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.

Way too early look: Who could make up USA’s 2020 Tokyo Olympic basketball team?

RIO DE JANEIRO, BRAZIL - AUGUST 21:  Jimmy Butler, Kevin Durant, DeAndre Jordan and Kyle Lowry #7 of United States stand on the podium after defeating Serbia in the Men's Gold medal game on Day 16 of the Rio 2016 Olympic Games at Carioca Arena 1 on August 21, 2016 in Rio de Janeiro, Brazil.  (Photo by Elsa/Getty Images)
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Let’s start with the obvious: This is an exercise in futility. There is no way to predict accurately what the 2020 USA men’s basketball team headed to the Tokyo Olympics will look like. There will be injuries that sideline guys. There will be contract situations where key guys decide it’s in their best interest to sit out. Plus, there could be a guy just now entering his junior year of high school who we don’t know well yet but in four years will be a clear choice for the team.

Now that we’ve gotten through the tedious disclaimer, let’s have fun:

What will the 2020 USA Basketball team look like?

First, it will have a bit of a business attitude — Gregg Popovich is coaching now. Not that Mike Krzyzewski ran a college party Team USA, far from it, but with Popovich’s demeanor and the scare put into the 2016 team (and some improving world powers, such as Canada), expect the USA to be a little more focused next time around.

For the roster, who from the 2016 gold medal team in Rio returns for more gold? At the top of the list: A 31-year-old Kevin Durant will be back for one more run (and to climb on top of the USA Olympic scoring list). He will be the unquestioned team leader. The alpha. It will be his team.

After that? Young stars who want one more go at it such as Paul George, DeMarcus Cousins, DeAndre Jordan, and Klay Thompson will seriously consider a return. Maybe Jimmy Butler. Those guys will have a leg up having Olympic experience and a commitment to the program.

After that, some big names that passed on Rio are going to suit up in Japan. There will be far less defection of top talent this time around — the fears around Brazil will be gone, and NBA players wanting to sell more shoes in Asia will be eager to sign up. I expect you will see Stephen Curry, Anthony Davis, Kawhi Leonard, Russell Westbrook, and maybe James Harden decide they are in for the next round. LeBron James said he felt left out and may consider a return, but he will be 35 years old with 17 NBA seasons on his body by that point, does he want to put his body through an international curtain call? Probably not.

Rounding out the roster, expect a few guys from this year’s USA Select Team — the team the Olympic squad practiced against in Las Vegas at the start of camp — to make the leap up (as Kyrie Irving and others did this year).

Who? That’s the hardest thing to predict, it depends on development. Guys to watch include Victor Olidipo, Justise Winslow, Devin Booker, Brandon Ingram, and Jabari Parker — some of them will be ready to make the leap.

One clue to the 2020 roster: Players that you see in China for the 2019 FIBA World Cup will be more likely to make the 2020 team. (Yes, the World Championships are now the year before the Olympics, welcome to more of FIBA’s wisdom, as is the fact the Cup qualifiers fall during the NBA/Euroleague seasons.) Guys from the select team now that head to China in three years and perform well in that setting will likely have the USA across their chest in Japan.

Whatever team we send will have the most talent in those games. The question is will that be enough?

Check out the Cleveland Cavaliers Top 10 plays from last season

AUBURN HILLS, MI - APRIL 24: Kyrie Irving #2 and LeBron James #23 of the Cleveland Cavaliers prepare for tip off against the Detroit Pistons in game four of the NBA Eastern Conference quarterfinals during the 2016 NBA Playoffs at the Palace of Auburn Hills on April 24, 2016 in Auburn Hills, Michigan. 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 Gregory Shamus/Getty Images)
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With athletes such as LeBron James and Kyrie Irving on the team, you know the Cleveland Cavaliers Top 10 plays of last season were going to have some special moments.

Yes, the block by LeBron and the stepback three by Irving that sealed the first Cleveland title in 52 years are on top of the list.

But there are some other ridiculous Irving handles and even a Timofey Mozgov dunk in there (a $64 million dunk, apparently).

Watch Spurs’ Dejounte Murray throw off-the-backboard alley-oop to himself in pickup game

Washington guard Dejounte Murray, center, dribbles the ball past Mount St. Mary's center Taylor Danaher (50) as Washington forward Marquese Chriss, right, watches duirng the first half of an NCAA college basketball game, Thursday, Nov. 19, 2015, in Seattle. (AP Photo/Ted S. Warren)
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Just a suggestion for rookie Dejounte Murray: Don’t do this in front of Gregg Popovich. You may not like his reaction.

That said, the Spurs needed to get more athletic this off-season — landing Pau Gasol certainly didn’t help that cause — so enter first-round pick Murray, who pulled this off in a recent pickup game.

Murray is going to be brought along slowly in a backcourt where Tony Parker and Patty Mills will be splitting time at the point. Murray is more of a combo guard and is going to have to shoot a lot better than he did in college (28.8 percent from three) to get some run. But this is a situation where the Spurs can groom him, bring him along slowly, and see if they have another draft steal.

He’s certainly got the athleticism.

Corey Brewer: “James (Harden) is going to play defense this year”

HOUSTON, TX - MARCH 18:  James Harden #13 of the Houston Rockets walks across the court during their game against the Minnesota Timberwolves at the Toyota Center on March 18, 2016 in Houston, Texas.  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 Scott Halleran/Getty Images)
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James Harden‘s defense is not as bad as its reputation.

Well, at least it wasn’t two seasons ago — his near MVP season he was in good enough shape that he could put in a respectable effort on that end and still handle his massive offensive load. There were still some mental lapses, but his focus was better and his improvement lifted the team defense. Last season, he regressed back to youtube “highlight” defense Harden — his conditioning was not where it needed to be, he didn’t expend as much effort on that end, and it showed.

Harden got a massive contract extension this summer, and Dwight Howard is Atlanta’s problem — now Harden has to lead the Rockets. By example. Corey Brewer told ESPN you’re going to see that on defense.

“I think this year he’s going to play better defense, We’re going to let the past be in the past. It’s the future of the Rockets, man. James is going to play defense this year.”

We’re all Missourians on this one: Show me.

Remember that the Rockets will be out and running — Mike D’Antoni is the coach now, and Daryl Morey is going to get the up tempo ball he wants (which Kevin McHale had them doing, but Harden didn’t like him so…). D’Antoni’s teams in Phoenix played better defense than their reputation — points per possession they were middle of the pack — but that has never been his focus.

Will Harden be able to run like he needs to on offense and still defend at a reasonable level?

If he can, it’s a big step toward the Rockets being a dangerous team in the West because if he does it others will follow. Otherwise, every Rockets game will be a shootout, which is entertaining but not going to get a team deep into the playoffs.