+-

Author Topic: Hip resurfacing enables faster walking, longer stride length than THR  (Read 4229 times)

0 Members and 1 Guest are viewing this topic.

Pat Walter

  • Patricia Walter
  • Administrator
  • Hero Member
  • *****
  • Posts: 3854
  • Owner/Webmaster of Surface Hippy
    • Surface Hippy about Hip Resurfacing
A new medical study:

A more normal gait at higher speeds is attained through hip resurfacing arthroplasty as compared to standard total hip arthroplasty, according to a study presented at the American Academy of Orthopaedic Surgeons 2012 Annual Meeting.

Read the study here:  http://www.surfacehippy.info/hip-resurfacing-gait-better-THR.php

Pat
Webmaster/Owner of Surface Hippy
3/15/06 LBHR De Smet

hernanu

  • Hero Member
  • *****
  • Posts: 3897
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #1 on: February 25, 2012, 03:49:01 PM »
Thanks, Pat - very interesting.
Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder

Woodstock Hippy

  • Hero Member
  • *****
  • Posts: 801
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #2 on: February 25, 2012, 09:01:26 PM »
Thanks Pat, I can tell you, it sure works for me!
Bilateral, Dr Scott Marwin, NYU Joint Disease Hosp, 11/15/11

Jeremy76761

  • Guest
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #3 on: February 26, 2012, 05:02:01 AM »

My understanding from several serious athletes is that hip resurfacing had no affect on race performance. Hope that's correct generally.

Woodstock Hippy

  • Hero Member
  • *****
  • Posts: 801
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #4 on: February 26, 2012, 12:08:54 PM »
''My understanding from several serious athletes is that hip resurfacing had no affect on race performance.''

I'd say it depends on how serious they were.  Some really great athletes have had HR at the end of their careers and continued to be athletic.  Scott Tinley is a two time IM Kona winneanddn continued to race there every year for about twenty years. He had HR and continues to run 20 to 25 miles a week.  I spoke to Scott before my surgery and he told me that the resurfaced hip is fine and it's the other one he worries about.  He also surfs all the time with no problem.

Floyd Landis never returned to his drug assisted Tour De France winning and being disqualified form.

Cory Faulk finished IM Kona and Ultrman on a resurfaced hip but I don't think he's racing those extreme distances anymore

We all did the damage at our peak.  Some of us will continue on, some will be happy to be rid of the pain.  I think we all have to make adjustments to our goal out of respect for our bodies and our new parts.

Our friend T98 is waiting for surgery next month and he has to goal to get back to IM and get to Kona.  I hope he makes it,  I'll be pulling for him, I hope he takes his time.

Bilateral, Dr Scott Marwin, NYU Joint Disease Hosp, 11/15/11

Jeremy76761

  • Guest
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #5 on: February 26, 2012, 02:02:24 PM »

Hi Woodstock. I spoke with Corey and if there was any effect on his performance he wasn't really saying that to me; he does say race performance has been dictated by strategy decisions (as usual) but not the HR.

My understanding is Frank Shorter, '72 Olympian, is at 60 making another run at the 5K sub-15 minutes, road with flats. Uh, that would be incredible, HR or not. Although if he does this, it doesn't mean the device didn't have some effect.

I suppose stride length could potentially be effected but absent pain or self-imposed restriction I can't forsee any other affect. What do you think? Have you found any affect on stride length or otherwise?

Possibly the right cup angle could give one an advantage. (guess you'd need 2 though!)

Woodstock Hippy

  • Hero Member
  • *****
  • Posts: 801
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #6 on: February 26, 2012, 03:48:00 PM »
I love Shorter.  You forgot to say ''1972 Olympian and Gold medal winner in the marathon, 1976 Olympic Silver in the marathon, who should have been gold except for East Germany's Waldemar Cierpinski's drug assisted win, the real beginning of the drug era.  Remember the German women in the '80's;

http://www.slate.com/articles/sports/sports_nut/2011/08/unbreakable.html

Anyway, back to Frank.  In the 80's he tried to get back to the Olympics in XC skiing.  In the '90's he wanted to win IM Kona, saying ''Hey, I'm the only 2:10 marathoner in the field!''  I hope he does break 15:00!  With my new hips, I'm hoping to break 22:00.

I'm still about 10 weeks away from my return to running.  I hope to not alter anything in my running form.  What I will change is my attitude and goals, in the past it was all about going long, now I hope to run 4 days a week and be age group competitve at 5K, 5 mile and 10K races.

Another thing about Shorter; he comes from the LSD (long slow distance) era of running.  The thing today's runners don't understand is that back then Long Slow Distance meant 20 miles at 6:00 pace!
« Last Edit: February 26, 2012, 04:13:51 PM by Woodstock Hippy »
Bilateral, Dr Scott Marwin, NYU Joint Disease Hosp, 11/15/11

Woodstock Hippy

  • Hero Member
  • *****
  • Posts: 801
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #7 on: February 26, 2012, 06:08:56 PM »
I just thought of this while I was out walking on the trail and dreaming of running; Cierpinski was suspected of blood doping, not steroid use
Bilateral, Dr Scott Marwin, NYU Joint Disease Hosp, 11/15/11

Jeremy76761

  • Guest
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #8 on: February 26, 2012, 06:41:04 PM »

What? Were those Germans women? Kidding.

Being age group competitive at 5-K is a good goal. I still wonder whether 5000m is less impactful on a device than 26.2 miles. The training distances are lesser, but the impacts greater. Will we see 100m specialists without issue and marathoners trailing off? What do you think?

Woodstock Hippy

  • Hero Member
  • *****
  • Posts: 801
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #9 on: February 26, 2012, 07:19:16 PM »
What do I think?  I think Jarmila had everything but the nuts!

Seriously though, I think each stride impacts the body the same way no matter what the distance.  If anything, the long slow slug of an ironman marathon or back of the pack marathon is probably worse on the body than faster running.  I don't know yet how it will work out, but I want to find out.  Believe me, when I start to race again, I'll post my results right here!
Bilateral, Dr Scott Marwin, NYU Joint Disease Hosp, 11/15/11

johnd_emd

  • Full Member
  • ***
  • Posts: 155
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #10 on: February 26, 2012, 10:28:55 PM »
Well, I'm hoping to get back to racing at a pretty elite level once this thing heals.  I'm 3 1/2 weeks out and hope I can get back to where I was before the surgery.  Anyway, I think there's one thing here about stride length that's not mentioned, and that's what approaches where done on patients.  I know that with an anterior approach the patient has a much higher risk of developing an abnormal gait post-op.  Since an anterior approach isn't muscle sparing it's not the best choice for those who are athletic and want to return to sports after their hip surgery.  It would be interesting to see a study and correlation on stride length and surgical approach.   

Dr. Rector
Feb. 1
Rt Hip Resurfacing
Birmingham

Jeremy76761

  • Guest
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #11 on: February 27, 2012, 03:45:18 AM »

A study on stride length and surgical approach sure would be useful. And maybe with respect to rehab procedures as well, particularly where soft tissue is involved. Hadn't heard about the risks of anterior approach for abnormal gait. Very interesting.

Woodstock Hippy

  • Hero Member
  • *****
  • Posts: 801
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #12 on: February 27, 2012, 01:42:23 PM »
Hey John, good luck with your recovery.  I'm sure you will get back to where you were before.  I think the three most important things for us are patience, patience, patience!  For me it's like a tight rope walk, trying to work hard enough to make progress but not going past that line.  The biggest problem being that still think of what I'm now doing as easy but sometimes my body just isn't ready for it.  The first time I had a really good ride on the bike, it left me hurting and wondering for a week.  Last week I hiked for 2 1/2 hours Monday then, on Tuesday, I went out for a 1 1/2 hour on the bike and was sore on Wednesday, but at least i knew what I did wrong this time.

I know that I can run again.  When I'm walking in the woods, I practice fake running, going through the motion of running but at a walking pace and I work on ellipticalal trainer three times a week.  I can start running again May 7.

Your concern about surgical approach is like the constant argumentment on Slowtwitch about tubulars and clinchers now that we have all carbon clinchers.  Mcminn originally had problems with the anterior approach and moved to posterior.  Over the past twenty years other surgeons have had success with the other approaches to the point now that most agree that the surgical approach makes no difference.  Check out the leading surgeons comments on surgical approach from the

Note by Patricia Walter - I appreciate sharing information on my website first before sending people to other website:

Pat's Surface Hippy Website  http://www.surfacehippy.info/surgicalapproaches.php

http://www.surfacehippy.info/faqsurgicalapproach.php

 
Again, good luck with your recovery.  I'll see you at the races!
« Last Edit: February 27, 2012, 07:08:58 PM by Pat Walter »
Bilateral, Dr Scott Marwin, NYU Joint Disease Hosp, 11/15/11

hipnhop

  • Sr. Member
  • ****
  • Posts: 479
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #13 on: February 27, 2012, 04:50:27 PM »
Thanks Pat, I might just be able to break my marathon PR
3/2011 and 2/2012 HR Dr. Craig Thomas

triathlete98

  • Jr. Member
  • **
  • Posts: 93
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #14 on: February 27, 2012, 04:51:28 PM »
Good topic! 

For most of us, stride length won't be an issue.  The faster the running race, the more it comes into play.  For myself, stride rate is more of a factor if anything.  The one thing I keep reading is "pose" and "chi" running are better for you than conventional running styles, to which I disagree.  Impact is impact.  I've read "born to run" as well as many other books promoting forefoot running.  I've done an IM in newtons and minimalist shoes, and haven't felt the difference impact wise, but performance wise I have.  It sounds like if the surgeon gets this thing in right, then there shouldn't be any limitations.  Unless, of course, they don't cut and repair the tendons right.  My plan is not to run for up to one year.  After that all bets are off.  If McMinn recently did a 20yr revision and it was a mear microns of wear, oh I am running again.  My stride isn't very long, but its often.  If I can maitain my current stride/rate then my goals will be obtainable.  I just need to get faster/more effecient on the bike.  No such thing as a good bike followed by a bad run :)

curt

  • Sr. Member
  • ****
  • Posts: 340
  • Runner with the cruddy cartilage
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #15 on: February 27, 2012, 10:29:11 PM »
     I agree with the stride rate theory. Better to run shorter bursts at a quick stride rate than to plod I think.  At 175-180 strides per minute you cannot help but run on the mid to forefoot and avoid a jarring heel strike.
     My plan next month is to run several minutes then walk etc. using the faster turnover.  I don't have the calves or the tendons to run on the forefoot. 

Curt
51 yr, RHBiomet, Dr. Gross, 9/30/11
happy, hopeful, hip-full

Woodstock Hippy

  • Hero Member
  • *****
  • Posts: 801
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #16 on: February 28, 2012, 08:21:16 PM »
180 strides per minute, 3 strides per second, I must be missing something.  How far are you running?
Bilateral, Dr Scott Marwin, NYU Joint Disease Hosp, 11/15/11

David

  • Sr. Member
  • ****
  • Posts: 403
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #17 on: February 29, 2012, 12:02:03 AM »
My suggeston when you do start to run is to introduce it slowly.
I am testament to doing too much too soon, or too far too soon at least.
Was able to do as much hiking as I wanted, 45-50 miles/week with no problem at 3-4 months.
Introduced running at 5 months and initially all was good until I pushed envelope.
Up to 8 miles, no problem.
After that NG.
I am learning...
RBHR Dr. Su 8/29/2011
www.jayasports.com

DGossack

  • Hero Member
  • *****
  • Posts: 649
    • Adventures in Hip Resurfacing
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #18 on: February 29, 2012, 01:57:38 AM »
This is my fifth week back running.  I am running 5 - 6 days per week. 

I am not pushing the pace but concentrating on good form.  Even though I ran for 25 years prior to the OA taking hold, I decided I needed to take a running form class.  I took a class called Good Form Running.  They filmed us running.  The two takeaways I got was that I need to land midfoot and increase my cadence.

As curt pointed out, increasing the cadence has the necessary effect of landing midfoot.  Apparently they said that someone observed all the runners from 800 through marathon at the LA Olympics.  And the average cadence was 180 strides per minute regardless of the distance.  I was about 160 without thinking about it and landing on the heel.

Since I have been concentrating on the cadence I have feel like I am landing much softer on my midfoot.  I assume this will put less pressure on the prosthesis with a better wear.

Miles of smiles for me.

Dan
LBHR, Dr. Pritchett, 8/1/2011
fullmetalhip.wordpress.com

curt

  • Sr. Member
  • ****
  • Posts: 340
  • Runner with the cruddy cartilage
Re: Hip resurfacing enables faster walking, longer stride length than THR
« Reply #19 on: February 29, 2012, 03:09:17 AM »
       You aren't missing anything Wood, try counting the paces for 15 seconds, you'll find that most runners are hitting at around 165-170.  The extra 10-15 strides make a big difference.  Nearly all distance runners end up there, the difference being that they do it with a longer stride to boot (and 5min miles).  Shortening the stride to get the turnover is pretty easy to achieve. 

Curt
51 yr, RHBiomet, Dr. Gross, 9/30/11
happy, hopeful, hip-full

 

Recent Posts

Re: A Fantastic Surgery Experience by imgetinold
Yesterday at 04:20:40 PM

Re: Dr. Pritchard - week November 1, by imgetinold
Yesterday at 04:18:37 PM

Re: viruses, and resurfacing by imgetinold
Yesterday at 04:17:26 PM

Re: viruses, and resurfacing by zippymon213
October 26, 2021, 01:21:55 AM

Advertisements

Donate Thru Pay Pal

Surface Hippy Gear

Accordion Player Pat Webmaster/Owner

Owner/Webmaster of Surface Hippy

Statcounter

View My Stats

Powered by EzPortal