Lots of speculation RG3 has a torn ACL

[visionary]

Originally Posted by NIBGoldenchild

I've heard close to four different opinions from doctors in that field today, and all four have had a different opinion on how long it would take for him to recover. I did listen to him on M&M, his opinion was the least positive, yet doesn't make it the most accurate.

youre gripping bad buddy

real bad

i can tell

[joseephuss]

Originally Posted by visionary

this morning mike and mike had an orthopod on

here is what he said

"2/3 of NFL players DONT COME BACK after ACL surgery"

"to say that his knee will be as strong as before surgery is just incorrect"

not my opinion

you add in that speed and mobility were a big part of his game and you do the math

Is that 2/3 of players all time? At one time an ACL injury meant a player's career was over. I wonder what the number is over the past 10 years. Also, I would think that for some players it wasn't just having ACL surgery that prevented a player from coming back. There are some guys who get hurt who are fringe players anyway.

[SkinsHokieFan]

I'll base my opinion on this

STATEMENT FROM JAMES R. ANDREWS, M.D., ANDREWS INSTITUTE
REGARDING PROCEDURE PERFORMED ON ROBERT GRIFFIN III

"Robert Griffin III had successful knee surgery early this morning. He had a direct repair of his LCL and a re-do of his previous ACL reconstruction. We expect a full recovery and it is everybody's hope and belief that due to Robert's high motivation, he will be ready for the 2013 season.

The goal of his treatment is to give him the best opportunity for a long professional career."

What happens going forward is anyone's guess. But I'll trust the opinion of the top orthopedic surgeon in America

[Eric_Boyer]

Originally Posted by visionary

this morning mike and mike had an orthopod on

here is what he said

"2/3 of NFL players DONT COME BACK after ACL surgery"

"to say that his knee will be as strong as before surgery is just incorrect"

not my opinion

you add in that speed and mobility were a big part of his game and you do the math

2/3 of players are bubble players. any setback dooms their nfl career because they are bubble players.

At no time in Tony Romo's career would another gm trade multiple first round picks for him, where RG3 was viewed to be worth such a trade. this is based on the perceived upside of either player.

[1fisher]

Originally Posted by SkinsHokieFan

I'll base my opinion on this



What happens going forward is anyone's guess. But I'll trust the opinion of the top orthopedic surgeon in America

Two ACL replacements on the same knee with patella grafts = NOT GOOD!

I'm very skeptical.

[SkinsHokieFan]

Originally Posted by 1fisher

Two ACL replacements on the same knee with patella grafts = NOT GOOD!

I'm very skeptical.

Well when you are performing knee surgeries, I'll trust your opinion

[kmd24]

The common treatment for LCL rupture is to suture it back together. Given the description of the ACL by Griffin, Jr., and the reports of using a graft from the left patellar tendon, I think it's very likely that RG3 had Revision ACL Surgery on the ACL, i.e. replacement of a partially torn or ruptured graft with a new graft.

Comparisons to AD or Phillip Daniels are invalid. Neither Peterson nor Daniels had previously torn his ACL.

There are a lot of considerations with doing a second ACL replacement. For example, when a graft is done, there are tunnels drilled into the tibia and femur. Hardware (screws) is used to secure the graft. A revision surgery can vary widely depending on whether the original hardware is removed, whether a new tunnel has to be drilled (typically the case, but not always), and whether a bone graft is necessary to attach new hardware. It's pretty clear that Griffin didn't have a bone graft, but it is possible (especially given the increased length of the surgery) that a new tunnel was drilled.

The biggest concern for Griffin isn't whether he is ready for the opener, it's that that the graft is successful. He's got the most skilled doctor, he's young, and he's athletic. All that plays in his favor. However, it's worth noting that, while 90% of ACL grafts are successful, the rate drops to about 75% with revision surgery (This is for the entire population of orthopedists; Andrews' rate is likely to be higher but I don't know either way).

He really doesn't want to injure that ACL again, especially if he had to have a second tunnel drilled. While there are athletes that have returned from 3 tears in the same knee, the rate is low, and eventually you just can't drill tunnels in the bones anymore. It will all depend on the details of the surgery and his healing process, which was very good for the first injury, but I wouldn't be too surprised if they play it safe with him next fall and do everything they can not to rush him back.

[SkinsHokieFan]

Originally Posted by kmd24

He really doesn't want to injure that knee again, especially if he had to have a second tunnel drilled. While there are athletes that have returned from 3 tears in the same knee, the rate is low, and eventually you just can't drill tunnels in the bones anymore. It will all depend on the details of the surgery and his healing process, which was very good for the first injury, but I wouldn't be too surprised if they play it safe with him next fall and do everything they can not to rush him back.

Agree with this. I hope the Redskins take the same cautious approach the Nationals did with Stephen Strasburg.

I.E as a fan I am more then willing to see RG3 sit out all of 2013 to make sure its "right" He would still be only 24 years old when he returns in 2014

[1fisher]

Originally Posted by SkinsHokieFan

Well when you are performing knee surgeries, I'll trust your opinion

I've had the patella graft...thank you! I know from experience.

[joseephuss]

Originally Posted by SkinsHokieFan

I'll base my opinion on this



What happens going forward is anyone's guess. But I'll trust the opinion of the top orthopedic surgeon in America

The same surgeon who said RGIII was okay to go back in the game.

I think he will be fine once he is fully rehabbed. I just don't think they should rush the rehab. If it takes 10 months, then use the entire 10 months. No need to rush things.

[SkinsHokieFan]

Originally Posted by 1fisher

I've had the patella graft...thank you! I know from experience.

Ouch. Hopefully you have had a full recovery!

And I am a Redskins fan, of course I am going to take an optimistic view

Truth is, we have no idea how he'll perform or if he will have the explosive ability he showed this year again. I am hopeful he is back to 100 percent sooner then later, but again, I have never had surgery nor performed one

[1fisher]

Originally Posted by kmd24

The common treatment for LCL rupture is to suture it back together. Given the description of the ACL by Griffin, Jr., and the reports of using a graft from the left patellar tendon, I think it's very likely that RG3 had Revision ACL Surgery on the ACL, i.e. replacement of a partially torn or ruptured graft with a new graft.

Comparisons to AD or Phillip Daniels are invalid. Neither Peterson nor Daniels had previously torn his ACL.

[View Full Quote]There are a lot of considerations with doing a second ACL replacement. For example, when a graft is done, there are tunnels drilled into the tibia and femur. Hardware (screws) is used to secure the graft. A revision surgery can vary widely depending on whether the original hardware is removed, whether a new tunnel has to be drilled (typically the case, but not always), and whether a bone graft is necessary to attach new hardware. It's pretty clear that Griffin didn't have a bone graft, but it is possible (especially given the increased length of the surgery) that a new tunnel was drilled.

The biggest concern for Griffin isn't whether he is ready for the opener, it's that that the graft is successful. He's got the most skilled doctor, he's young, and he's athletic. All that plays in his favor. However, it's worth noting that, while 90% of ACL grafts are successful, the rate drops to about 75% with revision surgery (This is for the entire population of orthopedists; Andrews' rate is likely to be higher but I don't know either way).

He really doesn't want to injure that ACL again, especially if he had to have a second tunnel drilled. While there are athletes that have returned from 3 tears in the same knee, the rate is low, and eventually you just can't drill tunnels in the bones anymore. It will all depend on the details of the surgery and his healing process, which was very good for the first injury, but I wouldn't be too surprised if they play it safe with him next fall and do everything they can not to rush him back.

Good info, KMD! My questions is, does the bone attach to the graft that is pulled through the hole and if the graft gets torn again can it heal itself?

[1fisher]

Originally Posted by SkinsHokieFan

Ouch. Hopefully you have had a full recovery!

And I am a Redskins fan, of course I am going to take an optimistic view

Truth is, we have no idea how he'll perform or if he will have the explosive ability he showed this year again. I am hopeful he is back to 100 percent sooner then later, but again, I have never had surgery nor performed one

I was fortunate in a way. I tore the meniscus and the ACL at the same time. I had a scope to clean up the meniscus and clean out the knee. Shortly after that I started rehab/prep for the ACL replacement which took place 8 months later. I used hydraulics and electronic shock treatments to strengthen the knee. Surgery went well and I was back to normal...... until I started playing softball and flag football. Now I have bone to bone and it's not fun. Supartz injections are keeping me from getting total knee replacement.

[visionary]

Originally Posted by joseephuss

Is that 2/3 of players all time? At one time an ACL injury meant a player's career was over. I wonder what the number is over the past 10 years. Also, I would think that for some players it wasn't just having ACL surgery that prevented a player from coming back. There are some guys who get hurt who are fringe players anyway.

i agree that i was surprised by what he said, but this is in fact what he said

maybe he meant to say 2/3 dont come back @ 100%, i dont know

[NIBGoldenchild]

Originally Posted by visionary

youre gripping bad buddy

real bad

i can tell

Or, you're being hopeful that he doesn't recover.

Basing your hopes on doctor's minority opinion isn't exactly logical.