Doctor Reacts to Aaron Rodgers 79 days after Achilles Rupture
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- เผยแพร่เมื่อ 28 พ.ย. 2023
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Aaron Rodgers officially returned to Jets practice today just 79 days after his Achilles rupture.
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Like the video if you’re tired of hearing me talk about Rodgers recovery
Damn now i gotta unlike the video lol cause i am not tired of it.. go jets
About Kirk cousin Achilles injury
Do we know how well JK Dobbins is coming along seeing as they’re doing the same treatment?
And if Rodgers re-ruptures it, at least he’ll have a full 9 months to recover..
There's a better clip that shows his feet. It was on the Pat McAfee show. At least that's where I saw his feet. He's up on that one foot.
Sure the bone will heal from the anchor in 8-10 weeks but how secure are the sutures in the upper part of the achilles tendon?
As someone who is 5 weeks post op for achilles tendon repair surgery...I am fascinated by this story. Totally agree that others (like Cousins) should not be held to the same.expectation for recovery and return to sport.
Peds
Vince Wilfork tore his Achilles towards the end of his Patriots career. He was a nose tackle pushing 330 pounds and still played at a high level post surgery.
Don’t forget that he had access to leading experts and doctors and such.
@josheastwold5360 thank you. I totally agree with your assessment of the Jets scenario 🙂
@@GooblyWoobly69the absolute best of the best
I think this timing is pretty perfect for him. If the Jets lose their next 3 games he can just go back on IR and keep rehabbing for next season. If they manage to win 2 of them they can evaluate based on where he’s at and their road to a wild card game. I don’t think he’ll end up coming back, but mainly because I don’t think he’ll risk playing in games that ultimately don’t mean anything.
He said he’s playing 100% regardless of the record witch is crzy
@@RyanShurtz-ti6gs He just said yesterday that it was health first and then if they could compete. Where did you see him say he was coming back regardless of record?
@@RyanShurtz-ti6gsi think there's also a difference between his public statements and his private thoughts. He no doubt WANTS to come back and play meaningful games, and his team is only going to play into that situation if they believe he can do it. He's trying to be the ultimate locker room guy/twelfth man type of person.
@leehurst172 Wild to hear that take. I don't disagree, but like 12 months ago we would hear that he's doing it only for himself, and about how selfish he is. I think Green Bay shitting the bed and people like Lazard leaving with him and Garrett Wilson bonding with him have made people realize he's actually a big team guy. Just has some wacky beliefs and a bit of arrogance
@@hammersbaseball11 it was a media narrative to demonize Rodgers... And we all know why... He doesnt tow the line to the main-stream narrative like a sheep, and he chooses to make his own educated decisions about his health and well-being. Nothing wrong with that. But of course, according to the media, he is a selfish crappy person.. LOL
Not tired of it. It's informative for someone who has absolutely no knowledge of how the medical world works. The stuff I've learned from you over the years since I've been subscribed is amazing, and I'm almost always telling anyone to come check you out when they have any type of sport injury. It's comforting to know when I see a major sport injury I can come to your channel and get a breakdown of what happened, how it happened, what steps are needed for recovery, and how they can safely get back on the field or extend the life of said career in the sport of choice.
Your never annoying to me man. I appreciate everything you teach me my guy! 💯💯
well said!
It’s alright doc. No one knows what’s going on in that Achilles factory
Hey Dr. Sutterer, I think it would be interesting if you made a video about Navarro Bowman's injury in 2014. He tore his ACL, MCL, PCL, and meniscus. Idk how he returned to the NFL but he did, even if he was never the same again.
Reminds me of shaun Livingston and his horrific injury.
@@SolaceMcfly unfortunately yeah. His recovery has to be one of the most remarkable feats of modern medicine tbh.
He actually had a pretty solid comeback season, especially considering how much the talent the team had lost at other positions. He tore his achilles the next year though and was never a high level player again.
@@flibbidyx2It was such a shame. Bowman was right there with Patrick Willis as a dynamic linebacker. How SF lost them both in their primes is just so unfortunate.
I tore mine a week ago and got the same surgery procedure as him yesterday. The swelling pain sucks right now but the recovery time looks promising.
Hey Dr. Sutterer! Thanks for adding a level-headed point of view to the discussion here. There are a lot of ridiculous statements and misunderstanding going around. This is a breath of fresh air regarding a topic that NFL fans cannot get away from.
I’ve watched all these and love seeing it broken down this way it helps it feel more real vs insane. Thanks for the high quality vids
I think that Rodgers will not play simply because the Jets are doing so poorly that making the playoffs is unlikely.
I'm of an opposite mind. I think Rodgers wants to play just to show that he was able to beat this injury and come back faster than anyone ever has. I don't think the playoffs figure into his goals at this point considering it would have to literally be a miracle for the Jets to make the playoffs.
@@michaelm.1947 I had heard somewhere ( I believe it was the Fantasy Footballers podcast) that another reason is to save the jobs of the head coach and GM. You're right, they have a very steep hill to climb to get to the playoffs.
There was an article that came out that expressed that his interest in playing is more to do with legitimizing the team before the season ends so the franchise doesn't jump the gun on Saleh and Hackett before they really got started.😊
@@bubbaburdle4693so called doctors 😆 I get what you’re trying to say but doctors are actually doctors
You don't know football
I had a really nasty ankle injury almost 2 years ago and i still only have about half my mobility in that ankle back. The fact Aaron could make it back to NFL play within 3 months with what i imagine is a more debilitating injury is insane to me lol
If you started NFL level rehab and nutrition today you would be 105% by next month.
And PEDs
Do tibealus raises and it will stronger than ever in no time
No one breaks down these injuries better than you. You’re my go to for sports injury analysis.
Liked that you put this out there the way you did!
Jets O-line won't stop him from tearing it again...
Really good at showing us the proximal distal anchoring technique
Thanks for the update
I ruptured my left Achilles one week prior to Aaron. I chose to go the nonsurgical route for recovery. This week I was able to ruckmarch for a fairly long flat distance without much difficulty. However, like the good Doc said, that eccentric load bearing is still absent. I cannot jump yet and to be able to run again will take another few months of persistent physical therapy. In addition the muscular dystrophy is absolutely legit. So even if Aaron can move laterally and throw the ball, as can I, I am worried for him because there is no way he is at the athletic level of a healthy football player yet.
And age is not on his side as well
But he also is day in day out working rehab unlike the average person who has to work among other things, also getting top of the line treatment, regimen and so forth
There is no “non surgical “ route. It just doesn’t heal on its own.
He doesn’t have the atrophy most people do. I tore my Achilles too and had surgery. Laying down and elevating my feet for months caused the atrophy that is so hard to rehab from. Aaron was moving his leg immediately after surgery so he didn’t lose as much muscle as normal people.
You didn't have a full rupture then if you didn't have surgery.
That was a great rundown. Thank you.
I appreciate these updates. Thx.
The visualization of the bridge was super helpful, great job
Perfect overview. Thank you!
Excellent explanation, Doctor.
Thank you very much.
Definitely not tired to here from you. This is really good content.
Excellent video and explanation of the rehab process. Thank you Doctor.
I enjoyed this update. Informative.
Whenever I watch one of these, the body part being discussed starts to hurt Lol. Great vid! Can't get enough of the useful info.
Thank you Dr. Sutterer for providing the holistic and mindful perspective on what the Speed Bridge Achilles repair entails and how Rodgers' recovery and function may look like in the coming weeks. It's refreshing to hear this sort of opinion when there's so much hyperbole put out there by the national sports media. It's still great to learn that such advances have occurred in orthopedics and sports medicine, and I wonder if these options were discussed with other athletes who suffered an Achilles tendon rupture such as KD. Also, I wonder if the procedure will gain popularity among future injured players or if drawbacks exist that will make people stick to the more traditional repair method.
Wow you're the 1st person to explain this to where I understand the exact procedure and difference between normal repair and this bridge repair. Thanks 😅
For me, I find the whole situation fascinating on multiple levels. Not only is this causing a buzz in the football world and circle of sports injuries followers but this has expanded outside of football into the general population and has their attention. I don’t know if Aaron ever wanted to be the one who was at the center of it but now that he is he has been more than transparent and forthcoming about many of the details. I’ve not seen such granular remarks and commentary. And the fact of who he is that has elevated this whole thing. Him returning is part of it(that’ll be sweet) but he already has moved the needle. I agree that he is not everyone else. Getting back is his job and he has the means. But to be the watermark is pretty cool. Thanks for your honest perspective 🤘
You don’t know whether Rodgers wanted to be at the center of it? Are you serious?
@@hammill444👍😂😂😂
Yeah Aaron absolutely loves to be the center of attention and he is eating this up. I've never seen a man that's so egotistical, well not for a long time that is.
thankyou i now understand completely ARs injury and his possible return
Fantastic explanation. Thank you!
Great video Brian. Love all the new stuff you're doing. You have a knack for relaying information in somewhat layman's terms for us high school dropouts 😂
Educational, informative and humbling.
Thanks for the education doc
I really appreciate your videos. Even though this is dealing with an Achilles injury, I just tore my bicep (distal tear). I am currently in the rehab stage. I am discussing the protocols with my doctor. Thankfully, I am progressing faster than most. Nevertheless he was very clear about not getting back to early. He did state I am an
adult and I can make my own decisions but I need to take it easy.
With respect to your videos, it is great to see to see how these operations work with reattaching a tendon. Thanks and keep it up.
Doc, your explanations are very helpful, well spoken and explained, thank you
Great video. Didn’t know about this new suturing technique.
Great video, not tired at all about hearing about it.
Please do more explaining of surgical techniques! Very interesting.
I think this is really interesting! Thank you for covering this story.
Glad you are honest and have kinda come around a tad bit. That’s a good honest assessment. Still saying you are concerned but also kind of understand that it’s possible
Great video, thank you!
I'm not a doctor but I think we are seeing the standard for sports medicine being pushed here. He definitely seems like he wants to prove a point regardless of what happens with the Jets and their playoff hopes. They've gotta beat Houston or Miami in addition to winning against "lesser" teams.
Prove a point or get healthy and back to his life? Matter of perspective and your preconceived biases obviously.
@@jgould30 If they're out of playoff hunt and he comes back, it's idiotic, that's not biased or political it's smart. He's a grown man, so he can do what he wants. The point is already made IMHO.
And PEDs
@@jgould30 Yeah it's silly to try to come back this year.
Great video. His life, his choices as to risk, etc. He will undoubtedly have access to the best medical and physio advice and resources. Good luck to him.
He’s coming back to play in the winter. Is there more reason for concern playing in the cold, potentially snowy/icy conditions, especially with MetLife turf?
I hate that I’m enjoying his stupidity in “proving” something. It’s his body, I just hope it doesn’t end up him forced into retirement
Appreciate the information still wild he's back this early gives me the vibe of when Terrell owens came back after the broken leg and a ligament tear in the 05 superbowl for Philly, didn't make sense then eithier.
Bone heals much easier and quicker than soft tissue. If a ligament isn't weight bearing it's possible
I had one similar rupture in the 90s and a 2nd one right off my calf muscle 18 months later on my other. This surgery makes sense in getting it stable and allow for quicker rehabilitation. He's also freakish athlete too. I'm not that concerned at all, even at his age and especially since it's his lead foot, not his load bearing one.
That must be a scary thought to come back to that Offensive Line after such an injury.
i like your channel doc. you seem like a responsible professional and i liked how you admitted you don’t perform these surgeries. i like your explanations and fact based approach
Great video. This is a fascinating story. You are definitely not overdoing it.
I’m curious as to what JK Dobbins recovery is going like seeing as they’re getting the same treatment. I know they play different positions, running back obviously much more physical, but what’s his prognosis?
Cam Akers (a running back) got the same surgery in 2021 and he took 5 months
when the good doc mentioned other players returning quicker he was referring to Dobbins when he was talking about them maybe returning faster than Cam Akers .
@@Ryan-mr7qmdidn’t he just rupture his other Achilles a few weeks ago though? Not saying it’s definitely related but I’m sure leading doctors are concerned and curious to see if there is evidence of either the speed bridge or early return had any effect on his healthy Achilles failing so soon.
Yup that is what I told you last video . I am glad you did your homework this time.
I would guess that Rodgers mindset is “Screw It - if I tear it again, I’m still a millionaire, and I’ll retire then, but not until I give it one more try.”
Yea but that one more try should be next season not this one.
@@kbend He might think coming back even near the end of this season will give him the chance to really play with his team and start developing some chemistry as well as giving him and the coach some ideas about which areas to be improved and therefore give him the better chance to success next year? That could be the reason why he is pushing so hard to come back, maybe?
@@vitzveerexactly was i was thinking he’s gonna play next year regardless so he wants at least some familiarity with his teammates
@@vitzveer we know what areas need improvements without Rodgers having to play this year and risk re-injury. OL and getting a good WR2, and making sure we have a serviceable backup if anything we’re to happen to Rodgers like it did this year. He can developed chemistry with his teammates in the offseason and through out the season next year.
Brian - great video. Quick question..when you talk about risks, do you think there's a concern that Rodgers re-injures himself, be it his achilles or maybe another surrounding ligament like the calf or ankle that's supported by a 100% healthy achilles and faces an even longer recovery period or a career-ender?
I’ve never seen you have a guest, but have you ever thought about having a specialist on you channel when speaking outside your area of expertise? It would very interesting to hear from a surgeon who deals with these issues regularly.
Great Video🔥
Ty doc. Also it's hard to believe this is real 😭 im worried for reinjury, but i really hope he is 100% healthy from here on out
I had a full rupture, I didn’t feel right till about 1.5 year later. Initially after the boot for 2 months I did biking and swimming. Even years later the strength is never the same.
Gary Payton II (Young Glove) suffered a lower leg injury during last night's game.
Today, it was let known that he is suffering a torn calf muscle. Sounds like a self defining injury; but, im interested in your explanation of the injury, the anotomy of that leg area, what is the rehab process and generally, how long will a full recovery take. Thank you in advance.😊
Great video. I've been watching these videos as I decide if he's worth holding onto on my IR slot or not 😂
I tear my achilles tendon back in july .have surgery and i still in rehab therapy and with alot a pain..i just started working and when i get home from 8 hour of working as a electrician im in alot pain ...so i don't know how he is ready to play ...but of course he is a football player with alot of money
I honestly think he wants to push the issue to get back this season, so he can see how this team is going to fair with him on the field. How the Jets perform with Rogers under center may determine whether Aaron comes back next season or retires.
Super interesting, kind of an outside the box surgery, but intuitive like a tight rope procedure. Super cool that orthopedic surgeons are thinking about what surgeries can allow for early loading.
Maybe taking TB-500? Claimed to promote endothelial cell differentiation, angiogenesis in dermal tissues, keratinocyte migration, collagen deposition and decrease inflammation. Maybe?
Totally amazing if he comes back at any point this year. Not a fan of his anymore but happy for him. He is great at moving and sliding inside the pocket. If he can avoid the big hits and throw the way he used to, the Jets could possibly make the playoffs. It won’t be easy, he will be a step slower and easier to catch. Not sure it is real smart to risk injuring it again this early but I understand he is not getting any younger and he only has a few more rolls of the dice to get another ring. This year he needs a real lucky roll if he can make it back. If anyone can do it, Aaron Rodgers would be that guy.
In the biggest games, Rodgers is amazingly consistent. He loses every time. He does have a big mouth, though.
Good vid as always @BrianSuttererMD do you think the achilles can withstand being tackled?
His throwing motion also involves much less transfer of weight to his front foot compared to most QBs, which will help him.
Not really your suppose to step into your throws
As someone who wanted to do athletic therapy so bad, i find my self binging your videos.
Oh dang I didn’t realize it was Arthrex who did the speed bridge technique. I had Arthrex InternalBrace for my UCL tear. Very cool!
I saw the news Rodgers is back to practicing & said to myself, “Dr Sutterer is going to be all over this!”. Rodgers is taking risks to return too quickly. Better to rehab fully, come back next yr & extend his career into Brady’s age.
You talked about the functional risk and the tendon being stretched. Will this ever heal properly if he returns sooner than expected? Or is this permanent damage/weakness to the tendon?
Reminds me of the soccer player Axel Witsel. He had a torn achilles and came back in 3 months too
Soccer doesn't have 300lb line backers
@@KatJ3staaron isnt a 300 pound linebacker…
@@KatJ3stnot sure the NFL has any 300lb linebackers either…
I thought Witsel was 5 months or so
5 months just looked it up
No Doctor Brian you were not wrong A Rod just REALLY wants to play again asap so he’s pushing this way beyond the normal levels of safety. If someone is ok driving in a car with only partially working brakes that doesn’t mean all cars should be that way. A person who is willing to eat expired food consistently doesn’t mean that should be the norm. There are people out there who are ok with heightened degrees of risk. Whether that be because of thrill seeking behavior or a constant desire to seem tougher or more impressive there’s not a lot we can do except warn of what could happen.
It’s the same thing as someone leaving a hospital AMA. if the person understands the potential consequences and is of sound mind they can do whatever the like as long as it doesn’t hurt anyone else.
this is rodgers last rodeo..if he was 25 he wouldn't rush this but he's at the end of it and if he reinjures himself I am sure he is okay with the outcome
@@JavierJimenez-kn2obhonestly that makes perfect sense if he gets hurt he has his whole life to heal. He knows he had a finite window where he’ll still be a high level player and he’s trying to take advantage of what’s left. If he’s willing to take that chance and accept the possible risks God Bless the guy I wish him the best.
@@Ebenezer-Scrooge-i thought he was 38
@@moneymonkeyman8280he’s a senior citizen in nfl terms for sure that I know lol
Great video! Feels like dude about to open the bar that he’s at 😂 but great video.
If you think you know everything about the Rodgers’ injury-- and that everything about it has been disclosed in the up and up-- you are sadly mistaken.
In my senior year of high school football, I tore my acl and my meniscus via noncontact hyper extension on a grass field. I then had surgery 3 weeks later in late September and then my rehab had only taken me to late February. So my return to play was just under 5 and a half months. I had a quad tendon graft and 3 other teammates had the same injury and surgery, I was the only one to not reinjure my leg or damage my ligament again and that's been the case for the past 7 years. I had a lightning quick return to play compared to all other athletes in my area that had that same injury. I was a 3 sport athlete and came back to play basketball at the end of the season and I competed in track as a hurdler, long distance sprinter, and a discus thrower. I managed to get back to where I was a year prior and hit some PR's. SO it is definitely possible to be on top of your rehab and get back into shape to play, but its tough.
Thanks for the video.
My question is what sound am I hearing in the background? I could guess a kid, a cat, or a bird.
Hey Dr. Watching the Thursday night football game and noticed something around Tony Pollard's neck. Do you think the Q collar is a valid tool to help prevent concussions?
I know I asked in previous videos regarding this, but would love your input as to how much (if at all) stem cell therapy that Rodgers likely had, would improve recovery time?
Also him being part of the Jets and that Jets owner is also owner of Johnson and Johnson pharmaceutical, does that give him access to medications that most would not have access to or have not been fda approved yet? And would those improve recovery times as well?
Bro he didn’t wanna take the vaccine you think he’s taking experimental growth hormones 😂
Question, there is a newish bridge enhanced repair technique called the “BEAR” implant for acl tears in clinical trials. Is this a similar kind of thing for the Achilles?
Learn a bunch from this guy. He breaks down the medical technicalities in a manner non medically trained people like most of us can easily understand. It's a great service for everyone.
@tennishack you forger he also had commonly known facts. The Dr. Who did the surgery confirmed and stated torn achilles and the type of surgery done. It's not just the video that he is relying on.
Can you do a video on GP2 pls
Between having 24x7 constant care and treatment versus the average person seeing a doctor or therapist once or twice during the entire healing cycle, he is also just being the typical tough guy NFL player wanting to get back out there fast - Plus as you said it isn't his plant side and as long as he doesn't run around and stays a statue in the pocket, he might be able to help them in the playoffs. But he is going to have to do a ton of extra work in the off season to get it fully healed if he doesn't end up popping it off again getting tackled while running. But mainly I think he is rolling the dice since it is so close to retirement age.
Playoffs? Playoffs?! I hope they can just win a game!
Here's a question...I know the Achilles normally ruptures at the bottom near the ankle. However, if it were to rupture at the top of the tendon, would it reverberate down to the ankle instead? Is it even possible for the Achilles to rupture at the top attachment?
Will you do a video on Gabriel landeskog? Really cool surgery
Hello Dr Sutterer, if this has been around for 10 years, how come everyone who has torn acl doesnt go via this procedure instead of opting for the old one?
Is there some type of boot he can wear during game to keep him from extending his foot to much? Practicing is one thin, but when your in game and do sudden moves to avoid a sack can be an issue as you’re not thinking about that injury in that moment and it could snap again.
Real question. Like you said, this regimen was quick and pushed, but could he have been supplementing with things like stem cells as well?
Don't care what any MRI or any of his doctors say, this is still a huuuge risk for Rodgers. Wouldn't be surprised if on one of the first few times he takes off from the pocket that he reinjures it. Do we really believe we can "see" everything we need to see on an injury like this? One can't see a tendons ability to withstand work over time, or see "fatigue," things that could easily make the tendon susceptible to reinjury!
As harsh as it sounds, I won’t be nearly as sympathetic or surprised if he re-injures himself. That initial injury just minutes into the game was brutal though
Agreed
Yup, one can’t just will his body into healing. Sure medicine is always advancing but not like this. When it does get reinjured and he ends his career I won’t feel bad at all, this is silly what he’s doing
@@sputnikalgrim Kevin Durrant came back in the 2019 NBA Finals after sustaining an achilles-strain earlier that May, and he ended up rupturing his achilles completely that same game!
@@edkiely2712 Exactly what I've been thinking of... and he's much older than KD was
Thanks for addressing the fake injury lunatics/conspiracy theorists
Bring out the tin foil hats
I wish you were on the broadcast for games
Love the topic. I think he’ll end up with a flat tire. Thanks for sharing the details about this new surgical technique.
Doc, from what I saw it looked like Cousins had more of the traditional surgery you talked about. Do you know why he’d choose that with this newer method out there? Not thinking he’d be able to return this year since he tore his a lot later than Rodgers, but in order to return quicker for offseason training, etc?
you mentioned talking to foot and ankle doctors about this, and I just pictured some doctors sitting around like "you keeping up with this aaron rodgers thing" or other injuries in major league sports the same way someone in a fantasy league does
Doc, you're very good at emphasizing words like typically during your initial assessments, as with ARod
You also emphasize words/phrases like, "idk for sure", "I'm without his actual medical data/inside info type conclusions
I personally think Rodgers may be pushing it despite a possible not, as bad a tear as initially reported, etc scenario
I mean, except for earlier starts to recovery before the off-season etc...
I just don't see the reward outweighing the risks😮
Great podcasts
So weird how people insist it's fake... but I guess people also think the earth is flat and the moon landing didn't happen.
Yep 👍
The moon landing didn’t happen 😳
Aaron probably does
There's still the tendon tissue that needs to regrow at the point of the rupture.... not sure how that can speed up. Yes the bridge provides artificial connection and anchor of tendon to bone.... but the tendon tissue still needs to heal and repair itself. Not sure how that process can be sped up. Wonder if there is some growth substance applied to the point of rupture during the surgery to expedite the regrowth.... perhaps stem cells? Rodgers may be able to throw as its not his anchor foot to push off his body weight when throwing. The issue particularly with the current state of the Jets O line is Rodgers mobility... his ability to suddenly push off that foot to scramble out of the pocket and avoid a sack. I think it best he just lets the wound heal fully until next years training camp.
Do a vid on Gary Payton ll injury ima Warriors fan I needa know how long he’s out
Love these videos, keep an eye on my team the Phoenix suns, that should be an injury content treasure trove... unfortunately! 😞
I ruptured my right achilles and had surgery on 07/07/23. I had a traditional repair and at almost 5months I am running and doing plyometrics. I could feasibly return to sport in the next 6 weeks putting it at 6months. With Rodgers procedure 3 months is a testament to his dedication and commitment to return
I cannot wrap my brain around this. All the dedication in the world is not going to heal the tendon. I would really like to know if he used some sort of substance or injection to speed the tendon remodeling.
@@marathonmatt9813 you could be right. He could have had stem cells or peptide injections but not sure if he’ll be transparent around that. They would also have to be approved therapies by the NFLPA drug testing policy.
As an aside there are many studies that simple collagen supplementation (upwards of 15g/day) provides statistical improvement in tendon repair. I read 3 different studies that early weight bearing also speeds up healing time. The biggest hurdle is muscle atrophy, if he was weight bearing early instead of NWB for 12weeks the amount of muscle atrophy will be greatly reduced. Because it’s never been done before doesn’t mean that it’s impossible.
It’d be great to have more longitudinal studies on this procedure but it also it’s not without its drawbacks. For what’s it worth my surgeon was concerned for potential chronic tendinopathy due to the anchor points into the calcaneus bone. I’m essence putting more pressure on the bone insertion point than the tendon