{"id":398,"date":"2012-08-24T14:37:17","date_gmt":"2012-08-24T14:37:17","guid":{"rendered":"http:\/\/beta.canyonvelo.org\/?p=398"},"modified":"2020-04-22T01:23:23","modified_gmt":"2020-04-22T01:23:23","slug":"knee-replacement","status":"publish","type":"post","link":"https:\/\/canyonvelo.org\/index.php\/2012\/08\/24\/knee-replacement\/","title":{"rendered":"Knee Replacement"},"content":{"rendered":"<p><em>by Carl Moler<\/em><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" style=\"margin-right: 15px; float: left;\" src=\"\/wp-content\/uploads\/ArticlePics\/carl_knees_before.jpg\" alt=\"carl knees before\" width=\"350\" height=\"346\" \/>On the left is an X-ray of my knees before surgery&#8230; it is called the &#8220;Swaying in the Wind&#8221; look&#8230; no cartilage on the outside of the right knee joint&#8230; bone on bone&#8230; lots of pain&#8230; left knee little cartilage on the inside of the knee joint plus a number of bone spurs under the kneecap&#8230; not a lot of fun&#8230; was getting harder to climb on bike rides&#8230;<!--more--><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" style=\"margin-left: 15px; float: right;\" src=\"\/wp-content\/uploads\/ArticlePics\/carl_knees_after.jpg\" alt=\"carl knees after\" width=\"350\" height=\"329\" \/>On the right are my new titanium implants and straight legs&#8230; also a poly button behind my kneecaps for knee ball to rub on&#8230;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" style=\"margin-right: 15px; float: left;\" src=\"\/wp-content\/uploads\/ArticlePics\/carl_sideknee_after.jpg\" alt=\"carl sideknee after\" width=\"350\" height=\"714\" \/>The X-ray to the left shows a side view of one of the knees&#8230;<\/p>\n<p>&#8230;now 5 months and 1 week after surgery&#8230; I have been riding over 200 miles a week for over a month and a half&#8230; got in my first ride at 6 weeks&#8230; actually could ride pretty normally at 3 months&#8230; now just a little pain in the right knee when I stand out of the saddle and climb&#8230; getting better every week&#8230;<\/p>\n<p>A number of people have inquired about the surgery and ask for some details so here they are&#8230; just got the CD with the X-Rays from Dr. Steven Barnett&#8217;s Office&#8230; He and his assistant Treanna Mathers are incredibly talented at what they do&#8230; check it out at The Orthopaedic Specialty Institute in Orange County, California&#8230; I know I had some reservations about how such radical surgery would affect my bicycle riding and quite frankly put it off for a long time due to those concerns&#8230; and there is not a lot of information out there regarding how seriously one can ride after such surgery &#8230; FYI &#8230;I have been a serious cyclist for 20+ years and have raced in the Masters National championships five times and won a National Jersey twice. I have also completed the Race Across America in 2010 and 2011 in the team category&#8230; I bring up these facts not to brag but to demonstrate what I mean about riding seriously after this surgery. I expect to be back to whatever level I was able to be at before the surgery within a month or so&#8230; and also have been told I will keep noticing improvement in the knees for up to a year after surgery&#8230; I may even think about giving the RAAM (Race Across America) another shot in the future&#8230;<\/p>\n<p>The hip replacement is a non-issue regarding cycling&#8230;(I had my left hip replaced last October by Dr. Barnett as well) the Anterior (through the front) Approach means a cyclist can be back on the bike relatively soon with little trauma to deal with&#8230; the Posterior (through the backside) Approach does damage to important muscles in the buttocks and creates the possibility of a dislocation when one bends over forward&#8230; obviously this presents a problem for a cyclist&#8230; and requires a number of months of rehab before cycling is possible&#8230; (I have hip x-rays for anyone interested in seeing what a hip implant looks like)<\/p>\n<p>I hope that answers any questions that cyclists or other active people who are contemplating hip or knee surgery may have&#8230; I know the pain I was in and put it off as long as I could&#8230; obviously there are downsides to surgery and implants but when the positives far outweigh the negatives it is nice to know that there is a good option to having to deal with the pain while riding and to limping around in agony&#8230; but be advised that you have to be serious about rehabilitation and rehabilitation is certainly not accomplished without a period of discomfort and pain &#8230; I also strongly recommend the importance of finding a surgeon and a physical therapist that are really good at what they do&#8230; a special thanks goes to Rob Ortmayer and his staff at Yorba Linda Physical Therapy for all their help with the rehabilitation process for both the hip and knee surgeries&#8230;<\/p>\n<p>By the way I get asked often whether the amount and intensity of my cycling for the last 25 years caused the joint problems&#8230; the answer is that the cycling I have done actually allowed me to postpone the surgery for years &#8230; my bad knees were a product of football and rugby injuries and the wear and tear of running for training&#8230; cycling is a non-load bearing exercise and therefore very good for people who have knee problems&#8230; at least of the Degenerative Arthritis type&#8230; I had 5 knee surgeries between the ages of 30 and 40&#8230; I started cycling when I was 35 and got serious at 39&#8230; I am now 62&#8230; my knees feel better than they have since I was in my 30&#8217;s&#8230; Feel free to email me with any other questions you might have&#8230;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>by Carl Moler On the left is an X-ray of my knees before surgery&#8230; it is called the &#8220;Swaying in the Wind&#8221; look&#8230; no cartilage on the outside of the right knee joint&#8230; bone on bone&#8230; lots of pain&#8230; left knee little cartilage on the inside of the knee joint plus a number of bone &hellip; <a href=\"https:\/\/canyonvelo.org\/index.php\/2012\/08\/24\/knee-replacement\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Knee Replacement&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[12],"tags":[],"class_list":["post-398","post","type-post","status-publish","format-standard","hentry","category-clubnews"],"_links":{"self":[{"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/posts\/398","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/comments?post=398"}],"version-history":[{"count":1,"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/posts\/398\/revisions"}],"predecessor-version":[{"id":399,"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/posts\/398\/revisions\/399"}],"wp:attachment":[{"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/media?parent=398"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/categories?post=398"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/canyonvelo.org\/index.php\/wp-json\/wp\/v2\/tags?post=398"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}