 Hi, I am Dr. Sunil Kini, Senior Consultant Joint Replacement Natroscope Surgeon working at Manipal Hospital's Old Airport Road Branch, Bangalore. I first saw Mr. Narayan Chandar Ghosh in the outpatient department about nine months back. He came to be with excruciating pain in both the hips, more on the left side. So this pain started about two and a half years back and gradually increased to the present day scenario. No history of any injury and no history of any drug abuse. On examination his movements of the hip were grossly limited, more on the left compared to the right. So as you can see this is his x-ray of his pelvis with both the hip joints and you can see that there is a reduction of the space of the hip joint on both sides. You can see that there are multiple cavities which are called as cystic cavities here and the ball of the hip joint which is the femoral head is deformed and it's like a mushroom shaped contour now. So this indicates that he has got arthritis of both the hips and he needed a surgical procedure which in this case was a total hip replacement. Now I am done with the operation and I can understand that I was successful in the operation. I can do it again in the future, I can do it again in the future, I can do it again in the future. This is the only way to do it, so I would like to say to the doctor that he is very beautiful and good. I have been able to do both the hip joints for a long time. I have been able to do the operation of the surgery of Sir Sunil J.K.Nik. I am successful. I cannot do it at all. Now both the hips are good. I can do it again in the future. I cannot do it again in the future. I can do it again in the future. I can do it again in the future. I can do it again in the future. We recently did the right hip about 10 days back. So patient has walked both times immediately after surgery the very next day with the help of a walker. His pain was minimal thanks to our anesthetic team and also the use of analgesic blocks to the limb as well as patient controlled analgesia which we frequently use for all joint replacement cases. So this is how the patient with the hip replacement looks like. So it is a standard procedure where we use uncemented implants for younger patients. There you can see the cup which is being put in the socket with a couple of screws there so that it is a press fit. And then this is a titanium stem which goes all the way in the prepared thigh bone and we have used a ceramic head on both sides as his young. So total hip replacements are one of the best surgeries in orthopedic practice in terms of outcomes and it is a boon for patients with end stage hip arthritis. Patients are extremely comfortable with minimal pain. Do very well. They walk very next day with surgery and within a couple of weeks they are off any kind of support. The longevity of the implants are very good as well. They last very well up to the third decade in modern day joint replacements. So we at Manipal hospitals as a team do a large number of joint replacements both primary and redo joint replacements and we have a multidisciplinary setup to ensure that we have the best surgical outcomes. Thank you.