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

16 Comments

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: Nets debating whether or not to sign Kyrie Irving without Kevin Durant

AP Photo/Elise Amendola
Leave a comment

The Nets want to sign Kevin Durant and Kyrie Irving.

Brooklyn appears set to get Irving. Durant a much bigger unknown.

Brian Lewis of the New York Post:

The question is if they can’t land Durant, do they still want Irving?

It also has become an internal debate the Nets are having right now.

The Post has confirmed Brooklyn might have qualms about signing the enigmatic Irving if he isn’t bringing the injured Durant with him.

Irving brings chemistry concerns, to be sure. He’s mercurial, and his season with the Celtics raises legitimate questions about him leading a team.

But Irving is a major talent upgrade. To win at the highest levels, teams must assemble a lot of talent and hope for the best.

I’d also caution Brooklyn against assuming re-signing D'Angelo Russell would mean the team maintains its current culture. The Nets can’t freeze time. Situations change. People change. There’s no guarantee Russell on a lucrative contract and his teammates jell as well as contract-year Russell and his teammates did.

Keeping Russell might look like the safe route, but nothing is assured.

The other huge issue: Durant might not know where he’ll sign when Irving is ready to commit. The Nets could have to decide on Irving before knowing whether Durant will accompany him. At that point, would Brooklyn really spurn Irving and a chance at getting both stars? I can’t see that.

Really, with so much talk of Irving joining the Nets, I thought we’d already crossed that threshold.

Report: Bucks trading Tony Snell, No. 30 pick to Pistons

Gregory Shamus/Getty Images
Leave a comment

For a team only lukewarm on paying the luxury tax, the Bucks are in a payroll crunch. Khris Middleton, Brook Lopez, Malcolm Brogdon and Nikola Mirotic will be free agents this summer.

That’s why Milwaukee was trying to unload Tony Snell or Ersan Ilyasova.

But if they re-sign their key free agents to multi-year deals, the Bucks could face more payroll/tax concerns in 2020-21.

That’s why Milwaukee is willing to deal Snell and its first-round pick for Jon Leuer‘s burdensome contract – which carries a slightly lower salary than Snell’s next season ($9,508,043 vs. $11,592,857) and, more importantly, ends one year before Snell’s ($12,378,571 player option for 2020-21),

Adrian Wojnarowski of ESPN:

This trade lowers Milwaukee’s team salary by about $4 million next season and $14 million the following season.

The Bucks could stretch Leuer and reduce team salary by an extra $6,338,695 next season. But that’d also lock in a cap hit of $3,169,348 each of the next three years.

Milwaukee can make that decision later in the summer. It’ll depend what other free agents – especially Lopez, who has only Non-Bird Rights (technically a form of Bird Rights – command. Clearing extra money this offseason could be useful in multiple scenarios.

If Lopez signs for the non-taxpayer mid-level exception (which projects to start at about $9 million), the Bucks could maintain Bird Rights for Middleton, Brogdon and Mirotic then exceed the cap to re-sign those three. But Milwaukee would be hard-capped at a projected $138 million. Stretching Leuer could help the Bucks stay under that line.

If re-signing Lopez requires more than the mid-level exception, Milwaukee could open about $14 million in cap space by waiving George Hill and renouncing all its free agents besides Middleton and Brogdon. Stretching Leuer would open even more cap room to spend on Lopez.

If Lopez leaves, the same math applies to an outside free agent who could get the mid-level exception or cap room.

This extra maneuverability comes at a cost, though a reasonable one.

Snell, who fell from the Bucks’ rotation, could be the Pistons’ starting small forward next season. Detroit was desperate for wing depth. Though Snell isn’t the biggest wing, he adds size to a group comprised of Luke Kennard, Bruce Brown and Langston Galloway.

The No. 30 pick is a helpful piece to the Pistons, who also have the No. 15 pick in tomorrow’s draft. But this is a weak-looking draft that thins considerably before the end of the first round.

Milwaukee also had to take Leuer, who has been ineffective for years.

Detroit gets helps now with Snell and potentially later with the No. 30 pick. In between, that extra year of Snell’s contract looks burdensome.

The Bucks are just happy to have it not be theirs.

Report: Anthony Davis, Damian Lillard, Klay Thompson to star in ‘Space Jam 2’

Steve Dykes/Getty Images
4 Comments

LeBron James‘ first three picks in the All-Star draft reserve round: Anthony Davis, Klay Thompson, Damian Lillard.

Like many things LeBron does, that sparked theories about him recruiting stars to the Lakers. Casting for ‘Space Jam 2’ is another generator of recruiting speculation.

So, the overlap here will surely only intensify conspiracy theories.

Shams Charania of The Athletic:

Davis – who tipped his involvement in the film while still with the Pelicans – is already headed to the Lakers.

But Lillard is reportedly set to sign a super-max extension with the Trail Blazers, and Klay Thompson will reportedly re-sign with the Warriors.

Still, if Lillard and Thompson get a taste of Hollywood and enjoy it…

Report: Lakers didn’t negotiate Anthony Davis trade date with Pelicans for initial agreement

Harry How/Getty Images
6 Comments

With the Lakers’ trade for Anthony Davis, timing is everything.

The Lakers and Pelicans are reportedly set to complete the deal July 6. By making the trade then rather than July 30, the earliest the No. 4 pick could be traded as a signed player, the Lakers lose significant cap space.

With the later trade, the Lakers could use about $33 million of cap room then execute the deal with Davis getting his full $4,063,953 trade bonus.

With the earlier trade and Davis reportedly intent on receiving his full trade bonus, the Lakers project to have just $24 million of cap room.

That $9 million difference keeps the Lakers from getting a max free agent or reduces their spending power for role players.

Maybe the Lakers completely understood the ramifications of finalizing the trade July 6. It takes two teams to agree, and perhaps New Orleans – which would have faced complications flipping the No. 4 pick, not gotten him into summer league and had cap space tied up through July – refused to do the trade later.

But it sure doesn’t sound as if the Lakers knew what they were doing.

Ramona Shelburne on ESPN2:

If this was really their plan, they want to have a third star, this should have been central to the conversations with the Pelicans. And my understanding is that it was not, that it went all the way down the road and it was more, it has been described to me as, the Lakers called back – after everything had been discussed – about this.

It’s not necessarily too late for the Lakers to use max cap space and get Davis. They’re reportedly scrambling to include Moritz Wagner, Isaac Bonga and Jemerrio Jones in the trade.

But Wagner, Bonga and Jones have either positive or negative value. If they have positive value, the Lakers are surrendering even more in this trade. If they have negative value, the Lakers must surrender even more value – in the form of sweeteners – in the trade.

This could all be worth it. A team with LeBron James, Anthony Davis and a third star will be a championship contender next season. That matters most.

But if the Lakers handled this better, they could be in a stronger position to build around their stars. Though stars matter most, supporting casts also factor.

Or maybe New Orleans would have refused if the Lakers requested a July 30 trade date during initial negotiations. We’ll never know. But considering their massive haul, I suspect the Pelicans would have acquiesced if Los Angeles pushed. Perhaps, it would have taken a small additional asset going from the Lakers to New Orleans. But I can’t imagine it requiring more than that.

Now, by waiting until after to agreeing to terms with New Orleans, the Lakers have lost so much leverage. Their desperation shows, and preying teams – Pelicans or otherwise – will look to take advantage.