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re: Bolton: Holden Tore Right ACL

Posted on 7/30/13 at 9:27 am to
Posted by Tennessee Jed
Mr. SEC Rant
Member since Nov 2009
17909 posts
Posted on 7/30/13 at 9:27 am to
someone pump that knee full of stem cells.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28422 posts
Posted on 7/30/13 at 9:31 am to
I don't think stem cells can reconstruct an ACL like that. However if you made a frame for a new ACL and then pumped that frame full of stem cells and somehow made them differentiate into an ACL, then I think that has potential. We have done this with things such as jaws and ears, where the frame is implanted into your back for a few months while it forms. I don't know if we use this kind of tech for sports injuries.

Sorry, but I'm reposting my comment that got buried at the bottom of the last page.
quote:

I wonder if his surgeon just did a really shitty job.

He had the torn knee thanks to Johnny Evans, which took out his ACL and I'm sure did some other nasty damage.

However, he was supposed to come back that next September (March to September = 6 months), and he did so in playing a reserve match against Aston Villa. Then after the game they found that one of the screws used to reconstruct the ligament came loose and caused a lot more damage. This is what caused the longest delay in his recovery, because I guess it caused so much damage that it kept him out for more than an entire year.

Now the reconstructed ACL has reruptured. If I was Holden I would be seriously pissed at my doctors.
Posted by NOTORlOUSD
Houston, TX
Member since Sep 2010
5051 posts
Posted on 7/30/13 at 9:35 am to
Send him to Dr Andrews.
Posted by PTBob
Member since Nov 2010
7070 posts
Posted on 7/30/13 at 9:48 am to
It's a cadaver's achilles tendon in place of my ACL. It's relatively rare, but the surgeon that did my surgery (does most of the Ole Miss athlete's surgeries) strictly does them for ACLs.

Allografts tend to be a lot more cautious with weight bearing status in the beginning due to the bone tendon bone graft not taking place for about 6 to 8 weeks.

I tore my ACL the same day as another dude in my class. I had the achilles allo, he had the patellar tendon auto (from the contralateral) knee. He was partial weight bearing a week after surgery. I was non-weightbearing and on crutches for 6 weeks. So he was back to walking quicker but in the end, I was back to activity (athletics) quicker. I also busted my arse in the gym, but he was in PT school as well so it's not like he didn't know what he was doing.

This post was edited on 7/30/13 at 9:50 am
Posted by cwil177
Baton Rouge
Member since Jun 2011
28422 posts
Posted on 7/30/13 at 10:16 am to
So how is the achilles tendon graft a bone-tendon-bone graft?

Yeah, I got the petellar tendon graft (bone-tendon-bone).

My surgeon did his residency under doctor James Andrews.

I agree, we need to get Stu to see JA.
Posted by PTBob
Member since Nov 2010
7070 posts
Posted on 7/30/13 at 10:18 am to
one plug from the calcaneous and I believe they attach another part of the calcaneous to the more proximal end of the graft. i'll have to double check on that one.
Posted by Tigerstark
Parts unknown
Member since Aug 2011
5973 posts
Posted on 7/30/13 at 11:48 am to
I feel bad for Stu.

I am also sad that there is no way he ever reaches his potential as a player. Essentially it will be 3 years away from the game when he should be building to his prime.

I'm also sad that it will be at least a month before I'm able to acheive an erection again. How are we supposed to cope with this latest setback?
Posted by cwil177
Baton Rouge
Member since Jun 2011
28422 posts
Posted on 7/30/13 at 11:54 am to
quote:

one plug from the calcaneous and I believe they attach another part of the calcaneous to the more proximal end of the graft. i'll have to double check on that one.

Hmm... weird. So do they cut the tendon in two and then stitch it together so you have two calcaneous ends on each side?
Posted by uway
Member since Sep 2004
33109 posts
Posted on 7/30/13 at 12:06 pm to
quote:

I wonder if his surgeon just did a really shitty job.

He had the torn knee thanks to Johnny Evans, which took out his ACL and I'm sure did some other nasty damage.

However, he was supposed to come back that next September (March to September = 6 months), and he did so in playing a reserve match against Aston Villa. Then after the game they found that one of the screws used to reconstruct the ligament came loose and caused a lot more damage. This is what caused the longest delay in his recovery, because I guess it caused so much damage that it kept him out for more than an entire year.

Now the reconstructed ACL has reruptured. If I was Holden I would be seriously pissed at my doctors.


I had never heard the story about how he initially reinjured the knee. It does sound fishy that the screw would come loose like that. Is it common?
Did he come back too soon (6 months)?

Also, I can't be the only one who worried every time he came on the field since his return. Almost seemed inevitable that something like this would happen. I hope that he was mentally prepared for it.
Posted by TheZaba
FL
Member since Oct 2008
6181 posts
Posted on 7/30/13 at 12:07 pm to
Just saw one article explaining a surgical technique where there was only one end of the tendon with the calcareous inserted into the femoral tunnel while the other was just soft tissue. Just from a quick search so there could be different techniques.
Posted by Drew Orleans
Member since Mar 2010
21577 posts
Posted on 7/30/13 at 12:32 pm to
How in God's name did that collision tear an ACL? Jesus that is insane.
Posted by etm512
Mandeville, LA
Member since Aug 2005
20740 posts
Posted on 7/30/13 at 12:40 pm to
The one Sunday wasn't caused by the knee to knee collision. It was his right knee that got injured (the non collision knee). You can see right before the collision his right knee buckle.
Posted by TheZaba
FL
Member since Oct 2008
6181 posts
Posted on 7/30/13 at 12:47 pm to
I don't even remember exactly how it happened. Thought it looked like it was just a deceleration injury, which isn't too uncommon for ACL tears
Posted by McRebel42
North Mississippi Hollywood
Member since Oct 2012
11606 posts
Posted on 7/30/13 at 12:58 pm to
quote:

Again, I blame Jonny Evans and all Man U fans for this.


This.
Posted by etm512
Mandeville, LA
Member since Aug 2005
20740 posts
Posted on 7/30/13 at 12:59 pm to
quote:

Thought it looked like it was just a deceleration injury, which isn't too uncommon for ACL tears


Yep. Looked like he went to plant and the knee just went out
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