The Road Back to Ironman

Martin had completed six Ironman triathlons when his hip failed. Eighteen months after hip resurfacing at the Royal Orthopaedic Hospital, he crossed the Ironman Copenhagen finish line again.

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The athlete

Six Ironmans and a Goal Called Hawaii

Martin has been competing at something for most of his adult life: mountain bike racing, martial arts, then gym cross-training competitions that took him overseas and, at his peak, to what he describes as a top-five national ranking. When his father passed away, he looked for a different kind of challenge and a way to raise money for charity, and in 2015 he went straight into the full Ironman distance: a 3.8 km swim, 180 km on the bike, and a full 42.2 km marathon to finish.

He has since completed six Ironman races across the UK and Europe. His standing ambition is the one every long-course triathlete recognises: qualifying for the World Championships in Hawaii.

Martin standing with his time-trial bike in training for Ironman Copenhagen after hip resurfacing
Martin back in training with his time-trial bike, eighteen months after hip resurfacing.
The problem

Racing a Marathon on a Failing Hip

In early 2024, while training for that August's Ironman Copenhagen, Martin became aware of a problem in his hip and groin. Like many athletes, he raced anyway.

"I still raced, but I wouldn't recommend running a marathon needing hip surgery."

Martin, writing to Mr Hussain

After the race he went to his GP, and the referral pathway brought him to Mr Shakir Hussain and his team at the Royal Orthopaedic Hospital in Birmingham. For an endurance athlete in his situation, the question was never simply how to get rid of the pain; it was how to keep the life the pain was taking away. That distinction is exactly what separates hip resurfacing from conventional replacement for active patients, and it is what drew him to the operation.

"I was interested in the resurfacing as I'm not ready to give it all up yet, and believed this would give me the best chance. Mr Hussain was very enthusiastic, and I was immediately put at ease with his knowledge that this was the best route for someone active."

Martin, writing to Mr Hussain

Whether resurfacing is the right route depends on bone quality, anatomy and activity goals, which is why every patient starts with the same candidacy assessment Martin had.

Recovery, honestly

From the Ward to the Bike, Step by Step

Martin had his hip resurfaced in February 2025. His account of the experience is characteristically direct: staff at the ROH were friendly and professional from day one, and Mr Hussain found time to talk to him before the operation. He is equally direct about the morning after.

"The next day, I have to admit, I was considering my life choices. But the ward were just as excellent, and soon I was recovering at home."

Martin, writing to Mr Hussain

The first days after hip surgery are hard, including for very fit patients, and pretending otherwise helps nobody. What matters is the trajectory. Martin eased into physiotherapy, then week by week added the gym, swimming and cycling, with running deliberately held back until around six months, the final step in a staged return. That sequence, building load progressively and letting the bone adapt before impact, is the pattern described in our week-by-week recovery guide and the article on returning to running after hip resurfacing.

Martin riding his time-trial bike in aero position during triathlon training after hip resurfacing
Back in the aero position: structured bike training on the road to Copenhagen.

Resurfacing is a volume game: outcomes track surgeon experience more closely than almost any other factor in joint surgery.

Meet the Surgeon
The setback

A Setback That Wasn't the Hip

Through the winter and into spring 2026, the hip was never the limiting factor. Martin was swimming and cycling pain-free and had built his running back up to 30 km long runs. Then, in April, a cycling accident left him with three broken ribs and two fractures to the transverse processes of his spine, the small bony wings at the side of each vertebra. By the time he could train properly again, he had around five weeks before Copenhagen, taper included.

Swimming and cycling came back. Running did not. After about 20 minutes, pain began to radiate through his operated hip and down his leg.

"I became extremely concerned that I had somehow damaged my resurfaced hip and that continuing to run could potentially make the situation worse. At that stage, I wasn't even sure whether I would be able to make the start line, let alone complete the race."

Martin, writing after the race

Mr Hussain saw him within a week and arranged X-rays of both the hip and the spine. The resurfacing was intact. The pain was coming from irritated soft tissue and muscle around the injured spine, aggravated by the impact of running. Pain that starts in the back is often felt in the hip and down the leg, which is why imaging both, rather than guessing, mattered.

"That reassurance made a huge difference to me. It gave me the confidence to continue training and, ultimately, to stand on the start line in Copenhagen."

Martin, writing after the race
Race day

11 Hours, 31 Minutes in Copenhagen

Even on the start line, Martin had no idea whether he could finish the marathon. His plan was simple: get through the swim, push hard on the bike, and see what happened on the run.

The swim: 3.8 km

Ironman swims are notoriously physical, with hundreds of swimmers and constant contact from arms and legs. On the day, the wind added chop that made sighting difficult. The swim took 1 hour 17 minutes, slower than he had hoped, but he came out of the water feeling good.

Triathletes in wetsuits and green swim caps running into open water at the Ironman Copenhagen swim start
The mass swim start: 3.8 km of open water, with wind chop on the day.

The bike: 180 km

The course leaves through the streets of Copenhagen before heading inland and north, into strong, gusty wind.

"Riding a TT bike in those conditions can feel a little like riding a sail on wheels!"

Martin, writing after the race

Only months after his own crash, there were moments he seriously considered stopping. He stayed focused and finished the 180 km in 5 hours 23 minutes.

Martin in the aero position on his time-trial bike crossing a Copenhagen bridge during Ironman Copenhagen after hip resurfacing Martin, race number 205, riding a tree-lined section of the Ironman Copenhagen bike course
Holding the aero position through Copenhagen's crosswinds on the 180 km bike course.

The run: 42.2 km

This was the part he had been dreading.

"I was almost waiting for the pain to return. I expected the familiar pressure to build after 20 minutes, but kilometre after kilometre, it simply didn't happen. So I kept running."

Martin, writing after the race

The crowds along the course carried him through the hardest stretches, and he completed the marathon in 4 hours 35 minutes.

Martin, race number 205, running the Ironman Copenhagen marathon after hip resurfacing
Kilometre after kilometre, and the pain he had feared never came.

The finish

Martin running down the red carpet finishing chute at Ironman Copenhagen, eighteen months after hip resurfacing
The finishing chute at Ironman Copenhagen, August 2026.

"The fact that my hip resurfacing was not the limiter, even after everything that had happened, is something I am incredibly grateful for."

Martin, writing after the race
1:17:41
Swim 3.8 km
5:23:43
Bike 180 km
4:35
Run 42.2 km
11:31:48
Total

"I have definitely got my life back and feel as strong as ever, thanks to the knowledge and support of Mr Hussain, his team and everyone at ROH Birmingham."

Martin, writing to Mr Hussain

One patient story is not a clinical series, and no two recoveries are identical: return to impact sport is cleared individually, on imaging and progress, not on a calendar. But Martin's story shows what the operation is for. Hip resurfacing exists for people who are not ready to give it all up yet, and an Ironman finish line eighteen months after surgery is a fair measure of that idea.

This story is drawn from Martin's own written accounts, sent to Mr Hussain in June and September 2026 and published here with his consent. Quotations are his own words, lightly edited for length and clarity. Clinical detail reviewed by Mr Shakir Hussain MBBS MRCS FRCSEd (Tr & Orth), Consultant Orthopaedic Surgeon, Royal Orthopaedic Hospital Birmingham · Last reviewed: September 2026.
Further reading

Where to Go Next

Next Step

Not Ready to Give It Up Either?


Martin's road back started with a consultation and an honest assessment of his options. Yours can start the same way: an imaging review that establishes whether resurfacing is open to you, with no pressure either way.

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