Amar’e Stoudemire regrets microfracture surgery, had it only because he didn’t know what it was

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Amar’e Stoudemire had microfracture surgery before the 2005-06 season, and he played just three games late that year.

But he returned to make five more All-Star games, an All-NBA first team and three All-NBA second teams.

It sure doesn’t seem as if that surgery hindered Stoudemire’s career. It seems as if it saved it.

A spate of other injuries, not just the 2005 knee problem, have set him back in the years since.

That’s why I was surprised to see Stoudemire say he regretted the microfracture surgery.

Stoudemire, via Jared Zwerling of Bleacher Report:

My intense training focus first started after my microfracture surgery in 2005. That was the hardest recovery I’ve ever been through in my life. I actually didn’t know what a microfracture was. If I had known what a microfracture was, I would have never gotten that procedure. Going into surgery, it actually wasn’t guaranteed that I was going to have a microfracture.

The doctors said, “There’s an option between a scope or a microfracture depending on how big the injury is.” So I said, “OK.” They said, “We’re going to go in and see, and if it’s a microfracture we’re just going to have the procedure.” So I wake up and there’s a microfracture, so I’m like, “Holy smokes. How long am I out for?” They said, “Six to 12 months.” I couldn’t walk for like two months after the procedure. No weight bearing and I had a machine that flexed my knee for me. I was like, “Man, this is crazy.”

When I went through the recovery, one day I feel great and the next day I’m in excruciating pain. It was just back and forth. I’m hearing, “Stoudemire will never be the same. He will not recover from this injury.” They’re naming Jamal Mashburn, Penny Hardaway, Chris Webber—all these great players who had this procedure and never returned. And I have a day where I feel like, “Oh, I’m back,” and then I feel like, “Oh, can I ever get back?” So I had to work and train and work and train, and I developed a habit of training.

It seems Stoudemire was in a bad position as soon as his knee reached the level of damage it had. What were his alternatives to microfracture surgery?

I reached out to Ben Wedro of MD direct, and with the caveat he doesn’t know Stoudemire and hasn’t reviewed his medical records, Wedro provided context about microfracture surgery and answered my question:

There are two types of cartilage, hyaline and articular. Articular lines joints and is thicker and stronger than the other. Unfortunately, articular cartilage has poor blood supply and does not heal well when damaged.

In microfracture surgery, small holes are drilled through the bone beneath the damaged area. This allows blood to well into the area and clot. It begins to heal and form hyaline cartilage, not as strong as articular, but adequate to return an athlete to play for awhile.

The rehab is 6-12 months because it takes time for the new cartilage to form and stabilize. Forcing the femur onto the healing  area with walking would prevent the purpose of the surgery.

There are some alternatives to microfracture surgery now available and likely could have been used in 2005, including cartilage cell injection. It requires both an arthroscopy of the knee to assess the damage and harvest cartilage cells plus an open operation to cut into the knee to perform the transplant. (The cartilage cells are reproduced in the lab to make millions to form a patch.) The rehab time is the same as microfracture.

The bottom line is that the initial injury is what altered his career. The operative repair allowed him to maximize potential after injury.

Stoudemire has had an excellent – and, at this point, underrated – career. It sure seems the microfracture surgery helped him continue it as well as possible.

An intriguing what if: How good would Stoudemire have been if not for his injuries?

But that’s a different question than: How good would Stoudemire have been if nor his microfracture surgery? It seems the answer is: about the same.

Basketball Hall of Famer John Kundla dies at 101

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MINNEAPOLIS (AP) — John Kundla, the Hall of Fame coach who led the Minneapolis Lakers to five NBA championships, died Sunday. He was 101.

Son Jim Kundla said his father died at an assisted living facility in Northeast Minneapolis that he has called home for years.

Kundla coached George Mikan and the Lakers in the 1940s and 1950s, helping them become the NBA’s first dynasty. He went 423-302 before retiring at the age of 42 and went on to coach his alma mater, the University of Minnesota.

Kundla was the oldest living Hall of Famer in any of the four major pro sports.

Kundla was inducted into the Hall of Fame in 1995. A year later, he was named one of the league’s 10 greatest coaches as part of the league’s “NBA at 50” celebration.

 

Report: Magic signing Marreese Speights to one-year, minimum contract

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It’s a tough market for free-agent centers, as Marreese Speights learned the hard way.

Jeff Zillgitt of USA Today:

I wonder whether Speights regrets opting out with the Clippers, who were also slated to pay him a minimum salary. Not only is he stuck with a low-paying deal, he’s on a worse team and one with center depth.

Nikola Vucevic and Bismack Biyombo should play only center, where Speights is best. Speights can also play power forward, but Aaron Gordon should get all his minutes there. Maybe Jonathan Isaac should, too, though it’s more tolerable to play him at small forward while the rookie adjusts to the NBA.

Simply, there won’t be much playing time for Speights unless Orlando makes a trade (maybe this is a harbinger) or plays too big of lineups (a lesson it should have learned last season).

Likewise, the Clippers will be fine, though less versatile, without Speights. The acquired Willie Reed (free agency) and Montrezl Harrell (Chris Paul trade) to play behind DeAndre Jordan.

Speights clearly isn’t essential, but he has expanded his range beyond the 3-point arc. He defends with effort, though not necessarily well. There’s a place in the league for stretch fives like him. But he turns 30 in a couple weeks, and his stock is clearly low. At least he’ll have a chance for a bigger payday next summer.

Kristaps Porzingis on Knicks: “This is where I want to stay… this is where I want to win”

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There were multiple, connected reasons it was time for the Knicks to move on from the Phil Jackson era — a triangle of reasons, really — but this one should have been at the top of the list:

He was alienating Krisptaps Porzingis.

We don’t know yet if Porzingis can be a franchise NBA player, however, he shows the potential to do it. He could become a top five NBA player you can build a contender around. You endear yourselves to those kinds of players, not get into power struggles that lead to said player blowing off end-of-year meetings and being guided out the door.

With Jackson gone, Porzingis has more motivation to stay a Knick and be the guy that turns the franchise’s fortunes around. KP was running a youth hoops camp in his native Latvia and was taking questions from the children when one kid got in a question the New York media would have loved to ask: Are you going to abandon New York? Here is Porzingis’ answer, translated and obtained by the New York Post.

“I feel that it is the best place to win. And if you win in New York, you are king. For the last two years, I have had so many positive emotions here that this is where I want to stay and that this is where I want to win.”

The Knicks have their cornerstone big. Now they need a guy on the outside (Kyrie Irving will get mentioned, but he is not the only answer), they need to get and develop young players to go with their stars. It’s the next phase for the Knicks.

But if they can keep Porzingis happy, they can lock him up to a max rookie extension after next year and have that piece in place. Then it’s up to Steve Mills and Scott Perry to put the pieces around him.

Report: LeBron James won’t waive his no-trade clause

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They Cavaliers have had a frustratingly lousy offseason.

They ousted trusted general manager David Griffin. Since, they’ve watched Golden State load up while their roster stagnates, as stars like Paul George and Jimmy Butler have landed elsewhere. Now, Kyrie Irving is requesting a trade and reportedly blaming LeBron James for that leaking.

LeBron has practically thrown up his hands and left ownership and management to figure out everything.

But LeBron – with rumors swirling about him leaving in 2018 free agency – won’t take an earlier exit.

Chris Haynes of ESPN:

LeBron James will not waive his no-trade clause for any teams at any point during the 2017-18 season, league sources tell ESPN.

Cleveland essentially has two options with Irving:

1. Trade him for better, older players

2. Trade him for worse, younger players

No. 2 becomes much more palatable if the Cavs can also flip LeBron (and Kevin Love) and launch into a full rebuild. But as long as LeBron is around, it’s hard not to contend for a title.

But if they trade Irving for immediate help and LeBron leaves next summer, the Cavaliers could be left with a ghastly roster. That might be the risk they’re forced to take now.

It’s hard to believe the Cavs would trade beloved LeBron, even if he didn’t hold veto power. It would turn owner Dan Gilbert and general manager Koby Altman into Cleveland villains, co-conspirators in LeBron leaving again. If Gilbert and Altman dare LeBron to leave in free agency, LeBron would have to own the decision himself.

Still, if LeBron and Irving would return incredible hauls of younger players and draft picks – I can’t even imagine what LeBron would draw in a trade – Gilbert and Altman should at least consider it. It just doesn’t seem the Cavs will have that option.