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Old 10-12-04, 09:05 PM   #1
PaloAltoJon
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Several forum posts are by riders who have had total hip replacements (THR). I need one. My research and orthopedist lead me to think that sooner is better than later. But will I be able to ride after surgery and rehab as I do now? The Doc says "yes", but then, he wants my business. He also says the experience base for cyclists following THR is sparse. So I'm turning to you guys and gals for your stories and experiences.

My background: I'm a 61 yr.-old male. I've been road riding, currently on a locally built Steelman frame with Campy components, for 10 years. I'll ride 6,000 miles this year with a lot of climbing in the local hills. I ride 3-5 centuries a year. I want to continue riding this way for another 10+ years.

Here are my questions:

When was your replacement?
Was it a standard incision or minimal incision?
What prosthetic was used -- cobalt tipped steel and highly cross-linked polyethylene or other?
Probably not cemented, right?
What has your orthopedist advised regarding riding?
How much riding and climbing are you doing these days?
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Old 10-13-04, 09:45 AM   #2
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Note: My knee replacments are CLOSE to the questions asked &
My ortho guy does lots of hips also. So these answers are
based on my observations of those who had hips replaced along
with a discussion about my wife's hip joints.

When was your replacement? 2003 & 2004 Knees

Was it a standard incision or minimal incision? The standard
incision is MUCH shorter than in the recent past.

What prosthetic was used -- cobalt tipped steel and highly cross-linked polyethylene or other? This is the doctors choice so if you have preference tell the doctor.

Probably not cemented, right? New methods are being devloped
all the time so discuss this in depth with the doctor.

What has your orthopedist advised regarding riding? My doctor
WANTS the patient to return to as much activity as they are
safely able to handle. My doctor OK's cycling with a warning
to ride slower to reduce the joint risk from falls.

How much riding and climbing are you doing these days? Just local utility rides and laps in town for cardio. Will return
to trail rides in 2005 after I'm back in better shape. I ride
as much as I can BUT I'm much more aware of where I ride to
reduce the risk of falls and getting hit.

I'll also add that due to my concern with getting hit I've
added a Hi-vis lime green safety vest to my cycling attire.
If I'm on the bike then the lime green vest is on me. I've
found that motorist swing waaaaaaay wide of me now!!!

Last edited by Nightshade; 10-13-04 at 09:51 AM.
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Old 10-14-04, 07:09 PM   #3
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Hope this can be of some help ? I broke my hip back in Feb. this year & it was a toss up between a hip replacement or pin , screw & plating it all back together again. A hip replacement could only last 10yrs before it needs to be renewed but with repairing the original there was a chance that the ball joint bit could die off & i would end up going through it all again for a replacement, any way I went for the repair job & it all turned out OK. But the opp. & rehab. are nearly identical .My scar is about 8.ins long on the outside of my thigh running down my femur from the hip joint .It took about 3 months before they let me ride a real bike again but that was mostly because of the danger of me having another fall before the bones had knitted properly .I was using a stationary bike soon after the opp.I found the aqua-therapy I was given got things working again fairly quickly. Its now 8mnths since my crash & I'm nearly back to normal although I still get some pain if I;ve had a long shift at work or I ride too many miles but it's improving all the time & I'm still able to cycle to work & back every day at the very least.I dont think it will ever be quite the same again .I have a titanium plate scewed along my femur & an ambi screw holding the ball onto the femur ,the X-ray looks like i've got an 8 inch adjustable wrench screwed onto my femur with self tapping screws But Im happy I can opperate close to normal when I could easily have been crippled .Anyhow I think the answer to a quick recovery is in the physio-therapy & working at it ! I beleivr the titanium hip replacments are the best but thats got to be on advice from the surgeon,
Good luck with it all anyway !
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Old 10-15-04, 09:15 PM   #4
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I received my total hip replacement five years ago and it very much changed my life. I'm now riding a road bike,(for 2 years) but nothing close to what you're doing. I did a century last fall and I'm really enjoying my riding more each day. My main concern is to stay upright, and of course, ride as much as possible. I do not ride out of the saddle yet, maybe soon. I am now ridding hills and every thing feels o.k. Please wait as long as possible! Every thing that you could 'wear out" is going to be thrown away, your doctor should tell you that. I nursed my deteriorating hip socket for about ten years. Only after the medication stoped working, did I have the operation. You may not go back together, like you were before. I still can't put on a sock, or tie my shoe(on my right side). I no longer wear shoes that tie. Some days I limp slightly, but I don't limp on my bike. I hope I can ride forever. If you wait as long as you can, new procedures may be available. The pain was the determining factor for me. If you are in pain, then yes, have it replaced as soon as possible. My age is 59, my pain is gone and I think hip replacements are going to keep many more of us upright for years to come. I wish you the best of luck, and will be happy to give you any information I can.
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Old 10-17-04, 12:20 AM   #5
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The other downside to a replacment is that more than 90 degs of deflection is not advised as the joint can dislocate , so you may have to chose a more upright riding position after the opp.
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Old 11-01-04, 03:46 PM   #6
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I just came across a unique bicycle that is perfect for anyone with hip replacement surgery. The company making them is Biria, and the model is EZ Boarding. It has a very low cross bar which lets you literally step through the bike. I have never seen a bike like that. I rode the bike a few months ago and honestly, if you canít get on this bike, then you canít walk. The cross bar is probably about 6 or so inches from the ground. And the great thing about it is that it is a unisex bike, same for men and women.
The biggest challenge you have after hip replacement is trying to lift your leg and stepping through a bike. And if your bike falls while you are on it, you will go down with it because of the cross bar. That is why doctors have recommended stationary bike because itís not dangerous. But with these bikes, you can ride a real bike and not worry about damaging your hip by over stressing it. And if the bike falls down, youíre still standing up, again, no cross bar. I am getting this bike for my dad this Christmas, he will love it. Check it out. I hope this will help. Their website is www.biria.com. Good luck with everything.
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Old 11-16-04, 11:53 PM   #7
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I had a THR in March of 2002. Had only started ridiing a year or so prior because pain was keeping me from doing other activities. Still don't ride nearly as much as you but when possible ride 3 times a week, for an hour or two on pretty hilly terrain, with no problem riding out of saddle. Longest ride about 50 miles. Had regular incision, my doctor recommended it (he did not do mini incision) because he claimed that regular incision allowed for best alignment of joint. Because I'm just 50 I opted for best chance for good alignment. Don't know what kind of joint (trusted doctor to choose) but was uncemented. Was back on exercycle in a couple of months and on bike in three or so. My doc said no problem bike riding and even thought it a good form of exercise for me. I use same bike as before replacement which does not have dropped hadlebars and really don't feel hindered at all by new hip though a l don't have quite the full range of motion of the opposite hip. Am really glad I did THR and am happy with results.
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Old 11-17-04, 12:59 AM   #8
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I have a friend who had a knee replaced last year. He's doing 25 miles every day now. I realize it's not as serious as hip replacement, but it is encouraging nonetheless.

Orthopedic technology seems to be improving all the time. Good luck!
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Old 12-10-04, 07:34 PM   #9
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I just had my six week exam after a total hip replacement. The Dr. used a titanium stem & ceramic ball into a ceramic cup. Uncemented. Made by Stryker. Dr. wanted to do the short incision but ended up with the long one due to difficulties in getting everything properly aligned. Apparently I had a lot of damage to the area where the ceramic socket goes. Dr. said my original ball "fell apart in his hand" when he removed it from the socket. Range of motion is now much better than it was before. It was getting so I could not even ride a bike due to limited range of motion and stiffness. Now the only pain is from the incision, which is diminishing daily and almost gone.

Anyway, at my 6 week exam, the Dr. told me to start biking anytime, but make sure I don't close the angle on my artificial hip less than 90 degrees, to reduce possibility of dislocating joint. Am looking at riser bar and possibly shorter cranks to accomodate this restriction. Any advice on this from other THP's would be appreciated.

Last edited by lakeaffect; 12-10-04 at 07:45 PM.
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Old 12-12-04, 10:57 PM   #10
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This is in reply to Suntreader post about the difference in the amount of severity between a knee replacement and hip replacement. According to my Orthro Pod the knee is a weight bearing joint with much more ligament and tendon trauma associated with this procedure then with a hip replacement. This is not to diminish the severity of a hip replacement and the need for alot of PT. Usually the length of physical therapy associated with knee replacement is doubled. After undergoing two (2) total knee replacements in the last four (4) years I have made the transition to recumbent riding. Most of my riding friends where former DF riders with a multitude of injuries including back, hip, knee, wrists, neck etc. They are now enjoying a rebirth in their cycling enjoyment with ease into recumbent riding. After my 2nd knee replacement my surgeon did not want me to ride a bike (DF) until I informed him that I rode recumbents and his opinion changed to the positive with one stipulation that I would not climb hills in the larger gear range. RIDE SAFE AND GREAT RIDING

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Old 12-30-04, 11:17 PM   #11
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I thought I needed a Hip replacement also, but discovered juicing and my hip pain went away.

Before I started juicing my exercise routine was enough to stop the pain, but since
I started juicing Veggies ( beets, carrots, celery, cabbage, spinach, parsley, etc)
the pain has been reduced by about 99%. Started juicing Citrus when we lived in
Arizona for immunity to colds but couldn't stand the taste of juicing veggies, but
now have learned to tolerate the strange taste of some veggies.

Last year we went to Hawaii on Vacation, but for the first week my hip pain was
enough to make me walk with a full limp, but then the warm weather did its thing
and the hip pain stopped and didn't return even after returning to inland Washington
State with deep snows and cold weather.

Juicing is the best thing that ever happened to this biker, but there is a lot to learn
and understand about how to go about it.
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Old 02-19-05, 12:04 PM   #12
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I am 2 yrs post hip replacement. The key is finding the right hip specialist. The new hips are stronger than just 5 yrs ago and lasting much longer than 10 yrs (its now more like 20 yrs). Short incision only rehab is 100% easier with short incision. I have virtually no physical restrictions that impair my riding. I have 3 rules: no running, no jumping, be smart. I have no ROM problems. As for when to get THR, its a personal decision. I was living on pain meds and still was in major pain - so i had little choice. Best advice is to wait until you cannot take the pain, meanwhile do some research - find out about the new hips and the ortho techniques and the best hip surgeons, then consult with several of them and learn about your options, talk to people who have used those surgeons for a THR. In THR - Size matters, the bigger your bones & joints - are the less chance of dislocation you will have because when the acetabular cup and ball are larger - you get better ROM and little chance of dislocation.

If you are like me, getting the THR will have been one of the best decisions you've ever made. Good Luck.
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Old 06-06-05, 09:32 AM   #13
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I found out a few years ago that I have congenital hip dysplasia in both hips. I have always lived with a little pain in my right hip and always walked with a limp. For the past few weeks I have experienced severe pain in my right hip to the point where it is extremely painful to even walk and I'm walking with a major limp if I walk for more than 5 mins. I am a 29 year old female and don't know what to do. Does anyone have any opinions if this is just a flare up, or is it going to be like this until I have a THR.
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Old 06-06-05, 04:40 PM   #14
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The one point that seems obvious but wasn't mentoned is...........
Falling at speed from a bicycle with any type of joint implant.

Falling while was walking is bad enough but from a bike at speed is.....
(shudder) ugly.
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Old 06-06-05, 05:00 PM   #15
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Quote:
Originally Posted by PaloAltoJon
Several forum posts are by riders who have had total hip replacements (THR). I need one. My research and orthopedist lead me to think that sooner is better than later. But will I be able to ride after surgery and rehab as I do now? The Doc says "yes", but then, he wants my business. He also says the experience base for cyclists following THR is sparse. So I'm turning to you guys and gals for your stories and experiences.

My background: I'm a 61 yr.-old male. I've been road riding, currently on a locally built Steelman frame with Campy components, for 10 years. I'll ride 6,000 miles this year with a lot of climbing in the local hills. I ride 3-5 centuries a year. I want to continue riding this way for another 10+ years.

Here are my questions:

When was your replacement?
Was it a standard incision or minimal incision?
What prosthetic was used -- cobalt tipped steel and highly cross-linked polyethylene or other?
Probably not cemented, right?
What has your orthopedist advised regarding riding?
How much riding and climbing are you doing these days?

It sounds like you are a quite fit 61 YY. You will be able to ride again and how fast you rehab will be pretty much up to you and you Doc. Don't push it. Follow the Orthopeadics advice and consider a trip to a MD or PT type that specialized is Sports Medicine and has a history with older athletic patients. I can't help but think of the bicycle cop that has an artifical leg and the marathon runner the same. My wife has had both hips, both knees and both shoulders replaced as well most of her cervical and lumbar spine fused. She rides a nifty recumbent trike most every day. She is very active.
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Old 06-06-05, 05:29 PM   #16
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Quote:
Originally Posted by Tightwad
The one point that seems obvious but wasn't mentoned is...........
Falling at speed from a bicycle with any type of joint implant.

Falling while was walking is bad enough but from a bike at speed is.....
(shudder) ugly.
So true ! Three weeks ago I had a carbon copy crash of the one I had last year when I snapped off the ball joint of my left hip only on my MTB this time & on a wooden board walk this time ,not on concrete.It was the worst rain storm in a 110 yrs & all the roads to my home from work were flooded & blocked by slips,so I rode home on the track's around the estuary, which were also washed away in places though passable on a MTB,a short wooden walkway across a culvert & the track in front of it was washed out ,thought I would be 'flash' & jump over the gap onto the board walk, made the jump OK but the front wheel side washed out on the slippery wood ! Hit the ground still clipped in .Ist thought's was OH NO not again', but I was able to get up 'phew' hip ok but sore , though I did have to ride the rest of the way home with a broken wrist!!(now in plaster for 6weeks+) but the repair job on the hip held up realy well ,maybe all those Ti. plates, scews & bolts made it stronger than before ?? My hip was well bruised & sore for a day or two but it doesnt seem to have suffered any more damage but i wouldnt want to put it to the test again!
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Old 06-11-05, 07:42 AM   #17
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I had a total hip replacement October 2003. I am 64 and a bit overweight. So, now and then, still have some soreness but I walk a lot and ride my bike. I am not too worried about not flexing the leg less than the allowed 90 degrees, but I am careful. There is also a great support group on Yahoo with oodles of folks and great advice.
http://health.groups.yahoo.com/group...yguid=95217583

I am glad to answer any questions you might have.

AnnaInVA
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Old 06-12-05, 03:43 PM   #18
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I am a Pediatric MD in Stockton, CA, long-time sports medicine interests. You should be able to ride fairly quickly (within weeks) after your hip replacement surgery. Its running and impact sports that need to be limited. Check with your doc... ceramic replacements are said to be a lot more durable than the metal ones.
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Old 06-14-05, 02:51 PM   #19
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Two and a half years ago, at the age of 60, I had a total hip replacement. At the time I was in so much pain when I walked I could barely make it down the driveway to get the morning paper. For some reason, probably because of the lesser impact, I was still able to bike, but after 20 miles or so, that too was pretty painful. To make a long story short, I'm now completely pain free, I'm riding between 150 and 200 miles a week, and when I went in for my two-year (actually two years and four months) checkup a couple of months ago, the x-rays showed absolutely no wear on the artificial hip joint. The surgeon who did the replacement is an old jock himself, so he's got no problem with my biking, although he advised against anything high-impact such as running, basketball or tennis. He was a little surprised when I went to see him for my one-year checkup and told him that two weeks earlier I'd ridden the Horrible Hundred century here in central Florida, but like I said, my new hip shows no wear at all so he just shook my hand and told me to keep on doing what I was doing. If you want to know more about my situation, let me know and I'll be happy to share it with you. And good luck.
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Old 06-28-05, 08:45 PM   #20
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Clipless pedals and hip replacement question-
I had a total hip replacement 2 weeks ago. They've told me that inward rotation of the involved hip should be avoided (even after healing is complete). Given that inward foot rotation is necessary to unclip from cliipless pedals, will I still be able to use them after I get back on the bike? Thanks for any feedback.
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Old 07-10-05, 06:13 PM   #21
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I'm riding between 150-200 miles a week. (See my post above) I use Look clipless pedals and have had absolutely no problems with my replaced hip in over two years, either from riding or cliping out of the pedals.
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Old 07-14-05, 09:05 PM   #22
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Quote:
Originally Posted by norssseman
I thought I needed a Hip replacement also, but discovered juicing and my hip pain went away.

Before I started juicing my exercise routine was enough to stop the pain, but since
I started juicing Veggies ( beets, carrots, celery, cabbage, spinach, parsley, etc)
the pain has been reduced by about 99%. Started juicing Citrus when we lived in
Arizona for immunity to colds but couldn't stand the taste of juicing veggies, but
now have learned to tolerate the strange taste of some veggies.

Last year we went to Hawaii on Vacation, but for the first week my hip pain was
enough to make me walk with a full limp, but then the warm weather did its thing
and the hip pain stopped and didn't return even after returning to inland Washington
State with deep snows and cold weather.

Juicing is the best thing that ever happened to this biker, but there is a lot to learn
and understand about how to go about it.

How much juice were you drinking per day and did you think you needed a hip replacement because you were diagnosed with arthritis?
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Old 08-01-05, 11:10 AM   #23
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I'm on my 3rd left hip replacement, '77, '81 & '93. Cycling has been fine with all of them. After the 2nd one I was biking 6 miles to work 21 days after surgery. I just had a checkup on mine, and it shows no wear, though my yearly mileage is a bit less than yours.

There is some leeway about the orientation of the cup. My current one ended up angled back a bit and occasionally dislocates No big deal, pops right back in. Might be a problem if I liked a closed riding position. Tell your Ortho that you exercise bent over, so you want to be at the forward limit of what's acceptable.

If you ride with your bars low, you might consider shorter cranks, to limit the angle at the hip.

BTW Trim your toenails very short before surgery, it may be a while till you can reach them again
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Old 08-01-05, 04:52 PM   #24
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Quote:
Originally Posted by Sturmey Archer

BTW Trim your toenails very short before surgery, it may be a while till you can reach them again
sound advice
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Old 08-03-05, 08:27 PM   #25
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I rode the 50 mile Rosarita to Ensenada ride last spring w a trio of guys who know each other from work. I knew one of the guys as a neighbor. One of the other guys is about 45 and has two artificial hips. He said they were press fit and not glued since he is young enough that they will have to be done again at least once if not twice. He was riding a Trek 5500 and was as strong as the rest of us older (50 to 60 year old) guys. He had the more invasive procedure. I think he had them done about 5 years ago.
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