Friday, March 19. 2010
Sports Activity After Total Hip Resurfacing Study 2010
Original Link http://www.ncbi.nlm.nih.gov/pubmed/20223940?dopt=Abstract
March 11, 2010
Banerjee M, Bouillon B, Banerjee C, Bäthis H, Lefering R, Nardini M, Schmidt J.
Dreifaltigkeits-Krankenhaus and Cologne Merheim Medical Center.
BACKGROUND: Little is known about sports activity after total hip resurfacing.
HYPOTHESIS: Patients undergoing total hip resurfacing can have a high level of sports activity. STUDY DESIGN: Case series; Level of evidence, 4.
METHODS: The authors evaluated the level of sports activities with a standardized questionnaire in 138 consecutive patients (152 hips) 2 years after total hip resurfacing. Range of motion, Harris hip score, and Oxford score were assessed, and radiological analysis was performed.
RESULTS: Preoperatively, 98% of all patients participated in sports activities. Two years postoperatively, 98% of the patients participated in at least 1 sports activity. The level of sports activity decreased after surgery. The number of sports activities per patient decreased from 3.6 preoperatively to 3.2 postoperatively. Intermediate- and high-impact sports, especially tennis, soccer, jogging, squash, and volleyball, showed a significant decrease while the low-impact sports (stationary cycling, Nordic walking, and fitness/weight training) showed a significant increase. Physical activity level at the time of follow-up as measured by the Grimby scale was significantly higher than in the year before surgery. Duration of sports participation per week increased significantly after surgery. Men had a significantly higher sport level than women before and after surgery. Eighty-two percent felt no restriction while performing sports. One-third missed certain sports activities such as jogging, soccer, tennis, and downhill skiing. The Harris hip and Oxford scores showed a significant increase postoperatively.
CONCLUSION: The results of this short-term follow-up study show that sports activity after total hip resurfacing surgery is still possible. Physical activity level increased with a shift toward low-impact sports. Duration of sports participation increased. High-impact sports activities decreased. These findings can be important for the decision-making process for hip surgery and should be communicated to the patient.
Wednesday, March 17. 2010
Dr. Barry Tannen Bilateral HR Dr. Su 12/18/08
I am a 52 year old physician who had bilateral hip resurfacing with Dr. Su on December 18th 2008 at the Hospital for Special Surgery in New York. I had been diagnosed with moderate to severe osteoarthritis 3 years earlier and increasingly had to deal with the pain and limitations that this brought on. I am an avid tennis player who competes locally and in USTA tournaments and obviously my tennis game was greatly impacted, but so were ordinary activities of daily living such as tying shoelaces, etc.
My experience with Dr. Su, his staff, and the entire team at the Hospital for Special Surgery was nothing short of amazing. I left the hospital 6 days after surgery and was discharged to my 2 story home. My wife was terrified that I would be climbing stairs immediately, but it was no problem. I started outpatient physical therapy one week after being home, returned to work 4 weeks after surgery, and started playing doubles tennis in 8 weeks, singles in 12.
I feel better than I have in at least 8 years, maybe longer. I enthusiastically recommend HR, and especially Dr. Su who is an amazing surgeon in my opinion.
Emanuel captures tennis tourney

Temple Emanuel captured the recent Jewish Athletic Group (JAG) Tennis Tournament. Barry Tannen (left) and Mike Spivak hoisted their trophy. The duo overcame the father-son team of Richard and David Fischer of Cong. M’kor Shalom in the finals. Over 30 area players representing many area men’s clubs participated in this year’s event.
Tuesday, July 21. 2009
Landis returning to racing after resurfacing
Landis not ready to ride into sunset
July 20, 2009
By Lesley Visser CBS Sports
Three years ago this week, his legs aching and his lungs on fire, Floyd Landis staged one of the greatest comebacks in the history of the Tour de France...
...His improbable ride that day was all the more remarkable because he was
experiencing severe hip pain and avascular necrosis to the femur head
(diminished blood supply - remember Bo Jackson?) as a result of a training
accident in 2003.
Landis wrestled with what do - a complete hip replacement would have all but
ended his chances to be a world-class cyclist again when his suspension was
lifted this January. Landis decided to have a relatively new operation called
the Birmingham Hip Resurfacing, which was performed in October of 2006 by
surgeons from Smith and Nephew, the British jointmaker.
In hip-joint resurfacing, only the surface of the hip socket and femur ball are
replaced. It is kind of a cap at the end of worn-out bone, sparing much of the
original joint..
...It changed my life," said Landis, who hopes to compete in the Tour de
France next year. "I've ridden almost 20,000 miles on my new hip. I have
completely recovered."
READ MORE
Saturday, July 18. 2009
World Judo Medalists Open New Club After Hip Resurfacing
Kevin Nagel, Post Sports Editor
Link http://www.burlingtonpost.com/sports/article/268172
Published on Jul 17, 2009
The husband and wife team of Ron and Tracy Angus has accumulated 19 medals in world masters judo competition over the years.
For Ron, who has 14 of them - 11 gold - there are two reasons why he still travels the world for such events. "No. 1, I like to compete," he said, while taking a break from a little one-on-one soccer play with his nine-year-old daughter, Chelsea. "No. 2, it keeps me realistic when I'm coaching people. If we don't test theories and training methods, we start going off track as coaches."
A nagging hip injury kept him in pain for 15 years and out of competition for the past four years until a hip resurfacing operation eliminated the suffering. It worked so well, he is back running and lifting heavy weights.
"I'm so happy with it, that's why I decided to get back into competition - I'm pain free," said Angus, 52...
READ MORE
Thursday, July 16. 2009
Robyn Benincasa Hip Resurfacing
Link http://www.thenewstribune.com/tacoma/24hour/consumer/outdoors/story/811676.html
competed in close to 40 expedition-length events - gnarly, multiday, multisport killers such as Primal Quest and Eco-Challenge. She has biked through jungles in Borneo, climbed Himalayan giants in Nepal, trekked across lava fields in Fiji, rafted rapids in Chile - and racked up multiple world championship titles along the way. In her spare time, Robyn, 42, is a full-time firefighter in San Diego, on the nation's first all-female crew. She previously competed in college-level diving and gymnastics and raced six Ironman triathlons.
Robyn might know better than anyone how to push through sore muscles and achy joints...
Adventure Racing World Championships in Scotland in 2007, Robyn was hit with sudden pain in her hips so severe she almost couldn't finish the race. She had entered the competition with her team as a favorite but wound up barely able to make it across the finish line. She literally picked up each leg and placed it in front of her, dragging herself up the last few mountains of the course. Back home, doctors diagnosed Robyn with osteoarthritis and proclaimed her days of professional racing over.
In her 15-year career as a professional adventure racer, Robyn Benincasa has competed in close to 40 expedition-length events - gnarly, multiday, multisport killers such as Primal Quest and Eco-Challenge. She has biked through jungles in Borneo, climbed Himalayan giants in Nepal, trekked across lava fields in Fiji, rafted rapids in Chile - and racked up multiple world championship titles along the way. In her spare time, Robyn, 42, is a full-time firefighter in San Diego, on the nation's first all-female crew. She previously competed in college-level diving and gymnastics and raced six Ironman triathlons.
Robyn might know better than anyone how to push through sore muscles and achy joints...
But at the Adventure Racing World Championships in Scotland in 2007, Robyn was hit with sudden pain in her hips so severe she almost couldn't finish the race. She had entered the competition with her team as a favorite but wound up barely able to make it across the finish line. She literally picked up each leg and placed it in front of her, dragging herself up the last few mountains of the course. Back home, doctors diagnosed Robyn with osteoarthritis and proclaimed her days of professional racing over.
She was crushed. But her competitive spirit wasn't quiet for long. In fact, Robyn's love of adventure racing is what kept her afloat through the difficult time after her diagnosis. Competing again, "is the mental carrot I dangled in front of myself to get well," she says.
Soon after, Robyn founded the Project Athena Foundation, a nonprofit dedicated to helping women who've endured medical setbacks achieve their athletic dreams, whether it means climbing Mount Kilimanjaro or running a local 10K. The goal? To encourage survivors not just to survive - but to thrive in the wake of their diagnoses...
...Robyn, however, is back in full competition mode. After successful hip-resurfacing surgery in 2007, she has recovered and returned full force to the sport she loves. This month she'll lead Team Merrell/Zanfel Adventure at Primal Quest Badlands, a 600-mile adventure race across the canyons, caves, and hills of South Dakota. She's in it to win it, of course, but now she has a new goal: raising awareness for the Project Athena Foundation - and showing other survivors that medical setbacks don't mean the end of athletic goals. Sometimes, in fact, they can lead to better things.
Track Robyn's progress August 14-23 at www.ecoprimalquest.com
Thursday, July 9. 2009
Sandra Beal Receives Hip Resurfacing
Beale beats off adversity to become first female 'master' in the UK
Monday, 06 July 2009
Adversity has been well and truly overcome by Sandra Beale, the National
Association of Karate and Martial Art Schools' (NAKMAS National Governing Body)
director of operations, who has just become the first woman in the UK to achieve
Shihan (master) status in Tsuyoi Ryu Karate.
Sandra, 41, achieved 5th Dan karate grade within Tsuyoi Ryu which has been part
of the UK and international martial arts scene since 1977. Sandra achieved this
colossal feat despite suffering two bouts of cancer during her life, and in
addition to her tireless 17 years work with NAKMAS National Governing Body.

Sandra said: "It is a great honour to achieve my 5th Dan. I could never have
imagined achieving this level. Without the support of my husband and the
constant dedication and loyalty of my students, I wouldn't have reached this
stage."
Sandra was diagnosed with a rare form of cancer, Ewings Sarcoma, when she was
nine years-old and was told she had a fifty-fifty chance of survival. After
surgery, radiotherapy and two years of chemotherapy she survived, but the
extensive treatment caused other illnesses, including damage to the heart.
As Sandra grew older, she developed skin cancer, and recently needed hip
resurfacing. Undeterred, Sandra aimed high within karate and became instrumental
in reshaping the NAKMAS National Governing Body, being the driving force behind
securing NAKMAS the Equality Standard in Sport accreditation and the
International Quality Management Standard (BS EN ISO 9000).
Richard Fowler, Deputy Chair of NAKMAS National Governing Body, says:
"Not only is Sandra a valuable asset to the NAKMAS team, she is also an
inspiration to others faced with adversity, a role model for other women and an
example of someone who commits themselves to overcoming any challenge.
"To become the first woman Shihan is testament to Sandra's determination and,
add to that what she has achieved for NAKMAS, illustrates her importance to the
martial arts in the UK. NAKMAS has taken giant leaps in developing a nationwide
strategy for martial arts, and Sandra can take a lot of the credit for being one
of the architects of that progress."
Sandra has been practising karate for 18 years. As well as being the national
director of operations to NAKMAS she is the joint chief instructor to the Kent
Karate Schools (www.kentkarateschools.co.uk),
teaching her classes in Ashford and Canterbury, specialising in teaching
children, including those with Asperger Syndrome and those with other special
needs.
Away from her many martial arts commitments, Sandra's true passion is dance and
she has competed in professional dance competitions since she was four
years-old. She continues to dance, practising and teaching alongside her father,
Alan Beale.
Sandra is also an academic and attained a Master of Arts in Education from the
University of Kent. She is about to commence study for a Doctorate in Education
at the Sheffield Hallam University, specialising in autism within sport and
physical activity.
Friday, January 23. 2009
Landis to Return to Cycling After Hip Resurfacing
Landis to Return to Cycling
January 22, 2009
Link  http://www.nbcchicago.com/sports/more/Landis-to-Return-to-Cycling.html
Floyd Landis is coming back to cycling, and says his sport will be better for
it.
Landis' feel-good story came to halt when he was stripped of his 2006 Tour de
France victory following a doping scandal and protracted fight in courts around
the world. He said Thursday he feels "like a kid again" knowing that his
two-year ban from cycling will end next week.
"In my mind, it's already behind me," Landis said in an interview with The
Associated Press. "I'm not dwelling on that at all."
Landis was barred for using synthetic testosterone in the latter stages of
cycling's showcase race three years ago. He contends the testing system is
flawed, but he has no means left to fight other than to resume racing.
The Murrieta, CA resident trained in San Diego and is returning to the county in
his return to the sport.
He will ride for the OUCH cycling team and debut at the Tour of California next
month, starting what he plans to be at least two years with OUCH, which opens
its training camp Friday.
"This isn't some kind of statement to shut down the critics or any kind of
changing-the-world project of mine," Landis said. "This is me doing what I've
trained myself to do for the last 15 years, and I hope that the people that
follow bike racing get a better show than what they've had the last couple
years."
His return comes on the heels of seven-time Tour champion Lance Armstrong
resuming his own racing career. Armstrong is currently in Australia at the Tour
Down Under, his first competitive race in three years. They'll be linked at the
Tour of California, which Armstrong is planning to make his next race -- and
cable channel Versus said Thursday it will show all nine days of that event..
...Landis says he feels as good as ever, in large part because his right hip
is now pain-free. He underwent hip resurfacing surgery two years ago, relieving
the bone-on-bone pain that plagued him for years, even during that 2006 Tour.
OUCH is sponsored by Dr. Brent Kay, a devout cycling enthusiast from California
who has worked on Landis' hip for many years and is a close friend of the rider.
He said when the opportunity came to sign Landis, he didn't hesitate for one
second...
Monday, August 11. 2008
Bilat Resurfacing - Copenhaver hopes to compete again
Link
http://www.star-telegram.com/376/story/822867.html
By RICKY TREON
Calf roping is no longer a young man's sport for Jeff Copenhaver.
It was, back when he was 9 and dreamed of being a world champion. Back when he
went to his first national finals 13 years later, and when he competed in that
prestigious event for the last time at 29.
But now, at 59 years young, Copenhaver has decided to return to calf roping
competition, something he thought he'd given up long ago.
Copenhaver, who runs the Cowboy Church at Billy Bob's in Fort Worth and also
works with kids, did win that world championship in 1975 and he continued to be
one of calf roping's premier competitors and teachers for two more decades.
It seemed age had finally caught up with Copenhaver in 1995, when it became too
painful to mount a horse. And at the time, not being able to practice calf
roping in any capacity was something he could deal with.
"I really didn't think I had any more desire to do it," he said of the skill
that he'd nearly perfected throughout his life. "I was just minding my own
business in 2006. And then, bam, the desire came back."
Copenhaver said that desire was subtle at first. But in October 2006, he
scheduled a double-hip resurfacing, a new procedure that allows less bone
removal and more mobility than a total hip replacement. The hope was to
eliminate the pain and regain the abilities he thought he'd lost forever.
Turns out he had to wait until the following August to finally have his surgery
done by Dr. Theodore Crofford at Fort Worth's Texas Hip and Knee Center.
It was tough, waiting all that time, he said.
Copenhaver hasn't had any complications after the surgery last Aug. 27 and said
he's feeling better physically than he did at age 36 when he'd last sat in a
saddle.
"They know so much more about the body and how it works nowadays," Copenhaver
said. "I'm just way more fit."
So fit that he wants to start competing again. Though it sounds like a pipe
dream, Copenhaver is doing everything he can to make sure he doesn't end this
comeback disappointed or hurt.
Riding a horse and roping a calf is hardly like riding a bike.
"It's going to take a certain length of time to get riding again with an edge,"
he said. "The hip is just now, at 11 1/2 months, starting to feel strong
again"...
Tuesday, July 15. 2008
Hip joints resurfaced instead of Replaced
July 15, 2008 SAN DIEGO ALIVE
With more people in their 40s and early 50s being sidelined by severe osteoarthritis, a new technology – hip resurfacing as an alternative to hip replacement – is giving baby boomers a chance to stay active longer.
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Robyn Benincasa, a runner and San Diego firefighter, had a new hip resurfacing procedure. |
The Birmingham Hip Resurfacing system takes only the cartilage off the outer part of the ball and socket joint, and installs a cobalt-chromium steel cap and cup that slides more smoothly than hip replacements, lasts longer and has less potential for leg-length discrepancy. Widely used in the U.K. since 1997, the BHR system was approved for use in the U.S. in May 2006.
This week, San Diego Alive, the Union-Tribune's video health feature, spotlights local adventure racer and San Diego firefighter Robyn Benincasa, who, under the care of La Jolla orthopedic surgeon Dr. Michael Kimball, had the procedure. Five months after Kimball resurfaced Benincasa's troublesome hip, she ran across Vietnam.
Monday, May 12. 2008
Michael Montgomery Surface Hippy Ironman at 6 months
Hip resurfacing helped triathlete compete again
Link www.dallasnews.com
The patient before: Michael Montgomery, 33 years old, of Trophy Club was a
31-year-old Ironman triathlete.
For more than three years, triathlons offered him some semblance of normalcy.
Most of his life revolved around a stressful job in which he traveled the
country as a business-applications consultant.
That is, until he began having intolerable hip pain after the 2006 Ironman
Arizona. In four months, he went from finishing a marathon to being unable to
run a 5K.
An old hip injury from his college wrestling days probably caused avascular
necrosis, a condition following the loss of blood supply that resulted in his
hip tissue dying and the bone collapsing.
Initially, Mr. Montgomery thought total hip replacement was his only choice and
that he would never run again. Through research, he learned that cyclist Floyd
Landis of Tour de France fame had a similar diagnosis and had undergone a newly
approved option using the Birmingham Hip Resurfacing System.
Dr. Jay Mabrey, chief of orthopedics at Baylor University Medical Center at
Dallas, had just become certified to use the device. He had chaired the Food and
Drug Administration Orthopaedic and Rehabilitation Devices Panel, which approved
the implant in May 2006.
It's riskier than total replacement and appropriate only for young, active
patients.
The patient now: Six months after the procedure, he completed the April 2007
Ironman Arizona.
What is it? The Birmingham Hip Resurfacing System preserves more bone than total
hip replacement. It's similar to a tooth cap. Doctors shave and cap a few
centimeters of the bone within the joint with a metal implant rather than
replacing the entire joint.
Why he chose it: Mr. Montgomery wanted to resume running. A total hip
replacement device can't withstand the impact of running.
What you need to know: The Birmingham Hip Resurfacing System has a higher
failure rate than total hip replacement. Total hip replacement makes sense for
most people who are content to do low-impact activities.

Collapsing bone threatened to sideline triathlete Michael
Montgomery (left),
but a hip resurfacing procedure returned him to competition.
He and
Dr. Jay Mabrey examine his X-rays.
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