 ನೇರಿಕಿದರ್ಲ್ ನಾ ಕರ್ರಿಚರರವನ ಗಾ ಕ್ವಾರು ಆರಿಕ ಲೋಸಿಲಿಯದಿನಿರೆ ಕಿಗಾ ನಾವಾರ್ಲ ಮೆತ್ರ್ಲ ಕ್ಹತ್ಲಿಬಾಸುರಿಲ್ಲೂ ಪಾರಿಕೆಂದರಿನೇಸುಂದರ್ ನೋಾಸ್ಲಿ ಳಾಂದಟ್ರಿವ ನ 16 years. It began increasing over the period of that time. To the present day symptoms. His pain was so severe that he could hardly walk even a few steps without any aid. The pain was so severe that even his nighttime sleep was disturbed and his activities of daily living was largely affected due to pain. His excrements showed that he had advanced arthritis of both the hips. and this arthritis was secondary to probably a condition called vascular necrosis which refers to a condition where the blood supply to the ball of both the hips gets destroyed over a period of time and then to the present day symptoms so I advised him that he would need a totally replacement of both the sides so he consented to the above procedure and we did both hip replacements at the same sitting so the surgery went well, we used the unsubmitted hip implants at both sitting in one stage and he started walking immediately the next day after surgery his recovery went well, the physio went well and he stopped using any kind of aid as soon as a week after surgery now he is presently 4 weeks down the line and he is doing extremely well after the surgery, the third day of the surgery was done by the physiotherapy doctor or the XSL, it was done in 50 minutes and after that it was done in 100 meters but the whole 7th floor was done in a total of 1 round so these kind of joint replacements sometimes have to be done simultaneously especially if the patient has a lot of pain with his day to day activities so bilateral totally replacements patients do well and these modern day implants for the hip last at least about 25 to 30 years with modern day implants like the ceramic bearings which are available with us after the surgery it was very good, the activities were very good all the nurses and doctors here are very professional, they are very encouraging Dr. Sunil Kiniar is here I would like to thank Rudhavendra very much, I was born again Thank you very much to Samanipal Hospital