CADENCE Total Ankle System

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

The CADENCE system is made up of three components:

  • The top component is made of metal and replaces the end of your tibia (shin bone).
  • The bottom component is also made of metal and replaces the tip of the talus (ankle bone).
  • Between the two metal components is a smooth plastic insert for the metal parts to glide over.

These components are implanted during a surgical procedure that usually lasts 2-3 hours. Most patients have a hospital stay of 1-3 days.

To learn more, read the section on Ankle Surgery.

What are the components made of, exactly?

The metal components are made with titanium and cobalt chrome. The middle component is made with polyethylene plastic. The materials are similar to those used in knee and hip replacements.

What else should I know about the implants?

It’s important to protect these new parts of your ankle from infection. Your surgeon will likely recommend that you take antibiotics before and after any invasive medical procedure.

Notify all of your doctors, dentists, and healthcare providers that you have an ankle replacement. Together, you and your providers can help protect your implants.


  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.

All information provided on this website is for information purposes only. Every patient’s case is unique and each patient should follow his or her doctor’s specific instructions. 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 situation, please call 911 and seek emergency help.