Jadaveon Clowney out 9 months.
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Microfracture is a last resort type of thing. And very very risky to the structure of the bone. Greg Ogden is a great example. You are basically damaging(drilling & fracturing) the bone, to create new cartilage growth through healing. Problem is that it doesnt always work and then the bone is fucked....and it is usually used when the body doesn't heal properly on its own...so, the risk is greater, because healing is the key element needed....
So, people who dont heal well get this surgery, but need to heal well for it to work.....makes sense....not
Finally, it requires an extremely disciplined rehabilitation for full recovery.....a full 8 hours days of work to be part of the 68% percent "success" rate.....and Clowney aint the hardest worker or most driven guy, so thats a big question mark right there
The list of people who have had this surgery and returned to their previous form is very short. The list of people who have had it and then been a shadow of their previous selves is long.
For every 1 real success(100% recovery), there are 10 failures
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Theres lots of stuff to read, but here's a good medical article on it from the Virginia Cartilage Institue, not wikipedia or ESPN...
Microfracture
The most common procedure currently in use for cartilage repair is microfracture, which really means making a series of tiny holes (with a special awl) in order to stimulate the stem cells of the bone marrow. We all have stem cells in the bone marrow throughout life, but the prevalence of these cells is about 1 in 10,000, and decreases with age. The idea is to release these cells into the hole created by the loss of cartilage. If the cells form a clot, there is a good chance that some may start to grow into a new tissue that in some sense resembles cartilage, even if not perfectly; it is certainly better than no fill of the hole at all.Microfracture requires the same rehabilitation protocol as ACI, but it has the advantage of being performed arthroscopically. It is therefore considerably less expensive, and on that score alone has been promoted by many as being a “first line” approach. By this it is meant that if microfracture fails, the option for ACI or other techniques is still open. Insurance companies sometimes react positively when confronted with the information that microfracture has already been tried to heal a cartilage lesion.
Microfracture works especially well for small cartilage holes, and is considerably more successful in young people. Nevertheless, the success rates are variously quoted as between 60-75% even in the best hands and with the most motivated patients. This large a failure rate is not typical for other orthopaedic procedures (ACI will succeed apprx. 90% of the time), so of course the patient should know just what the odds are before embarking on the microfracture protocol, which really means an investment of about one year. Patient compliance and willingness to take directions is totally essential for microfracture! It may be for this reason, amongst others, that the well motivated young athlete has a higher success rate than the typical patient.
Patients are instructed that the rehab must go according to protocol, and especially as regards return to impact sports, that decision cannot be made by the patient alone or on the basis of how the patient feels. In other words, stay with the recipe, no embellishments. This problem has been reported in the popular press when professional athletes sometimes are allowed to return too early—this may result in repeat surgery.
My approach is to match the best procedure to a particular patient. The size of the cartilage lesion, the location, the age of the patient, the work situation—which sometimes means: is the patient willing to undergo the rehab twice (if the microfracture fails); all of these factors contribute to the decision to proceed with microfracture, to perform ACI or—in some cases—to not perform cartilage repair. This latter decision is particularly difficult to make, but it does appear to be logical as patients age and the possibility of a total knee replacement appears less daunting.
Stay tuned for procedures in the works that increase the efficacy of microfracture without requiring the growth of cells.
Reference: “The Microfracture Technique for the Treatment of Articular Cartilage Lesions in the Knee” in The Journal of Bone & Joint Surgery
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Microfracture is a last resort type of thing. And very very risky to the structure of the bone. Greg Ogden is a great example. You are basically damaging(drilling & fracturing) the bone, to create new cartilage growth through healing. Problem is that it doesnt always work and then the bone is fucked....and it is usually used when the body doesn't heal properly on its own...so, the risk is greater, because healing is the key element needed....
So, people who dont heal well get this surgery, but need to heal well for it to work.....makes sense....not
Finally, it requires an extremely disciplined rehabilitation for full recovery.....a full 8 hours days of work to be part of the 68% percent "success" rate.....and Clowney aint the hardest worker or most driven guy, so thats a big question mark right there
The list of people who have had this surgery and returned to their previous form is very short. The list of people who have had it and then been a shadow of their previous selves is long.
For every 1 real success(100% recovery), there are 10 failures
Microfracture is a last resort type of thing. And very very risky to the structure of the bone. Greg Ogden is a great example.
Oden(?... former Buckeye Center) was the example I was trying to think of.
Forgot you knew this stuff...
My first reaction when I read "microfracture" is still to think "condition" and not "treatment".
Why would they jump to this last resort seemingly so quickly?
"When you have a shared vision it is a lot easier to make unpopular decisions." - Paul DePodesta "When you win, say nothing. When you lose, say less." - Paul Brown Complete 2017 Browns Board Mock: http://thebrownsboard.com/forums/index.php?showtopic=46196 -
Microfracture is a last resort type of thing. And very very risky to the structure of the bone. Greg Ogden is a great example.
Oden(?... former Buckeye Center) was the example I was trying to think of.
Forgot you knew this stuff...
My first reaction when I read "microfracture" is still to think "condition" and not "treatment".
Why would they jump to this last resort seemingly so quickly?
Why would they jump to this last resort seemingly so quickly?
Probably not healing from his surgery and he has swelling, pain?....no cartilage....remember Sandy Alomar and how he'd get his knees lubed up?
This is a modern versio of that. Except they create cartilage instead of injecting lube. It usually only lasts a year or 2, then wears out and has to be redone.
The Clowney/surgery/recover carousel has just started turning. Around and around it will go.
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Didn't Kobe go overseas and have some sort of Blood therapy on his knee. I don't remember specifics but I was thinking that it could help Clowney. Maybe someone will look it up and chime in.
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Didn't Kobe go overseas and have some sort of Blood therapy on his knee. I don't remember specifics but I was thinking that it could help Clowney. Maybe someone will look it up and chime in.
Didn't Kobe go overseas and have some sort of Blood therapy on his knee. I don't remember specifics but I was thinking that it could help Clowney. Maybe someone will look it up and chime in.
Yeah, Kobe had regenokine treatments, which is nothing like what clowney had. I think Kobe had old arthritic knees. So dont know if it would help Clowney or not, but they aren't available here in the US....only place they do it is Germany(and there is no good evidence it even works)......but you're right about the blood part..... its a treatment that uses your own blood to create a serum that alters your blood chemistry and how your body reacts to injured and arthritic joints. Its supposed to diminish swelling and inflammation, while improving healing.
Sounds a bit out there.....found a lot of stuff saying its pretty questionable science....and other stuff saying it works miracles...hmmm
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wow. we got actual doctors and scientists up in here?
shit i thought i was classy being the guy that took out clients to smith and wollensky to get them hammered so they'd sign with us for their campaign.
worse thing to ever happen to me during one of those sessions was to be told by some old grey dying flaky-haired asshole was that "thom darden was such and such a CB for the browns and he was from my hometown" while pointing an old bent wrinkled finger at me. (like i didn't know that).
the shit you do for a sale.
and no i never did that so.......
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wow. we got actual doctors and scientists up in here?
shit i thought i was classy being the guy that took out clients to smith and wollensky to get them hammered so they'd sign with us for their campaign.
worse thing to ever happen to me during one of those sessions was to be told by some old grey dying flaky-haired asshole was that "thom darden was such and such a CB for the browns and he was from my hometown" while pointing an old bent wrinkled finger at me. (like i didn't know that).
the shit you do for a sale.
and no i never did that so.......
... told by some old grey dying flaky-haired asshole was that "thom darden was such and such a CB for the browns and he was from my hometown" while pointing an old bent wrinkled finger at me. (like i didn't know that).
psssst... Thom was a Safety...
"When you have a shared vision it is a lot easier to make unpopular decisions." - Paul DePodesta "When you win, say nothing. When you lose, say less." - Paul Brown Complete 2017 Browns Board Mock: http://thebrownsboard.com/forums/index.php?showtopic=46196 -
wow. we got actual doctors and scientists up in here?
shit i thought i was classy being the guy that took out clients to smith and wollensky to get them hammered so they'd sign with us for their campaign.
worse thing to ever happen to me during one of those sessions was to be told by some old grey dying flaky-haired asshole was that "thom darden was such and such a CB for the browns and he was from my hometown" while pointing an old bent wrinkled finger at me. (like i didn't know that).
the shit you do for a sale.
and no i never did that so.......
wow. we got actual doctors and scientists up in here?
shit i thought i was classy being the guy that took out clients to smith and wollensky to get them hammered so they'd sign with us for their campaign.
worse thing to ever happen to me during one of those sessions was to be told by some old grey dying flaky-haired asshole was that "thom darden was such and such a CB for the browns and he was from my hometown" while pointing an old bent wrinkled finger at me. (like i didn't know that).
the shit you do for a sale.
and no i never did that so.......
he never pointed an old bent wrinkled dick at you?
-
wow. we got actual doctors and scientists up in here?
shit i thought i was classy being the guy that took out clients to smith and wollensky to get them hammered so they'd sign with us for their campaign.
worse thing to ever happen to me during one of those sessions was to be told by some old grey dying flaky-haired asshole was that "thom darden was such and such a CB for the browns and he was from my hometown" while pointing an old bent wrinkled finger at me. (like i didn't know that).
the shit you do for a sale.
and no i never did that so.......
he never pointed an old bent wrinkled dick at you?
he never pointed an old bent wrinkled dick at you?
Told him Rock Hudson was from his hometown.
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I remember Clowney before the draft talking shit about how he'd make any team that passed him up regret it. Looks like he's gonna make the team that DID pick him regret it.
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wow. we got actual doctors and scientists up in here?
shit i thought i was classy being the guy that took out clients to smith and wollensky to get them hammered so they'd sign with us for their campaign.
worse thing to ever happen to me during one of those sessions was to be told by some old grey dying flaky-haired asshole was that "thom darden was such and such a CB for the browns and he was from my hometown" while pointing an old bent wrinkled finger at me. (like i didn't know that).
the shit you do for a sale.
and no i never did that so.......
he never pointed an old bent wrinkled dick at you?
he never pointed an old bent wrinkled dick at you?
as the lyrics go: "i would do anything for love, but i won't do that!"
and i don't know about but my dick has been wrinkled since birth. you dirty so and so.
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