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HIP surgery completed on Landis

Road Cycling “It is by riding a bicycle that you learn the contours of a country best, since you have to sweat up the hills and coast down them. Thus you remember them as they actually are, while in a motor car only a high hill impresses you, and you have no such accurate remembrance of country you have driven through as you gain by riding a bicycle.” -- Ernest Hemingway

HIP surgery completed on Landis

Old 09-29-06, 03:46 AM
  #26  
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the Hgh will help with that
Cortisone for the pain...
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Old 09-29-06, 05:15 AM
  #27  
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Originally Posted by Rowan
Gee, you lot don't let up on the poor guy do you? Inferring steroids, blood disorders and excessive alcohol consumption caused his hip problem. Don't you think he's had enough, being accused of doping?

Now, when's he up for the brain surgery?

That was an explanation for the disease I found on the internet to help explain it to the other poster. I personally was not inferring anything about Landis or his alleged doping issues.
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Old 09-29-06, 07:00 AM
  #28  
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Originally Posted by cyclintom
Care to put some money on that?
are you serious?

he got pinched for bikin' dirty two months ago and now they just shaved a few grams off his hip

he's DONE
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Old 09-29-06, 07:17 AM
  #29  
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Originally Posted by terrymorse
Resurfacing is a misnomer. If it's the surgery I'm thinking of, they replace the ball and socket:



Total hip replacement looks like this:

Bingo Terry.
Mine's the lower one....I was all screwed up.
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Old 09-29-06, 07:35 AM
  #30  
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Originally Posted by Hipcycler
I went from needing a high-chair seat on the toilet to riding a century in just over six hours!
I went in the other direction: after my six hour century, I *needed* to sit on a high chair seat to take a crap!
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Old 09-29-06, 07:55 AM
  #31  
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He did the Tour in 2003 after his hip fracture in January 2003. I imagine the only thing that will keep him from trying to compete in 2007 or 08 is if he gets a two year ban.

He at least seems to have a sense of humor about it

"I need a cane!" he blurted out another time. "I'm going to show up at the tour with a cane, diamond tipped. Or maybe I should just go straight to the wheelchair. Motorized, with rims. Now that would be classic: drive up to the start, get out of my wheelchair and get on the bike! Yes!"

and his doctors have said this about him

"I expect that people will freak out a little when they hear about this; they'll say it's dangerous to let him compete. Well, before they say that, they need to know Floyd. The only way to stop him would be to literally chain him to his bed, and even that probably wouldn't do it."
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Old 01-18-07, 07:53 PM
  #32  
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Hip,

How long before you were back on the bike?
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Old 01-18-07, 08:04 PM
  #33  
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Originally Posted by Hipcycler
They scrape out the pelvis and smack a high-tech plastic liner in there....
They hollow out my femur down into my thigh and jam a titanium rod down there....
I would substitute the word 'grind' for scrape and 'hammer' for smack and jam.
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Old 01-18-07, 08:06 PM
  #34  
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Originally Posted by terrymorse
Resurfacing is a misnomer. If it's the surgery I'm thinking of, they replace the ball and socket:



Total hip replacement looks like this:

Mom's got the top one, Dad's got the bottom one. That doesn't bode well for me huh?
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Old 01-18-07, 08:07 PM
  #35  
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Originally Posted by Hipcycler
But I went from needing a high-chair seat on the toilet to riding a century in just over six hours!
Hip - all the power to you! How long did it take from surgery to century?
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Old 01-18-07, 08:36 PM
  #36  
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Landis had "avascular necrosis" which is a reduction, or loss of, blood flow to the hip. This was a result of trauma to the hip. Actually he broke it. As a result of reduced blood flow, the bone in the joint was unable to regenerate.
Avascular necrosis has several causes. Loss of blood supply to the bone can be caused by an injury (trauma-related avascular necrosis or joint dislocation) or by certain risk factors (nontraumatic avascular necrosis), such as some medications (steroids), blood coagulation disorders, or excessive alcohol use. Increased pressure within the bone also is associated with avascular necrosis. The pressure within the bone causes the blood vessels to narrow, making it hard for the vessels to deliver enough blood to the bone cells.
Floyd, from the pictures I've seen, originally suffered a femoral neck fracture and was treated with three cannulated screws. Bone is part living tissue part mineral and is constantly undergoing what is called remodeling. This is a process by which cells (osteoclasts and osteoblasts) are continuously dissolving current mineral deposits and rebuilding new. As you age, the dissolving or osteoclasitic activity exceeds the new the level at which new bone is laid done and you loose bone stock (osteoporosis). In Landis's case, the femoral neck fracture disrupted the blood supply to the femoral head and essentially shut down the remodeling effect and caused degeneration of the articular surface of the femoral head. One option in some non-trauma related AVN is to do what is called a core decompression which is essentially drilling a hole up into the femoral neck and head. Since Landis already had cannulated screws this was probably not a viable option or one that would carry much benefit. Resurfacing is essentially replacing the articular surfaces, the femoral head (the ball) and acetabulum (the socket), with another material. These implants can be made of several different materials including high strength plastics, ceramics, or metals. Each has a different life span and what is best for each person depends on their life style. Resurfacing preserves more bone than a total joint replacement as you can see on the X-rays posted earlier and is somewhat controversial in the US. In other countries, resurfacing is a more common procedure, but in the US total joints seem to be the most common 'complete' joint repair. I couldn't tell which is better in this scenario, but I would assume he explored multiple avenues.
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Old 01-18-07, 10:55 PM
  #37  
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Originally Posted by 55/Rad
Fastest recovery in the history of medicine.

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Old 01-18-07, 11:00 PM
  #38  
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I don't want to brag here but I've had 2, count em, 2 total replacements.

And those were after one surgery where it was just all pinned together.

The cool thing is, many would have trouble keeping up with me.

Oh, one more thing, a 3rd is inevitable cause I ain't that old. My doc rocks!
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Old 01-19-07, 10:51 AM
  #39  
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Hey hip, I'm curious of the circumstances of your replacement? Can you say or would it take too long?
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Old 01-19-07, 01:44 PM
  #40  
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Originally Posted by botto
can you define 'total replacement'?

partial amputation of your femur, then replace with plastic and a cermanic ball....
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Old 01-19-07, 02:26 PM
  #41  
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Originally Posted by daredevil
Hey hip, I'm curious of the circumstances of your replacement? Can you say or would it take too long?
I had some sort of past injury that never healed properly. I was playing tennis....serious tennis....and my game started going off from limping. I thought it was a groin pull and played through it for a year.

When I finally went to get an X-ray they said there was a hairline fracture that never healed right. Then, arthritis set in. Bone on bone pain....and getting bad.

So I sucked it up and had the surgery.
I have never cycled before that.

My surgeon told me to drop tennins/running....try swimming or cycling....something with no joint impact instead.

I picked buying a bike as part of my rehab....the rest is history.
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