{"id":31887,"date":"2020-05-18T11:45:31","date_gmt":"2020-05-18T17:45:31","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=31887"},"modified":"2025-12-11T07:34:38","modified_gmt":"2025-12-11T14:34:38","slug":"hip-replacement-at-highlands-ranch-hospital-reopens-door-to-adventures-for-motorcyclist","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/hip-replacement-at-highlands-ranch-hospital-reopens-door-to-adventures-for-motorcyclist\/","title":{"rendered":"Hip replacement surgery gets airline mechanic back to grand adventures like a solo motorcycle trip to the Arctic Ocean"},"content":{"rendered":"
<\/div>
\"Hip
Gary Richter, a United Airlines aircraft mechanic and amateur adventurer, came to UCHealth with a knee problem. The real issue was with the opposite hip. Photo by Todd Neff for UCHealth.<\/figcaption><\/figure>\n

Medical care can be a journey. It was for Gary Richter, for whom that metaphor could hardly be more fitting.<\/p>\n

Richter, 59, is a United Airlines aircraft mechanic, grandfather of five, outdoor athlete, and adventurer. Richter\u2019s mechanical expertise spans nose to tail, wingtip to wingtip: airframe, avionics, engine. His athletic endeavors have been no less expansive. He\u2019s finished the Leadville 100 mountain bike race five times; he\u2019s avid road cyclist and dirt biker; he kayaks, hikes, lifts weights, wake surfs, scuba dives, cross-country skis, and snowshoes.<\/p>\n

On the adventure side, he had ridden his BMW R1200GS touring bike thousands of miles to touch oceans lapping shores south, east, and west the North American continent. Now, he wanted to dip his fingers in the ocean to the north. His body seemed determined to prevent it until a UCHealth orthopedic specialists put him in a position to drive way, way north.<\/p>\n

A hip replacement and road to recovery<\/strong><\/h3>\n

A few years ago, the occasional pain in Richter\u2019s lower back became nagging. His primary care doctor in Fort Collins \u2013 not far from his home in Johnstown \u2013 pinned the problem on a pinched piriformis muscle. Tramadol and physical therapy seemed to calm things down for a while. But soon it returned, and he was having trouble slinging that left leg over bicycle and motorcycle seats. To make matters worse, Richter\u2019s right knee was also giving him more trouble than had been the case for many years (he had torn meniscus decades earlier).<\/p>\n

For the knee, he made an appointment with Dr. Martin Boublik, a UCHealth Steadman Hawkins Clinic \u2013 Denver<\/a> cofounder, orthopedic surgeon, and sports medicine specialist who is also the Denver Broncos\u2019 head team physician. At Steadman Hawkins, Boublik asked Richter not only about the knee, but also whether anything else was bothering him. Richter told him about his back. Boublik considered this for a long moment and said, \u201cSounds to me like your hip.\u201d<\/p>\n

\u201cNo, the doc said it was the piriformis muscle.\u201d<\/p>\n

Boublik nodded and asked, \u201cDo you have time for an X-ray?\u201d<\/p>\n

When the results came back, Boublik showed Richter images the right hip, then the left.<\/p>\n

\u201cI\u2019m just a mechanic,\u201d Richter recalled, \u201cbut I\u2019ll tell you, it was kind of like looking at a piston with a bad ring.\u201d<\/p>\n

Candidate for hip replacement<\/strong><\/h3>\n

The left hip was bone-on bone. Richter was a candidate for a hip replacement. The timing wasn\u2019t great, though. It was June 2018; in July Richter planned on setting off on an 8,000-mile, solo, round-trip motorcycle journey to Alaska\u2019s far north. He aimed to touch the ocean to the north \u2013 the Arctic Ocean. Plus, UCHealth Steadman Hawkins physicians prefer to exhaust nonsurgical options before moving to the operating room. Boublik called in physician assistant, Jeremy Smith. <\/a>Smith administered a cortisone injection into Richter\u2019s left hip. Within two hours of arriving at Steadman Hawkins for a look at his right knee, Richter had received a diagnosis and treatment for his left hip.<\/p>\n

\"Richter
Richter and his ride on a ferry in northern Canada in summer 2019. Photo courtesy of Gary Richter<\/figcaption><\/figure>\n

Within a couple of days, the pain was gone and he could again swing his leg over various two-wheeled machines with ease. That July, he rode north stocked with a couple changes of clothes, camping gear, freeze-dried food, two quarts of water, a single-burner camp stove, bear spray, and a one-man tent. He took his time, the journey being as important as the destination.<\/p>\n

\u201cWhen you take a trip like that, it gets the wind out of your sails. I get to contemplate where I am in life, where I\u2019m going in life, and what I want to do for retirement,\u201d Richter said. \u201cYou\u2019ve got a lot of time to think.\u201d<\/p>\n

Richter was aiming for Prudhoe Bay, but he wouldn\u2019t get there. Road construction slowed him down and he missed the tour bus that was the only way up to the water. He had to turn around. But on the long ride back down, he ran into a guy in Fairbanks\u2019, Alaska, who told him, if the Arctic Ocean was his goal, he could get there via Inuvik, Canada, no buses required. That planted a seed.<\/p>\n

Addressing hip pain<\/strong><\/h3>\n

The cortisone shot wore off in October 2018. The hip caused enough pain that mountain- and road biking were out of the question. On a spring 2019 dirt-biking trip to Moab, he had to stack up rocks next to his KTM and use them as a step just to mount his ride. Richter, a former dirt bike racer, described that trip as \u201cmiserable.\u201d<\/p>\n

In June 2019, with his second attempt at the Arctic Ocean imminent, Richter got a second cortisone shot in the left hip, again from Smith. In July, he commenced another four-week, 8,000-mile adventure, camping roadside along the way. He drove under steel skies through vast permafrost expanses, stopping at Dawson City, Fort McPherson, and Inuvik, occasionally slowed by such Northwest Territories hindrances as herds of bison warming themselves en masse on the asphalt.<\/p>\n

\u201cThey\u2019re like, \u2018You\u2019re in our country, champ. If we\u2019re going to sit down in the middle of the highway, that\u2019s what we\u2019re going to do,\u2019\u201d Richter said.<\/p>\n

From Inuvik, he rode the 150 miles round-trip to and from the ocean side town of Tuktoyaktuk. This time, he touched the Arctic Ocean before heading back south.<\/p>\n

The second cortisone shot wore off faster. He started feeling his arthritic hip again soon after his return. It was time for a replacement.\"\"<\/p>\n

Boublik, Smith, and colleagues at UCHealth Steadman Hawkins Clinic \u2013 Denver are sport-medicine specialists who, when it comes to joints, focus largely on repairing and rehabbing ligaments and cartilage damage. Joint replacement is a specialty unto itself. For this, they turned to UCHealth joint-replacement specialists. They recommended Dr. Ryan Koonce<\/a>, who had established himself as a go-to UCHealth Steadman Hawkins Clinic \u2013 Denver partner for knee and hip replacements.<\/p>\n

Severe hip joint arthritis<\/strong><\/h3>\n

In October 2019, Richter met with Koonce at UCHealth Highlands Ranch Hospital<\/a>. Koonce, who does more than 200 hip replacements a year, recognized a man with severe arthritis in the joint. Richter described his day-to-day pain as an eight out of 10, and that\u2019s after Richter had described himself as a person with a high pain threshold. Koonce asked him about his interests; Richter walked through his litany of athletic endeavors.<\/p>\n

\u201cWe\u2019re going to get you back to doing what you like to do,\u201d Koonce told him.<\/p>\n

Koonce and his team also explained the details of the surgery and recovery in-depth, such that \u201cyou don\u2019t leave there with pretty much any kind of question,\u201d as Richter put it.<\/p>\n

Prior to the Nov. 7 surgery at UCHealth Highlands Ranch Hospital, Koonce mentioned to Richter that he\u2019d gone on a bike ride that morning.<\/p>\n

\u201cI\u2019m like, \u2018This is my guy,\u2019\u201d Richter said.<\/p>\n

Recovery from hip replacement<\/strong><\/h3>\n
\"A
By the time he got to Dawson Creek, British Columbia, Richter had ridden about 1,700 miles. He another 1,700 miles to get to his Arctic Ocean destination. Photo courtesy of Gary Richter.<\/figcaption><\/figure>\n

The surgery went well, and Richter was on his feet and walking stairs before being discharged the next evening. He was back on his road-bike trainer in two weeks and getting back into weight training four weeks after surgery. While Richter\u2019s recovery was quick, it wasn\u2019t that out of the ordinary, Koonce says: most patients have no limitations after three months \u2013 though he advises against running to minimize the impact on the artificial joint.<\/p>\n

\u201cHip replacement has been called the \u2018operation of the century\u2019 for a reason,\u201d Koonce said. \u201cIt really returns people who were debilitated to a very active lifestyle. I think Gary is an exceptional patient, given his enthusiasm, but I think his outcome is what we expect a lot of the time.\u201d<\/p>\n

Richter said he\u2019s thankful for Koonce\u2019s expertise as well as his and the UCHealth team\u2019s taking the time to listen to his story and explain the details of the surgery and recovery process. More generally, he called his time at UCHealth Highlands Ranch Hospital \u201can awesome experience.\u201d He\u2019s looking forward to a much different dirt-biking trip to Moab in the future.<\/p>\n

\u201cI\u2019m going to take each day as it comes,\u201d he said. \u201cBut you know what? I\u2019m going to go right back to being me.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Medical care can be a journey. It was for Gary Richter, for whom that metaphor could hardly be more fitting. Richter, 59, is a United Airlines aircraft mechanic, grandfather of five, outdoor athlete, and adventurer. Richter\u2019s mechanical expertise spans nose to tail, wingtip to wingtip: airframe, avionics, engine. His athletic endeavors have been no less […]<\/p>\n","protected":false},"author":23,"featured_media":31892,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[183,9167],"class_list":["post-31887","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-orthopedics","tag-specialized-services"],"acf":[],"yoast_head":"\nHip replacement surgery gets airline mechanic back to grand adventures around the world<\/title>\n<meta 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