Jan 30, 2014|
Rob Bradford is joined by Dr. Matt Messina of Newton Wellesley Orthopedic Associates to discuss the knee injuries of three key Boston athletes: Red Sox outfielder Grady Sizemore, Patriots tight end Rob Gronkowski and Celtics point guard Rajon Rondo
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It's blue blue blue Bradford finals right now phones only yeah -- -- -- my old today on the Bradford files we are very re very happy to be joined by doctor map Messina of Newton Wellesley orthopedics. NWO Wales fire organization and we're going to be doing these injury updates injury reports throughout. The entire year and it is tremendously valuable first -- -- welcome to show doctor. It's you know we have a lot to talk about there's always a lot to talk about when it comes as the athletics and guys getting curtain. Since this is really a baseball centric podcast here in the Bradford files. We're gonna start. Which is where it socialist and his team is going to be theme in regard to me increases some key key key injuries. On the Boston sports analyst Steve right now but we'll start with baseball -- start with Grady Sizemore a guy who. -- Red Sox society a ton of entry problem the last couple years hasn't played because of it. And doctor. What we're dealing with here with Grady Sizemore amongst other things that the main thing that has kept him out. Is this micro fracture surgery that's keeps being reference we heard it with Greg -- in the basketball player before. And how it's set back his career can you explain exactly what we're dealing with -- micro fracture surgery. Sure so. With micro fracture what you're trying to do is sure trying to take advantage grow back a place in the need where. Are currently agencies there been added or removed. And if you think about the cartilage in the knees there's two kinds of cartilage. And yet the meniscus which on this C shape during currently chipset between the bones are sort of shock absorber. The articulate core wages that cartilage that congress -- vote. That's the cartridge of people Wear away when a again are right it's. Any time you're gonna do micro fracture surgery that would indicate. That that our particular car which has been worn away a bear well so the procedural micro fractures to try to. -- channels into the blown. And stimulate believing. So. Stem cells from the bone marrow and now into the -- treasuries yield -- lesion. -- create some form of actual or repair. All we talk tomorrow. The the the surgery being successful I guess it's all relative because Howard imagine for the average person is successful surgeries being believable walk up and down the street. Were tough camera we're talking about a professional athlete who's trying to get back to the level he was playing before. -- I understand the use your patient and you haven't had hands on experience with Grady Sizemore by knowing. -- this baseball players going through micro fracture surgery on both knees what are some challenges he's gonna -- going for. Well is -- if you look at Michael Scherer and the fractional ranks I mean most of the data has come out of the NHL. The MBA NFL. -- league soccer league. And in general. You know. A professional player could expect you know. An 80% chance of coming back to playing that sport. If you look at most of those studies a lot of the trends studies. Like for instance in the NHL. Top players patent scoreless. Always stick and the platelets aims. And you look at Michael fracture in the MBA. It seems like efficiencies. Minutes played also goes down so that some of the challenges. It seems at once so players have the surgery they might not be as effective as they want war. Now we look at and size for a situation he had one and then he had another but there has been a that there has been a significant -- lag time between when he's trying to come back in one he had his last surgery. What are what what would be the it's appropriate. -- at time when you think let's say you know what this is the amount of time that you need to rehab this injury to get it at least to the point where. It's close to where you wanted to be. Yeah I mean most patients on average will come back from micro fracture surgery around eight months and the procedure. The problem with Michael fracture -- at the more longer term studies. Usually the results are -- up about two years after years results seen -- decline. You know comparing two different types cartilage procedures that we do in the eight but above average. Most players. Are coming back around eight months that they. What would you say when you see a decline now you're saying they come back him in months and it's it's better. And but after two years the decline in -- starts to Wear down or starts to. Are at it starts -- and so. To this micro fracture. The Hartley -- forms is really what we call it broke our knowledge on what normally. Is highland cartilage. So arbor are currently is and exactly what they're war and because of that -- -- spirit stresses in the joint away -- which -- it and it's not as resilient. So after two years what amber. -- to issue or there seems to start the theory -- and. Okay that that clears it up and it's good to note to beaches. You win again when we talk to a micro fracture surgery have some some examples throughout the world of sports and general than -- had opted to piazza he doctor and at the news there are not a lot of guys who you say while you know they really came back strong -- that micro fractures. -- -- -- You know I think you know be attractive thing about micro fracture it's a real simply -- procedure it's relatively. Minimally invasive. End the recovery time compared to other cartilage procedures it is shorter. But. I would agree to there are a lot of players and in the more recent one. That's been successful -- Amare Stoudemire. As for the next. But I would agree with -- there's probably a lot more players and had negative outcomes. We're shift -- in terms of the operations in the conditions. Two to really two guys who maybe he in the top five vote most key guys in the new England sports landscape and that's. Rajon Rondo and Rob Gronkowski. And and both that ACL injuries in and I understand that they might not be identical but keep with the darker you give us an example. Or an idea. Solve the challenges that these guys phase from. Number one the minute they have surgery to the route through the rehab. And then coming back from the actually playing in games because right now we're seeing it with -- Rondo right. Rondo is playing a little bit they're easier Manny doesn't quite look like the player. So what does it challenges number one of rehabbing it and then the challenges that when you get back. Yeah I mean when you look at. -- -- reconstruction once again and pro athletes lead athletes. They tend not to come back as well as Saturday of the average you know patient it -- senior all right. You know that's because the demands on their -- year so much greater. You know if you look at most of the data on the professional athletes. You know you probably have anywhere from 65 to 75%. Return rate after people have BCO structure and on average most players coming back anywhere from. Ten months to twelve months after they have the surgery. Problem. Noticeable choosing data on NFL players. Published recently. Players who were in the lead greater than four years were drafted in the first four rounds seem to have a better chance of coming back and playing as a post players who have less experienced. Or drafted higher. In terms those like performance when we come back. You know once again in the NFL there's a lot of data to suggest that. You know in receivers and running backs. Some of their production will go down and he is 30%. Others some data from of the WNBA. -- women you know clearly here there XTO more than the men do and a more recent studies from the WBA. Sure as shooting percentages -- steals to go down as well so. Although we've been successful in reconstructing ligament making any stable. It's certainly not the ligament that god gave ghastly and hopefully there's some patience there. -- air movement. That is the most challenging for someone coming off the ACL looks obviously you -- Murkowski the -- Rondo. There sure this somewhat similar movements but they are they are different they're different sports. Is there one specific moment that might be the most challenging for these guys. Yes -- I think you know definitely slipped past couple others a lot of running quick stop being planned in and carting I -- police think that. That's you know typically more stressful on India's gross misstatement running -- pattern you know down the C gamers. Now. Age you know another part of this and maybe you can collaborate from some readers experiences with with patients but. It's one thing the seal the body and do the rehab but the mind is also very powerful thing right. It had so so talked about a little bit about. What you've seen in those challenges -- -- we go back to Derrick Rose loved Chicago here in Q did he rip everyone thought he's coming back he's coming to get accused of him back. And he'd he'd just didn't come back in and and people wondering about that Rhonda said this from your experience of the wars of the challenges there. Yeah I you know I think you know obviously every patience and individual. I would tell you. Most of the younger patients mean you're doing everything in our hold them back pockets six months ago wanna go back and play but it is people get older. You know political -- leader dates. No professional athlete is definitely a different animal and there's probably not a week that those are right bill and Derrick rose's aimed. The I think he probably I think he was cleared. Nine months to play an -- it and come back for almost a year and a half. And I think psychologically the like -- that we do our best to reconstruct the ligament. The way it was there before. But it's definitely different and only getting ligament that -- Your body just sort of penetrate that -- was receptive ears and sort of the sectors that he -- sort of gear position in space and everything now and I think that process. Probably takes longer than a year. And I just think those guys it's such -- high level in May even take longer for them -- comfortable doing the things they did before. And go all league judging by united will preface this by saying -- not your patient. And use off hands on experience with -- Rob Gronkowski Rob Gronkowski had his injury he -- assembly was early December. And -- and so everyone wants to know well what's the timetable what's the timetable you pointed out earlier. Everybody's different -- dish generalize everything but. Knowing what you know what in assuming that he's going to be of his head around it assuming that he's going to be. Able to rehab without any setbacks. What's realistic for this guy. You know I mean I think you know everything goes well it has -- -- -- -- -- -- these lawyers are common background. Anywhere from ten to twelve months after the surgery. Yeah and I think. You know I don't know if he had other injuries like in game in this school injury and the and having them in the school injury and EL. Definitely acts that'll leave the recovery but also the return two play. So I don't barring any minute school injury has some very good chance we're back and they'll be in as good as it was before. He said you'd mentioned that you you referenced Eric Rosen law. I don't know if you reference Adrian Peterson Adrian Peterson what's -- good exit out of epic epic -- -- I guess that's the high end of of successful returns -- -- -- It at a -- there is so when you when you talk to to patients and you do you wanna reference athletes. Are these the guys Derrick Rose Adrian Peterson is there anyone else that you you mentioned that maybe even years in between. You know -- news all those they go to try to relate. It's the patience particularly with the kids with you know obviously the local athletes you know mused Tom Brady's you know example -- as well. But I think you know. Yeah you know a lot of times he'll only read about the successful outcomes -- make a point of like -- people where some of the the failures that are out there too so. Everybody's different every athlete is different and -- Not knowing the full story and every athlete sweetheart. -- and error in -- Pontificate on how well they're gonna come back a couple of other way. Public the -- The -- reconstruction. And it's come a long way in the last you know thirty plus years and you know I think the technique is getting better and better. You know but obviously these athletes are getting bigger they're stronger they're giving pastors so stoically challenger. You've ever watched you watch sporting events. Tom not for with a tie for injury but when an entry does happen and you say well. That's gonna take that long or that's what that I was there we had that Seattle San Francisco game the other day right with a guys -- Japan -- sure. So is so you want to you -- that was that that sort. You know I do everybody and you know -- you know when these graphic. Up. Approximately currency sort of what is. It at a. Oh I I I could see that but doctor Matt receive really appreciated some awesome awesome in society and with four to talk could be -- line. --