Coming back from a fractured hip

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Arbuckle23
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Coming back from a fractured hip

Postby Arbuckle23 » Tue Sep 04, 2018 6:18 pm

Well technically the top of the femur, but most people go with hip :)

Managed to fracture my hip on the weekend. All pinned/screwed up now and on the road to recovery.
All the medicos are impressed with how I have recovered so far, citing that because I am lean and fit, it is a big help.

Now my question is for others that have suffered the same injury.
How long before back on the bike and able to be putting power through the legs again?
I am not young at 61, so appreciate it all takes time when we are older to heal, just looking at what others may have experienced?

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ValleyForge
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Re: Coming back from a fractured hip

Postby ValleyForge » Tue Sep 04, 2018 10:42 pm

Bloody hell.

How did it happen - generally the trauma of the accident dictates recovery more than the trauma of the operation.
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Arbuckle23
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Re: Coming back from a fractured hip

Postby Arbuckle23 » Wed Sep 05, 2018 11:57 am

Got my front wheel taken out at speed by another rider in a bunch.
Hit the ground quite hard.
The surgeon tells me that he got it all back in line well and it screwed together well.

Just wondering how others may have fared in getting on back on the bike and any problems they encountered along the way

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find_bruce
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Re: Coming back from a fractured hip

Postby find_bruce » Wed Sep 05, 2018 1:08 pm

Mate I'm of no use for anything but empathy - I'm wincing just at the thought of it. I'm aware of a few cyclists who have broken their hip, but there recovery times varied markedly

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ValleyForge
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Re: Coming back from a fractured hip

Postby ValleyForge » Wed Sep 05, 2018 2:31 pm

find_bruce wrote:I'm aware of a few cyclists who have broken their hip, but there recovery times varied markedly

Yup. Starting at the top there is a sub-capital fracture which is fixed either with pins (quick recovery) or a partial hip replacement (slow recovery). Then there is the classic femoral neck fracture (often called inter-trochanteric) which is usually fixed via a lateral approach on the thigh with a pin & plate (recovery medium to long). Then there are the sub-trochanteric and proximal femoral fractures fixed with a plate via a lateral approach or a nail using a closed/posterior approach (slow to very slow recovery).

Anything sound familiar Arbuckle? A displaced fracture usually occurs due to greater trauma and correspondingly takes longer to recover from (and is harder to fix and harder to keep in position).
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Arbuckle23
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Re: Coming back from a fractured hip

Postby Arbuckle23 » Wed Sep 05, 2018 3:36 pm

The terms used were "Closed Fracture". Fixed by a screw, no complications.

Klaatu
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Re: Coming back from a fractured hip

Postby Klaatu » Fri Sep 07, 2018 12:04 pm

Had a similar injury after fall from the bike (subtronchanteric fracture near neck of femur with 3 pins inserted) in late May. All injuries differ as do recovery times but it may not be as long as you might think. Started working with physio with gentle exercises to restore movement soon after surgery which helped to build strength, restore balance and increase movement. Walking up to 2kms with aid of one crutch after 3 weeks, unaided after 4, but still with some discomfort. By week 6-7 was nervously back on bike, but balance still awkward, some residual discomfort, and fear of falling again. Discomfort subsided quickly within another 2 weeks. Now slightly more than 3 months on, riding 40 kms most days with longer ride on weekend without problems. Probably about 80% of pre injury strength with no problems. Still working on it. Hope your recovery also goes well. Regarding age am 64 but admit to working hard to restore the leg to remove the weakness and limp that was part of the early recovery.

Arbuckle23
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Re: Coming back from a fractured hip

Postby Arbuckle23 » Fri Sep 07, 2018 1:43 pm

Thanks Klaatu.

Been doing physio since the day after surgery.
Getting around the house on one crutch already.
I have been thinking of getting a smart trainer and getting on Zwift for a while.
If my physio OK's it (her partner is a cyclist so she knows how addicted we are) it may be the trigger to go that way to assist the recovery.

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MichaelB
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Re: Coming back from a fractured hip

Postby MichaelB » Fri Sep 07, 2018 3:44 pm

Bugger.
Heal well.
Don't rush it.
Listen to advice, and follow.
Trainer sounds like a good start.

Klaatu
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Re: Coming back from a fractured hip

Postby Klaatu » Sat Sep 08, 2018 8:07 am

Trainer sounds like a good plan. You'll know when you're ready and it'll help work through any discomfort without the added pressure of your surrounds and other riders, etc.

Best to focus first on exercises that build leg strength, balance and increase the range of movement. Aim to improve weight bearing ability and this will help you walk properly without a recognisable limp before too long.

Working through tolerable levels of discomfort in the early weeks will see rapid improvements but back off anything that is genuinely painful. More walking as cross training also worked for me before returning to the bike. A full length mirror is useful in detecting flaws in stride and show out some remaining weaknesses.

Hope you have a speedy recovery and sympathies if you're also on anti-coagulant needling for the first 5 weeks of recovery. I know it's in the head but used to dread having them daily.

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Ross
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Re: Coming back from a fractured hip

Postby Ross » Sat Sep 15, 2018 3:36 pm

I had a similiar injury a couple of years ago and I was back riding within a couple of weeks. The biggest issue at first was getting the movement in the leg for a full pedal stroke rotatation. I did one ~15 mins session on a wind trainer and after nearly dying of boredom did a few easy coffee shop rides. I was a bit nervous at first, not wanting to crash and re-injure myself (original injury was a workplace accident, not related to bike) but soon got my confidence back. I probably did overdo it in the first few weeks though, as I love to push a big gear and hill reps and wanted to test out if I could still do it. I could but was in pain for a couple of days afterwards and probably set myself back a few days or weeks by doing this.

The surgeon did say that possibly the screws may cause pain or discomfort later on down the track (more prone with skinny people like myself, rather than larger people) and have to come out. Otherwise leave them in. So far, so good, a couple of years and ~30K km later.

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