57 years old gentleman came with complaints of pain in both hips and difficulty in walking and doing daily routine activities for the past 5yrs. On Clinical examination all movements of hip were restricted and painful.

Preoperative xray showed arthritic (damaged) bilateral hip with avascular necrosis. We planned for bilateral hip replacement. These cases require meticulous preoperative and intraoperative planning to avoid limb length discrepancy with exact similar surgical procedure at both sides.

Postoperative X-Ray showed uncemeted hip replacement with equal limb length. Now patient is walking comfortably with walker.