Author Topic: I just wanted to clear something up about ACL tears  (Read 7143 times)

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I just wanted to clear something up about ACL tears
« on: May 07, 2013, 12:25:35 PM »

Offline rasta1

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Coming from someone who has tore his ACL before and done a lot of research into it/is interested in medicine. I'm just here to clear up some things about the "severity" of Rondo's ACL tear

The difference between a partial and full ACL tear is that without surgery, there is more you can do with a partial tear than you can do with a full tear. Basically you still have some stability in the knee with a partial tear. You can still perform with a tear of the ACL, look at Hines Ward and DeJuan Blair, but it involves all of the supporting muscles to pick up their slack which takes a lot of time. Plus, the full potential of recovery without the ACL or a partial ACL is nothing close to what it would be having surgery.


Now if both the individual with the partial tear and full tear were to have surgery, there is no difference. If there is a full tear, the orthopedic surgeon just clears the ACL ligaments floating around/any damaged miniscus and whatnot before grabbing a graft and reconstructing the ACL.

With a partial tear, the surgeon clears out whatever piece of the ACL is floating around. From that point forward from what I understand the orthopedic surgeon removes the remaining ACL as well and just puts in a whole new one in it's place after reconstructing a new one.

As a result, it's the same operation regardless. The surgeon is adding in a whole new ACL. If you had a full tear, they just put a new one in it's place. If it's a partial tear, they remove it anyway and put a full one in it's place

The time of recovery depends on where you got a graft from, you can get one from your patellar tendon (fastest healing time, larger chance of complication {but again these operations have pretty high success rates overall}), hamstring (longer healing time, safer), or from a donor(riskiest)


So in the grand scheme of things, because Rondo got surgery, his position is the same as Derrick Rose's. So expect a 6-12 month recovery time. Personally I think a 12 month window is the safest because overtraining can become an issue with those who tear their ACL's. We don't want a gilbert arenas incident going on.

Also, I expect Rondo to come back with a better jumpshot because without the ability to really jump around and stuff for a while, all you can really do is stand there and shoot the ball. I fully expect his shooting percentage to go up when he comes back

Re: I just wanted to clear something up about ACL tears
« Reply #1 on: May 07, 2013, 12:34:00 PM »

Offline BballTim

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  I'd say Rondo's position might be similar to Rose's up until close to the time the doctors clear them to play, then their paths probably diverge wildly.

Re: I just wanted to clear something up about ACL tears
« Reply #2 on: May 07, 2013, 12:34:34 PM »

Offline rondohondo

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If this is true, why wouldn't the c's let go of pp and KG and tank then ?

Let Rondo sit out most or all of the year , get a top 3 pick while letting green sully, melo and bradley develop next year

Have rondo come back 100% in 2014 , with a young stud from the lottery , and possibly enough room to add a max FA if we can move Bass, Terry , or Lee

Re: I just wanted to clear something up about ACL tears
« Reply #3 on: May 07, 2013, 12:37:29 PM »

Offline Fred Roberts

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Good post. I had a hamstring graft, performed by the Golden State Warriors ortho guy. Overall, I'd rate it as a horrible job. Definitely never the same. Hopefully, Rondo got a much better doctor, and will have a MUCH better recovery.

Most athletes do the patellar procedure, though it leads to tendinitis later on. This is what Adrian Petersen had, I believe.

Re: I just wanted to clear something up about ACL tears
« Reply #4 on: May 07, 2013, 12:39:24 PM »

Offline Fafnir

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The biggest difference between ACL injuries is in the "other" damage to the knee.

Rose's knee wasn't healthy before he blew his ACL. He missed a lot of the last season with issues with it, his ankles, and his toe.

Re: I just wanted to clear something up about ACL tears
« Reply #5 on: May 07, 2013, 12:39:34 PM »

Offline Lucky17

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If this is true, why wouldn't the c's let go of pp and KG and tank then ?

Let Rondo sit out most or all of the year , get a top 3 pick while letting green sully, melo and bradley develop next year

Have rondo come back 100% in 2014 , with a young stud from the lottery , and possibly enough room to add a max FA if we can move Bass, Terry , or Lee

Because 6 months of recovery after a mid-February surgery, a la Adrian Peterson, makes Rondo ready to go (and chomping at the bit) in time for Opening Night.

Also, while we're swapping ACL stories, got my left one rebuilt using my own patella tendon. I took rehab seriously, and I've had no issues since. The right one, on the other hand . . .
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Re: I just wanted to clear something up about ACL tears
« Reply #6 on: May 07, 2013, 12:43:48 PM »

Offline rondohondo

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If this is true, why wouldn't the c's let go of pp and KG and tank then ?

Let Rondo sit out most or all of the year , get a top 3 pick while letting green sully, melo and bradley develop next year

Have rondo come back 100% in 2014 , with a young stud from the lottery , and possibly enough room to add a max FA if we can move Bass, Terry , or Lee

Because 6 months of recovery after a mid-February surgery, a la Adrian Peterson, makes Rondo ready to go (and chomping at the bit) in time for Opening Night.

Also, while we're swapping ACL stories, got my left one rebuilt using my own patella tendon. I took rehab seriously, and I've had no issues since. The right one, on the other hand . . .

basketball is a lot more of a herky jerky game on the knee though .

I know rb's cut when they get into the open field , but a lot is straight ahead running into the line .

The way rondo plays , and the nature of bball , there is a lot more jumping and akward landing .

we shall see I guess

Re: I just wanted to clear something up about ACL tears
« Reply #7 on: May 07, 2013, 12:46:50 PM »

Offline Celtics4ever

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No offense but he will get way better care than you did and better aftercare.   His results should be even better.

Re: I just wanted to clear something up about ACL tears
« Reply #8 on: May 07, 2013, 12:50:40 PM »

Offline BballTim

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  My dog had surgery on a torn knee ligament last year. I think they replaced the ligament with a piece of nylon. She's good as new. True story.

Re: I just wanted to clear something up about ACL tears
« Reply #9 on: May 07, 2013, 01:03:38 PM »

Offline EJPLAYA

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We had a squirrel in our front yard that was having trouble jumping from tree to tree. Turns out he needed ACL surgery. I wrapped some bailing twine around it and for a couple hours it was like he was brand new. Then the painkillers wore off and our Lab caught him. Didn't end well...

Re: I just wanted to clear something up about ACL tears
« Reply #10 on: May 07, 2013, 01:21:19 PM »

Offline BballTim

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We had a squirrel in our front yard that was having trouble jumping from tree to tree. Turns out he needed ACL surgery. I wrapped some bailing twine around it and for a couple hours it was like he was brand new. Then the painkillers wore off and our Lab caught him. Didn't end well...

  The trickiest part to operating on a squirrel? Getting him to sign the consent form...

Re: I just wanted to clear something up about ACL tears
« Reply #11 on: May 07, 2013, 01:45:10 PM »

Online feckless

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My daughter, 20 years ago, had the patellar procedure and returned to high school ball at about 6 months, but not the same.  I thought today's preferred method was the cadaver or artificial repair as the simple replacement does less damage to the knee.  A good friend, last year, drove himself home from a cadaver replacement, was playing again at 4/5 months but not fully recovered for 10 months.  Do we know what type of ACL replacement Rondo had?
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Re: I just wanted to clear something up about ACL tears
« Reply #12 on: May 07, 2013, 01:46:26 PM »

Offline EJPLAYA

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We had a squirrel in our front yard that was having trouble jumping from tree to tree. Turns out he needed ACL surgery. I wrapped some bailing twine around it and for a couple hours it was like he was brand new. Then the painkillers wore off and our Lab caught him. Didn't end well...

  The trickiest part to operating on a squirrel? Getting him to sign the consent form...

Hey BballTim! We are in agreement for once! (other than current events which we always agreed until they wouldn't let me post in there anymore!)

TP for making me laugh in your post. Was the dog story really true?

Re: I just wanted to clear something up about ACL tears
« Reply #13 on: May 07, 2013, 01:52:04 PM »

Offline RJ87

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There were also reports that Rose also injured his MCL and PCL, I think that's the difference in severity some posters are referring to. 

Its also important to note that no ACL tear, surgery,  or rehab is exactly the same. I work in physical therapy and I see ACL tears all the time - especially with athletes.  Some patients can get back in 6-9 months,  some take 12 months +. It varies patient to patient.
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Re: I just wanted to clear something up about ACL tears
« Reply #14 on: May 07, 2013, 01:54:09 PM »

Offline moiso

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  I'd say Rondo's position might be similar to Rose's up until close to the time the doctors clear them to play, then their paths probably diverge wildly.
TP.  A full year like Rose is taking is very rare nowadays.  This isn't the Bernard King era. 

The thing that is crazy to me is that Rose has been scrimmaging for months- the exact same activity that he won't perform in front of a crowd.  I'm sure Rondo will scrimmage for a couple weeks to get his legs under him after he's cleared, then he will begin playing in actual games.  I wouldn't be surprised if Rondo is ready pretty close to the start of the regular season.