Though the big story of the opening weekend of the playoffs remains the saddest one, the serious knee injury suffered by the Bulls’ Derrick Rose. Rose will need anterior cruciate ligament repair surgery, which likely will keep him out into next season.
The history of these injuries is players recover well. The AOS Medical Center in Glendale, California studied anterior cruciate ligament reconstruction for NBA players between 1994 and 2005. They used the Player Efficiency Statistic to compare performance before and after the injury. Of the 21 players who returned to play of 27 studied (six were older and retired), 15 percent performed better on the statistical measure, 19 percent were within one percentage point and 44 percent decreased somewhat but not substantially.
In addition, a look at recent such surgeries on top players shows most returning to a high level of play, like Chris Paul, Jamal Crawford, David West, Kyle Lowry and Al Jefferson. Tim Hardaway had the surgery in 1993-94, and while he wasn’t as explosive afterward, he was first team all-NBA three years later and twice an All-Star afterward. Dunk champion Blake Griffin didn’t have the ACL, but had a stress fracture and broken knee cap before winning the dunk contest. And there was the NFL’s Willis McGahee, who tore his ACL, MCL, PCL 10 years ago, and I think USPS, UPS and DOT. He had about 1,200 yards rushing last season.
At the other end of the scale is the athlete at the height of their career who depends on side-stepping activities for their continued economic well-being. The diagnosis having been made, there is little doubt that they should be recommended for early surgery and will be fit to resume full activities within six months. Not everyone is in agreement with this approach, as some athletes feel they would like to try conservative therapy first followed by reconstruction later if necessary. In many sports this may mean that a patient may miss two seasons of professional sport and they may only have 6 or 7 years at the top of their sport. This could therefore account for something like 30% of their playing life whereas if they are operated on urgently they can be back, after rehabilitation, in six months, and therefore only miss one season.
A 2010 Los Angeles Times review of two seemingly conflicting medical studies discussed whether ACL reconstruction was advisable. One study found that children under 14 who had ACL reconstruction fared better after early surgery than those who underwent a delayed surgery. For adults under 35, though, patients who underwent early surgery followed by rehab fared no better than those who had rehab therapy and a later surgery.
Krause wanted to rebuild from the inside out. He did not know much about Yao Ming, who arrived to the league the next year. He was told not to look at a young Spaniard named Pau Gasol. "This is not to demean anybody, but we were told not to see Gasol," Krause said recently. "Whoever was in charge of that thing kept saying, 'Don't see him.' We said OK. Was that a mistake? Probably yes. We should have seen him. We didn't."
He could do a standing backflip. He was one of the most agile, athletic, quickest, huge human beings I've ever seen. But he was a raw product.
air gordon wrote:What does boozer bring to the tabe that is not replacable ?? what unique skill does he possess? im not seeing it. and i think thibs agrees as boozer has been on the bench in the 4qtrs in the last 2 elimination games. there is Gibson who has shown he is capable filling in.
Andrew wrote:I'm pretty sure they can still amnesty him. I'll admit that I'm not completely sold on the idea, not because I think he's untouchable (far from it) but because I don't know that they'd be able to replace him with anyone better. Having said that though, I like the idea a lot more than I did when the issue came up at the beginning of the season; I'd just feel a bit more confident about it if they were in a better position to find a suitable replacement.
He said Rose is ''doing great,'' that the surgery went ''extremely well'' and he can still be an explosive player.
''It's impossible to predict tomorrow,'' Cole said. ''Statistically, he should be that player and then some. That doesn't mean he's guaranteed. It's a whole lot better than we were accustomed to years ago. The ligament is one thing and the meniscus is another. Getting all the things to heal appropriately is really our goal in the early phases. Then, it's rehab, conditioning - getting his brain connected to his knee, basically.''
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