Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Total Ankle Replacement
India's First Cadence Total Ankle Replacement
India's first Cadence total ankle replacement in a cavovarus foot — a case that underlined how ligament balancing decides long-term implant survival.
Patient Age
64 Years
MECHANISM
Cavovarus foot + ankle OA
PRESENTATION
Chronic Arthritis with Deformity
APPROACH
Cadence Replacement, Lateral Ligament Reconstruction
01
Clinical Rationale
India's first Cadence replacement returned at nine months with severe lateral laxity — a reminder that ligament balance, not the implant, decides survivorship. The Centre now stages deformity correction before replacement as a direct result of this case.
02
Surgical Approach
India's first Cadence TAR was performed in 2019. The patient returned at nine months with severe lateral ligament laxity and instability, requiring ligament reconstruction. At five years he remains mobile with cane support — a case that reshaped the centre's protocol toward staged deformity correction.
02
Imaging & Progression
Post-surgery imaging across the five-year follow-up, documenting instability and reconstruction. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Ligament balancing is vital for the survivorship of an ankle replacement implant.
#2
Cavovarus deformity adds instability risk and must be corrected alongside replacement.
#3
The centre now stages deformity correction first, followed by total ankle replacement.
#4
Even with reconstruction, a poorly balanced replacement may leave the patient cane-dependent.
04
Clinical Care Points
RIGHT SIDE
- i) Cadence TAR (2019)
ii) Lateral ligament reconstruction at 9 months
iii) Cavovarus correction
iv) Mobile with cane at 5 years
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
India's First Cadence Total Ankle Replacement
India's first Cadence total ankle replacement in a cavovarus foot — a case that underlined how ligament balancing decides long-term implant survival.
A 64-year-old man presented with advanced ankle osteoarthritis in a cavovarus foot. The deformity placed the heel and ankle in varus and increased stress along the lateral side of the joint. Total ankle replacement was chosen to relieve pain while retaining ankle movement.
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