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The POSH - Pondy Ortho Speciality Hospital
Pondy Ortho Speciality Hospital
Pondy Ortho Speciality Hospital
A patient with advanced Ankylosing Spondylitis — years of chronic pain, stiffness, and disability — at The POSH - Pondy Ortho Speciality Hospital, Pondicherry, bilateral THR surgery delivered a life-changing transformation.
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HIP REPLACEMENT
A patient suffering from advanced Ankylosing Spondylitis (AS) presented to The POSH - Pondy Ortho Speciality Hospital, Pondicherry with severe stiffness of the spine, hips, and knees. The condition had progressed over several years, causing chronic pain, difficulty in walking, and significant limitations in daily activities.
Ankylosing Spondylitis is a chronic inflammatory arthritis that primarily affects the spine and sacroiliac joints, but can severely damage the hip joints in advanced disease — leading to bone fusion, complete loss of mobility, and debilitating pain. This patient's hip joints were severely affected, making every step agonising and independent living nearly impossible.
"Years of Ankylosing Spondylitis had stolen this patient's independence — bilateral total hip replacement was the definitive path to restoration."
The X-rays clearly demonstrate the transformation — from severely damaged, arthritic hip joints to perfectly placed bilateral total hip prostheses restoring joint anatomy and function.
Left: Pre-operative showing advanced hip joint destruction. Right: Post-operative with bilateral THR implants in optimal position — BABU 45/M · The POSH Hospital, Puducherry · Oct 2025
"The procedure was successful. The patient was able to walk comfortably, perform daily activities independently, and enjoy a much better quality of life. Pain-free and extremely satisfied."
The bilateral total hip replacement was completely successful. The patient experienced remarkable improvement in mobility and pain relief from the very early post-operative period. Following a supervised rehabilitation programme, the patient was able to walk comfortably without any walking aids and resume independent daily activities.
This case is a testament to what timely surgical intervention can achieve — a patient who had lived with debilitating pain and restricted mobility for years was completely transformed following bilateral THR. The patient is now pain-free and extremely satisfied with the outcome.
Patient walks comfortably without aids following rehabilitation
Complete elimination of chronic hip pain post-surgery
All daily activities performed independently — cooking, bathing, walking
Extremely satisfied outcome — quality of life dramatically improved
This case highlights how timely surgical intervention can dramatically improve function and restore independence in patients with advanced Ankylosing Spondylitis. When conservative management fails and hip joint destruction is severe, bilateral total hip replacement offers a definitive, life-changing solution.
The challenge of bilateral THR in Ankylosing Spondylitis patients lies in managing the rigid, fused spine during anaesthesia and positioning, and achieving correct implant alignment despite distorted anatomy. Our team's expertise in complex hip reconstruction ensured optimal implant placement and an excellent functional result.
"Advanced Ankylosing Spondylitis is not the end — bilateral total hip replacement can give patients their lives back, completely pain-free."
At The POSH Hospital, we remain committed to providing advanced orthopaedic care and helping patients regain their mobility and confidence — because every patient deserves to live life to the fullest, free from pain.
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