Ginobili Has Successful Surgery

[polandprzem]

T Park as a doctor

[T Park]

poland as an idiot

Yes, really. No matter how smart your mom told you that you are, it's not true

[Kori Ellis]

Manu Ginobili underwent successful arthroscopic surgery to correct a posterior impingement of his left ankle.

I wish I understood what they did to fix it.

I understand that the ligament was too stretched out. So what did they do to tighten it? Cut and then re-attach it? Tie it to shorten it up?

[polandprzem]

You can talk about me

Don't talk about my Mom

aight?

[Obstructed_View]

I wish I understood what they did to fix it.

I understand that the ligament was too stretched out. So what did they do to tighten it? Cut and then re-attach it? Tie it to shorten it up?

I hope not. That's how they fix a stretched ligament, but I thought the impingement was due to thickening of the ligament, and all they have to do in that case is shave it down so it doesn't get caught in the bones. I'm also thinking that the surgery to tighten the ligament isn't arthroscopic. From the very little I've read, it looks like the recovery times are significantly different, so if he had the cut and re-attach procedure, he'll be out a lot longer.

[ShoogarBear]

What? He was operated on by Dr. Urkel???

[Kori Ellis]

I hope not. That's how they fix a stretched ligament, but I thought the impingement was due to thickening of the ligament, and all they have to do in that case is shave it down so it doesn't get caught in the bones. I'm also thinking that the surgery to tighten the ligament isn't arthroscopic. From the very little I've read, it looks like the recovery times are significantly different, so if he had the cut and re-attach procedure, he'll be out a lot longer.

Thanks. I read this and now I understand it more. I assume he had the first one (debridement) though it says its for anterior and Manu's was posterior.

Debridement

Debridement is the most common surgery for anterior ankle impingement. Many surgeons prefer to perform this procedure with an arthroscope. An arthroscope is a tiny TV camera that can be inserted into a very small incision. It allows the surgeon to see the area where he or she is working on a TV screen.

To begin, two small incisions are made through the skin on each side of the impingement area. The surgeon inserts the arthroscope to see which area of the tendons or joint capsule are irritated and thickened. The arthroscope lets the doctor see if a meniscoid lesion (mentioned earlier) is present. A small shaver is used to clear away (debride) irritated tissue from the affected ligaments. The surgeon also debrides the tissue forming a meniscoid lesion and any areas of the joint capsule that are inflamed. Small forceps may also be used to clear away irritated or inflamed tissue.


Small bone spurs on the tibia or talus are removed. If the spurs are large, the surgeon may decide to create a new incision over or next to the spur. This allows a special instrument, called an osteotome, to be inserted. The surgeon uses the osteotome to carefully remove these larger bone spurs.


Before concluding the procedure, a fluoroscope is used to check the debridement and to make sure no bony fragments remain. A fluoroscope is a special X-ray machine that allows the surgeon to see a live X-ray picture on a TV screen during surgery. When the surgeon is satisfied that debridement and removal of bone fragments is complete, the skin is s ched together.

Os Trigonum Excision

The goal of an os trigonum excision is to carefully remove (excise) the os trigonum to alleviate pinching of the tissues above or below it. It is standard to use an open surgical method which requires a one- to two-inch incision over the outer part of the back of the ankle. An arthroscope is not routinely used for os trigonum excision because there are many nerves and blood vessels in the back of the ankle that could be injured by an arthroscope.

This surgery begins by placing the patient face down on the operating table. The surgeon makes a small incision over the lateral side of the back of the ankle, just behind the outer anklebone. A retractor is used to carefully hold the nearby tendons, nerves, and blood vessels out of the way. The surgeon locates the os trigonum. A scalpel is usually sufficient to dissect the os trigonum. However, if a bony bridge binds the os trigonum to the talus, the surgeon may need to use a chisel or osteotome.

A fluoroscope is used to check for any remaining bony fragments. When the surgeon is satisfied that all bone fragments have been removed, the skin is s ched together. Patients are placed in a special splint designed to protect the ankle and to keep the foot from pointing downward.

http://www.eorthopod.com/public/pati..._problems.html

[Kori Ellis]

Also from that page, I thought this line was interesting:

Posterior impingement can also occur in a ballet dancer who has had a previous ankle sprain. Damage from the past ankle sprain may create too much instability in the ankle. As the dancer rises up on the toes, the talus may be free to slide forward slightly. This allows the shelf of the heelbone to come into contact with the back of the tibia, pinching the soft tissues in between. Posterior impingement from ankle instability can also happen in other athletes. But this is uncommon, because forceful plantarflexion is rarely required in other sports.

[Obstructed_View]

The press release said he's going to have a boot and crutches for three weeks. From all the information out there, I don't think he could have had anything but debridement and be on that schedule.

[smeagol]

The surgery that should've been done in June was successfull.

Hoorah.

Talking out off you ass again.

Mmm . . . kay . . .

[dbestpro]

He should have tried accupuncture.

[Cherry]

The surgery that we will never see in March was successfull.

Hoorah.

Fixed

[urunobili]

anyone has a pic of manu in crutches? i bet he'd hate to get one of those taken... just a paparazzi at the airport could make it happen...

[I. Hustle]

It depends on the method the doctor uses. Using the excrusion method he could potentially damage the unilateral metacarpel thus further inflamating excuse me I meant masturbating the infringment. If he decides to use the profuse method and decided to infuse the third, fourth, and fifth capillaries bringing about a full recovery of the negatory artesian ligament. It’s all scientific, y’all wouldn’t understand.

[temujin]

I hope not. That's how they fix a stretched ligament, but I thought the impingement was due to thickening of the ligament, and all they have to do in that case is shave it down so it doesn't get caught in the bones. I'm also thinking that the surgery to tighten the ligament isn't arthroscopic. From the very little I've read, it looks like the recovery times are significantly different, so if he had the cut and re-attach procedure, he'll be out a lot longer.

Correct.

In addition, they proceed in partial synovectomy with debridement of scar tissue. In other words, they clean-up the post-inflammatory mess.

The success rate is quite high.
At any rate, I wouldn't want to see Manu back before Christmas.

The cut-and-paste surgery -not required in this case- is more invasive and requires longer periods of recovery, 4-6 months.

[Spurtacus]

Get well Manu.