{"id":16979,"date":"2019-07-04T09:40:37","date_gmt":"2019-07-04T13:40:37","guid":{"rendered":"https:\/\/lastwordonsports.com\/tennis\/?p=16979"},"modified":"2026-03-24T17:41:03","modified_gmt":"2026-03-24T21:41:03","slug":"andy-murray-return-after-hip-resurfacing-risk","status":"publish","type":"post","link":"https:\/\/lastwordonsports.com\/tennis\/2019\/07\/04\/andy-murray-return-after-hip-resurfacing-risk\/","title":{"rendered":"Why Andy Murray’s return to tennis after hip resurfacing is a risk"},"content":{"rendered":"

Just under six months ago, before the Australian Open, Andy Murray tearfully announced that he would have to retire from tennis. He was in constant pain with his hip, and it impacted every aspect of his life. His goal, he said at the time, was to make it to July, where he would compete in his final tournament at Wimbledon. Murray, after all, is a British sporting hero, and was the first British man to win Wimbledon in 76 years. His home Major would certainly be a fitting place to end his career.<\/p>\n

Murray loves tennis, though, so he did not want to give it up so easily. After speaking to his team, doctors, and others, he decided to follow the lead of Bob Bryan. Bryan, who along with his brother Mike is one of the all-time great Doubles players, sustained a hip injury in May 2018. He also thought he would have to retire, but discovered he was able to come back to tennis after hip resurfacing surgery.<\/p>\n

Willing to do anything to keep his tennis career and dreams alive, Murray decided to emulate Bryan. The Brit underwent surgery in late January<\/a>, and just recently returned to Doubles play. He won a title at Queen\u2019s Club in London, and is currently playing in Wimbledon. The eventual goal, Murray hopes, is to return to singles play\u2014and the top of the game, where he once was.<\/p>\n

Why Andy Murray’s return to tennis after hip resurfacing is a risk<\/strong><\/h3>\n

Hip surgeons Winston Kim and Adam Hoad-Reddick explain the challenges posed by a 32-year-old returning from an operation that is mostly done on over-50s<\/h2>\n

“My hip was always on my mind because every single step I took was painful. I don\u2019t think I realised how much it was affecting my general well-being and happiness.”<\/p>\n

That\u2019s how Andy Murray described the worst 18 months of his professional career to\u00a0the Telegraph<\/em>\u00a0earlier this year, when he went from world No. 1 in the summer of 2017 to world No. 214 in June 2019.<\/p>\n

The diagnosis was an early onset of arthritis in his right hip, with the pain so bad in the end that Murray appeared to announce his imminent retirement ahead of the Australian Open.<\/p>\n

That is why the Scot went under the knife for the second time at the end of January to undertake a hip resurfacing, a procedure described as a\u00a0“last resort”\u00a0by leaders in that field.<\/p>\n

“There is no turning back from now,”\u00a0says Winston Kim, a hip surgeon from Manchester Hip & Knee Clinic.<\/p>\n

“It was clearly a very carefully considered decision. He will have had an awareness of the intended benefits of resurfacing.<\/p>\n

“If it fails, the next option would be a hip replacement. I\u2019m sure he didn’t take the decision lightly; the vast majority of hip surgeons would be nervous about performing a hip resurfacing because of the potential risks, particularly in such a young, elite athlete.”<\/p>\n

Hip resurfacing, which involves the implantation of a metal cap onto the ball of the hip joint and a metal socket into the ‘cup’ of the hip joint, divides opinion among surgeons.<\/p>\n

The medical risks of a ‘metal on metal’ procedure are heavily debated, particularly for somebody of Murray\u2019s age with aspirations to play top-level sport again.<\/p>\n

“It’s slightly controversial, who should be having a resurfacing and whether it\u2019s a better thing or not,”\u00a0says Adam Hoad-Reddick, a hip surgeon at the Alexandra Hospital in Cheadle, Manchester.<\/p>\n

“Fit young men who want to get back to impact activity are one sub-group of patients who probably benefit from hip resurfacing, but that\u2019s balanced with the risk of metal wear leading to raised metal ion levels.”<\/p>\n

There is evidence that particularly high blood metal ion levels can result in osteolysis, the destruction of tissues around the joint.<\/p>\n

“He wants to be able to play again, so he\u2019s doing something relatively risky,”\u00a0says Kim.<\/p>\n

“The average age for resurfacing is in the early 50s, so a 32-year-old elite athlete wanting to return to playing tennis at the highest level within four months is in unchartered territory.<\/p>\n

“Research says that 90 per cent of runners in their early 50s who undergo hip resurfacing are able to return to running,”\u00a0says Kim.\u00a0“That\u2019s just runners and I\u2019m not even giving you a time frame, and it\u2019s still just a 90 per cent return.<\/p>\n

“There\u2019s a difference between being able to run and being able to play tennis at the highest level play with abandon.”<\/p>\n

Murray\u2019s success, featuring three grand slam titles and two Olympic gold medals, has been built on an innate determination to respond to setbacks.<\/p>\n

But with the chances of a full recovery so uncertain, those characteristics may be a hinderance, rather than helpful.<\/p>\n

“It\u2019s incredibly important, in terms of willingness to return, to be determined and strong mentally,”\u00a0Hoad-Reddick says.<\/p>\n

\u201cBut it could be a negative. Will he ignore niggles and pain that he should be listening to more? If you push on and push on, you may end up in a chronic situation where you fail to fully recover.<\/p>\n

“I wonder why he\u2019s chosen to come back at four-and-a-half months, rather than say:\u00a0“I’m not going to play at all this season, I\u2019m going to try and fully recover and come back as a doubles player next year.”<\/p>\n

While acknowledging that the people advising Murray will be industry-leading, Kim is also surprised that the Scot is aiming to return to action at Queen\u2019s in June, less than five months after surgery.<\/p>\n

“Naturally, surgeons are cautious,”\u00a0he says.\u00a0“Lots would say: ‘Take it easy, maybe think about six months’ time.’<\/p>\n

“One should consider what the worst-case scenario is.<\/p>\n

“If he rushes his recovery, the danger is that he sprains a muscle around the joint, which results in tearing a muscle. He has to balance those risks, it\u2019s a very difficult call.”<\/p>\n

A full return to professional tennis is possible, though.<\/p>\n

American doubles player Bob Bryan reached the quarter-finals of the Australian Open and won the Miami Open this season after having his hip resurfaced in August 2018.<\/p>\n

“There is no pain, that’s the crazy thing,”\u00a0Bryan, who Murray described as his ‘bionic brother’, told\u00a0BBC Sport\u00a0<\/em>in April.<\/p>\n

“It looks like he (Murray) is doing really great. It\u2019s kind of how I felt after surgery \u2013 it felt like there was no hip.”<\/p>\n

By definition, the physical requirements of doubles players are less demanding on the body than singles players.<\/p>\n

“It’s probably not the playing that\u2019s the problem,”\u00a0Hoad-Reddick says.\u00a0“It’s the hundreds of hours on court and in the gym to maintain his fitness and keep his level up.<\/p>\n

“The physical exertion and cost to his own body will be less if he’s training to do doubles rather than singles. You don\u2019t need the same level of fitness.”<\/p>\n

Nevertheless, it is a relief to hear Murray playing down the importance of rushing back to action.<\/p>\n

“I don\u2019t need tennis to be happy anymore,”\u00a0he said in the same\u00a0the Telegraph\u00a0<\/em>interview.\u00a0“I’ve realised what\u2019s important.”<\/p>\n

“He was struggling to do even basic things,”\u00a0Kim says. Those things included sitting at the dinner table, playing with his kids, and putting on his socks.<\/p>\n

“It sounds like it\u2019s been a great success in terms of addressing the pain. It was obviously a quality-of-life decision.”<\/p>\n

Murray’s philosophical outlook, rather than his fierce competitiveness, will ensure he has the best chance of making more memories on court without risking his long-term health.<\/p>\n

\"\"<\/p>\n

Main Photo from Getty<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Just under six months ago, before the Australian Open, Andy Murray tearfully announced that he would have to retire from tennis. He was in constant pain with his hip, and it impacted every aspect of his life. His goal, he said at the time, was to make it to July, where he would compete in […]<\/p>\n","protected":false},"author":2561,"featured_media":5657,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","sfio_featured_image":false,"sfio_embed_code":"","_ef_editorial_meta_date_first-draft-date":"","_ef_editorial_meta_paragraph_assignment":"","_ef_editorial_meta_checkbox_needs-photo":"","_ef_editorial_meta_number_word-count":"","footnotes":""},"categories":[3],"tags":[16,3275,7061,2114,7060,7059],"class_list":["post-16979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-atp","tag-andy-murray","tag-andy-murray-hip-surgery","tag-andy-murray-surgery","tag-bob-bryan","tag-hip-resurfacing","tag-hip-surgery"],"modified_by":"Michael Kovacs, ADMIN","_links":{"self":[{"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/posts\/16979","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/users\/2561"}],"replies":[{"embeddable":true,"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/comments?post=16979"}],"version-history":[{"count":1,"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/posts\/16979\/revisions"}],"predecessor-version":[{"id":100188,"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/posts\/16979\/revisions\/100188"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/media\/5657"}],"wp:attachment":[{"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/media?parent=16979"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/categories?post=16979"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lastwordonsports.com\/tennis\/wp-json\/wp\/v2\/tags?post=16979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}