- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
0
Posted on 10/20/19 at 6:19 pm to GumboPot
If Bama got in over a Power 5 conference champ that had one loss, it would make a complete mockery of the current CFP system.
Posted on 10/20/19 at 6:37 pm to LouisianaLonghorn
I heard he was actually doing footwork drills while he was under anesthesia. Saban decreed that it was so.
Posted on 10/20/19 at 6:40 pm to RadarTiger
Damn shame
Posted on 10/20/19 at 6:42 pm to RadarTiger
Bummer
Posted on 10/20/19 at 6:51 pm to Mulat
Got 21 days to recover
Posted on 10/20/19 at 6:54 pm to Pauldean
I guess we'll find out Nov 9.
Posted on 10/20/19 at 6:56 pm to Pauldean
quote:
The procedure makes the ankle MORE stable
Does anyone really, really buy this? I mean I have a medical degree and am a surgeon, and my opinion is that you just should never tell (or imply to) someone that a procedure is going to make something better than healthy native tissue...now I'm sure post procedure the ankle will be more stable than a significantly injured ankle, but I think its a big overstatement to imply it's more stable than the ankle in its normal healthy state. I would love to see some hard data on that (I'm too lazy to do a medline search), but doubt it exists.
The surgeon can tell the patient anything, and especially in a situation like this can blame a suboptimal outcome on re-injury. Not to mention it has to rely on what looks like a fairly large multi layer skin and soft tissue incision with an anchoring plate underneath to be healed as well. I'm basing this on listening to the orthopod from B'ham and watching the short procedure video.
I think they will keep this under wraps as much as possible (don't blame them) so LSU will have to prepare for both Tua and multiple back ups.
I'd like to hear from some ortho colleagues that post here on this.
Posted on 10/20/19 at 6:57 pm to Revelator
quote:
If it’s possible to get a tightrope surgery and be fine in less than 2 weeks, why doesn’t everyone with high ankle sprains get the surgery?
This is a good point. The wound must be very small to be able to return to playing in such a short time.
Posted on 10/20/19 at 7:03 pm to BigPapiDoesItAgain
quote:
Does anyone really, really buy this? I mean I have a medical degree and am a surgeon, and my opinion is that you just should never tell (or imply to) someone that a procedure is going to make something better than healthy native tissue...now I'm sure post procedure the ankle will be more stable than a significantly injured ankle, but I think its a big overstatement to imply it's more stable than the ankle in its normal healthy state. I would love to see some hard data on that (I'm too lazy to do a medline search), but doubt it exists.
I'm also a surgeon. And basing my post on the on-the-record comments from multiple ortho's regarding Tua and other similar ankles.
I thought it was obvious. The procedure makes the ankle more stable than an ankle that has NOT had the procedure. Not more stable than a native ankle.
These guys are coming right out and saying they are doing drills and running at 10 days and cutting at 14 days. Only limited by pain. And multiple people up in this thread saying it's basically medical malpractice. It's silly. The tightrope will do for high ankle sprains what scopes did for meniscus tears and what advanced rehab did for ACL's.
This post was edited on 10/20/19 at 7:05 pm
Posted on 10/20/19 at 7:04 pm to LSUStar
He’ll play...just a matter of how effective he will be.
Posted on 10/20/19 at 7:06 pm to GumboPot
We just have to hope Clemson, Ohio St and OU stay undefeated
Posted on 10/20/19 at 7:13 pm to GB1017LSU
quote:
He’ll play...just a matter of how effective he will be.
There are many in his shoes who would not play because of his projected draft status. If he does play, then much respect to him.
This post was edited on 10/20/19 at 7:14 pm
Posted on 10/20/19 at 7:18 pm to GB1017LSU
quote:
He’ll play...just a matter of how effective he will be.
This I expect to see. I'm dubious of him being full effect Tua. Even if he is bearing full weight in 10 and cutting in 14 days. Also with regards to the actual procedure, the presence of hardware (apparently a plate is used on the lateral surface of the fibula to stabilize, and I suppose some kind of pledget on the tibial side) changes the game a bit I think if one wants to compare it to scopes for torn menisci and whatnot. But he will have access (as any player at that level should) to the most advanced rehab there is. I guess the fact that it is his right ankle is better for him throwing than if it was his left.
Posted on 10/20/19 at 7:21 pm to LSU ATC
REC?
Posted on 10/20/19 at 7:22 pm to RadarTiger
I feel bad for this kid. He's destroying his knee at Alabama before he gets to the NFL. He should sit out for the draft.
Posted on 10/20/19 at 7:26 pm to The Real Drooby
I'm definitely on here doubting how fast he'll be back, but make no mistake, this is a seriously simple in concept and innovative surgery. I don't know how difficult the execution is because I don't do ortho, but it doesn't look very technically demanding. I wish I had come up with the idea!
Posted on 10/20/19 at 7:40 pm to BigPapiDoesItAgain
quote:
Does anyone really, really buy this? I mean I have a medical degree and am a surgeon, and my opinion is that you just should never tell (or imply to) someone that a procedure is going to make something better than healthy native tissue...now I'm sure post procedure the ankle will be more stable than a significantly injured ankle, but I think its a big overstatement to imply it's more stable than the ankle in its normal healthy state. I would love to see some hard data on that (I'm too lazy to do a medline search), but doubt it exists.
I don't have the data, but I believe the tightrope is biomechanically stronger than the native ligament. In cadaver studies the load to failure is extremely high and typically involves fracture of the fibula as opposed to failure of the device itself. So in that sense it could be considered more stable.
I saw something that also mentioned slightly less tibiofibular diastasis with the tightrope compared with the native ligament, although that isn't always a good thing. Before the tightrope sydesmosis injuries were fixed with screws, which has significantly less motion, but that causes problems with the normal biomechanics of the ankle.
quote:
If it’s possible to get a tightrope surgery and be fine in less than 2 weeks, why doesn’t everyone with high ankle sprains get the surgery?
Because most people aren't elite athletes who need to return asap, and there's also very little data showing a clear benefit to the surgery. These stories of players returning quickly are compelling, but I haven't seen a good study comparing operative vs nonop management with a faster return to play. Someone earlier quoted a study from UK in rugby players with average return to play around 60 days. That involved a much less aggressive rehab protocol, but still, there's no good data for a wholesale change in the standard of practice.
Also, look at Saquon Barkley. He returned today just 4 weeks after his high ankle sprain. So you are seeing a similar outcome without surgery. Then you have the inherent risks of any surgery, even a relatively minor one like this. Is it really worth it to gain 1-2 weeks in recovery time?
Posted on 10/20/19 at 7:42 pm to RC
How does the ncaa and the sec treat meds prescribed by Dr. when it comes to drug tests?
Posted on 10/20/19 at 7:49 pm to RC
quote:
Also, look at Saquon Barkley. He returned today just 4 weeks after his high ankle sprain. So you are seeing a similar outcome without surgery. Then you have the inherent risks of any surgery, even a relatively minor one like this. Is it really worth it to gain 1-2 weeks in recovery time?
This is what I'm trying to point out here. Everyone seems to be slam dunking it that he's back full blast game speed in three weeks because of a made for YouTube video promoting a surgical practice and a few quotes in a newspaper article. With regard to measuring load on cadaver tissue and so fourth, I just think over time when you drill holes in bone and leave hardware behind, there is at least in my mind a diminution in quality over the normal native state.
Page 6 of 7
Popular
Back to top
Follow TigerDroppings for LSU Football News