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hip replacement(12 posts)

hip replacementspongecount
Nov 28, 2003 6:48 AM
does anyone ride dh or hard xc with a hip replacement.i have a fully loaded foes fly and a tracer.i know in my hart that my dhing days with the 40+pound fly might be over with, or are they ? i am trying to hold out until next season to get my 41 year old hip replaced but the pain is getting to bad. is it worth holding out 4 one more season or sell the bike.
The voice of reason...fred³
Nov 28, 2003 7:04 AM
only applies if you're a reasonable person. :-) I'd be guessing your doc says it'd be wise not to push your luck and I'd guess you love the thrill of dh'g. I understand addictions, but I gave up cigarettes so I could hopefully enjoy life a little bit longer and better. Still not everyone feels the same way...sooooo I'd suggest you decide how you want to spend your later years(could be sooner than you think). Not doing any riding at all or riding something a bit less extreme with less chance of blowing out what body parts you have left and spending those later years popping pain killers from a wheel chair.

If I couldn't give up the dh'g I'd opt for taking it easy till the hip gets replaced. Then I'd ask the doc if the new hip, old connective tissue, could stand the rigors of dh'g. Then I'd listen to them. But that's just me. *shrug*
I broke mine this past JuneS-Works
Nov 28, 2003 7:54 AM
I had it pinned, did not need a replacement, but I have a very small chance of needing one in the future, depending on how mine heals. I've been riding for three months now and I'm about 80% strenght and flexibility.

There's a doc in Longmont Colorado, I don't know the guys name, who is putting in Ceramic and Polyurethane artificial hips. They outlive the patient instead of the traditional replacements whick last 10 years or so. He's putting them in younger more active patients. You may want to look into this type of prosthesis, they cost double normal replacement.

An article about this doc was in the Denver Post in late July.

Good Luck
re: hip replacementMichael Dart
Nov 28, 2003 9:26 AM
I have a friend who is now about 62 years old. He got into riding MTB's because of a hip replacement. I'm not sure how long he's had it (as long as I've known him about 6 years) but he rides and races XC. He's a very strong technical rider and could tear up a DH course if he could get over his aversion to riding lifts. He believes in 'earning your turns'. Keep the bikes.

Mike
re: hip replacementpittmed2007
Nov 28, 2003 9:32 AM
The chairman of the orthopedics department at the University of Pittsburgh School of Medicine, Dr. Freddie Fu is a world famous othopod and also an avid cyclist. I would recommend getting in touch with him via e-mail by searching the UPSOM ortho dept. website for his address. My gut feeling is that if the pain is progressing it might be time to give up the ghost on DH. Whatever you decide to do, get a good surgeon and be sure to give yourself enough time and PT to make a strong recovery. good luck.
re: hip replacementuofabill
Nov 28, 2003 10:30 AM
I have waaaay more experience with hip replacement that I wish I did. I am 59 and have had both hips replaced and revised (re-replaced). So I have had both of them worked on twice. The first time when I was 35. I know about he pain before replacement, it gets bad. When it get to a point where you can't sleep because of the pain then it's time!
I have been riding for ten or twelve years. I am 6'4" and weigh 220. I ride XC, and have raced although poorly. I have to say that I have taken far more chances than I should have while riding and have crashed about every way possible. So far I have never torn up the hips. I think anyone who rides hard off road knows that you are going to go down occasionally. Some of us more than others, it just goes with the territory. There are some incredibly skilled riders who can pull off all kinds of stuff and not fall, I have 20 yr old son who is a downhiller and FR rider like this.
I think it's also safe to say that the more exteme the riding the harder the potential falls get. So if you ride DH really aggresively the odds are that if you go down it may be pretty hard.
I also believe that if you are completely honest about what you do and what you want to do with a surgeon and he has any knowledge of what you are talking about. Let him see some video of a DH race or to really ice the deal, some Red Bull Rampage, he's going to tell you it's probably not recommended that you ride down hill.
The technology keeps getting better all the time but when you consider how they've put you back together you've got to know that it can be torn up.
For me personally I am going to keep riding as long as I can. I know that there is a risk that I am going to damage the replacements and that every revision brings added risks of all kinds. I figure that at some point I may have to tone down what I do, age will dictate some of this too. I constantly have to tell my self to back off some from doing some things I want to try in the name of good judgement and so I can keep riding.
It may be that you have to give up the DH but can continue to ride XC and can do that aggressively and maybe that will give you some of the adrenaline rush you crave.
I figure at some point I may be relegated to the easier trails and,heaven forbid, becoming a roadie but for me even that beats not riding at all.
I can tell you this for certain. The initial operations have become incredibly routine and you will bounce back quickly and you will be amazed at how good the new bionic hip or hips feel. The fact is they feel so good after all the discomfort you have gone through you will be tempted to try anything because you will forget you've had the replacement.
In six weeks after the surgery you'll be getting around really well and after six months you'll feel great. At one year you're completely recovered. The fact that you ride and I assume in excellent physical condition will speed your recovery process tremendously.
Just plain riding like on a exercise bike will not bother you at all.
The bottom line is having a hip replaced will not be the end of the world for you or mean the end of your riding career. You just may have to alter what you do some.
Good luck and contact me if you have any questions.
Wild Bill
Hey Bill, how did you make out with the trashed RockShox SIDraceXCBob
Nov 28, 2003 4:33 PM
Hey Bill, were you the guy that had his SIDrace front fork fail on him? Did RockShox help you out at all?
Yep, that's me.uofabill
Nov 29, 2003 2:38 PM
Rock Shox did not help me at all. The claimed that they determined that there was no manufacturing defect and they think that I damaged the drop out putting it in and taking it out of the Yakima Steelhead fork mount in my truck. I think that is total Bull $hit! I am tall enough that I can lift the bike over the side of the bed of the truck and place it in the fork mount without any problem. Also the way the bikes ride in the bed of the truck has to be as stable as any way I know of to transport a bike. There is no wind pressure on it from any direction.
They offered to let me in on that replacement plan they have, the name escapes me now, where you can buy a new fork as a supposed discount. It turns out I can buy the same fork on-line for the same price so it was no great deal. They also thought maybe I was too big to be riding a SID Race and maybe I should be riding a Duke.
My thoughts are (1) If the SID Race drop outs are too delicate to use a Yakima fork mount they should have included warnings about transporting a bike that way (2) if the fork will not support a 200# + XC rider they should have issued a warning about that as well.
The bottom line is their customer service sucks.
I bought a Marzocchi Marathon SL, a little heavier, a lot more plush and a damned site tougher.
Just out of curiosity...pimpbot
Nov 28, 2003 1:03 PM
I wonder how debilitating the injuries can be if you have the hip replacement and you fall on it really bad. That is, if you fall on it, and cause the femur part is Ti, does your femur break more catastrophically below the Ti part or around it? How bout the Pelvis where it goes in?
Who knows?uofabill
Nov 29, 2003 2:47 PM
I doubt if there's any way to tell what could happen. I believe there are a lot of factors such as each individual's bone thickness and density. As I had said my replacements have withstood some pretty hard abuse and are still going strong. I may have some kind of freak fall tomorrow when I ride and knock on loose.
I know in my heart that the less you abuse them and the less risks one takes the better chance are that they will hold together.
There's got to be some middle ground as far a good judgement goes.
It's worth it to me to take some calculated risks for the many rewards I get from riding. I would rather do that than sit on the couch watching the worthless drivel on t.v. and die of a heart attack or stroke. A piano may fall on me when I walk outside too, so I'm gonna go for it!
re: hip replacementBorregokid
Nov 29, 2003 9:37 AM
You didnt say how your hip got to where it is now. If your hip needs replacement because of one or more bike accidents and the surgery is being paid for by insurance or someone else then continuing to bike in a manner that might lead to another debilitating accident would be questionable. If your doctor says its ok, if your wife says its ok, and if your kids say it ok, then its ok to downhill, otherwise sell the bike now. You still have road biking. Good luck.
Total hip arthroplastyK2footsrgn
Nov 30, 2003 3:54 PM
Total hip arthroplasty has improved in the years. I've heard of Dr. Freddie Foo at UPMC in PA, sounds like he is a very adept and quick surgeon. The only problem is, he won't do your surgery, it will be a resident (who are often very qualified).
There are various types of hips out there. Usually, each doctor puts in a specific brand (and therefore different type) of hip in. For example there is the Smith and Nephew hip which offers a oxidized zirconium implant which is claimed to have longer durability (for younger patients). The problem is that it is the polyethylene cup that often fails (the part in the pelvis), but this is common in all hips.
Zimmer offers a new "2 incision" hip approach that allows people to go back to work quicker. Only a small amount of orthopods are doing the 2 incision approach now. It's amazing how fast the person is able to get back to normal activities because the approach allows the surgeon to replace the hip without cutting through muscles. Very little pain, after surgery!

Anyways, after a hip is replaced, there are certain hip precautions to follow. ie internal rotation of the hip and knee can dislocate the hip. Sharp impacts from downhill riding would probably cause premature wear and failure of the hip. Stress fractures along the femur are a possibility with that type of force on the bone.
This is in no way meant to serve as an expert's opinion. (<-written because lawyers are out to screw us!).

Good luck