Best Doctors in India for Ankle Surgery
- Orthopedic surgeon, Chennai, India
- Over 35 years’ experience
- MGM Healthcare Chennai
Profile Highlights:
- Dr. A B Govindaraj is a leading Orthopedic surgeon who holds an extensive experience of more than 3 decades in the field and performs over 300 joint replacement surgeries annually.
- He excels in unilateral and bilateral total knee replacement, total hip replacement, and shoulder replacement surgeries.
- Orthopedic Surgeon, Hyderabad, India
- Over 30 years’ experience
- CARE Hospitals Hyderabad
Profile Highlights:
- Dr. B N Prasad is a well-known Orthopedic Surgeon with over 3 decades of experience.
- Dr. B N Prasad is among the few surgeons in the country to specialize in both adult and pediatric orthopedics and has taken up numerous cases and treated patients with excellent outcomes.
- He provides diagnostic as well as surgical treatment for various types of orthopedic disorders such as arthritis and osteoporosis.
- Orthopedic Surgeon, Gurugram, India
- Over 40 years’ experience
- Artemis Hospital, Gurgaon
Profile Highlights:
- Dr. B K Singh is one of the best Orthopedic Surgeons in India with experience encompassing over 4 decades.
- He holds the credit for over 5000 Arthroplasty procedures and is one of the few surgeons in India with expertise in Robotic Knee and Hip Replacement Surgeries.
- Dr. B K Singh received his training in Joint Replacement Surgery and Robotic Knee and Hip replacement procedures from India, UK, and Japan.
- Orthopedic Surgeon, Hyderabad, India
- Over 30 years’ experience
- Gleneagles Global Hospitals Hyderabad
Profile Highlights:
- Dr. J V S Vidya Sagar is a renowned Orthopedic Surgeon and one of the most experienced surgeons for Arthroscopy in India.
- Dr. Vidya Sagar has been performing Arthroscopic and Joint Replacement surgeries for over 30 years during which he has performed 31,500 Arthroscopies, 13,400 joint replacement surgeries, 27, 600 knee joint surgeries, and 20,800 surgeries for ligament reconstruction, and over 38,600 surgeries for cerebral palsy and polio.
- Top Orthopedic Surgeon | BLK Hospital, New Delhi, India
- 20+ Years Experience
- BLK Super Specialty Hospital, New Delhi
Profile Highlights:
- Dr. Mrinal Sharma is a highly renowned Orthopedic Surgeon and Joint Replacement Specialist with a specialization in Arthroplasty.
- Dr. Mrinal Sharma holds with him an experience of more than a decade and has achieved huge success with joint replacement procedures, especially of the knee, during his career.
- He is among the new generation of Orthopedic surgeons who use Computer Navigated techniques for performing knee and hip replacement surgeries.
- Orthopedic Surgeon, Mumbai, India
- Over 20 years’ experience
- Gleneagles Global Hospital Parel Mumbai
Profile Highlights:
- Dr. Murali Poduval is a well-known Orthopedic surgeon in Mumbai with a specialization in Joint Replacement surgeries.
- He holds an extensive experience of close to 2 decades in Orthopedics and Joint replacement surgery and is an expert in the management and treatment of deformity correction, arthroplasty, and complex trauma.
- He is highly skilled in performing all types of primary and revision surgeries on the hip, knee, and spine. His primary interest also includes hip arthroplasty for severe defects in children and adolescents.
- Top Orthopedic Surgeon & Spine Surgeon | BLK Hospital, New Delhi, India
- 40+ Years Experience
- BLK Super Specialty Hospital, New Delhi
Profile Highlights:
- Dr. Pradeep Sharma is the Director of the BLK-Max Centre for Orthopedics, Joint Reconstruction, and Spine Surgery in Delhi.
- Dr. Pradeep Sharma has an experience of 40+ years in the field and is an expert in the treatment of both adult and pediatric patients.
- Dr. Pradeep Sharma runs arthroplasty Fellowships supported by Zimmer and Stryker and has trained and mentored young surgeons in Arthroplasty.
- Orthopedic Surgeon, Kolkata, India
- Over 30 years’ experience
- CMRI (The Calcutta Medical Research Institute) Kolkata
Profile Highlights:
- Dr. Rakesh Rajput is the Director and HOD – Orthopedics at The Calcutta Medical Research Institute (CMRI), Kolkata.
- Dr. Rakesh Rajput’s expertise lies in Joint replacement surgeries for the knee and hip, Arthroscopy, and Pelvic and Ace tabular trauma. He is also highly skilled in Minimally invasive orthopedic surgeries.
- Dr. Rakesh Rajput received his training in Joint replacement procedure from the prestigious University of Dundee and has worked and trained under some of the best orthopedic surgeons in the world.
- Orthopaedic Surgeon, Chennai, India
- Over 22 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Kornad P Kosygan is one of the few Orthopedic surgeons in India with a double FRCS degree.
- He has been successful in the diagnosis and treatment of severe Orthopedic problems throughout his career.
- Dr. Kornad is invited as an exclusive Orthopedics Specialist from over six countries in the Asian and European subcontinent.
- Dr. Kosygan has sought extensive training and exposure in the department of Orthopaedics.
- Top Orthopedic Surgeon | Apollo Hospitals, New Delhi, India
- 42+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- As one of the most experienced orthopedic surgeons in Delhi, Dr. Chander Shekhar has been practicing for 42 years. He is associated with Indraprastha Apollo Hospital as a consultant.
- Dr. Chander Shekhar is interested in Knee and Hip joint replacement and revision.
- He honed his expertise by completing a fellowship in shoulder and knee arthroscopy in the United States. Besides replacement & revision surgery, he has expertise in Birmingham Hip Resurfacing, BHR with stem, and Minimally Invasive Surgery.
Best Hospitals in India for Ankle Surgery
Hospital Highlights:
- Apollo Hospitals is a private healthcare group in India, with its headquarters based in Chennai. Established in 1983 by Dr. Prathap C. Reddy, the group offers a wide range of medical treatments and services across various specialties.
- It is renowned for emphasizing innovation and utilizing cutting-edge medical technologies into patient treatment.
- Known as India’s first corporate hospital, Apollo Hospitals is often credited for pioneering the private healthcare revolution in the country.
- With clinics and hospitals located all throughout India, Apollo Hospitals is a nationwide healthcare organization. Its presence can also be found in foreign countries.
- Preventive health examinations, medical and surgical treatment, and diagnostic centres are just a few of the services that the Apollo group provides.
- The group has several centres of expertise, including Cardiac Sciences, Neurosciences, Orthopedics, Emergency Care, Cancer Care, and Organ Transplantation.
- City: Chennai, India
Hospital Highlights:
- RIMC is a multi-specialty hospital in a sprawling area of 36 acres located in Chromepet, Chennai, Tamil Nadu, India.
- The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
- RIMC is led and managed by world-renowned physicians committed to healthcare.
- RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
- Rela Institute is driven by patient needs, comfort and confidence.
- City: New Delhi, India
Hospital Highlights:
- Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
- Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.
- City: Bengaluru, India
Hospital Highlights:
- Established in 2007, the Apollo Hospitals Bangalore is a 300-bed multispecialty hospital situated in Bannerghatta Road, Bangalore.
- Equipped with the state-of-the-art technology, it is a leading hospital dedicated to providing healthcare needs to patients with compassion and expertise.
- It is the first hospital to have completed the highest number of Robot Assisted Heart Surgeries in India.
- Over the years, it has successfully conducted some of the rarest medical procedures such as spinal angiolipoma excision, autologous chondrocyte implantations, and tibial tuberosity shift with MPSL reconstruction.
- The Apollo Hospitals Bangalore has the reputation of performing the greatest series of airway stents in the country.
- Additionally, the hospital is known for providing comprehensive treatment in specialties such as gastroenterology, urology, gynecology, oncology, colorectal surgery, etc.
- The “The Minimal Access Surgery Centre” (MASC), one of Apollo Hospitals, Bangalore’s premier Centres of Excellence, is devoted to the use of minimally invasive surgical procedures.
- In 2013, THE WEEK-A C Nielsen, Best Hospital Survey ranked Apollo Hospitals Bangalore as the 2nd best multi-speciality hospital in Bangalore.
- City: Mumbai, India
Hospital Highlights:
- Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
- The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
- The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
- The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.
- City: Hyderabad, India
Hospital Highlights:
- CARE Hospitals were established in the year 2000, by CARE Group.
- The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
- The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
- The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
- The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.
- City: Mumbai, India
Hospital Highlights:
- Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and treatment services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
- This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
- Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.
- City: New Delhi, India
Hospital Highlights:
- Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
- The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
- Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
- The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.
- City: Chennai, India
Hospital Highlights:
- Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
- Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
- MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
- With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
- MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
- They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
- Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.
Hospital Highlights:
- Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
- Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
- The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
- The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.
ANKLE REPLACEMENT
Ankle replacement is a surgery for replacing the damaged bone and cartilage in the ankle joint. Artificial joint parts, i.e. prosthetics are used for replacing the bones.
The joint where the tibia (shin bone) rests on top of the talus (a bone of the foot) is called the ankle or tibiotalar joint. Arthritis can affect any joint of the foot including this joint. The smooth cartilage present on the bone surface wears away with time which may cause inflammation, pain, and swelling of the joint.
Ankle replacement surgery helps to eliminate swelling and pain by replacing this damaged joint. Usually performed under general anesthesia, the surgeon will make an incision on your ankle to gain entry into your affected joint. This is followed by the removal of the damaged part of the talus and tibia bones. Next, the surgeon will attach the remaining bone surfaces to artificial metal joints with the help of a plastic piece inserted between them.
Ankle replacement surgeries can be of different types. Ankle replacement is also commonly known as ankle arthroplasty, i.e. replacement of an ankle joint that has been damaged by arthritis with a plastic or metal prosthesis. Osteoarthritis, rheumatoid arthritis, and posttraumatic arthritis are usually the types of arthritis for which ankle replacement is considered.
Types of ankle arthritis
The main types of ankle arthritis include:
- Rheumatoid arthritis: It is a type of autoimmune disease affecting the joints.
- Osteoarthritis: Developing in older adults, it is a type of wear and tear arthritis.
- Arthritis: A past injury that occurred on your joint can cause this type of arthritis.
Your doctor will advise you on other types of treatments like special shoes, physical therapy, pain medicines, corticosteroid injections, and foot inserts for mild to moderate arthritis. Any kind of symptoms that interfere with your routine may require an ankle replacement procedure.
Arthroscopic debridement is a suitable choice for not-so-severe arthritis. However, if it is severe, ankle fusion is an option. Every type of treatment comes with its own set of pros and risks but you may talk to your doctor to decide upon the right type of treatment for your case.
Purpose
Ankle replacement surgery is meant for those patients who suffer from severe arthritis in their ankle which can lead to symptoms such as severe pain, swelling, stiffness in joints that can lead to difficulty in walking or climbing stairs, stiffness in joints after sitting for too long, pain in joints during and after exercise.
If you are facing any of those symptoms, you should consult a doctor so that he/she can help you decide whether you require surgery or not. In addition to this, the doctor might also recommend any alternative or a less invasive treatment, if it is possible.
If you have the following conditions, this procedure might not be suitable for you:
- If you are having an active or prior deep infection in your ankle joint
- Patients who are having loss of sensation in the foot and ankle
- Severe ankle deformity
- Inadequate bone for supporting the implants
- Neuromuscular disease that can impair muscles which can result in poor muscle tone and function in your ankle.
- Ankle fusion done before
Preparation
First, you should discuss with your doctor regarding what you should do in order to prepare for the procedure. Ask whether you need to stop taking any medications such as blood thinners. If you smoke, it might be important to stop it before the procedure. Inform your healthcare team about the medicines you take. If there are any changes in your overall health, let your healthcare provider know about this.
Some additional tests such as X-ray, MRI or CT scan might be required before the procedure. You might also need to rearrange your living arrangements, as you will need to use crutches for some weeks. Also, you will need to arrange for someone to drive you home from the hospital after the surgery.
Your doctor will most likely ask you to avoid any food and drink after midnight on the night before the surgery.
Surgery
Ankle replacement surgery is generally performed by an orthopedic surgeon. He/she will be aided by a team of specialized healthcare professionals. The whole procedure generally takes a few hours.
You will be put to sleep by your doctor with the help of general anesthesia so that you will not be feeling any pain or discomfort during the procedure. The healthcare team will be monitoring your vital signs carefully, such as your blood pressure and heart rate.
After the affected area is cleaned, your surgeon will create an incision through the skin and muscle of the ankle and possibly another one on your foot as well.
Next, your surgeon will be removing the damaged portions of your shinbone and talus. After this, the new metal joint surfaces will be attached into the pieces of your remaining bones. To hold them in place, your surgeon might use a special type of cement. He/she might also need to insert a plastic between the new metal joint spaces, so they are able to glide easily against each other.
If any repairs are necessary, your healthcare provider might make them. Then the layers of skin and muscle around your ankle and foot will be closed by the surgeon.
Recovery
You may talk to your doctor regarding the expectations from the surgery. You will be under the careful monitoring of your medical team while you are recovering. You might be asked to stay at the hospital for a few days after the surgery.
If you are experiencing pain after the surgery, you might need to take medicines for some relief. You will gradually start experiencing less pain after the surgery.
Your doctor might advise you to wear a splint for a few weeks after the surgery. Alternatively, you can also use crutches for the same for around 4-6 weeks. While you are recovering, you ought to follow the instructions provided by your doctor. You will be able to elevate your legs and rest within the first week after the surgery. However, you might not be allowed to exert full pressure and force on your foot for some months.
The stitches can be removed around 2 weeks after your surgery. In the days following surgery, it’s quite important to keep your foot elevated, as this can reduce any swelling.
For around 4-6 weeks from the date of your surgery, patients should not put much weight on the ankles. After around 12 months, you should be able to return to activities such as walking, hiking, swimming, etc. It is important to avoid high-impact activities as much as possible, such as running or heavy sports. These can decrease the life expectancy of the prosthesis in the ankle.
For regular monitoring of the progress in your condition, ensure that you visit the doctor without missing the follow-up appointments. Your doctor will remove the splint and replace it with a cast or a boot a few weeks after the surgery. For maintaining the range of motion and strength, you ought to perform physical therapy for the first few months after the surgery. When you follow all the instructions from your doctor followed by medicines, rehabilitation, and wound care, you will get better results from the treatment.
Risks
Though the surgery is a success in most cases, sometimes there might be few risks such as:
- Infection
- Bleeding
- Blood clot
- Damage to nearby nerves
- The bones not properly joining together
- Bones getting misaligned
- New arthritis in the neighboring joints
- Loosening of the artificial components, which can eventually require a follow-up surgery
- Wearing out of the components
The risk of complications can depend on your age and medical conditions. For example, if you are a smoker or if you are suffering from low bone density, you might have an increased risk of some complications.
People with poorly controlled or uncontrolled diabetes might also have an increased risk. Before you undergo the procedure, it is best to discuss all risks and have all your concerns addressed.
FAQs
A majority of the patients start walking 4 weeks after the surgery with the help of a protective boot. They are, further, allowed to wear their regular shoes after 8 weeks of treatment.
While the procedure was done on one in every 100,000 cases nearly a decade ago, it had increased to 2.4 for every 100,00 cases now. However, doctors drill try to focus on non-surgical techniques for treating cases of ankle arthritis.
Although the range for success rates of ankle replacement procedures is between 70% and 100%, the mean success rate of an ankle replacement surgery is 90% currently.
Yes, you might experience a little pain after getting treated with the surgery but pain medications are a choice before you get relief from pain to a certain extent.
Yes, an ankle replacement surgery for reducing the pain in the ankle is major surgery. The surgeon will remove the lower part of the tibia and the top part of the talus.
No, most people do not walk with a limp after an ankle fusion procedure and also, experience no pain after the surgery.
You can expect up to an hour for the doctor to finish your ankle replacement surgery. However, many doctors have the chance of finishing up the surgery in as less as 30 minutes where the cases are not complex.