Ankle Arthroplasty (Total Ankle Replacement) in Malaysia

Introduction: Ankle Arthroplasty 

Walking, running, and even standing rely heavily on healthy ankle joints. When severe arthritis or injury damages the ankle, patients may experience constant pain, stiffness, and reduced mobility. For individuals in Malaysia facing end-stage ankle arthritis, ankle arthroplasty (total ankle replacement) offers a long-term solution that restores mobility and reduces pain.

Unlike ankle fusion, which locks the joint and limits flexibility, ankle arthroplasty preserves natural movement by replacing the damaged joint with a prosthetic implant. This makes it an ideal choice for patients who wish to maintain an active lifestyle.

Table of Contents

What is Ankle Arthroplasty?

Ankle arthroplasty is a surgical procedure where the damaged portions of the ankle joint are replaced with artificial components. These prosthetic implants mimic the natural joint, allowing smooth motion and weight-bearing.

The procedure is most often recommended for:

  • Patients with end-stage ankle arthritis
  • Individuals with severe ankle pain and stiffness
  • Patients whose condition does not improve with non-surgical treatments

Causes of Severe Ankle Arthritis

Several conditions can lead to the need for ankle arthroplasty:

  • Osteoarthritis – Degeneration of cartilage over time.
  • Rheumatoid arthritis – Autoimmune inflammation that destroys joint tissues.
  • Post-traumatic arthritis – Arthritis caused by previous ankle fractures or injuries.

Symptoms Indicating You May Need Total Ankle Replacement

  • Constant ankle pain, even at rest
  • Limited joint flexibility
  • Difficulty walking or standing for long periods
  • Swelling and stiffness that doesn’t improve with medication
  • Poor response to physiotherapy and bracing

If these symptoms affect your daily life, ankle arthroplasty may be the best solution.

Benefits of Ankle Arthroplasty Over Fusion

While both ankle arthroplasty and ankle fusion are common treatments for severe arthritis, arthroplasty provides key advantages:

  • Preserves motion – Allows natural walking movements
  • Less stress on surrounding joints – Reduces risk of arthritis developing in adjacent joints
  • Better quality of life – Patients can resume sports, hobbies, and active lifestyles

👉 Learn more about other procedures on our Ankle Surgery Malaysia pillar page.

The Ankle Arthroplasty Procedure

Pre-Surgical Assessment

  • Physical examination and medical history
  • X-rays, CT scans, or MRI for accurate planning
  • Patient education and preparation for surgery

Surgical Steps

  1. An incision is made at the front of the ankle.

  2. Damaged cartilage and bone are removed.

  3. Artificial implants (metal and high-grade plastic) are placed.

  4. The joint is aligned and secured.

Duration

The surgery usually takes 2–3 hours under spinal or general anesthesia.

Risks and Considerations

Like any major surgery, ankle arthroplasty carries some risks:

  • Infection
  • Nerve or blood vessel injury
  • Implant loosening or wear over time
  • Need for revision surgery

Our orthopedic surgeon uses advanced techniques and strict protocols to minimize these risks.

Recovery After Ankle Arthroplasty

Hospital Stay

  • Most patients stay 2–3 days post-surgery.

Initial Recovery

  • Non-weight-bearing with crutches or a walker for 4–6 weeks
  • Use of a cast or boot to protect the joint

Rehabilitation and Physiotherapy

  • Range-of-motion exercises begin after the initial healing period
  • Strengthening and balance training
  • Progressive return to walking and low-impact activities

Long-Term Recovery

  • Return to daily activities in 3–4 months
  • Full recovery, including sports, may take 9–12 months

Expected Outcomes: Ankle Arthroplasty

Studies show that modern ankle implants can last 10–15 years or more, providing long-term pain relief and restored mobility. Most patients experience:

  • Significant pain reduction
  • Improved walking ability
  • Increased activity levels

Who is Not a Good Candidate for Ankle Arthroplasty?

Some patients may not qualify for ankle replacement surgery, including those with:

  • Severe bone loss or deformity
  • Active infection
  • Poor circulation or uncontrolled diabetes
  • High-impact lifestyle (heavy manual work, high-intensity sports)

In such cases, alternative treatments such as ankle fusion may be recommended.

Alternatives to Ankle Arthroplasty

Before considering surgery, non-surgical options may be explored:

  • Pain medications
  • Physiotherapy
  • Ankle bracing
  • Corticosteroid or regenerative injections

If these fail, ankle arthroplasty becomes the best option for long-term results.

Ankle Arthroplasty - ankle repair surgery- dr sashi
ankle replacement surgery - ankle pain treatment - ankle instability

FAQs About Ankle Arthroplasty in Malaysia

1. How long does an ankle replacement last?

Modern implants typically last 10–15 years, depending on activity levels and patient health.10 0

Post-surgery discomfort is expected but managed with pain medication and physiotherapy.

Most patients return to walking and low-impact activities. High-impact sports are generally discouraged.

Costs vary depending on the hospital, implant type, and specialist fees. A detailed quotation will be provided during consultation.

Fusion eliminates movement by joining bones, while arthroplasty preserves natural ankle motion.

Why Choose Our Orthopedic Specialist in Malaysia?

  • Skilled surgeon with expertise in complex ankle surgeries
  • Use of advanced implants and minimally invasive techniques
  • Comprehensive post-surgery care and rehabilitation programs
  • Proven track record of successful outcomes

Book Your Consultation Today

If chronic ankle arthritis is limiting your life, ankle arthroplasty may be the right choice. Book a consultation with our ankle specialist today to discuss your treatment options.

enquiry@orthopedicspecialist.com.my

+603-8769 9524

+6013 4485856

Suite 35, 6th Floor, KPJ Kajang Specialist Hospital, Jalan Cheras, Kampung Sungai Kuantan, 43000 Kajang, Selangor