Def Swami wrote:I just stopped figuring Isaac into the future of the Magic. Whatever is going on with him makes no sense to me and I don't know what to make of it.
I wanted to move this into the Isaac thread because I've been wondering this too. Obviously, I am no knee specialist, but I've been doing some research into what an ACL setback would look like and have found some pretty useful information regarding ACL revision surgeries.
https://drrobertlaprademd.com/revision-acl-reconstruction-acl-graft-failure-acl-knee-surgery-twin-cities-minnesota/The second most common cause of ACL reconstruction failure is due to untreated secondary instabilities. This could include a posterolateral corner injury, a meniscal root detachment, or a lack of the posterior horn of the medial meniscus. It is well recognized that a deficiency of these areas, and other areas to include an unrecognized PCL injury, medial knee injury, alignment issues in patients who have arthritis and other issues, are also common causes of ACL reconstruction failures. For this reason, the work-up for an ACL revision surgery must include evaluation of the secondary restraints of the knee and the integrity of the posterior horn of the medial meniscus.
From what I've been able to garner, it doesn't seem out of the question that this is what Isaac suffered at some point in his recovery. Isaac suffered a torn meniscus alongside the ACL and according to what I've read it seems that certain deficiencies alongside the ACL (such as the meniscus) could result in an ACL reconstruction failure.
The difficulty is I just can't find any precedence for such complications among athletes in the last 5-10 years. With the advancement we've seen in ACL surgeries these days it doesn't seem like an issue most players are running into.
However, from a recovery time standpoint, it makes sense. The recovery time of ACL revision surgeries takes 25-30% longer than the initial surgery. Considering Isaac is looking at potentially 2 plus years before he is ramping up to full play again (training camp 2022), I think it's a plausible explanation for why we haven't seen him.
The worst-case scenario though is that the surgery hasn't happened yet because if he's still experiencing complications and needs the revision surgery now, he may never play a minute under this new extension we gave him.