Successful ACL Surgery for J. Butt

Submitted by DrMGoBlue on
They said jakes surgery is done and it went really well, but they won't let us go back there yet... (Twitter @pn_87) Good news!

maizedandconfused

February 28th, 2014 at 10:44 AM ^

I don't think people have realistic expectations of ACL recovery. 

Jake Ryan is an absolute freakish anomaly. 

3-6 weeks before you start to walk and do light aerobics.

3-6 months: Jogging and sports simulation. 

6 months plus: Return to Play Decision

 

Now. The biggest issue people have with surgery is that for about 5 months, your body learns that your knee is not stable. You ahve to build significant muscle tone around the joint to compensate for this. This leaves the patient with a mental understanding that their knee is no longer solid, and they implicitly avoid doing things that might require having to go through surgery again on it. 

Mentally trusting your body to do something it failed at is extremely difficult. 8-12 months before you can truly expect to have a solid knee with athleticism that might return to normal

StateStreetBlue

February 28th, 2014 at 10:49 AM ^

So much this.  The mental aspect of ACL recovery is with out a doubt the hardest part.  You body naturally learns to stop performing functions that will strongly effect the ACL and you won't even realize it.  You will jump and land differently, run with a altered stride, and cut at a different angle. It is very, VERY hard to return back to normal from the mental aspect.  I tore my ACL 2 years ago and still catch myself sometimes.

Zok

February 28th, 2014 at 11:08 AM ^

But these guys are great athletes and more importantly have the best facilties and time to do the PT.

I ran a half marathon 8 months after ACL surgery (used my own hamstring for the graft). Granted this is nothing close to playing Div 1 football but I also could only do PT on my lunch break about 2-3 times a week if I was lucky. I had an office job where I would work 9am-8pm so had little downtime. 

Now I whole heartedly agree on th mental aspect as I still sometimes have that feeling in my head 3 years after surgery. That being said, I always wondered what it would have been like if I didn't have an office job and could have dedicated REAL time and hours to my recovery in PT.

Sucked but you gotta pay the bills and I'm not a pro anything so had my priorities. I pretty much do anything now as a "weekend warrior".

 

StateStreetBlue

February 28th, 2014 at 11:48 AM ^

As it takes an awful lot of dedication and hard work to get back to that kind of strength in 8 months - but running a half marathon is a lot different than playing a contact sport with constant cutting.  The sheer force exerted on the ACL playing football with 250+ lb guys flying around is 1000% greater than running long distance.  It's the sheer force that you really have to worry about with ACL.

Not sure how it was for you, but for me the box jump landings and balancing movements on the leg were much harder mentally and physically then the running.

denardogasm

February 28th, 2014 at 11:20 AM ^

Your timeline puts him on the field in September... That's exactly what people's best case expectations are. Even assuming he takes 7 months, that gets him in on October 1st and he only missed what, 4 games? Ill take that. He also has similar athletic requirements to Jake Ryan in terms of cutting and hitting (less often but similar impact). Doesn't have to cut like Countess or have the weight of a Pipkins. Sets up for a speedy recovery I think.

Michigan4Life

February 28th, 2014 at 12:24 PM ^

but I tore ACL early on in football season and came back in 5 months in time for the start of baseball season. 

It's realistic to come back in 5-6 months if you stay committed to rehabbing.  Science and Sports Medicine has come so far that 6 months is the standard for recovery time. Anything longer than that, it's on the player for either being lazy or have incompetent medical staff.

GoBLUinTX

February 28th, 2014 at 11:02 AM ^

the Justin Fargas saga.  While not knee surgery, it was surgery of the leg with a subsequent infection and subsequent surgery.  Had his surgery gone well the first time, without infection, maybe he would have returned to a fruitful career for Michigan.

LSAClassOf2000

February 28th, 2014 at 10:31 AM ^

This is excellent news on an otherwise cold Friday morning (well, here anyway). We don't know at this point, of course, but hopefully this was early enough that he will still see some time on the field this season, assuming all goes well with the recovery. 

Thanks for the update, OP. I had seen tweets about it being this week, but not when specifically. 

Naked Bootlegger

February 28th, 2014 at 11:52 AM ^

A word of warning to those who want to donate ACL's to our beloved university.  I offered my ACL as generous alum support to the Michigan football program, but was told that I wasn't a cadaver.  

Get well, Jake.    I wish my ACL was helping you.

 

Amutnal

February 28th, 2014 at 5:25 PM ^

Recent data strongly supports NOT using cadaver grafts in young athletes anyways, due to high failure rates (up to 25-33% iirc, depending on the study). It has to do with the way cadaver tissue is processed/sterilized, which basically weakens it. After about 40 years of age graft choice doesn't matter as much in terms of failure rates.

Additionally, autograft tissue used for ACL reconstruction is usually hamstring tendon, patellar tendon, and rarely quad tendon. Similar tissues are used for allograft, but the actual ACL cannot be used. Bottom line is that your donation would have gone to some middle-aged person or non-athlete anyways and left you with an unstable knee.

http://www.aaos.org/news/aaosnow/apr12/cover1.asp

Victor Valiant

March 1st, 2014 at 5:12 PM ^

I tore my ACL in October of my sophomore year of high school, had surgery that same month, and was back playing baseball full speed by March. There were some aches and pains, but for the most part my knee was great. I understand that baseball is not football, and high school baseball in certainly not Big 10 football, but Butt can definitely recover to play a good amount of the 2014 season. I should add that I did very little PT because I lived in a small town that had limited access to good therapists, and still made a 5 month recovery. These athletes have state of the art facilities, first rate doctors and therapists, and all the encouragement they can handle. I think the odds are good he's back this year.

I fail to see why people keep making the point that a 5-7 month recovery is freaky. These stories are becoming the norm. Get with it folks.