Ankle Replacement in Vietnam

Ankle pain caused by arthritis, trauma, or degeneration can severely affect mobility and quality of life. For many patients, conservative treatments such as medication, physical therapy, orthotics, or steroid injections are no longer enough to manage daily discomfort. When ankle joint damage becomes too advanced, ankle replacement surgery—also known as total ankle arthroplasty (TAA)—offers a long-term solution.

Vietnam has become an increasingly popular destination for orthopedic surgeries, including ankle replacement, due to high-quality medical facilities, internationally trained surgeons, and affordable pricing. This comprehensive guide covers everything you need to know about ankle replacement surgery in Vietnam, including candidacy, procedure details, benefits, risks, recovery, cost comparison, and why Vietnam is one of Asia’s leading orthopedic care hubs.

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What Is Ankle Replacement Surgery?

Ankle replacement surgery involves removing the damaged portions of the ankle joint and replacing them with a prosthetic artificial joint made of medical-grade metal and polyethylene. The prosthetic joint mimics the natural function of the ankle, allowing for smoother motion and improved stability.

The procedure is typically recommended for patients with severe ankle arthritis who have not responded to non-surgical treatments.

Conditions that may require ankle replacement:

• Osteoarthritis

• Post-traumatic arthritis (after fractures or injuries)

• Rheumatoid arthritis

• Long-term ligament instability

• Severe stiffness and chronic ankle pain

• Loss of mobility that affects daily function

Unlike ankle fusion (arthrodesis), which permanently stiffens the joint, ankle replacement preserves natural movement, making it especially beneficial for patients who want to maintain flexibility and gait efficiency.

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Why Choose Ankle Replacement Surgery in Vietnam?

Vietnam’s healthcare system has progressed rapidly, especially in orthopedic and trauma surgery. Patients from the U.S., Australia, Europe, South Korea, and the Middle East increasingly seek treatment in Vietnam for its combination of expertise, modern technology, and cost savings.

1. Internationally Trained Orthopedic Surgeons

Vietnamese orthopedic surgeons often receive specialized training in:

• France

• Germany

• Japan

• South Korea

• Singapore

• The United States

Many are members of international organizations such as AAOS, AOFAS, and APOS.

2. State-of-the-Art Medical Facilities

Top hospitals in Vietnam offer:

• Advanced diagnostic imaging (CT, MRI, 3D scanning)

• Modern operating theaters

• Infection control meeting international standards

• Joint replacement navigation systems

Hospitals like Vinmec, FV Hospital, Viet Duc Hospital, and 108 Military Hospital use FDA-approved implant systems from Zimmer, Stryker, and Wright Medical.

3. Affordable Costs—Up to 70% Cheaper

Total ankle replacement in Vietnam is significantly more affordable than in Western countries, making it attractive for retirees, expats, and medical tourists.

4. Excellent Post-Operative Care and Physiotherapy

Vietnam offers high-quality rehabilitation with English-speaking physiotherapists and personalized recovery programs.

5. Shorter Waiting Time

Surgery scheduling is fast—often within days—ideal for medical tourists.

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Who Is a Good Candidate for Ankle Replacement Surgery?

You may be a suitable candidate if you experience:

• Severe ankle pain that limits daily activities

• Reduced mobility or difficulty walking

• Swelling and stiffness that worsen over time

• X-ray evidence of joint damage or cartilage loss

• Failure of non-surgical treatments

Ideal candidates typically:

• Are aged 55 and older

• Have a healthy weight

• Have good bone quality

• Have moderate to severe arthritis

Not ideal candidates include:

• Patients with severe deformity

• Smokers (higher risk of poor healing)

• Individuals with uncontrolled diabetes

• Those with active infection

• Heavy labor workers requiring high-impact movements

Orthopedic surgeons in Vietnam carefully evaluate each case through clinical assessment and imaging before recommending surgery.

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Types of Ankle Replacement Implants Used in Vietnam

Vietnamese hospitals use advanced prosthetic systems designed for durability, stability, and mobility.

Common implant brands include:

• Zimmer Biomet INFINITY and INBONE II

• Stryker STAR

• Wright Medical PROPHECY

• Hintegra Total Ankle System

These implants are known for:

• High wear resistance

• Anatomical design for natural movement

• Long lifespan (10–20 years)

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How Ankle Replacement Surgery Is Performed in Vietnam

Understanding the step-by-step process helps patients prepare mentally and physically.

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1. Pre-Surgery Evaluation

Patients undergo:

• X-rays

• CT or MRI scans

• Blood tests

• Cardiac and anesthesia clearance

• Assessment of gait and flexibility

If needed, the surgeon may recommend physiotherapy before surgery to improve outcomes.

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2. Anesthesia

The procedure is typically performed under:

• General anesthesia, or

• Spinal anesthesia with sedation

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3. Surgical Procedure

The surgeon proceeds with:

1. Making an incision at the front of the ankle

2. Removing damaged cartilage and bone

3. Shaping the joint surfaces

4. Inserting the metal components into the tibia and talus

5. Adding a polyethylene spacer that acts as cartilage

6. Ensuring alignment and stability of the implant

The surgery typically takes 1.5–2.5 hours.

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Recovery After Ankle Replacement Surgery in Vietnam

Recovery is a gradual process, but most patients experience significant improvements in mobility and pain levels.

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1. Hospital Stay

Patients usually stay:

• 3–5 days for monitoring

• With pain management and wound care

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2. Post-Operative Rehabilitation

Weeks 1–4

• Non-weight-bearing using crutches

• Ankle elevation to reduce swelling

• Begin gentle physiotherapy

Weeks 4–8

• Gradual weight-bearing in a protective boot

• Improved range-of-motion exercises

Weeks 8–12

• Transition to regular shoes

• Strengthening exercises

• Gait training

After 3–6 months

• Return to normal walking

• Low-impact activities like swimming or cycling

Most patients achieve 80–90% functional improvement within 6–12 months.

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Benefits of Ankle Replacement Surgery

1. Restores Ankle Mobility

Unlike ankle fusion, replacement maintains natural movement.

2. Reduces or Eliminates Pain

Most patients report dramatic relief after recovery.

3. Improves Walking and Balance

A flexible ankle improves stride and reduces stress on knees and hips.

4. Preserves Joint Structure

Helps avoid deformity progression.

5. Enhances Quality of Life

Greater independence and comfort in daily activities.

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Risks and Complications

While ankle replacement surgery is safe, risks include:

• Infection

• Blood clots

• Implant loosening

• Nerve damage

• Bone fractures

• Persistent pain

• Wear of the artificial joint

Choosing a reputable hospital with an experienced surgeon minimizes risks.

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Cost of Ankle Replacement Surgery in Vietnam

The cost depends on the implant used, hospital, surgeon experience, and length of hospital stay.

Average Cost in Vietnam:

Comparison with Other Countries:

• USA: $30,000 – $50,000

• Australia: $25,000 – $40,000

• Singapore: $20,000 – $35,000

• Thailand: $12,000 – $20,000

Vietnam is 50–70% cheaper while maintaining high standards of care.

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Best Hospitals for Ankle Replacement Surgery in Vietnam

1. Vinmec International Hospital

• Known for orthopedic specialization

• 3D surgical planning

• High-quality implants

2. FV Hospital (Ho Chi Minh City)

• French-Vietnamese hospital with European standards

• Advanced joint replacement center

3. 108 Military Central Hospital

• Leading center for trauma and joint reconstruction

• Experienced surgeons

4. Viet Duc University Hospital

• National orthopedic referral center

• Complex trauma and arthroplasty expertise

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Travel Tips for International Patients

• Plan to stay in Vietnam for 2–3 weeks for the surgery and early rehabilitation

• Bring previous imaging scans and medical history

• Choose accommodation near the hospital for convenience

• Arrange transportation and mobility assistance

• Purchase travel insurance if possible

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Frequently Asked Questions

1. How long does an ankle replacement last?

Typically 10–20 years, depending on activity level and implant type.

2. Can I run or play sports after surgery?

Low-impact activities are encouraged; high-impact sports should be avoided.

3. Is the surgery painful?

Pain is managed effectively with medication. Most patients report improving comfort over weeks.

4. When can I walk again?

Partial weight-bearing begins at 4–6 weeks, depending on surgeon instructions.

5. Is ankle replacement safe in Vietnam?

Yes. Major hospitals meet international standards with high success rates.

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Conclusion: Why Vietnam Is an Excellent Choice for Ankle Replacement Surgery

Vietnam offers a powerful combination of advanced orthopedic care, skilled surgeons, modern technology, and affordable costs, making it an ideal destination for patients seeking ankle replacement surgery. From diagnosis to rehabilitation, the care pathway is efficient, patient-centered, and equipped to handle even complex cases.

For individuals suffering from chronic ankle pain or arthritis, ankle replacement surgery in Vietnam provides a safe, effective, and long-lasting solution for restoring mobility and improving quality of life.