a rare case of arthritis of both hips was presented to dr sanjeev jain joint replacement surgeon at dr l h hiranandani hospital powai in december 2020 the patient was a 42 years old male who seemed well and was living an active lifestyle till early august 2020 when he was infected by the novel coronavirus covid 19 he had been otherwise healthy and had no comorbidities he developed a severe form of the covid19 disease which was treated as per the standard protocol for such cases his treatment was completed and tested negative for covid19 before discharge by the end of august however after discharge the patient developed pain in both his hip joints which progressively worsened he had been admitted evaluated and treated at other hospitals over two months an mri done initially had shown the possibility of postcovid19 reactive arthritis this has not been reported earlier but his pain and disability only worsened over time he presented in midnovember 2020 at that time he was completely bedridden and in agonizing pain he was unable to sit up in bed even with support the only thing he has crying and no relief from painrelieving medications he was evaluated thoroughly and was suspected of having steroidinduced avascular necrosis of both hips dr sanjeev jain joint replacement surgeon at dr l h hiranandani hospital powai the postcovid19 reactive arthritis seemed to have progressed to such a severe form of arthritis seeing the excruciating pain and disability of the patient a decision was taken to perform a total replacement of both hips of the patient the patient was operated on both hips by dr sanjeev jain at the end of november and the first week of december in a staged manner the patient was painfree immediately after surgery the patient was able to walk with support the next day after surgery his second hip fluid intraoperative sample showed mild infection which was treated with appropriate antibiotics when the patient came for followup 15 days after surgery he was completely painfree was able to walk without support and had got back to his regular activities he was possibly the first such case who had developed such hip arthritis following infection of coronavirus so in covid19 a new form of hip problem was presented to us whether this is reactive arthritis or post covid steroid induced avascular necrosis of the hip or due to low immunity very lowgrade infection only time will tell if we see more such cases one thing is sure in the orthopaedic speciality that we will see this patient in times to comecongratulationsyou have successfully cast your votelogin to view result dr sanjeev jain fulltime orthopaedic joint replacement and sports medicine surgeon dr l h hiranandani hospital powai mch orth uk ms orth fasif germany fellowship in knee reconstruction sports medicine usa fellowship in adult reconstruction joint replacement surgery usa specialist in regenerative biological orthopaedic medicine home hiranandani orthopaedic medical education for appointment call 022 25763500 022 25763337022