Info on hip replacement

kakarot
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6/29/2011 4:35pm Edited Date/Time 6/29/2011 4:44pm
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.
That must be his muffler bearings! Seriously though the squeaks that people mention are from soft tissue issues not the bearing surface running dry.
yosmithy
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6/29/2011 4:40pm
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!
steedmills wrote:
[i]replace my knee and to be honest I'm scared - Has anyone here already a new knee??[/i] Contact Dr. Daniel Saris, cartilage repair, a technique in...
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…
I'm two weeks out of surgery from a partial knee replacement. Pain was pretty intense the first 4-5 days, but started PT the next day after surgery, lots of use of a CPM machine and I'm already walking well. Even started swimming and stationary bike.

25 years and five surgeries later.

Liking it so far
1
6/4/2013 12:33am Edited Date/Time 6/4/2013 12:49am
Well- resurrected this old thread since I finally had my hip done. (even have a different sign-in now). There is actually a lot of info in this thread so it's worth saving. It's not just about my hip obviously. Tried to do my hip a year ago but insurance would not cover it. So I got a new policy through work and (knock on wood) I'm covered.

I was out of the hospital after one night. Got it done at Mt. Vernon Hospital in Alexandria Va. by Anderson Clinic. Dudes are badasses with hips. Third generation hip surgeon. So far so good. He said I should be able to do anything I did before but of course there is risk of prematurely wearing it out or damaging it if I go crazy. Not sure about riding moto again at this point.
Pain was not nearly as bad as I thought (again, knock on wood). Got a pretty gnarly incision though. And I am only six days in recovery so who knows what to come. I can tell the movement in my hip is much smoother. But range of motion obviously limited and muscles very sore.

My bad leg had gotten MUCH shorter than the right one on the old hip. That led to lower back pain, knee pain, and general twisted body shape. Rough. But I notice that the body is already correcting. Somebody told me my back actually looks different. Before it was bent because the pelvis was all tilted. Docs say it's muscles that do that, not bone. But they gave me a tad more length to compensate. Knee pain in bad leg disappeared so far.

Worst thing was a bad flu-like situation that set in day four. Few days of nausea with some puking bouts and horrible headache. Felt like shiiiit. Body just weak and have to sleep hours and hours. Also lost some more weight. Honestly at a scary weight now so adding mass is crucial. Skeletor over here. Blink But starting to bounce back and crutching it up and down stairs.

Just wanted to add to the info pile. When I google "motocross" and "hip replacement" this thread is #1. Maybe a good source for racers contemplating a new hip. Now getting started on the PT with my new aftermarket part! Cheerful
1
mx5471
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6/4/2013 2:32pm
Sounds like you're gonna be in good shape. My father in law had 1 hip replaced 15 years ago at age 70. He was in the hospital a week, ( he's fat and weighs 350 pounds). then he needed the other one done and waited. New stuff and new techniques cam out and he had it done about 6 years ago. One night in the hospital, and he was walking on it in a week. Don't skimp on the PT. I laughed at it when I had a bad injury once, but by doing it I got another month off from work with pay. But in the end i was so glad i did it. They got ways of getting everything working together right that you could never do by yourself. You're going to be in great shape. Good Luck.

The Shop

6/4/2013 3:58pm
mx5471 wrote:
Sounds like you're gonna be in good shape. My father in law had 1 hip replaced 15 years ago at age 70. He was in the...
Sounds like you're gonna be in good shape. My father in law had 1 hip replaced 15 years ago at age 70. He was in the hospital a week, ( he's fat and weighs 350 pounds). then he needed the other one done and waited. New stuff and new techniques cam out and he had it done about 6 years ago. One night in the hospital, and he was walking on it in a week. Don't skimp on the PT. I laughed at it when I had a bad injury once, but by doing it I got another month off from work with pay. But in the end i was so glad i did it. They got ways of getting everything working together right that you could never do by yourself. You're going to be in great shape. Good Luck.
Thanks man! Appreciate it. I'll be keeping up with the PT.
mx_563
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6/4/2013 4:59pm
Glad you are doing fine and in recovery mode. Best of luck, man.
6/4/2013 6:39pm
Hey Jason! Sounds like your on a good road to recovery. My mother at 87 had both hips replaced and is doing good. She quit pt early....she knows everything and is independent. She gets around with a cane now which I feel is the result of not following through with the full PT. Great to hear your doing well.
6/4/2013 6:44pm
Hey Jason! Sounds like your on a good road to recovery. My mother at 87 had both hips replaced and is doing good. She quit pt...
Hey Jason! Sounds like your on a good road to recovery. My mother at 87 had both hips replaced and is doing good. She quit pt early....she knows everything and is independent. She gets around with a cane now which I feel is the result of not following through with the full PT. Great to hear your doing well.
Ed! What's going on?
I'm all about the PT. Nothing else to do right now. See you at the track some time soon hopefully.
PADDY'S LAD
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6/4/2013 7:54pm
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.
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.
got to love those key board MD'S
sumdood
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6/4/2013 11:17pm Edited Date/Time 6/4/2013 11:26pm
Hey moto soul mag, Yep it's all about PT ! Good luck. What kind did you get ?
I don't know if any of you are familiar with hip resurfacing, I had mine done about 5 years ago. Thats where they put a cap over the femur ball instead of cutting off the top of the bone and putting a post down the femur. Heres the top pic is a standard total hip and the bottom pic is the resurface parts



I was happy with the resurfacing for about 3-1/2 years, but am in line now to get a total hip in august.. My cup was put in at too steep of an angle and the edge loading and resulting metal particles are causing problems now. I think the metal on metal resurfacing (BHR) is a better design but it needs to be installed fockin perfect or the two parts wear prematurely. Mine felt solid as a rock for about 3 years, but then pain, loss of rom, knocking and swelling has been slowly increasing. I can feel it clunk and knock and click, and as of a few weeks ago it squeaked, and not quiet either, more like a nails on the chalkboard squeak, weird... Anyway they're going to replace it with a ceramic coated head and a plastic liner, at this point I don't care what kind I just want it to work. You are going to be stoked when you start riding again and can actually throw your leg over the fender instead of the old push it to get it rolling and climb on like a horse theory, I got good at balancing on my dinner bell while I clambered onto the thing too. And you'll be able to stick your leg out in turns again, remember that ? lol
Good luck, don't rush it and stick with the pt. Be carefull though, this is a buddy's x-ray who got run over in the first turn after his second hip, OUCH. The poor dudes femur exploded like a flourescent light bulb, Not Good.... Have fun, don't rush it & be carefull !
flomiester
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Elwell, MI US
6/5/2013 5:58am
Im lyling in rehab yet reading all this im 55 years old and fractured my right femur from just under the ball a complete hip was discussed but they ended up using a 9" rod and some big screws to atach it i wonder now if i have options for the future i qeuss the pin could always be removed .Tm 400 suzukis are still producing victims.
PADDY'S LAD
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6/5/2013 8:58am
flomiester wrote:
Im lyling in rehab yet reading all this im 55 years old and fractured my right femur from just under the ball a complete hip was...
Im lyling in rehab yet reading all this im 55 years old and fractured my right femur from just under the ball a complete hip was discussed but they ended up using a 9" rod and some big screws to atach it i wonder now if i have options for the future i qeuss the pin could always be removed .Tm 400 suzukis are still producing victims.
flomlester, I feel for you my friend been there. I've had three full hip replacements (due to moto) if I can be of any help to you feel free to pm me any questions or concerns you have. I'm 54 and ride as many Saturdays as I can at the track.
cheers. Pat
2
6/5/2013 10:15am Edited Date/Time 6/5/2013 10:16am
sumdood wrote:
Hey moto soul mag, Yep it's all about PT ! Good luck. What kind did you get ? I don't know if any of you are...
Hey moto soul mag, Yep it's all about PT ! Good luck. What kind did you get ?
I don't know if any of you are familiar with hip resurfacing, I had mine done about 5 years ago. Thats where they put a cap over the femur ball instead of cutting off the top of the bone and putting a post down the femur. Heres the top pic is a standard total hip and the bottom pic is the resurface parts



I was happy with the resurfacing for about 3-1/2 years, but am in line now to get a total hip in august.. My cup was put in at too steep of an angle and the edge loading and resulting metal particles are causing problems now. I think the metal on metal resurfacing (BHR) is a better design but it needs to be installed fockin perfect or the two parts wear prematurely. Mine felt solid as a rock for about 3 years, but then pain, loss of rom, knocking and swelling has been slowly increasing. I can feel it clunk and knock and click, and as of a few weeks ago it squeaked, and not quiet either, more like a nails on the chalkboard squeak, weird... Anyway they're going to replace it with a ceramic coated head and a plastic liner, at this point I don't care what kind I just want it to work. You are going to be stoked when you start riding again and can actually throw your leg over the fender instead of the old push it to get it rolling and climb on like a horse theory, I got good at balancing on my dinner bell while I clambered onto the thing too. And you'll be able to stick your leg out in turns again, remember that ? lol
Good luck, don't rush it and stick with the pt. Be carefull though, this is a buddy's x-ray who got run over in the first turn after his second hip, OUCH. The poor dudes femur exploded like a flourescent light bulb, Not Good.... Have fun, don't rush it & be carefull !
Holy crap that is gnarly. That would be my big fear- reinjuring that hip. This guy looks in danger of losing his leg.
Like you said though, the first thing you want to do after getting better is ride. We'll see. Right now I'm thinking about mountain bikes. But you can get hurt on one of those also.

My new hip is ceramic ball and plastic receptor cup.
sumdood
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6/5/2013 10:31am
I did some easy trail rides out at Ocotillo at about 6-7 months after surgery, but didn't feel confident enough to race on it until after a year. I was told the bone ingrowth takes a year or more to be completely done, I didn't want to risk knocking the thing loose so I waited. Ceramic ball with a plastic cup is what my doc wants to put in too. The guy who's x-ray that is up and around (on crutches and a walker) and will be keeping his leg. He said they used plates and wire to hold it all together....
Torco1
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6/5/2013 12:41pm
I'm at about 10 years with my total hip replacement. I was 27 when I had it done and so far I haven't had any problems with it.....I pretty much ride tracks 1-2 times a week and race every so often. Like that x-ray above shows, my surgeon and every other ortho I've seen said that breaking my femur with the hip replacement would be the worse scenario. I've also had some really horrible crashes with the hip replacement and it's held up just fine through them all.
Truckdriver
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Fort Dodge, IA US
6/14/2013 8:20am
Just gonna throw out Dr. David Sumani. Lincoln, Ne. Pretty amazing ortho. Did my shoulder, literary was working with it in three days. 10 weeks out, great movement and strength returning.

402-323-7260
Sandberm
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6/14/2013 8:34am
I was wondering what ever happened to Motoeastmag. He changed his screename. Thats like changing your number at the local track...it throws everybody off dude.


For awhile i was wondering if a hip replacement was in my distant future but with regular chiro appointments it seems to have "cured" me for now.
Huevos
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6/14/2013 8:39am
I really came close to needing a hip replacement a few years ago. I crashed and completely broke the femoral head off along with four pelvic fractures. I broke it right through a few essential blood vessels, so my doctor was unsure if the head would completely reattach itself without leading to decay and corrosion later. Luckily the surgery was extremely successful, and he said there was about a 98% alignment on the bone afterwards which really helped. You can see from my avatar what they did. They put in 3 four inch titanium screws to keep it together. I had about a 6 month recovery and some PT to help, but it's been a few years since and I've had no issues with it.
DustinB333
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6/14/2013 10:20am
I had a hip resurface 2 1/2 years ago and i still ride and race vet pro i love it wish i had it done sooner...
Huevos
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6/14/2013 12:57pm
Dustin, was that picture of you taken at Club Moto?
DustinB333
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6/14/2013 1:32pm
Yes my son at club moto.
6/14/2013 1:37pm
Huevos wrote:
I really came close to needing a hip replacement a few years ago. I crashed and completely broke the femoral head off along with four pelvic...
I really came close to needing a hip replacement a few years ago. I crashed and completely broke the femoral head off along with four pelvic fractures. I broke it right through a few essential blood vessels, so my doctor was unsure if the head would completely reattach itself without leading to decay and corrosion later. Luckily the surgery was extremely successful, and he said there was about a 98% alignment on the bone afterwards which really helped. You can see from my avatar what they did. They put in 3 four inch titanium screws to keep it together. I had about a 6 month recovery and some PT to help, but it's been a few years since and I've had no issues with it.
You have the exact same set-up I had. They took the pins out when I got the new hip.

Mine was fine for years. I raced eight seasons on my hip with the screws like you have. Eventually the pain caught up and it got really stiff. Avascular necrosis. Good luck with yours. I'd say it it bothers you in the future get a new hip. Mine already feels better.
Huevos
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6/14/2013 7:16pm Edited Date/Time 6/14/2013 7:20pm
You have the exact same set-up I had. They took the pins out when I got the new hip. Mine was fine for years. I raced...
You have the exact same set-up I had. They took the pins out when I got the new hip.

Mine was fine for years. I raced eight seasons on my hip with the screws like you have. Eventually the pain caught up and it got really stiff. Avascular necrosis. Good luck with yours. I'd say it it bothers you in the future get a new hip. Mine already feels better.
Well, hopefully I don't have to do anything. My doctor told me that it has healed completely and that he doesn't expect me to have any problems with it down the road. Did your doctor tell you the same thing? If you took the screws out would it have changed anything? Thanks for the advice, but I'm kind of hoping I can avoid needing a hip replacement so I'm wondering how similar your situation was to mine? How long after did your hip start showing signs of decay? Mine happened about 4 years ago, and my last check-up two years ago showed zero decay, which is why my doctor believes that the vessels healed completely and that it doesn't look like I'll have issues with it later. Sorry, your post just kind of worried me. I really hope I don't have to have a hip replacement before I'm 30, haha.
6/14/2013 8:53pm Edited Date/Time 6/14/2013 9:00pm
You have the exact same set-up I had. They took the pins out when I got the new hip. Mine was fine for years. I raced...
You have the exact same set-up I had. They took the pins out when I got the new hip.

Mine was fine for years. I raced eight seasons on my hip with the screws like you have. Eventually the pain caught up and it got really stiff. Avascular necrosis. Good luck with yours. I'd say it it bothers you in the future get a new hip. Mine already feels better.
Huevos wrote:
Well, hopefully I don't have to do anything. My doctor told me that it has healed completely and that he doesn't expect me to have any...
Well, hopefully I don't have to do anything. My doctor told me that it has healed completely and that he doesn't expect me to have any problems with it down the road. Did your doctor tell you the same thing? If you took the screws out would it have changed anything? Thanks for the advice, but I'm kind of hoping I can avoid needing a hip replacement so I'm wondering how similar your situation was to mine? How long after did your hip start showing signs of decay? Mine happened about 4 years ago, and my last check-up two years ago showed zero decay, which is why my doctor believes that the vessels healed completely and that it doesn't look like I'll have issues with it later. Sorry, your post just kind of worried me. I really hope I don't have to have a hip replacement before I'm 30, haha.
No- sorry, everybody's hip is different.

I was struck that your X-Ray is identical to mine with the three-screw set-up. Like I said, I raced on that for years and it was fine, but it declined after 8-10 years. In my case, the head of the femur didn't get enough blood. That's why it decayed. 30% bone loss. Can't say that will happen to you.
When I broke my hip the doc said I might need a replacement down the line. Not sure why my situation was different. I was 36 when I broke mine. I finally quit racing when I couldn't kickstart a bike anymore. Bottom line is go for it until your body tells you different.
1
usafwx
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8/31/2018 9:17pm
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!
Ended up with a similar hip sized hematoma last week. How long did it take to resolve / go away? Any suggestions? Thanks!
9/1/2018 3:12am
I am 58, l've had both knees replaced and left hip, l kickstart CR480's (left side kicker) no sweat.
Bob_Ryan
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9/1/2018 8:08am
i am sure I went through the same situation as many here on Vital. After playing football. basketball and racing bikes from age 8 with many injuries along the way I found myself in unbearable pain at age 46 with my left hip. I suffered through a couple more years to 48 before the pain was taking over my ability to think clearly on a daily basis and no amount of Advil, Ibuprofen, Aspiren or alcohol could overcome the pain. During this time I continued to race with the aid of a Rekluse clutch. After going to my GP and getting the ball rolling I went to five different doctors to find one that would actually do the replacement. The first 4 said I was too young !!! stop riding and all the things you don't want to hear. The Xrays clearly showed bone on bone and I could hardly walk. I knew I hit the jackpot with the last doctor when he asked me what " I wanted" to keep doing in life and I told him I race bikes, that's what I do. He said you only have so much life to live, lets get it done so you can go back to racing. I was all in. He told me in a very no bullshit way that if I did exactly what he told me to do for rehab that I could get back to at least riding my bike in 3 months and work into racing from there, I rode my bike 3 months and 1 day later and have raced ever since with no pain with some good crashes along the way. I am now 58 and I had to finally stop racing last year as I am faced with replacing my other hip as the pain is overcoming me once again. The one I had done previously has never given me one ounce of pain. I need to get this done as I have to get myself ready to race the over 60 class !! The moral of this story is don't wait to have it done !!!!!!! Do your homework and find a doctor involved in sports and is like minded and wants to help you achieve your goals. Good luck and hopefully you get back to the sport you love soon.
2
DustinB333
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Bethel Island, CA US
9/1/2018 9:10am
Bob_Ryan wrote:
i am sure I went through the same situation as many here on Vital. After playing football. basketball and racing bikes from age 8 with many...
i am sure I went through the same situation as many here on Vital. After playing football. basketball and racing bikes from age 8 with many injuries along the way I found myself in unbearable pain at age 46 with my left hip. I suffered through a couple more years to 48 before the pain was taking over my ability to think clearly on a daily basis and no amount of Advil, Ibuprofen, Aspiren or alcohol could overcome the pain. During this time I continued to race with the aid of a Rekluse clutch. After going to my GP and getting the ball rolling I went to five different doctors to find one that would actually do the replacement. The first 4 said I was too young !!! stop riding and all the things you don't want to hear. The Xrays clearly showed bone on bone and I could hardly walk. I knew I hit the jackpot with the last doctor when he asked me what " I wanted" to keep doing in life and I told him I race bikes, that's what I do. He said you only have so much life to live, lets get it done so you can go back to racing. I was all in. He told me in a very no bullshit way that if I did exactly what he told me to do for rehab that I could get back to at least riding my bike in 3 months and work into racing from there, I rode my bike 3 months and 1 day later and have raced ever since with no pain with some good crashes along the way. I am now 58 and I had to finally stop racing last year as I am faced with replacing my other hip as the pain is overcoming me once again. The one I had done previously has never given me one ounce of pain. I need to get this done as I have to get myself ready to race the over 60 class !! The moral of this story is don't wait to have it done !!!!!!! Do your homework and find a doctor involved in sports and is like minded and wants to help you achieve your goals. Good luck and hopefully you get back to the sport you love soon.
I had my left hip done when I was 36 I’m now 44 and my right hip brothers me constantly.
It’s effected me from riding the last year or two and I miss it. But with work and busy life I just can’t get time to do the other hip yet. But with that said my resurfaced hip is great and I would recommend it to anyone having the pain that keeps you up all night.
Right now I’m hit a miss on nights sleep because of comfort with my non repaired hip. So it might be coming soon..
JR288
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Aledo, TX US
9/1/2018 9:22am
My wife is driving me home from my right hip replacement that was done at 11:00 AM yesterday. Surgeon did anterior approach and no walker and barely need crutches 24 hours after.

You'll be all good!

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