Info on hip replacement

MXMattii
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MXMattii 6/28/2011 4:59pm
6/28/2011 4:59pm
I told it before I was 18 when they replaced my hip. It is a full replacement but for young people. My Belgian doctor was one of the best in the world and did a great job! Now I'm 21years old and they gonna replace my knee and to be honest I'm scared - Has anyone here already a new knee??



But ask your doctor for all your possibilities like the one I showed you. Because if you wanna ride again it is important to have a hip that feels good! I know guys that are doing MMA with a fake hip! haha!
kakarot
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kakarot 6/28/2011 5:11pm
6/28/2011 5:11pm Edited Date/Time 6/28/2011 5:12pm
Moto East Mag wrote:
Ya know that old saying- "I'll ride as long as I can swing my leg over a bike?" I can't anymore. The doc says full replacement...
Ya know that old saying- "I'll ride as long as I can swing my leg over a bike?"
I can't anymore. The doc says full replacement is best. Also recomending future fusion of lumbar disc. My skeleton is not cooperating with my racing goals
who has experience with moto on a bionic hip? I really don't wanna quit.
I'm 43 and 9 years post op.I had metal on metal total hip resurfacing,still ride as much as possible with no complications.
DrSweden
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DrSweden 6/28/2011 5:48pm
6/28/2011 5:48pm Edited Date/Time 6/28/2011 5:53pm
There's of course different questions related to the subject. Here's three.

1. Is it possible to ride? If operation is a success, and you land within the interval of happy patients you will probably wont notice any disadvantage with it.

2. Is it bad for the prosthetics? Everything is bad for them, they have all a due date since they don't regenerate, and the surface between the metal and bone that is cemented also gets disintegrated, so they prefer not being used at all. It's always a question of how old the patient is related to how long the hip will last, that's the reason why you wait as long as possible. Still riding dirt bikes and get heartbeat up as in cardio I suggest puts less load on the hip than jogging or walking, the consequence of that should be better exercise with less stress, that is if you YOU DON'T CRASH! There's always a worse case scenario.

3. Is there's a point with riding at all? No, totally stupid hobby. Costs tons of money and it's very dangerous with increase risk of getting paralyzed or brain trauma. Is it more dangerous to ride than not to ride if you don't get the necessary exercise? I mean if the option is no work-out what so ever and you become an obese depressed office guy with a lifespan of 64(?) is there a good calculation that can predict who will live the longest? Or how will you mentally feel if not riding if you still managed to stay fit? Will you be a cranky husband and father that maybe takes a drink to much to decrease the depression because of boredom?

Suggestion: If you decide to do it, please always use extra fat hip foam in the pants, take the thin shit that comes with the pants and saw some fat (the thicker the better) foam shit on to it. That decrease the impact force tremendously if you fall.

I would ride, but that's me and I do stupid things all the time! Doctors have a tendency to use the better safe than sorry thing, especially in the US when people sue them all the time, so they will most likely just see it from the prosthetic angle not the person around it, and as DrMark they are most likely clueless about what riding means. Maybe read the fine prints in your insurance policy as well if something happens in the future?

This happened to me last weekend when I raced (I stilled remounted and ended up sixth like the hardcore racer I'm!). Imagine if I hadn't put extra foam in my hip pads...


"Other thigh without a hematoma.

Good luck!
Moose Knuckle 6/28/2011 6:19pm
6/28/2011 6:19pm
Shit, I raced for 21 years, and made it out without ever having surgery. WHEW!

The Shop

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Moose Knuckle 6/28/2011 6:23pm
6/28/2011 6:23pm
DrSweden wrote:
There's of course different questions related to the subject. Here's three. 1. Is it possible to ride? If operation is a success, and you land within...
There's of course different questions related to the subject. Here's three.

1. Is it possible to ride? If operation is a success, and you land within the interval of happy patients you will probably wont notice any disadvantage with it.

2. Is it bad for the prosthetics? Everything is bad for them, they have all a due date since they don't regenerate, and the surface between the metal and bone that is cemented also gets disintegrated, so they prefer not being used at all. It's always a question of how old the patient is related to how long the hip will last, that's the reason why you wait as long as possible. Still riding dirt bikes and get heartbeat up as in cardio I suggest puts less load on the hip than jogging or walking, the consequence of that should be better exercise with less stress, that is if you YOU DON'T CRASH! There's always a worse case scenario.

3. Is there's a point with riding at all? No, totally stupid hobby. Costs tons of money and it's very dangerous with increase risk of getting paralyzed or brain trauma. Is it more dangerous to ride than not to ride if you don't get the necessary exercise? I mean if the option is no work-out what so ever and you become an obese depressed office guy with a lifespan of 64(?) is there a good calculation that can predict who will live the longest? Or how will you mentally feel if not riding if you still managed to stay fit? Will you be a cranky husband and father that maybe takes a drink to much to decrease the depression because of boredom?

Suggestion: If you decide to do it, please always use extra fat hip foam in the pants, take the thin shit that comes with the pants and saw some fat (the thicker the better) foam shit on to it. That decrease the impact force tremendously if you fall.

I would ride, but that's me and I do stupid things all the time! Doctors have a tendency to use the better safe than sorry thing, especially in the US when people sue them all the time, so they will most likely just see it from the prosthetic angle not the person around it, and as DrMark they are most likely clueless about what riding means. Maybe read the fine prints in your insurance policy as well if something happens in the future?

This happened to me last weekend when I raced (I stilled remounted and ended up sixth like the hardcore racer I'm!). Imagine if I hadn't put extra foam in my hip pads...


"Other thigh without a hematoma.

Good luck!
What the hell is going on in that first pic?
Wadded_Up 6/28/2011 6:28pm
6/28/2011 6:28pm
Moto East Mag wrote:
Ya know that old saying- "I'll ride as long as I can swing my leg over a bike?" I can't anymore. The doc says full replacement...
Ya know that old saying- "I'll ride as long as I can swing my leg over a bike?"
I can't anymore. The doc says full replacement is best. Also recomending future fusion of lumbar disc. My skeleton is not cooperating with my racing goals
who has experience with moto on a bionic hip? I really don't wanna quit.
How about a "life alert"....I've fallen and I can't get up!!!!!!!!!!! Just kidding, you are bad ass for working through this and looking ahead for a way to keep riding!!!!!!! Keep us posted!!!!!!!!
Wadded_Up 6/28/2011 6:30pm
6/28/2011 6:30pm
DrSweden wrote:
There's of course different questions related to the subject. Here's three. 1. Is it possible to ride? If operation is a success, and you land within...
There's of course different questions related to the subject. Here's three.

1. Is it possible to ride? If operation is a success, and you land within the interval of happy patients you will probably wont notice any disadvantage with it.

2. Is it bad for the prosthetics? Everything is bad for them, they have all a due date since they don't regenerate, and the surface between the metal and bone that is cemented also gets disintegrated, so they prefer not being used at all. It's always a question of how old the patient is related to how long the hip will last, that's the reason why you wait as long as possible. Still riding dirt bikes and get heartbeat up as in cardio I suggest puts less load on the hip than jogging or walking, the consequence of that should be better exercise with less stress, that is if you YOU DON'T CRASH! There's always a worse case scenario.

3. Is there's a point with riding at all? No, totally stupid hobby. Costs tons of money and it's very dangerous with increase risk of getting paralyzed or brain trauma. Is it more dangerous to ride than not to ride if you don't get the necessary exercise? I mean if the option is no work-out what so ever and you become an obese depressed office guy with a lifespan of 64(?) is there a good calculation that can predict who will live the longest? Or how will you mentally feel if not riding if you still managed to stay fit? Will you be a cranky husband and father that maybe takes a drink to much to decrease the depression because of boredom?

Suggestion: If you decide to do it, please always use extra fat hip foam in the pants, take the thin shit that comes with the pants and saw some fat (the thicker the better) foam shit on to it. That decrease the impact force tremendously if you fall.

I would ride, but that's me and I do stupid things all the time! Doctors have a tendency to use the better safe than sorry thing, especially in the US when people sue them all the time, so they will most likely just see it from the prosthetic angle not the person around it, and as DrMark they are most likely clueless about what riding means. Maybe read the fine prints in your insurance policy as well if something happens in the future?

This happened to me last weekend when I raced (I stilled remounted and ended up sixth like the hardcore racer I'm!). Imagine if I hadn't put extra foam in my hip pads...


"Other thigh without a hematoma.

Good luck!
Moose Knuckle wrote:
What the hell is going on in that first pic?
Is that a shlong in a thong?
DrSweden
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DrSweden 6/28/2011 6:34pm
6/28/2011 6:34pm
Damn, my legs got the of you all worked up or what?
Moose Knuckle 6/28/2011 6:49pm
6/28/2011 6:49pm
It's hard to tell. That upper part is either some severe swelling, or the flattest ass I have ever seen.
DrSweden
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DrSweden 6/28/2011 7:21pm
6/28/2011 7:21pm
Moose Knuckle wrote:
It's hard to tell. That upper part is either some severe swelling, or the flattest ass I have ever seen.
Bro, my ass is totally sexy but stars above the pic, so that's the swelling you see. But if you want to pretend it's my ass, hey be my guest! Wink
Pat327
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Pat327 6/28/2011 7:43pm
6/28/2011 7:43pm Edited Date/Time 6/29/2011 3:32am
My dad has had both of his hips replaced. His orthopedic said to use your pain level as an indicator. He says that if you're having trouble tying your shoes or if it wakes you up at night, it's time. His hips don't bother him at all anymore. He still rides. He doesn't have any problems with kicking the bike over, casing jumps, or anything like that. He was back to work only three weeks after each surgery with his full range of motion and without any pain.
UpTiTe 6/28/2011 7:44pm
6/28/2011 7:44pm
I'm suffering bad from a hip injury I got at 18. My hip dislocated but blew part of the pelvis out with it, they had to put it all back together. The Dtold me around 45-50 I would start to get arthritis, he was a little off, I'm 44 and to say I'm starting to arthritis is an understatement.

In md January I started have pain in my hip, thought I pulled a muscle so I kept going. 2 months later and I could hardly walk, its in constent pain. I seen a Dr who told me I'm too young to get a replacement and it would probably be another 4 years before he would do it. I have an appointment with a new Dr in september. This thread gives me hope that they will replace it and life can be normal agian. Right now I have to get a cortesone shot about every 8 weeks as they wear off fast for me. When they do wear off, I can't sleep, and i can hardly walk.

Before this I raced my BMX bike 6 times a month and ran daily and did martial arts, now nothing, it sucks.
STBY
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STBY 6/28/2011 8:53pm
6/28/2011 8:53pm
It is totally possible to have a active life style after hip and knee replacements... It is key to do your research and find a sports doctor that understands your lifestyle and is willing to help you get back to as close to 100% as possible. Be your own advocate, do the research and visit as many doctors as it takes until you find one that you are satisfied will do his best to get you back where you want to be!
WORCSRacer
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WORCSRacer 6/28/2011 10:16pm
6/28/2011 10:16pm Edited Date/Time 6/29/2011 7:19am
Pat327 wrote:
My dad has had both of his hips replaced. His orthopedic said to use your pain level as an indicator. He says that if you're having...
My dad has had both of his hips replaced. His orthopedic said to use your pain level as an indicator. He says that if you're having trouble tying your shoes or if it wakes you up at night, it's time. His hips don't bother him at all anymore. He still rides. He doesn't have any problems with kicking the bike over, casing jumps, or anything like that. He was back to work only three weeks after each surgery with his full range of motion and without any pain.
Sorry to disagree but... it appears you don't know what you are talking about.

Post-anterior?? Ah, that is an oxy-moron or worse yet the two incision THA procedure. Maybe you're referring to the direct anterior approach? The DA is (IMO) the gold standard in modern hip arthroplasty. It allows for a relatively quick recovery and eliminates most of the chance for dislocation. It also is the most soft tissue friendly approach. As far as the recommendation for a metal on metal hip. The current concepts is against MoM due to the possibility of excessive wear of the femoral and acetabular components and the corresponding increase of metal ions in your body. Excessive metal ions have been linked to a host of conditions that frankly are some bad shit.

Hip resurfacing is an intriguing idea but if it is not implanted PERFECTLY you could be in for a rough ride. There is really zero tolerance for error and if you were to go this route you better make damn sure your surgeon is very familiar with the implant and has performed the surgery many many times.

If it were me I would opt for a modern porous pressfit stem and acetabular cup with a XLPE liner and a Oxinium head. (think of it as a femoral head made from the same material that coats Kawasaki fork lowers, jet engine blades and ceramic bearings...) FYI, this is the same bearing surfaces that you might have seen in recent TV commercials about the "30 year knee".

Anyway just my opinion. Good luck.
Pat327
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Pat327 6/29/2011 3:01am
6/29/2011 3:01am
You're right, I don't know what I'm talking about. My dad reads this site, but doesn't post. He saw this thread and wanted to comment since he's been through this twice before, so I said I'd do a post for him. I must have misheard what he said. I was only trying to help.

I'll edit that part out.
therealjonon
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therealjonon 6/29/2011 6:08am
6/29/2011 6:08am
Are we still having questions about a hip replacement or has the moved more towards the dumbgeon? JW since its moved back up to the top....any questions about mine dont hesitate to email me at dennis@bikegraphix.com
jeffro503
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jeffro503 6/29/2011 6:48am
6/29/2011 6:48am
Torco1 wrote:
I know all about the dangers of loosening and stuff as time goes by, but how catastrophic would it actually be to break a femur or...
I know all about the dangers of loosening and stuff as time goes by, but how catastrophic would it actually be to break a femur or something like that after a THR?
CamP wrote:
Don Bisceglia exploded his femur around the implant and almost lost his leg after a big crash. He got lucky and they were able to put...
Don Bisceglia exploded his femur around the implant and almost lost his leg after a big crash. He got lucky and they were able to put him back together and he's riding again. He even won both vet pro classes at Ponca.
Damn.....I didn't know Don got hurt like that. Don's a great guy and I have raced quite a few 30A motops with the guy. He was running 250 pro when I was stuck in the INT's. He grew up out in West Linn where I was born to. Him and his boy Matt came up to my indoor AX a few times to.....good people!
Moto East Mag 6/29/2011 7:41am
6/29/2011 7:41am
This thread has been awesome for gathering info, and gaining confidence that I can ride (and walk) normally again.
I am looking into a partial hip replacement. It retains more of the original bone. I am getting consultations to see if I can do that, given the metal that is already in there that will have to be removed.

It's pretty gnarly right now. I am being treated like a cripple. Even the bus driver handed me a phamplet on how to get the disabled pass...

Pit Row

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therealjonon
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therealjonon 6/29/2011 8:00am
6/29/2011 8:00am
Moto East Mag wrote:
This thread has been awesome for gathering info, and gaining confidence that I can ride (and walk) normally again. I am looking into a partial hip...
This thread has been awesome for gathering info, and gaining confidence that I can ride (and walk) normally again.
I am looking into a partial hip replacement. It retains more of the original bone. I am getting consultations to see if I can do that, given the metal that is already in there that will have to be removed.

It's pretty gnarly right now. I am being treated like a cripple. Even the bus driver handed me a phamplet on how to get the disabled pass...
How old are you? just wondering, bus driver?! around town i take it...
lumpy790
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lumpy790 6/29/2011 8:27am
6/29/2011 8:27am Edited Date/Time 6/29/2011 8:33am
rob dols wrote:
Can anyone recommend a great orhtopedic around Washington D.C. for a hip replacement surgery I need?
I went to a DR Holt in Silver Spring/DC line area years ago and he was the Bulls & Red Skins DR.......a friends wife worked for him. If I still lived up there I would go to him.

Same but different......what about a knee? One of mine has been trashed since the mid 80's.... has degenerative joint disease and I was told to wait as long as I can.....well I hit 50 last year....but wanted to give the 50+ class a shot.
dirthead1
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dirthead1 6/29/2011 9:03am
6/29/2011 9:03am Edited Date/Time 6/29/2011 9:18am
I've been awaiting a total replacement for over 20 years. I am 40. I broke the ball off my femur a long long time ago. I have also finally hit the wall with pain lately from the bone on bone joint shots I've been taking. It's gotten to the point I can barely tie my shoe on that leg also.

I recently went in for x-rays and the tech said, "Are you here for a replacement?" All I could say was "I guess" not knowing how bad things had got with the joint. She even asked me if I wanted to take a look at the x-rays, which was a first for me after numerous surgeries and broken bones. The joint look really bad, in the shape of a sideways "n" if you will. I feel this is the year it gets done as I'm really at the end of my rope with this hip. Still deciding which method to go with also.
dirthead1
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dirthead1 6/29/2011 9:06am
6/29/2011 9:06am
WORCSRacer wrote:
Sorry to disagree but... it appears you don't know what you are talking about. Post-anterior?? Ah, that is an oxy-moron or worse yet the two incision...
Sorry to disagree but... it appears you don't know what you are talking about.

Post-anterior?? Ah, that is an oxy-moron or worse yet the two incision THA procedure. Maybe you're referring to the direct anterior approach? The DA is (IMO) the gold standard in modern hip arthroplasty. It allows for a relatively quick recovery and eliminates most of the chance for dislocation. It also is the most soft tissue friendly approach. As far as the recommendation for a metal on metal hip. The current concepts is against MoM due to the possibility of excessive wear of the femoral and acetabular components and the corresponding increase of metal ions in your body. Excessive metal ions have been linked to a host of conditions that frankly are some bad shit.

Hip resurfacing is an intriguing idea but if it is not implanted PERFECTLY you could be in for a rough ride. There is really zero tolerance for error and if you were to go this route you better make damn sure your surgeon is very familiar with the implant and has performed the surgery many many times.

If it were me I would opt for a modern porous pressfit stem and acetabular cup with a XLPE liner and a Oxinium head. (think of it as a femoral head made from the same material that coats Kawasaki fork lowers, jet engine blades and ceramic bearings...) FYI, this is the same bearing surfaces that you might have seen in recent TV commercials about the "30 year knee".

Anyway just my opinion. Good luck.
Great information,. Thanks!
Moto East Mag 6/29/2011 9:59am
6/29/2011 9:59am
Moto East Mag wrote:
This thread has been awesome for gathering info, and gaining confidence that I can ride (and walk) normally again. I am looking into a partial hip...
This thread has been awesome for gathering info, and gaining confidence that I can ride (and walk) normally again.
I am looking into a partial hip replacement. It retains more of the original bone. I am getting consultations to see if I can do that, given the metal that is already in there that will have to be removed.

It's pretty gnarly right now. I am being treated like a cripple. Even the bus driver handed me a phamplet on how to get the disabled pass...
therealjonon wrote:
How old are you? just wondering, bus driver?! around town i take it...
I'll be 44 in a few weeks. I take the bus and train to work every day (it costs $200-$250 a month to park in DC). I am a typical working stiff these days.
lumpy790
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lumpy790 6/29/2011 10:29am
6/29/2011 10:29am
rob dols wrote:
Can anyone recommend a great orhtopedic around Washington D.C. for a hip replacement surgery I need?
lumpy790 wrote:
I went to a DR Holt in Silver Spring/DC line area years ago and he was the Bulls & Red Skins DR.......a friends wife worked for...
I went to a DR Holt in Silver Spring/DC line area years ago and he was the Bulls & Red Skins DR.......a friends wife worked for him. If I still lived up there I would go to him.

Same but different......what about a knee? One of mine has been trashed since the mid 80's.... has degenerative joint disease and I was told to wait as long as I can.....well I hit 50 last year....but wanted to give the 50+ class a shot.
Dr Holt phone number is 410-268-8862.......highly recommended!
Torco1
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Torco1 6/29/2011 10:36am
6/29/2011 10:36am
My hip replacement will be 10 years old soon. The past 6-7 years I have been riding 1-3 times a week (track riding). I have had many many crashes, a few very serious ones and the replacement has been holding up extremely well. I had an x-ray earlier this year just for a check-up and the surgeon said there is no sign of wear or loosening yet. He said it looks great and to keep doing what I've been doing. For anyone contemplating having this done, I would say go for it. I was only 27 when I had it replaced, so the whole age thing isn't as bad as some think.
Sandberm
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Sandberm 6/29/2011 11:44am
6/29/2011 11:44am
kakarot wrote:
I'm 43 and 9 years post op.I had metal on metal total hip resurfacing,still ride as much as possible with no complications.
Does it sqeak? I was talking to another guy on a different message board and he said his metal on metal hips sqeaks from time to time like it needs a shot of WD-40. Im not kidding.

BTW he had both of his hips replaced in January and february and hes doing great, very active early 50's dude.
steedmills 6/29/2011 11:59am
6/29/2011 11:59am
MXMattii wrote:
I told it before I was 18 when they replaced my hip. It is a full replacement but for young people. My Belgian doctor was one...
I told it before I was 18 when they replaced my hip. It is a full replacement but for young people. My Belgian doctor was one of the best in the world and did a great job! Now I'm 21years old and they gonna replace my knee and to be honest I'm scared - Has anyone here already a new knee??



But ask your doctor for all your possibilities like the one I showed you. Because if you wanna ride again it is important to have a hip that feels good! I know guys that are doing MMA with a fake hip! haha!
replace my knee and to be honest I'm scared - Has anyone here already a new knee??
Contact Dr. Daniel Saris, cartilage repair, a technique in which cultured cells are used.
I'm going to do it, if that fails then I go for a new knee

http://www.umcutrecht.nl/subsite/orthopaedics/nieuws/2009/07/Dr.-Daniel…
therealjonon
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therealjonon 6/29/2011 12:38pm
6/29/2011 12:38pm
I have a midwest recommendation also in kansas city if anyone needs. My hip feels GREAT and works GREAT!!
Torco1
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Torco1 6/29/2011 2:19pm
6/29/2011 2:19pm
kakarot wrote:
I'm 43 and 9 years post op.I had metal on metal total hip resurfacing,still ride as much as possible with no complications.
Sandberm wrote:
Does it sqeak? I was talking to another guy on a different message board and he said his metal on metal hips sqeaks from time to...
Does it sqeak? I was talking to another guy on a different message board and he said his metal on metal hips sqeaks from time to time like it needs a shot of WD-40. Im not kidding.

BTW he had both of his hips replaced in January and february and hes doing great, very active early 50's dude.
I've heard that squeaking was a somewhat common occurrence in the ceramic hip replacements, but haven't heard much about the metal on metal. When I have to have a revision I will probably go with a metal on metal.
dirtbikemike 6/29/2011 4:14pm
6/29/2011 4:14pm
I spoke with Donnie Banks from Capital Cycle in Macon, Georgia last week and he had a hip replacement done six months ago. He said he was doing great.

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