Riding after a knee replacement


11 replies to this topic
  • Motokitten

Posted December 07, 2008 - 06:23 PM

#1

Had a knee replacement 3 months ago and feel I am ready to get back on the dirt bike. I am already back on my utility quad and doing some heavy trail riding. Would like to know what Dr. Mark thinks about getting back on the bike after a TKR. I know it is possible but what is the reality of racing competitively again? My head is telling me no problem.

  • DrMark

Posted December 07, 2008 - 06:32 PM

#2

The Knee Society is the elite total knee docs organization. since I am a sports medicine and trauma guy, I am not in that little society, but read their procedings which are always published in the Journal of Bone Surgery every few months.

Their comments on return to sports after total knee do not approve of singles tennis. They didnt comment on motocross.

Drawing the obvious, MX and other off road riding endevour are not likely to be on the reccommended list.

I have seen lots of total joints trashed in bad getoffs. The cosequences are way worse than in a guy with his factory parts.

People will do what they want to. Then they tend to be very sorry.

Good luck with whatever decision you make.

  • Motokitten

Posted December 08, 2008 - 05:25 AM

#3

Blah blah blah, that's the most conservative answer you can give. I don't want to read statistics I want to know what you PERSONALLY tell your patients who have had a TKR if they should or should not go back to riding. You indicate that they go back to riding in 3 months after an ACL repair and I don't agree w/ that after having 4 ACL's myself and now a TKR at 39. I understand it is a decision that ultimately will be made by the patient but what is your over all thought? yes or no?

  • Fast Forward

Posted December 08, 2008 - 06:53 AM

#4

Dr. Mark's opinion was pretty clear to me (although not blatantly clear). My interpretation of his statement was if you have one bad crash after a total knee replacement and trash the artificial joint you will be left with a useless piece of spaghetti for a leg! What do you expect him to tell you, it's Russian Roulette with you own leg, he's not holding the gun, you are! Picture a hinge holding two pieces of wood together, now abuse the hinged joint until the ends of the wood where the hinge is screwed on is split, splinted, and the screws holding the hinges on have no wood left to hold it together... see where this is going!

  • racerdj944

Posted December 08, 2008 - 08:06 AM

#5

motokitten-WOW!!! For someone looking for FREE advice you might want to tone it back a notch and try to READ his response before opening your mouth like that. After that, I would say his advice is going to be, go ride, and take up tennis!
Just my .02

  • DrMark

Posted December 08, 2008 - 09:12 AM

#6

I tell patients with total replacements to ride Harleys to Galveston's beaches on Sundays.

Or ACLs are reconstructed with God given, not man made parts. And if a guy retore his graft, it wouldn't be the end of the world. We would just install another graft.

A fractured femur above a total replacment of the knee, ain't far off from the amputation.

These are completely different situations.

  • yamageezer

Posted December 08, 2008 - 01:57 PM

#7

motokitten-WOW!!! For someone looking for FREE advice you might want to tone it back a notch and try to READ his response before opening your mouth like that. After that, I would say his advice is going to be, go ride, and take up tennis!
Just my .02


I second that, dude you need to be cool. Dr. Mark provides a great service to us all and for you to be rude like that aint cool. Chill, I have double hip replacements and I have to sell my bike because of it. ( trust me, it's killin me to do so) I thought I was ok to ride until I was racing in a family enduro :smirk: and took a hard hit to my left hip. Luckly no breaks but I can't take that chance. Dr. Mark is spot on. Do you really want to take a chance on breaking a femur and crippling yourself????

Can you say "side-by-side..... :thumbsup:

  • Motokitten

Posted December 08, 2008 - 02:31 PM

#8

[quote name='DrMark']I tell patients with total replacements to ride Harleys to Galveston's beaches on Sundays.

That is what kind of info I was looking for. Wasn't trying to be rude or anything of the sort just his personal thoughts on the matter. I have discussed this w/ several orthopedic specialist and you get a VERY wide different of opinions. Some are all for it and some a seriously against it but most know that a patient is going to do what they want regardless. You just never know if they are looking out for your best interest or their own. Again wasn't looking to be rude or looking for free advice (just a simple question) and I know that Dr. Mark has been very helpful to everyone on this board.

  • llamaface

Posted December 08, 2008 - 02:42 PM

#9

I'm not a doctor, but I am a grownup, with the ability to think logically and to assess risk. You don't really need the opinions of some other doctory people, you need real information. IMHO, the info you need to properly assess the risk is at least the following:

1. What are the possible injuries that could happen in normal moto-activity to your totally replaced knee? I have no clue what can happen, but it sounds like breaking the artificial parts off of the femur might be one possibility.

2. What are the consequences to your health and comfort of those injuries? Death? amputation? inconvenience? Are these things that are medically fixable, or will you be in a much worse situation than you were.

3. What is the likelihood (based on your riding style, skill, etc...) of having one of these injuries?


Based on what I'm reading here, I would probably rule out competition right away, but I value being able to comfortably go doggie-style more than I value racing motorcycles. Doing the old bow-wow would be troublesome with only 1 leg.

I might still ride my dirtbike, but I would adjust the style and terrain so as to achieve a risk level that I was comfortable with.

  • jfgjr

Posted December 08, 2008 - 03:07 PM

#10

I'm not a doctor, but I am a grownup, with the ability to think logically and to assess risk. You don't really need the opinions of some other doctory people, you need real information. IMHO, the info you need to properly assess the risk is at least the following:

1. What are the possible injuries that could happen in normal moto-activity to your totally replaced knee? I have no clue what can happen, but it sounds like breaking the artificial parts off of the femur might be one possibility.

2. What are the consequences to your health and comfort of those injuries? Death? amputation? inconvenience? Are these things that are medically fixable, or will you be in a much worse situation than you were.

3. What is the likelihood (based on your riding style, skill, etc...) of having one of these injuries?


Based on what I'm reading here, I would probably rule out competition right away, but I value being able to comfortably go doggie-style more than I value racing motorcycles. Doing the old bow-wow would be troublesome with only 1 leg.

I might still ride my dirtbike, but I would adjust the style and terrain so as to achieve a risk level that I was comfortable with.


I never thought about that dogstyle thing....I may have to re-evaluate my choice to continue riding:bonk:

  • DrMark

Posted December 08, 2008 - 03:23 PM

#11

There are lots of alternaives to total knee.
The best on for a person with an active lifestyle is a tibial osteotomy, like I did on Hackman and Tree. Perhaps they will see this post and make some comments.

  • Derwud

Posted December 13, 2008 - 07:39 PM

#12

I had to have a TKR after a Dirt Bike crash and I can't do the Doggy style thing either, should I be worried?

As for the bike, no more high speed single tracks and no racing..

And to the OP, I got many different opinons.. From sell the bike and die in a corner, to, unless you do something really stupid, we can fix you...





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