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Hip Replacement

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Kdruce View Drop Down
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Post Options Post Options   Quote Kdruce Quote  Post ReplyReply Direct Link To This Post Topic: Hip Replacement
    Posted: 13 Jul 17 at 11:18am
I've just had a hip replacement which is progressing well. I have now started dinghy sailing again which is great and I feel no issues apart from the usual muscle aches that you would expect.

Has anyone got experience of a hip replacement with Dinghy sailing?

My view is that it is not high impact like running so it should be ok long term. The doctor had no issue.

I must admit I did find the dinghy sailing helped before because the hip joint was not under as much pressure as other exercises because you were hiking out rather than gravity pressing down on the joints vertically.
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fab100 View Drop Down
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Post Options Post Options   Quote fab100 Quote  Post ReplyReply Direct Link To This Post Posted: 13 Jul 17 at 12:33pm
My sadly departed mate Charlie was out in his Solo three weeks after his first hip replacement, two-weeks after his second. 

 He was in his late 70s at the time
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Wiclif View Drop Down
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Post Options Post Options   Quote Wiclif Quote  Post ReplyReply Direct Link To This Post Posted: 13 Jul 17 at 6:49pm
I had a Birmingham Hip Resurfacing back in 2000. Still OK and I can't say it has slowed me down much. I can't lift the leg with the repaired hip as high, that seems to be the only difference. Works fine for dinghy sailing - the back op has slowed me down more

I was told that I should be able to do anything I had before but not allowed to bungy jump or parachute (unless I have to!). So keep up the exercises prescribed by the physio.

Good luck
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PeterG View Drop Down
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Post Options Post Options   Quote PeterG Quote  Post ReplyReply Direct Link To This Post Posted: 13 Jul 17 at 7:35pm
Slightly different, but I had an ankle replacement in January, which is taking a long time to fully heal. Currently I'm walking less than I did before, which isn't great since the main reason for having it was to be able to do proper walking again. However, what I can do without problems is sail and cycle (as I could before) - the big difference being that neither of those put a lot of weight on your leg joints. No one has suggested that I should not do either (running and squash are banned, but I gave up running for buses some years ago, and squash a lot earlier!). In fact my physio seems keen on me doing as much as I can manage of both.

I know an ankle is not a hip, but the same issues relating to load bearing and non load bearing activities apply to both.

It's possible that trapezing on a high performance skiff where there is a possibility of being thrown and hitting the ankle or leg hard would be a bad idea, but I can't see hiking being any problem once the initial healing has happened.


Edited by PeterG - 13 Jul 17 at 7:35pm
Peter
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Kdruce View Drop Down
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Post Options Post Options   Quote Kdruce Quote  Post ReplyReply Direct Link To This Post Posted: 04 Aug 17 at 3:40pm
Thanks for positive feedback. I am certainly trying to stay involved by entering various competitions. We will see what happens.
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Post Options Post Options   Quote andymck Quote  Post ReplyReply Direct Link To This Post Posted: 05 Aug 17 at 3:09pm
The issue will not be impact with a hip replacement but stability.
You will have been given a list of hip precautions to follow for the first few weeks, but stability is defined by how well aligned the hip is, the head size and the quality of the soft tissues and muscles around the hip capsule.
The position of danger is usually with the hip very flexed and internally rotated, so the hip can pop out the back.
As a result, although I no longer do hip replacement surgery (upper limb now) I encourage sailors to choose a sit in rather on boat with a boom that is not too low. To be fair a knee replacement seems to be more of an issue with dinghy sailing due to loss of flexion beyond about 110 degrees.
Unfortunately other joint replacements are not as reliable regarding outcome or longevity.

Andy
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Post Options Post Options   Quote zippyRN Quote  Post ReplyReply Direct Link To This Post Posted: 07 Aug 17 at 5:11pm
Originally posted by andymck

The issue will not be impact with a hip replacement but stability.
You will have been given a list of hip precautions to follow for the first few weeks, but stability is defined by how well aligned the hip is, the head size and the quality of the soft tissues and muscles around the hip capsule.
The position of danger is usually with the hip very flexed and internally rotated, so the hip can pop out the back.
As a result, although I no longer do hip replacement surgery (upper limb now) I encourage sailors to choose a sit in rather on boat with a boom that is not too low. To be fair a knee replacement seems to be more of an issue with dinghy sailing due to loss of flexion beyond about 110 degrees.
Unfortunately other joint replacements are not as reliable regarding outcome or longevity.

Andy


I have vague recollection  of such  things being discussed in past life when i was working scrubside for Ortho ... 

The only  reason we know so much aobut  hips  is that   we've been doing  them for so long  and  DCharnley  got the basis  design  'very  right'  as other than  than Birmingham Refurfacing  everythign else  is  derivate of  the charnley  prothesis 
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Post Options Post Options   Quote peterthomas Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 17 at 10:14am

It is always great to have posts from Andy given his expertise in terms of sailing (always used to beat me a long time ago in the Solution) and as a surgeon.  I gave up sailing hiking boats 18 months ago after experiencing unexplained hip pain when hiking hard, particularly in rough seas.  The MRI scan revealed arthritis in both hips including a number of pea sized cysts in the femoral head but the area of damage was uneven and different for each hip, which I think is why there was only pain in one when hiking.  At the time the only other activity that caused pain was sitting down in one position for too long e.g. driving long distances.  I wasn’t yet at the replacement stage so the consultant (who kite surfs) and I discussed sailing a trapeze boat instead and so far this has worked well and I have been able to carry on sailing.  I think this is also helping to maintain muscle tone with all the pushing out involved and, of course, all the extra swimming that seems to come with learning to helm from a trapeze.  Not sure how this will work after the replacements but we shall see.  Perhaps if I just tighten the harness it will keep everything in place?!

Peter

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Do Different View Drop Down
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Post Options Post Options   Quote Do Different Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 17 at 10:39am
Love it Peter. Too worn out for sailing a hiking boat; get a Farr 3.7, a Contender with an extra short leech sail,  helm or crew an Osprey/505/Javelin.  Beer

Edited by Do Different - 08 Aug 17 at 10:41am
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Post Options Post Options   Quote peterthomas Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 17 at 11:18am
It is indeed the Farr but I was watching some RS800s close up at the weekend and couldn't help noticing how high the boom was (see Andy's comments earlier) and also ... how much fun it looked. Could this be the ideal boat for someone with new hips?   Smile 49er probably OK from this point of view also.
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