational osteotomy for hallux valgus.
A new technique for primary and revision cases. Tech Foot Ankle Surg. 2017; 16(1): 3-10

Contact: Jim Edson, Director of Product Management and Marketing,


SOURCE Paragon 28

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