TOTAL ANKLE

CADENCE^◊ Total Ankle System for Ankle Replacement

The CADENCE Total Ankle System is an implant for ankle replacement. It’s designed to relieve pain and restore function in your ankle.

Overview

The CADENCE Total Ankle System is designed to relieve pain and restore function in the ankle. It’s modeled after human anatomy and engineered to reproduce the natural movement of the ankle.^1-3

What is the CADENCE Total Ankle System?

Your ankle does more than move your foot up and down. It also has rotational movement. We designed the CADENCE Total Ankle System to match this natural movement^1-3 and restore function to your ankle.

Is the CADENCE Total Ankle System right for me?

To find out if the CADENCE Total Ankle System is a treatment option, make an appointment with an orthopaedic surgeon. The surgeon will examine your ankle and review your health situation in determining if ankle replacement is recommended.

Learn more about the procedure and recovery process.

Explore Total Ankle Replacement

What are the risks involved?

All surgery has risks and the potential for complications. Talk to your surgeon about any concerns you may have before you decide on treatment. Some of the possible risks include:

Blood clotting
Blood clotting problems – such as deep vein thrombosis (DVT) or pulmonary embolism (PE) – may occur after surgery and interrupt normal blood flow. Your medical team may recommend medications and exercises to reduce the risk.

Infection
Infection may occur at the surgical site or elsewhere in the body. If a serious infection occurs, additional surgery or removal of the implant may be needed.

Pneumonia
After surgery, pneumonia or other breathing problems may develop. Your medical team may recommend measures to reduce the risk.

Nerve problems or bone damage
Though uncommon, nerves or blood vessels in the ankle area may be damaged during surgery. Bones may be damaged or not heal properly.

Long-term pain and stiffness in the ankle
Some patients who have ankle replacement experience a decrease but not an elimination of pain. Similarly, some patients experience an improvement in range of motion but not a return to full movement. Talk to your surgeon about your goals for ankle replacement, and ask what you can expect for your individual outcome.

Implant wear or failure
The ankle implant may become worn, loose, or damaged. It may not perform as expected. In some cases, another surgery may be needed to correct or replace the implant.

This is not a complete list of risks. In some cases, you may need additional surgery to address a complication. Talk to your surgeon about the possible risks for your specific health situation.

Disclaimer

All information provided on this website is for information purposes only and is not meant as medical advice. Not everyone is a candidate for ankle replacement with the CADENCE Ankle System and individual results of joint replacement will vary. Implants are intended to relieve ankle pain and improve function but may not produce the same feel or function as your original ankle. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Potential risks include loosening, wear and infection that may result in the need for additional surgery. Discuss your implant options with your surgeon. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency, please call 911 and seek emergency help.

◊Trademark of Smith+Nephew.

Citations

1. Materialise 2013. Anatomical Data Mining Report Internal Report.

2. Innovative Medical Device Solutions 2014. Anatomic Fit Analysis for Tibial Tray and Talar Dome. Internal Report. 1229-9012.

3. Deleu PA, Naaim A, Leemrijse T, et al. Impact of foot modeling on the quantification of the effect of total ankle replacement: A pilot study. Gait Posture. 2020;84:308-314.

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