Amare Stoudemire, Marvin Williams

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: Knicks grumbling about Jeff Hornacek’s lineups and rotations

DENVER, CO - DECEMBER 17: Head coach Jeff Hornacek of the New York Knicks watches as his team plays the Denver Nuggets at the Pepsi Center on December 17, 2016 in Denver, Colorado. NOTE TO USER: User expressly acknowledges and agrees that , by downloading and or using this photograph, User is consenting to the terms and conditions of the Getty Images License Agreement.  (Photo by Matthew Stockman/Getty Images)
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Knicks coach Jeff Hornacek has seemingly steered clear of the Phil Jackson-Carmelo Anthony feud. Hornacek has even avoided Jackson, one of the greatest coaches of all time, overly interfering.

But Hornacek hasn’t sidestepped every fissure in New York.

Veteran Knicks are reportedly frustrated with the defensive scheme, though some of that resentment could be pinned on assistant coach Kurt Rambis. Derrick Rose has reportedly been increasingly frustrated with Hornacek. And apparently he’s not the only one.

Ian Begley of ESPN:

Privately, players have been grumbling about lineups and rotations during the recent losing skid, according to sources. Brandon Jennings hinted at this after Monday’s loss when he spoke with frustration about the inconsistent nature of the Knicks’ recent lineups.

“Every day is something new. So just got to be ready I guess. You never know when you’re going to play,” he said.

Jennings was asked if the inconsistent rotations make things difficult for players.

“Yeah, when you come in here you don’t really know what’s going to happen, so it’s kind of no consistency and it’s really tough right now,” he said. “Right now, you come in here you don’t know what’s going to happen. I’m struggling. It’s difficult for me, because I don’t really know what’s going on. Just take it one day at a time.”

Jennings isn’t the only player expressing dissatisfaction beyond anonymous leaks.

According to Marc Berman of the New York Post, Rose and Hornacek yelled at each other after Rose – who called on Hornacek to coach defense harder – got beat by Dennis Schroder on this play:

Berman reports Kyle O'Quinn also glared at Hornacek after being subbed out during the Knicks’ loss to the Hawks.

After the game, Courtney Lee – whom Hornacek removed the starting lineup – posted and deleted photos of Dumb & Dumber on Instagram. Lee then followed with this caption:

I posted a pic of dumb n dumber cuz that was my mood, no jab at no1. It’s dumb that we have a talented team and we’re in position to win games n keep losing by 1 possession. We’ll figure it out collectively as a team but that was my mood after the game. Has nothing to with any change, rotation, system, players, coaches, so let that be clear.

Are we reading too much into vague social media postings and distant body language? That is a real risk.

But Hornacek still appears to have issues with these Knicks. The debate should be a matter of the depth of the problems, not whether they exist.

This is what happens when teams lose 11 of 13. Players get frustrated and grumble.

The coach also often adjusts the rotation, which Hornacek has done, including starting Ron Baker. Jennings and co. haven’t earned stability in their roles. When they had that, they were losing.

The question now: Can Hornacek reclaim the players’ trust, which would help the team break its skid? Or does the griping – and, partially as a result, the losing – continue in a season-destroying snowball?

PBT Extra: Carmelo Anthony/Phil Jackson rift just adds to Knicks stagnation

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Carmelo Anthony and Phil Jackson had a chilly talk, and Anthony told Jackson the star forward wants to stay in New York. Which, based on the mind games we’re seeing, is not what Jackson wants — although you get the feeling Jackson wants to move Anthony to bring in more stop-gap, win now pieces rather than try to build a future around Kristaps Porzingis.

Which all speaks to why the Knicks have made the playoffs just three times in 13 years. What is the Knicks long-term plan?

I discuss it all in this latest PBT Extra. Well, except the long-term plan because nobody knows what that is.

Rajon Rondo strangely runs behind Rick Carlisle during play (video)

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This would be ignored – still odd, but ignored – if it weren’t for their history.

But Rajon Rondo running behind Rick Carlisle during the Mavericks’ win over the Bulls raised a couple eyebrows in curiosity and drew a few chuckles. What was Rondo doing?

At least Carlisle explained why he didn’t call timeout before Wesley Matthewsgame-winning 3-pointer. The Dallas coach had Rondo in mind.

K.C. Johnson of the Chicago Tribune:

Mike D’Antoni: “James Harden was the perfect superstar for how I would like to coach”

WASHINGTON, DC - NOVEMBER 07: James Harden #13 of the Houston Rockets looks on against the Washington Wizards during the first half at Verizon Center on November 7, 2016 in Washington, DC. NOTE TO USER: User expressly acknowledges and agrees that, by downloading and or using this photograph, User is consenting to the terms and conditions of the Getty Images License Agreement. (Photo by Patrick Smith/Getty Images)
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It’s not exactly Seven Seconds or Less Part 2 in Houston, but it may be closer to Mike D’Antoni’s ultimate vision.

The Rockets are 32-12 with the third-best offense in the NBA (Toronto and Golden State), and it’s an analytics wet dream of threes and shots at the rim. It’s all come together because James Harden bought in. Steve Nash ran the offense brilliantly but differently — Harden is as good or better with his style (which gets him to the line more often).

The brilliant Howard Beck at Bleacher Report got everyone to talk about the Rockets rapid rise and how it all came together. It’s must read. Plus there are some brilliant quotes, starting with Harden about D’Antoni pitching the move to point guard:

“I thought he was crazy,” says Harden, who earned his stardom at shooting guard….

Or as D’Antoni put it, “James Harden was the perfect superstar for how I would like to coach.”

“People always ask, ‘You traded for him; did you know he was this good?'” (Rockets GM Daryl) Morey says. “I’m like, ‘F–k no!’ I mean, we thought he was extremely good and better than other teams probably did.”

But not top-five good or, say, top-three, which Morey would make the case for today.

Harden is MVP-level good. What’s more, the Rockets are knocking on the door of contender good. The pedestrian defense isn’t there yet (18th in the NBA for the season, 15th for the month of January), questions about depth and if young key cogs like Clint Capela can grow into the roles the Rockets need them to, and there are the health concerns considering the histories of Eric Gordon and Ryan Anderson.

But the Rockets are dangerous right now and could reach the Western Conference Finals this season if healthy and things break right (their style and athleticism would be a tough test for the Spurs).  And the story of how it all came together is fascinating.