RM 60 old gentleman presented to us with pain and stiffness in both the hip joints since 30 years. He is a known case of progressive disease known as anyklosing spondylitis . In this disease there progressive fusion of spine, sacroiliac joints and hip joint etc. Due to his disease he has become bedridden and was not able to do his normal daily activities. We have performed bilateral Uncementd Total Hip Replacement (with use of femoral head autograft to lateralize the cup) and bilateral adductor tenotomy . After surgery we have achieved good range of motion in both the hip joints. Post operatively patient is comfortable and walking with the help of walker.
