Ultra Marathon Runner Richard Donovan Returns to Extreme Running After Bilateral Partial Knee Replacement
Seven marathons on seven continents in seven days, I'm, what's called an ultramarathon runner. So I run distances longer than a conventional marathon distance. I've run across the USA. For example, actually, from Chrissie Fields here in San Francisco, I remember starting there dipping my feet on the water and then running over the bridge and ending in New York months later. I was hoping to run across Antarctica later that year, but due to logistical reasons, it wasn't gonna happen. And finally, Antarctica was supposed to happen in November, 2017. And I was training for it. I was running over a hundred miles a week, quite well prepared for it, having run across three continents in the previous three years. And I was on a routine run back in Ireland in Galway. I just went out one evening for a run and I felt my knee go my left knee. It literally went from under me, you know, it went for an MRI to both knees and there was a lot of damage to both of them. But it was my left knee that was hurting me that ended the Antarctica ambition in 2017. And I had to start on a new process of trying to fix my leg.
Dr. Stone: So Richard is a great example of someone who's been told that they have knee arthritis, should stop running, should wait for their total joint replacement, and give up the exercises that they like to do in life. He sought us out because we have a different philosophy.
Yeah, I couldn't believe it. I could talk to him on the phone, the guy himself, and, and he was able to review my MRI. Unlike the previous advice I got, he actually said, "what do you want out of this?" And I said, "I wanna run across America again." And he pretty much said, "I'll get you back doing that." You know, I bone on bone on my left medial prior to my leg. So he went through the what he was gonna do. And you know, the surgery was gonna be robotic surgery and, sure enough, he did it and my leg was perfect.
So Richard had medial arthritis, meaning arthritis just on the inside of his knee, in fact, in both knees. So he started with his worst knee and did a partial knee replacement. And by doing that, he was able to come back to his full running program, except for the fact that his opposite knee was limiting him,
Didn't even involve any long decision-making for me you know, he's the closest thing to God when it comes to the knee, as far as I'm concerned. Once my right knee produced pain in the last year, you know, it was an obvious choice for me to come back here and get this fixed.
So this week we went ahead and repaired his opposite knee, which required both of our skills, a biologic knee replacement, meaning we had to repair the has damaged articular cartilage in the outside part of his knee, which we did with something called an articular cartilage paste graft, and a partial knee replacement resurfacing the inside part of the knee, where he had worn it down to bone on bone.
I mean, before, before this, you know, I was limping walking my dog, you know, nobody should be doing that in their fifties, and nobody should accept that that's their lot. And because there are solutions and you know, the proof is here. Now I'm able to run again. I'm able to organize events like this and run around while I'm down here just over a week ago, I climbed the highest volcano in the world at 22,549 feet in the end is, and none of this would've been possible without Dr. Stone. So big shout out to Dr. Stone. Thank you for getting me down here. Get me back on the road. It's so good. It's almost like I wish I was born it, the surgery, isn't the end of something. It's the beginning of something new and positive, you know, once you have the solution and I know I have the solution, you know, that's what you look towards the future.
Richard Donovan Profile
Richard Donovan is an ultra marathon runner, extreme adventurer, and Race Director/participant in the World Marathon Challenge. In this race, Richard leads a group of long-distance runners on an extraordinary global adventure—completing 7 marathons on 7 continents in just 7 days.
Years of wear and tear from this intense lifestyle eventually took a toll on Richard’s knees. Diagnosed with arthritis in both joints, he was told he would need total knee replacements—an outcome that would end his running career. Unwilling to accept this prognosis, Richard began searching for a solution that would safely return him to running. That search led him to The Stone Clinic.
Traveling from Galway, Ireland to the Robotic Joint Center in San Francisco, Richard underwent a successful partial knee replacement on his left knee in June 2019, performed by Dr. Stone. A second partial knee replacement on his right knee followed in 2020.
Thanks to The Stone Clinic's advanced approach using robotic-assisted surgery, Richard was already back to hiking the Andes and running short distances in Antarctica just eight months after his second surgery (see pics below).
One year later, he undertook a truly remarkable feat: a run across the continental United States. Starting at the Boston Marathon in April, Richard ran more than 3,200 miles through 16 states, ultimately finishing at the Santa Monica Pier in California. Averaging over 40 miles a day on two partial knee replacements, his journey was nothing short of phenomenal and an inspiration to injured athletes everywhere. You can read more about his achievement in this Irish Times article.
For a deeper look into Richard's treatment and recovery, check out his full story featured in Triathlete Magazine: "Can I Still Run After Knee Replacement Surgery?"
STORY UPDATE: Here's our interview with Richard right after his 3,200-mile cross-country trek
Find out how robotic surgery can help you run after knee replacement