Rajesh Malhotra - All India Institute of Medical Sciences (AIIMS), New Delhi, India
Deepak Gautam - All India Institute of Medical Sciences (AIIMS), New Delhi, India
Bhavuk Garg - All India Institute of Medical Sciences (AIIMS), New Delhi, India
Anjan Trikha - All India Institute of Medical Sciences (AIIMS), New Delhi, India

We wish to present a case of 47-year-old patient with Juvenile Rheumatoid Arthritis and ankylosis of both hips and bothknees treated by bilateral hip and knee arthroplasty in a single anaesthesia i.e. Quadruple joint replacement in singlesitting. He was back on his feet from his bed-ridden state within the fortnight following surgery. He has been followedup for four years and has been performing his activities of daily living independently. We discuss the preoperativeplanning, surgical details and post-operative rehabilitation and unique challenges pertaining to this case.Level of evidence: IV

Bilateral hip and knee arthroplasty, Juvenile rheumatoid arthritis, Simultaneous quadruple joint replacement