Broke my femur (comminuted intertrochanteric fracture) beginning of last Nov. Same day surgery. Big long titanium nail, hip screw and a little screw put inside me.1 wk in hospital. 14wks non-weight bearing. Currently at 19wks. The last 5wks I’ve been doing daily rehab including the trainer. Put away the walker/Zimmer about 10d ago. While I can’t walk completely normal yet, I can fool you some of the time. Be patient. Listen to the doctor. Listen to your body. Be patient.
I have a friend who had a surgery similar to mine. She recovered and was racing again. Then, six years later, she needed a hip replacement due to necrosis of the hip (AVN ??). Anyway, she had a hip replacement. She’s once again racing half marathons and triathlons and winning her age group.
You will recover. Be patient. Focus on rest and recovery. Eat well. Sleep well. Avoid Strava. Focus on a hobby, your wife and/or kids, etc… Listen to the doc! Listen to your body!
I’m at about 4 weeks nearly with two screws in my femur. I don’t need a hip replacement but so far I’m using crutches still and weight bearing is not allowed. I have someone help me stay balanced when going up and down the steps at the entrance to my house for safety.
The wound where surgeons went in to operate is healed.
There is another check up in four weeks with another lot of scans.
At the moment all I can do is listen to music, watch movies and read lots of books (engineering related).
Unfortunately I’ve heard other people crashed in the same place I did due to the dangerous conditions.
Not needing hip replacement is a good thing. 4wks is nothing in the big scheme of things. It will seem like 4mo, but you’ll be up and about before you know it. I went 14wks non-weight bearing. I was using a walker vs crutches (not my choice, that’s what the doc recommended ）i’m at 5mo now, 2mo into rehab. I had a checkup a couple days ago. Everything looks great. Put away the walker about 1mo into rehab. As of about a week ago, I walk normally. While I can still feel it w/every step, it’s not visible to others that anything happened to me.
Catch up on Netflix, music, and your reading. You’ll be cleared for rehab before you know it. Cycling is much easier than walking once you start back, especially the longer you go w/out weight bearing. Listen to the doc and listen to your body.
I’m 16 months into a similar procedure. I’ve found that I can now do everything bar sprinting/running. I still get soft tissue pain, so am on the recon list to have my gamma nail removed, after which I can expect full recovery.
I was told initially, no weight bearing exercise, but gentle supported activity was fine after two months. I kept it very gentle on the turbo, but by month 4 was able to up the intensity.
Your body will tell you what you’re capable of, but listen to the medical staff. They deal with this case type daily.
Long story short, I’ve recovered pretty much all my ability, so no reason to expect anything different for you.
I’m sorry to hear about your accident. I hope your hip will heal well and you won’t need hip replacement.
Judging from your description of treatment (2x pins) it is likely that you sustained specific type of neck of femur fracture - subcapital variant. This is different to what other people here are describing (other fractures mentioned are most likely intertrochanteric type).
Although your type of fracture carries a risk of avascular necrosis (it can take up to 2 years from injury for AVN to declare itself) it can often heal so well that patient can function as well as before the accident.
It takes at least 6 weeks for bone to heal and sometimes longer than 12 weeks. Be patient, follow the rehab protocol and hope for the best. Even if you end up with total hip replacement you should still be able to return to cycling.
Bummer about the accident and hope you recover. I came out lucky when I went over the handle bars at 24 mph a few years ago trying to get a drink. Busted helmut, sore ribs and hip, and lots of road rash. My wife went in to get her knee scoped and came out with having micro-fracture surgery done. The Dr ended up clearing the joint and drilling holes in the end of the bone to let it bleed and get some stem cells in the are to regrow the cartilage (or something). No weight on leg for 12 weeks or so.
Best learning is if you have a tile or wood floors get a lab chair to move around. She is not really strong enough for crutches long term so the wheels let her move around the house.
Engineering books?? You need help sleeping? Bernolli’s equation is great the first time through but something like that needs to be put into Excel or sim program. Robert Crais, early Clancy, and A.E. van Vogt FTW! Download all the bike races!
Yeah, I’m happiest looking at the engineering of a M125 in a W125 Merc, one of those old pre WW2 supercharged inline-8 beasts.
I got back on Zwift today for 15 minutes, I wanted to see if I could manage to get on the kickr bike, which I did:
lower the height by one notch so I could get my leg over the bike
carefully rest on top of bike then clip in with right foot, then push up onto the saddle then clip in left foot.
getting off the bike was the reverse of that.
This really helps get rid of the remaining swelling in my leg and also helps free up the muscles. I will try another 15 minutes tonight.
I’m not putting out any real power, just only 60-70w - but just trying to get smooth movement back. Fortunately I haven’t gotten fat yet. It’s a far cry from where I was. But that’s what happens with major surgery and then being inactive for a couple of months. But just being able to carefully get on the kickr bike is a big win.
That said, a few things I learned about 3mo ago when I was in the same situation:
get a step stool and use it to get on off the bike, carefully!
clip your shoes in w/your hands and leave them on the bike.
spin lightly. forget about power and be happy to move.
keep the sessions short, less than 30min for a couple weeks.
You will be tempted to push harder and/or longer. Don’t, you’ll really feel it the next day. Again, be happy to move. Now is not the time for training, fitness gains, etc… For now, go ridiculously easy and listen to your body.
Hi ya Chris,
I was a runner, 50+miles a week until about 3 years ago. My left knee took some damage and a scope turned into a pretty major surgery. Of course, you have the first few months of healing, reducing swelling, etc…As time went on I tried to run again. I could go a week or two, but then the knee would swell and the pain would return. I tried 3 different times to run over a 2 year period. Running is no longer in my cards, but here is the good news. Recently, I got a Bowflex C7 (yeah I know it’s a spin bike). Hooked it up to Zwift and yesterday I rode my fourth or fifth ride, a 2 hour zone 2 ride. I can happily say other than normal soreness and a bit of IT ache from time to time everything seems normal, no swelling or major pain in my knee. The biggest struggle is being patient and remembering I’m not where I once was physically, so I have to slow the pace a bit, shorter workouts, less intensity, all those things will come with time once the core engine is rebuilt. Best bet is listen to your doctors and listen to what your body tells you, speedy recovery to you.
He’s a great photographer too, something I also loved to do. I watched his RSO Walter Watson giving a presentation on the SR71, also interesting.
I did a lot of reading when I could. I’ve also met Richard McCrary through AIAA. He was incredibly interesting and very persuasive.
I found today I could drop the kickr bike down to get my leg over the top of it, then raise it back to correct height. This made riding much more comfortable.
I wish the auto braking in Zwift wouldn’t interrupt me, because I’m so slow if I dare stop pedalling then I stop immediately. Things will get better when I’m fully allowed to put more weight on the bad leg.
Yes, I’m following everything they tell me to do. I just cannot physically do much now so that prevents me pushing too much. I just tell myself that it will get better.
Things turned bad, actually it stopped healing for a while. So I stopped what little Zwift I was doing and tried using a ultrasound machine for a good 6 weeks. The only other activity was my physio sessions and exercises.
Then another set of scans, and at that point it has started to heal up now, progressive callus formation is happening. I can put up to 50% weight on the bad leg, but it’s a slow process.