 2019.σα సిలుర్లీ సాపిను stal 2020.σα బ్డవ౜చలాపైపైలు ఘిలిలూత్ష్స్యిమీచరంఆన్రీంనచటిలуть Fontత్రzzle�లోఔ దాటిమ� chair కబ్దరం querer吧రసంయథరాసథటమvensలిల౉,D blessed me and increasing both pain in the past 2-3 years. She is a 35-year-old resident from Bakura, West Bengal. Dr. Sunil Jay Keeni sate jagajog kori evam uni bolen je ekhane aasthe ekhane aasar par uni saab rakham report dekhane evam samasthu kichu dekhar par evam avar yudjainter x-ray karen evam kore dekhar par uni bolen je duhti gibjainter replacement kotha have. To give you a brief history, her complaints started about 10-20 years back with kind of generalized body pain. She met many doctors wherein she was diagnosed to have a red condition called as ankylosing spondylitis. So this condition usually affects people in the 20-40-year-old age group. It's an autoimmune condition wherein especially with the related to the orthopedic part the hips and the spine starts fusing people are immobile and they become like a robot in unfreated for the past few years. Now patients complaint was so severe that for the past 2-3 years she could hardly walk a few steps. Even walking or ambulating in the house also was a cause of distress. The pain increased to such a level that her day-to-day activities and even her sleep was largely disturbed. She came down here, x-rays revealed that she had arthritis of both the hips to a large extent. She was advised total hip replacement of both the hips which was also the advice given by many doctors back home in West Bengal. So we did both hip replacements in the same sitting. It's quite a challenge to do hip replacements in these kind of patients because the spine is also involved and positioning the patient for surgery is a huge challenge. So we have to be very careful because there's a large chance that there can be fractures if these patients are not handled carefully. So we did both hip joints in the same sitting. We used uncemented implants and the patient was doing quite well after surgery. She started ambulating a couple of days after surgery. Now she's able to walk a considerable distance with the help of a walker without any pain. We at Manipal are well equipped to do these kind of complex joint replacements. Dr. Sunin Jayakini gave me one or two replacements in one day and now I am feeling very good and feel very comfortable. I have many improvements in the previous situation such as the Manipal Hospital and Dr. Sunin Jayakini both are not in good condition. Here at Manipal Hospital, the patient is very good and I wish to see the other doctors and I wish to see the Manipal Hospital and Dr. Sunin Jayakini both are in good condition.