Doc: Derrick Rose 'ahead of schedule'
"This was part of the plan established before surgery."
I don't think I've ever seen a torn ACL surgery handled better than the Bulls have handled Rose's. They didn't rush in right away and they took extra time to make sure he got back his range of motion back (even worked on this) and then they worked on building his quad strength. I don't think people realize how major doing this was.
Like I've been saying... There's no way he's out the season. 0% chance, unless the team is just garbage and it makes no sense to bring him back. I'm predicitng a return in 7-8 months, maybe sooner. Going the full 7-8 months will just be being extra precautious.
@IndianaBasketball Not to sound mean or anything but that is standard procedure. They are not really handling it any different to warrent a "how major that is" statement.
I would curious if anyone knew the type of graft that was used. since it can play a major role in If this injury happens again. Along with the recovery time.
I wouldn't rush him back either. At most I would play him the last 3 or 4 weeks of the regular season and ease him back in, then use him more in the playoffs. The Bulls need to focus on getting a good player in the draft, develop their talent then make a run in two years. I think by then that the Heat will be a little bit creaky. If the Heat go to the Finals again next year then they will be completely gassed in 2013-2014 especially if the Big Three (Bron, Wade, Bosh) also end up playing this year in the Olympics. The Bulls' window of opportunity begins to open up in 2013-2014. ... the Bulls need to move Boozer. Damn, they should have dealt with the Wizards. They could have unloaded the Booz for Rashard Lewis and then waved Lewis or just held on to him until the end of the year, even if they had to throw in a guy like Ronnie Brewer to make the deal work out. Or Rip Hamilton.
Depending on what KG and the other old Celtics do, and what happens to Dwight in Orlando, the Bulls could still make the playoffs and make a deep run there even if Rose is only at 80% or so. It looks like that after the Heat, the Pacers look solid but after that the rest of the East is wide open. So the Bulls need to rest their injured players as long as possible, work through Deng and Noah plus their draft pick and Watson/Lucas, get into the playoffs and try to avoid the Heat in the first round. Then get everyone healthy and make a run in the playoffs.
@Tim49461
I've torn mine twice and know plenty of other athletes that have torn theirs, and it's not all that standard. I mean, yea you let the swelling go down before going into a bloody knee, but to put legit work in towards range of motion and strengthening the quad? It should be a must, but not all surgeons have you do it. I think it should be emphasized just as much as rehab post surgery is. To take the amount of time the Bulls took working on his range of motion and strengthening his quad before the surgery was definitely major and he'll come back sooner because of it.
And I would assume they used a graph from his patellar tendon, rather than a donor since it takes longer for a doner ligament to adapt to your body.
@IndianaBasketball
Its standard procedure with all college sports team/ pro teams. You are considered just a normal person and rehab is not covered in the doctor's duty. Professional teams and college teams all have training staffs that they do this with every injury. ex. bruised bicep. restore range of motion and establish strength. Like i said standard procedure for any athlete.
Longer to adapt? Thats not how it works, it s ligament, its avascular. Donors have the highest success rate of no longer tearing but the risks are with infection not "adapting" Patellar tendon is the least common used one. typically athletes draw a graft from a hamstring or quad.
@Tim49461
So you don't think your body responds to autograft and allograft tissue differently? It's a known fact that your body will accept or heal an autograft faster than an allograft. Your body will also replace the autograft tissue with new ligament tissue faster than it will with an allograft. It's really common sense... Your body will accept it's own faster than something that's not. Your body will "accept" it's own compared to just "putting up" with something that's not.
There are advantages and disadvantages of all of the options. IF we're talking about autografts, it all depends on the surgeon. Taking a graft from the hamstring has picked up over the last several years (mainly because it's easier for the surgeon), but it's arguable the Patellar tendon is still the way to go. There are major disadvantages of taking a graft from the hamstring... Healing takes longer (hamstring tendons aren't attached to bone, so the healing process when they're used as an ACL is just uncertain and the process could take a full year alone), they could stretch leading to loose knee and you could have permanent damage/weakness in your hamstring.
And if we're talking allograft, the disadvantages are plenty (not just infection, which like you said is now slim). For one, we're talking about a dead piece of tissue. It's frozen and then thawed. Do you realize how long it takes to have new cells form where the dead cells used to exist (revascularize)? That's a process that takes a full year. Another disadvantage is you have no clue where that frozen piece of dead tissue came from... Was the graft irradiated? IF so, what was the dose of the radiation? And what tissue bank did it come from? There's also the possibility of more stretching with these, which leads to loose knee.
So like I said... There's disadvantages to all of the options. It all really just depends on the patient and the surgeon which route is best.
@Tim49461
"Patellar tendon is the least common used one. typically athletes draw a graft from a hamstring or quad." - Tim49461
I found this video and thought about this thread and the disagreement we had. You can start at 3:50 of the video:
"The most common graft that is used for an athlete, and younger active individuals, is the patellar tendon autograft." - Chicago Bulls' team Physician Dr. Brian Cole
You can also watch the entire video and see that they put a HUGE emphasis on pre-operative care of his knee (working on his quad strength and range of motion) and how excited they were to do that... Just how important it was that they were even able to do that. The fact that they were able to do that is why he's ahead of schedule.
http://espn.go.com/chicago/nba/story/_/id/8079282/chicago-bulls-guard-de...
By Nick Friedell
CHICAGO -- Chicago Bulls guard Derrick Rose is "ahead of schedule" in the rehabilitation process on his torn left ACL, according to Dr. Brian Cole, who performed surgery on the former MVP last month.
ESPNChicago.com reported Tuesday that Rose traveled to Alabama to consult with famed surgeon Dr. James Andrews. But Cole, the head team physician for the Bulls, noted that it was actually a therapist in Andrews' office with whom Rose is working. Cole said the trip to Alabama had been scheduled before Rose's surgery. Andrews was not in the office nor will he meet with the 23-year-old All-Star, Cole said.
"Derrick is ahead of schedule," Cole said in a phone conversation Wednesday night. "This was part of the plan established before surgery. This was not a consultation with another physician, but rather it's working with another therapist in collaboration with the Bulls' training staff."
Cole also brushed aside speculation that Rose has had a setback in the process.
"Nothing could be further from the truth," Cole said. "He's ahead of schedule. [The rehab] is a way to keep things fresh for Derrick, to help give him some variety."
Rose tore his ACL in Game 1 of the Eastern Conference playoffs against the Philadelphia 76ers on April 28. Cole said after the surgery that Rose is expected to miss 8-12 months.