An ankle worn out by arthritis or an old fracture — rebuilt at Medifirst Hospital with a modern implant that relieves the pain while keeping the joint moving, so you can walk on the level again. When replacement is not the right fit, Dr. Vishal says so and explains the alternative.
Medically reviewed by Dr. Kumar Vishal
Pride of Jharkhand 2025
Dr. Kumar VishalAnkle replacement · Medifirst Hospital
Thirteen years of trauma, joint and sports surgery — and patients who walk out of it.
Ankle replacement (total ankle arthroplasty) resurfaces a worn, arthritic ankle with a metal-and-plastic implant. Unlike an ankle fusion, it relieves the pain while keeping the ankle moving, giving a more natural walk. It is considered for end-stage ankle arthritis — often years after a bad fracture — when pain limits walking and simpler care has failed. Not every ankle suits a replacement, and Dr. Vishal advises honestly between replacement and fusion.
The ankle is a hinge joint that carries your whole body weight with every step. When its smooth surface is worn away — by arthritis, or years after a bad ankle fracture (post-traumatic arthritis) — every step becomes painful, the ankle stiffens, and walking any distance becomes hard.
An ankle replacement resurfaces the worn joint with a precisely-sized implant, relieving the pain while preserving movement — the key difference from an ankle fusion, which stops the pain by stiffening the joint solid. Both are good operations for the right patient; the art is choosing correctly, and Dr. Vishal walks you through which suits your ankle and your life.

Ankle pain alone is not a reason for surgery — but if several of these ring true and simpler care has failed, an honest assessment is worthwhile.
Not sure if you even need surgery? Send your X-ray on WhatsApp for an honest opinion.Just attach a photo of your X-ray in the chat.
Care starts with a careful examination and your X-ray or CT reviewed with you, checking the bone quality, alignment and circulation that decide whether a replacement will last. Any crookedness in the ankle is planned for, because a well-aligned ankle is what makes an implant succeed.
When a replacement is right, it is done with a modern ankle implant and precise technique; where it is not, an ankle fusion gives reliable, pain-free walking. Either way you go home on a clear, protected recovery plan with guided physiotherapy.
Dr. Vishal walks you through your own X-ray or MRI, shows you exactly what's going on, and lays out every option — surgery and non-surgery — so the decision stays yours.
The ankle carries your weight, so it is protected carefully. Every patient differs, but this is the typical path.
The ankle is supported in a cast or boot and kept elevated; you move with a walker to protect the healing joint.
Weight through the ankle is increased gradually on Dr. Vishal’s schedule, still in a boot.
You transition out of the boot into supportive footwear as walking and movement improve.
Most patients return to comfortable walking on the level, with far less pain than before.
A worn ankle is a hard, personal decision — replacement or fusion — best made with a surgeon who explains both honestly. Dr. Kumar Vishal is an orthopaedic and trauma surgeon in Ranchi, Jharkhand, practising at Medifirst Hospital, where he is Director. Choosing an orthopaedic surgeon is one of the most important health decisions a family makes — and for thousands across Jharkhand, that choice has been Dr. Vishal.
With more than 13 years of experience and 800+ surgeries performed, he is widely regarded as one of the best orthopaedic surgeons in Ranchi for knee & hip replacement, arthroscopy, sports injuries, arthritis and complex trauma & fracture care. He is fellowship-trained in joint replacement and arthroscopy and has treated over 10,000 patients — including fractures other hospitals had turned away.
What sets him apart is a philosophy of honest, unhurried care — every patient examined personally, given a clear explanation, and told plainly whether surgery is truly necessary, or whether physiotherapy, medication or rest would serve them better.
240+ reviews posted publicly on Google — names shown as they appear there. We never invent testimonials.
"I had ongoing pain in my left hip joint, but the X-ray was normal so no one could find the cause. Dr. Vishal explained the difference between a nerve problem and a bone problem, and examined it properly. I'm much better now, and the problem is nearly gone."
Read on Google"My brother has sickle-cell anaemia and had severe pain in the hip joint. He was diagnosed with a sickle-cell crisis and the splenectomy was done at Medifirst Hospital, Ranchi. I'm satisfied with the treatment, and the hip replacement is planned next. The doctor cooperates with his maximum effort."
Read on Google"I had a fracture in my leg and was operated on by Vishal sir. A rod was applied, and I'm absolutely fine now — allowed to walk again. Thank you so much, sir. Best orthopaedic surgeon in Ranchi, Jharkhand."
Read on GoogleStill have questions? Talk to Dr. Vishal's team — bring your reports, leave with a plan.
This page is general educational information, not a substitute for a personal consultation. Individual results and recovery vary; a treatment plan is decided only after examination.
Get a straight answer on your pain — and a clear plan to fix it. Share your reports or message on WhatsApp, and Dr. Vishal's team helps you book the right time and clinic, often the same day.