Dr. Ben Shaffer explains RG3's knee injury
Wed, 9 Jan 2013|
Csnwashington.com. Now this afternoon I sat down with capitals head team doctor Ben Shaffer of Washington orthopedics and sports medicine at -- hospital. He has performed that many similar surgeries and I asked him to walk us through the process.
This is the ACL here. If you look at a from the side view the ACL. Demonstrates. How it controls normal translation. -- back.
That's the ligament -- the TO circus also responsible for stability. In picketing in cutting so it took. Critical ligament we see is apologies black structure -- to normal. --
If we look at this example and decide he would need exact. Image. But it different patient. Here we conceded is no identifiable with him. Instead of that black Linear structure you see just agree. Washed out if you get to twenty TO on them on the other ligaments in the collateral ligaments there on either side. This is a right -- model. This is a lateral collateral ligament in Texas to the femur. Here on the fifth mile. And this is responsible for maintaining stability against stresses in which he needs to work in this direction and we conceded in this particular example. EL CO is completely intact. And again when you had a disruption in the AL CL. What you see. Is abnormal. Heterogeneous. Washed out can -- win doctor -- say that he did you prepare of the LCL what does that mean. That means that whatever fibers were torn whether they were torn in their mid substance.
Or if they were torn off the bone that he -- views sutures to directly reattached. The ligament either to the bones were primarily suture that and -- directly and together.
Like -- and that's a primary repair OK and then -- reconstruction. Of the ACL means what.
Reconstruction. Refers to replace -- substituting that -- and when you're -- ACL there is very little left it's kind of like my opinions when you look inside the joint.
So you have to surgically excise that tissue in this case the previous graph from the prior ACL reconstruction. Clean it up and make tunnels and take tissue from somewhere and putting is a substitute to reconstruction. Is replacing the ligament with. The substitute when they say that what's his high motivation he could be back for the start of the 2013. Season how does that timeline. Gel with kind of what you have seen in the past -- primary ACL reconstruction.
Probably is about a six month timetable to return to previous level of activities it's fairly quick. We knew as an LCO repair which initially requires a mobilization. Not prompt rehab. Right out of the box. Then your head into the equation several months because of requiring the LC LT heal me.
In addition he underwent a revision ACL reconstruction not a primary reconstruction.
And in -- revision generally we go bit slower. So we'll probably talking about a period of approximately nine months when I would expect an individual with his injuries to be able to time. She SN Washington dot com.