 ಮೇರಿವ೚ನಿನು ಪು ರಾಯಿಸ್ತಾನು ಅೀರವಲಿಆಂದು ಅೀರಿಂವಾಗೆ ಅ್ರಾವಾದುನು ಪುರುನ್ತುದ್ತಾನೊ ಎದು ಸುೀಲಾಲ್ಬಿದು ಸುರು ತದರಷಿ ಸುಳಿತು ಮಲ್ರಸ್ತಿಯವ್ ಸಲಿದಯರು​ಕ್ತ� who came to my clinic as a referral for ongoing complaints of pain in the left hip for the past 3 weeks. To give you a brief history, he had earlier sustained hip fracture about 3 years back to the left hip, to the ball of the left hip as a result of which he underwent hemi-replacement or hemi-arthroplasty what we call. He also had subsequently vascular issues as a result of which he had an amputation of the other side above the knee. To make matters worse, he was not walking because of an ill-fitting processes on the right side and he was left to walk only on one leg which was the left-replaced hip. Soon he noticed that the left hip was getting more painful and that's when he decided to consult me. I made a few tests on record and made out that this hip was indeed infected. That means that it needed what is called a two-stage procedure. The first stage of the procedure involved taking out the infected hip, cleaning out all the tissues, what we call as debrightment and then treating him on intravenous antibiotics for a period of at least 6 weeks. I also took this opportunity to take measurements on the right side so that he would have a process ready by the time he had a new hip on the left side. After 6 weeks, once the infection was cleared, we made a definitive attempt to go for a revision procedure. The procedure went well and at the same time in the recovery he was fitted with the good abownee processes with the hinged knee on the right side. Patient subsequently did well and on day 2 of the procedure he was already walking with equal pressure on both hips. He had a left revision hip replacement as well as above knee processes on the right side. Just to list this kind of revision surgeries are on a rise nowadays. This can be attributed to two factors. One, mainly due to the fact that there increased number of hip and knee replacements being done everywhere. And secondly, also due to the fact that the general longevity of the patient is increased as a result of which the patient needs subsequent surgery or a redo surgery after 15 or 20 years. So we at Manipal hospitals are well equipped to do these kind of revision joint replacements.