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.

Report: Raptors’ Delon Wright out a month

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Raptors guard Delon Wright dislocated his shoulder, but at least he won’t need surgery.

Raptors media relations:

Adrian Wojnarowski of ESPN:

The Raptors (11-5), off to a surprisingly strong start, are second in the Eastern Conference. They’ve bought themselves margin for error. All in all, a month-long absence for Wright isn’t so bad.

Wright had been a key part of an excellent all-bench unit that included Fred VanVleet, O.G. Anunoby, C.J. Miles and Jakob Poeltl. Two-way player Lorenzo Brown has assumed Wright’s role, and Norman Powell – returning from his own injury – will provide a boost. Toronto can also stagger Kyle Lowry and DeMar DeRozan more.

The chemistry of the bench mob was something to behold, but the Raptors should withstand this.

Report: Clippers PG Patrick Beverley out rest of season

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Clippers point guard Patrick Beverley underwent knee surgery – never a great sign.

The prognosis is about as bad as could be expected.

Adrian Wojnarowski of ESPN:

This injury isn’t just a setback for this season. It could derail the Clippers’ long-term plan.

They’ve already lost nine straight, and Danilo Gallinari and Milos Teodosic are injured. If they fall further out of playoff position, they could become sellers before the trade deadline, especially with DeAndre Jordan ($24,119,025 player option for next season) and Lou Williams ($7 million salary on expiring contract).

Health was always the major question with this team, and it won’t soften as Blake Griffin and Danilo Gallinari age through lucrative contracts.

The final year of Beverley’s contract is guaranteed for just $5,027,028 next season, and the 29-year-old will spend most of the summer recovering from this injury. That salary is probably low enough that the Clippers will keep him without hesitation.

Until then, down a couple point guards, the Clippers have no choice but to continue leaning more on Austin Rivers. That also means greater roles for second-round rookies Jawun Evans and Sindarius Thornwell. That’s just too many players facing outsized responsibility.

The Pelicans, Grizzlies, Jazz and any other team competing for the final playoff spots in the Western Conference ought to feel better about their chances. They’re still competing with each other, and it’s doubtful all three make it. But Beverley’s injury helps clear the way.

The Clippers, who didn’t want to take a major step back after Chris Paul‘s departure, must confront an even more uneasy reality.

Giannis Antetokounmpo out for Bucks-Suns Eric Bledsoe revenge game

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Giannis Antetokounmpoone of the NBA’s best players – won’t help new Bucks teammate Eric Bledsoe in a revenge game against the Suns tonight.

Not only is Milwaukee missing Mirza Teletovic and John Henson (and Matthew Dellavedova and Jabari Parker), Antetokounmpo is out.

Matt Velazquez of the Milwaukee Journal Sentinel:

Antetokounmpo will miss Wednesday’s game against the Phoenix Suns due to right knee soreness.

Antetokounmpo says his knee soreness is the same injury he dealt with in the off-season, which caused him to withdraw from the Greek national team.

“It feels good,” Antetokounmpo said after sitting out shootaround. “I’m just trying to be careful with it and not make any damage. That’s it, because it’s a long season and I’m trying to be careful.”

The Bucks have been outscored by 18.6 points per 100 possessions without Antetokounmpo this season (and are +2.3 without him). Phoenix isn’t good, but neither is Milwaukee without Antetokounmpo.

I don’t think Bledsoe will mind a chance to get more aggressive tonight, though.

Report: Mexico City could host NBA’s 31st minor-league team

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NBA commissioner Adam Silver said his league would look into placing a franchise in Mexico City.

Meanwhile, the NBA’s minor-league has affiliates for 26 of 30 NBA teams and counting. The league also has youth academies in China, India, Australia and Senegal – and also counting.

Jonathan Givony of  ESPN:

The NBA will announce a new basketball development and training academy in Mexico City during the Global Games December 7th and 9th, in conjunction with CONADE (Mexico’s National Commission for Physical Culture and Sport) and the Mexican Basketball Federation, sources told ESPN.

Mexico City could emerge as the 31st G League franchise, where prospects from the seven academies graduate up to, according to sources.

A minor-league team in Mexico City could be a nice testing ground for an NBA franchise. An unaffiliated minor-league team is also an interesting wrinkle, especially how it’d be stocked.

Ultimately, experimentation is a purpose of the NBA’s minor league. This would be running multiple test cases at once.