Haddaway
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- Oct 14, 2012
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Do you think bringing back Albert too quickly might be a mistake in the long run for this team's viability for the playoffs? The emergence of Fox as at least a somewhat solid replacement for the time being, I think thought should be given to holding him out until week 3 to perhaps even the bye week. It could be argued that our first four games are among the easiest of our entire schedule, of course we do play the Bills which should be worrying which is why perhaps bringing him back for week 3 might be thought as vital for some.
I think this team has real potential to reach the playoffs and perhaps beyond if most pieces fall into place and a huge piece is obviously the offensive line. I would still consider our chances to win those games to be not heavily impacted if he was held out, but how would you feel if Albert reinjured his ACL somewhere between week 1 and 4? I think our chance for the playoffs would be heavily impacted if Albert went down during that time due to our abysmal depth. That is very concerning
What I am most worried about is the fact that it is known that it is most common for ACLs to be reinjured 9-12 months after surgery ala Delmas.
Dr. David Chao really explains this well
http://www.nationalfootballpost.com/monday-morning-md-acl-re-tear-trend-continues/
I think this team has real potential to reach the playoffs and perhaps beyond if most pieces fall into place and a huge piece is obviously the offensive line. I would still consider our chances to win those games to be not heavily impacted if he was held out, but how would you feel if Albert reinjured his ACL somewhere between week 1 and 4? I think our chance for the playoffs would be heavily impacted if Albert went down during that time due to our abysmal depth. That is very concerning
What I am most worried about is the fact that it is known that it is most common for ACLs to be reinjured 9-12 months after surgery ala Delmas.
Dr. David Chao really explains this well
http://www.nationalfootballpost.com/monday-morning-md-acl-re-tear-trend-continues/
As the 2012 NFL MVP coming off ACL surgery, the publicity of Peterson’s 2000-yard season has led doctors and patients to more often take chances at early return to play. More players taking chances at quick return, likely leads to more early re-tears.When an ACL is torn, it is not repaired, but instead is reconstructed. Instead of being sewn back, it is rebuilt with graft tissue. That graft needs to incorporate and new tissue must grow up into it like ivy up a lattice. Another way to look at it is the graft is the stake that supports the sapling tree, but ultimately the tree trunk itself must become strong.
This process takes well over a year and is why I tell my patients it takes over 18 months after surgery for the ACL to be as strong as you can be. Despite my cautions to them, Rivers and McMillan still chose to push the envelope for early return. It worked for them, but there is risk It is probably safest to sit out up to two years after an ACL but no one has the time to do it. When they see Peterson’s return, everyone thinks it is without risk and pushes ahead.
Avoiding the use of a cadaver graft helps lessen the chance of re-tear as it has been shown by the ACL Study Group. However, any early return leads to unavoidable risk. In my experience, the highest risk for re-tear is at 9-12 months and that is when players are usually returning for the next season. That is why I recommend a brace.
You can be a freak athlete, have the best surgeon and do the best rehab, but you can’t speed up biology. That means many successful quick returns, and unfortunately a few inevitable re-tears.