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Malceski !!

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sumavich

sumavich

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He's back, eight weeks after doing an ACL.
About the same time as Hase did his, so why didn't we try with Haselby ??
I know that Robert Shaw said because he was a bit older, and it was revolutionary etc etc.
But, correct me if I'm wrong but when has Robert Shaw been right !!
Spewing, coz he did his knee in a feckin practice match, and spewing coz he won't play this year.
 
A very high-risk procedure if I remember correctly. Hase has far too much footy left in him to be a guinea-pig.

Is it just me, or is Hase looking in decent nick during his interviews? Has he given up the HJ's?
 
well, he hasnt completed a match/season yet. so this surgery is yet to be fully proven in the AFL.
 

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I was and still am really apprehensive about him getting this surgery, but just a couple of days ago saw him kicking hard with the full brunt of his weight on his injured leg. Everything seems to be going to plan, and right know every Swans fan ,or otherwise, I know if just hoping to hell that it goes alright.

If it does, it'll be nothing short of revolutionary for players.
 
The procedure is not actually anything new. There have been players many years ago who had the same surgery. The basic problem with it is that the material that is used to replace the ACL is so strong, that in some cases, eg where you require a bit of 'give' that you would usually get from a ligament, if the replacement ACL doesn't snap, it can be torn right out of the bone it's screwed into.

Unfortunately it's not a miracle cure for ACL injuries.

I remember reading a story in the Herald Sun around the time Malceski had his surgery saying that the surgeon behind this has actually been banned fron performing this surgery in his own country.

My understanding is Malceski is not a first timer in reconstructions either - a bit like Webster who has undergone the same procedure and really doesn't have a lot left to lose.

Hase had much more significant damage. His medial ligament was also damaged and I think there was quite a bit of bone bruising.

As much as I wish both Malceski and Webster the very best in their comebacks, I think the right choice was made for Hase.
 
I fear it will end in tears!
I think I heard that if this op fails then your pretty much f****d because there is nothing left to repair. If you have normal ACL surgery if it fails you still have something to work with. I could be wrong.
 
Im glad to see Malceski back but im very happy Haselby didnt choose this surgery. Would rather him fully right to go next year.
 
Polly said:
I fear it will end in tears!
I think I heard that if this op fails then your pretty much f****d because there is nothing left to repair. If you have normal ACL surgery if it fails you still have something to work with. I could be wrong.
Click to expand...
Nooo don't say that :(

There is scope of recovery via the normal route except it would take a while longer.
 
chook2734 said:
Hase had much more significant damage. His medial ligament was also damaged and I think there was quite a bit of bone bruising.

As much as I wish both Malceski and Webster the very best in their comebacks, I think the right choice was made for Hase.
Click to expand...

Yeah, I think that was the reason.

The reason I think it is attractive for serial knee offenders, is that 1) The reconstructed ligament doesn't have to come from the hammy tendons (note Darcy's and now Coughlan's troubles with this).

and 2) If there has been significant damage to the ligament attachments previously, you don't have the complications of the natural new ligament bonding with the bone. Which I think is the actual reason for the speed in recovery.

But if you've only just popped your knee ligament cherry, you need the cartilage and everything to have a chance to heal, and in tact to avoid arthritis later on. So el naturale is the way to go.

There's always new methods for this treatment though. Some professionals even shy away from the surgery. I completely ruptured my PCL, didn't notice apart from swelling and itchiness, and didn't find out until after some bad hammy tears. No surgery, 5 years on, playing footy, and as long as I keep the muscles in balance, I don't notice it. Funny buggers knee ligaments. A lot of people can function perfectly without them. Woosha's sister being a case I remember well, played Netball for months without noticing a ruptured ACL.

N.B. - my limited knowledge is from doing some rehab work as a paramed, and personal experience.
 
Every time a ligament is damaged, there's tearing to the meniscus. That cant be repaired as easily, especially if its gone.
 
Polly said:
I fear it will end in tears!
I think I heard that if this op fails then your pretty much f****d because there is nothing left to repair. If you have normal ACL surgery if it fails you still have something to work with. I could be wrong.
Click to expand...

Not sure this is entirely correct Polly. I'm sure Luke Webster was interviewed somewhere and was asked what happens if it snaps too and he said you can have this surgery as many times as you like. I think the actual recovery time is to allow the bone to heal where the ligament replacement has been screwed in, otherwise, it's as strong as it's going to be as soon as it's done.
 
Sounding like Captain Obvious here, but this thing sounds like something only for people with not much time left in AFL. If you had years left (like Hase) then get it done right.
 

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chook2734 said:
The procedure is not actually anything new. There have been players many years ago who had the same surgery. The basic problem with it is that the material that is used to replace the ACL is so strong, that in some cases, eg where you require a bit of 'give' that you would usually get from a ligament, if the replacement ACL doesn't snap, it can be torn right out of the bone it's screwed into.

Unfortunately it's not a miracle cure for ACL injuries. ...
Click to expand...

I believe that what makes this a little different and fairly new is the material being used. It allows for the natural ligament to become more involved and ultimately take up most of the load. In general, though still not totally fail safe, it avoids some of the problems with artificial methods used in the past ... sorry don't remember the detail so its all sounding a bit vague. Read the article a while back so don't remember the particulars and I'm not a medico by any stretch.
 
Just drove past Freo Oval. Apart from Black and McPharlin having a kick-to-kick like a couple of mates in the park, there was a player being interviewed by Barra. I'm pretty sure it was Luke Webster, but as it was a fair distance away I'm not 100% sure. Anyway, if it was Luke, then he looked like he's back into it. He was dressed in the regular training gear, with some heavy strapping on his knee - but just strapping, no brace or anything... and then he headed into the gym when the interview was done. Certainly appeared to be moving a lot better than Hase was after 4-5 weeks. They're hoping for a Rd 12 comeback apparently, so it sounds as though that's pretty much on track at this stage.
 
I heard somewhere even if Hasleby wanted this kind of surgery, it wouldn't have been any good for him - The Hase had severe bone bruising and a couple of other problems with his knee, because it was an impact injury - the ligiment being snapped was just part of the consequences of the impact, rather than in Webster and Malceski whose ligiment appear to have snapped without any other problems.
 

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