Discussion Board
Welcome Guest! You can login or register. Login or Register.

Options
Go to last post Go to first unread
Nonstopdrivel  
#1 Posted : Sunday, December 9, 2018 5:00:13 PM(UTC)
Dr. David Chao said:
Alex Smith recovery timetable keeps getting longer
UserPostedImage
Redskins quarterback Alex Smith is carted off the field after
suffering a leg injury Nov. 18.
(John McDonnell / The Washington Post)

ProFootballDoc
Sports Medical Analyst

The news on Alex Smith continues to worsen.

I’m not ready to say he won't return to football, but it is time to revise the initial thought that the Redskins quarterback should reliably be ready for the start of the 2019 season.

Infection was always the worry with an open fracture (where the sharp end of the bone sticks thru the skin). His initial emergency surgery was more to prevent infection than to fix the fracture.

With good quick treatment like Smith undoubtedly had, the risk of infection is well under five percent. But it has happened here.

The early news of infection was concerning. The word of multiple debridement surgeries to clean up necrotic (dead) tissue and help cure the infection are normal and hand in hand with intravenous antibiotics and that in and of itself didn't mean a longer timeline for recovery, even if it was a difficult infection like MRSA.

However, a patient typically goes home within two days of such surgery, and Smith is in the hospital three weeks after his Nov. 18 injury.

Now, the latest news of the need to remove the plates and screws ratchets up the worry and delays the recovery timeline.

Expect to hear word next that Smith has an external fixator (a system of pins/wires with rods, like an erector set similar to the look of scaffold on the outside of a building) applied to his leg. This is necessary as the plates/screws holding the fracture were removed. A cast would not work due to the need to access the wound. The apparatus looks archaic and scary but is necessary in these situations.

The original implants needed to be removed, as once metal is contaminated, it makes it very hard to cure the infection without its removal.

It will be multiple weeks before more definitive fracture fixation can finally be done.

Smith is headed for several more surgeries.

The next worry is coverage of the fracture.

Multiple debridement surgeries means the loss of skin and tissue. The question is will he have enough to cover the underlying bone.

By video, the fracture is likely more distal (towards the ankle). One can feel your own lower leg and see that it is mostly skin and bone around the ankle, as opposed to higher up where the bone is harder to feel and more easily covered by muscle.

At a minimum, Smith will need two more surgeries. One will be to close the wound and the other to remove the fixture and fix the fracture.

He could have many more if there is enough damage or loss of skin.

If he needs a skin graft, that cannot be applied directly to the bone. One needs to transfer or move muscle.

If this happens, the situation escalates more and Smith’s career would be in jeopardy. A transfer of the calf muscle would affect strength. A free flap where muscle was transferred from another area of his body would lead to a long recovery. (This type of procedure is what is used in distal third tibia which is where I suspect the fracture and wound issue are.)

At this point, the start of ’19 is in jeopardy, as the bone healing clock likely won’t start until a minimum of six weeks from now, adding to the original 6-9 month recovery timeline.

Let’s hope we don't hear about a grafting procedure, as that could signal the end of his career.
rabidgopher04  
#2 Posted : Sunday, December 9, 2018 6:04:25 PM(UTC)
Smith is done. He's had a good career. Hang it up, recover, keep investing your money into other businesses, and enjoy retirement from football.
TheKanataThrilla  
#3 Posted : Sunday, December 9, 2018 6:12:45 PM(UTC)
That really hurts for the Redskins if he is done. That was a lot of guaranteed money and a big salary. Not sure if there are ways to manipulate the cap when a player is a injured this way and may be forced to retire.

Scary situation. I really hope to hear some positive news soon on his health without any talk of football.
Cheesey  
#4 Posted : Monday, December 10, 2018 10:20:44 AM(UTC)
He was having a great year. Sad to have to go out this way.
His health is what’s important going forward.
Football is a game. Not worth losing your permanent health to try to return.
Nonstopdrivel  
#5 Posted : Sunday, December 16, 2018 2:53:56 PM(UTC)
The good news is that Alex Smith has finally gone home for the holidays.
.
Though on second thought, the way that's worded makes it sound like he's being placed on hospice. Rolling On Floor Laughing Happy Dance Wasn't Me
Rss Feed
Users browsing this topic
Guest
Forum Jump
You cannot post new topics in this forum.
You cannot reply to topics in this forum.
You cannot delete your posts in this forum.
You cannot edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.

Notification

Icon
Error

Fan Shout
Zero2Cool (2h) : Alan, who have you spoken to about it?
gbguy20 (9h) : for a qb of the future or anything
gbguy20 (9h) : Steelers just traded a likely top 10 pick next year to miami for minkah Fitzpatrick. not like they'll need that pick
Cheesey (10h) : It’s on YouTube of course.
Cheesey (10h) : I’m still hoping to sing the national anthem at a Packer game someday. I got to at a Brewers game, and it turned out great.
Cheesey (10h) : Forgot I was wearing my embroidered Cheesey Packer shirt!LOL!
Cheesey (10h) : When I was at fan fest years ago, Packer Prez Mark Murphy said “hi Cheesey!” I was floored!
Cheesey (10h) : Thanks gbguy!
buckeyepackfan (11h) : Ficken with the 46 yd FG!
gbguy20 (12h) : cheesey smith has a nice ring to it
Cheesey (13h) : Can never have enough Smith’s! (My last name!)
gbguy20 (14h) : they want a 1st for him
buckeyepackfan (14h) : Hmm. What about that Minkah dude in Miami ?
buckeyepackfan (14h) : Another Smith! Shame about Greene. Guy cant catch a break.
gbguy20 (15h) : nm raven greene to ir...
gbguy20 (15h) : did we have an open roster spot?
Zero2Cool (16h) : www.playerprofiler.com/nfl/tremon-smith/
Zero2Cool (16h) : Damn, he's fast. Exceptional long speed carrying a 4.3 40-yard dash time to his name
Zero2Cool (16h) : CB Tremon Smith has landed with the Packers
gbguy20 (16h) : deal
Zero2Cool (17h) : Packers have #1 NFC Seed. ;-)
Mucky Tundra (18h) : "We"?
Zero2Cool (18h) : We should upgrade.
Mucky Tundra (18h) : Zero, I think the Multi-Quote option isn't working right
Mucky Tundra (16-Sep) : Update on Savage: got kicked in the shin, boot is precautionary
Cheesey (16-Sep) : Broncos got hosed by the refs. Time had run out.
Mucky Tundra (16-Sep) : an 0-2 start with Trubinsky's play would have probably doomed the Bears season
dhazer (15-Sep) : wow the Bears just got a gift from the refs
TheKanataThrilla (15-Sep) : Thanks for blowing the win Broncos
Mucky Tundra (15-Sep) : The Patriots are 4-0 and have outscored opponents by 89 points since Mr. Kraft visited Orchids of Asia Day Spa
TheKanataThrilla (15-Sep) : Saints get jobbed again by the refs against the Rams
gbguy20 (15-Sep) : assuming he got hurt before that pitiful attempt at a tackle on the 75 yard run
Zero2Cool (15-Sep) : Vikings have missed 6 of their last 7 field goal attempts against the Packers.
Mucky Tundra (15-Sep) : I don't remember hearing Savage getting hurt
Zero2Cool (15-Sep) : Darnell Savage walked out of the locker room in a boot
Zero2Cool (15-Sep) : Source ... himself. lol
Zero2Cool (15-Sep) : Yes. He is fine.
KRK (15-Sep) : Is there any injury update on Zadarius Smith
Mucky Tundra (15-Sep) : Today was the first home game for the Ravens that didn't feature Ray Lewis or Terrell Suggs on their defense
Mucky Tundra (15-Sep) : *first home game in history
Mucky Tundra (15-Sep) : Today was the first home game for the Ravens that didn't feature Ray Lewis or Terrell Suggs on their defense
TheKanataThrilla (15-Sep) : Bridgewater in for the Saints
Zero2Cool (15-Sep) : Aaron Rodgers is wearing a play sheet on his left wrist.
gbguy20 (15-Sep) : i like how you put out in quotations
Zero2Cool (15-Sep) : David Bakhtiari is active.
Zero2Cool (15-Sep) : Adam Schefter: Patriots’ WR Antonio Brown will play today vs. Miami.
Zero2Cool (15-Sep) : eww
gbguy20 (15-Sep) : lets do this
buckeyepackfan (15-Sep) : GAMEDAY! GO! PACK ! GO!
buckeyepackfan (15-Sep) : GOOD MORNING PACKER FANS!!!!!!
Please sign in to use Fan Shout
2019 Packers Schedule
Thursday, Sep 5 @ 7:20 PM
Bears
Sunday, Sep 15 @ 12:00 PM
VIKINGS
Sunday, Sep 22 @ 12:00 PM
BRONCOS
Thursday, Sep 26 @ 7:20 PM
EAGLES
Sunday, Oct 6 @ 3:25 PM
Cowboys
Monday, Oct 14 @ 7:15 PM
LIONS
Sunday, Oct 20 @ 12:00 PM
RAIDERS
Sunday, Oct 27 @ 7:20 PM
Chiefs
Sunday, Nov 3 @ 3:25 PM
Chargers
Sunday, Nov 10 @ 12:00 PM
PANTHERS
Sunday, Nov 24 @ 3:25 PM
49ers
Sunday, Dec 1 @ 12:00 PM
Giants
Sunday, Dec 8 @ 12:00 PM
REDSKINS
Sunday, Dec 15 @ 12:00 PM
BEARS
Monday, Dec 23 @ 7:15 PM
Vikings
Sunday, Dec 29 @ 12:00 PM
Lions
Think About It
Think About It
Recent Topics
59m / Green Bay Packers Talk / MintBaconDrivel

1h / Green Bay Packers Talk / go.pack.go.

9h / Green Bay Packers Talk / KRK

15h / Green Bay Packers Talk / wpr

15h / GameDay Threads / beast

21h / Random Babble / Zero2Cool

16-Sep / Green Bay Packers Talk / go.pack.go.

16-Sep / Green Bay Packers Talk / wpr

15-Sep / Green Bay Packers Talk / Cheesey

15-Sep / Green Bay Packers Talk / Zero2Cool

15-Sep / Around The NFL / Cheesey

15-Sep / Random Babble / Cheesey

15-Sep / Community Welcome! / KRK

14-Sep / Green Bay Packers Talk / sschind

14-Sep / Green Bay Packers Talk / sschind

Headlines