Milano discusses his injury for first time

[Bills!Win!]

He still hasn’t been placed on season ending IR. Very odd seeing that it’s week 18

[Herc11]

I was going to do a bit of a write up before but got lazy and didn't do it. I got some time so, I'll try shed some light on these injuries. 

 

Back around 2003 I had a tibial plateau fx to of my left leg. I was playing flag football and running to my left. A defensive player was closing in on me so I made a hard plant on my left leg, so I could spin and come back to my right. I planted so hard that I could literally feel my femur hit the tibia. I remember describing the feeling by punching my fists together. It was painful and I couldnt bear weight at all. Fortunately my injury was a crack in the tibial plateau and didn't actually break a piece of the tibial plateau off. I distinctly remember the doctor telling me I was lucky cause if it had broke off, I would need surgery. I was placed in a brace that they could limit the range of motion in the leg. They didn't cast it, because they wanted me to be able to move my leg to limit the atrophy. Although I wasn't to bear any weight on it until cleared, which I think was about after week 4. I had the splint for about 6 weeks and recovery was rather quick. 

 

However, like I said, I got lucky. There are varying degrees of these that can get pretty bad. 

 

Here's a piece of an article from orthopedic trauma association describing the injury. 

 

"A tibial plateau fracture is an injury in which you break your bone and injure the cartilage that covers the top end of your tibia (bottom part of your knee). The break can range from a single crack in your bone to shattering into many pieces. This fracture typically happens after a fall or a motor vehicle accident. High energy injuries like these cause your thigh bone (femur) to drive into your tibia like a hammer hitting an anvil."

 

Here you can see an X-ray of a normal leg:

 

Here's an example with a fx. You can see in this picture it cracked all the way through and this would require screws and possibly plates to reattach.

 

Edited January 5 by Herc11

[Herc11]

Another excerpt from ota.org

 

"Sometimes the break is so bad you need to be taken to the operating room to have an external fixator put on. An external fixator is a device made up of pins that are put in your femur (thigh bone) and tibia (leg bone) and bars that connect the pins together. This is a temporary way of holding the leg and bones in a better position (lines them up) and allows the swelling to go down until it is safe to fix your bone with plates and screws."

 

Here's a pic of a fx that requires screws and plates:

More from ota.org on the recovery:

 

"You will not be able to bear weight on your leg for weeks after breaking your bone. That means no walking on or pushing off of your broken leg. This is to keep the bones from moving as you heal. Depending on your injury, this will last 6 to 12 weeks. You may need to use crutches, a walker and/or a wheelchair. A knee immobilizer or hinged knee brace may be used to provide support for your leg. You will be instructed to work on gentle motion of your knee, ankle, and hip. This is to prevent stiffness and also to help your cartilage to heal. Your surgeon will let you know how much you should bend your knee. You may be prescribed physical therapy to help with motion and strength. It is important to follow up with your surgeon to make sure your bones are healing well and that your motion is good."

 

And as a some have eluded to, this injury can cause issues down the road due to the injury to the cartilage that lines the joint side of the tibia.

 

"Tibial plateau fractures injure the joint surface cartilage. The injured knee joint can develop arthritis. The symptoms include pain with use, stiffness, swelling, and inability to tolerate exercise, stairs, or running. Some patients have bad enough arthritis that they have a knee replacement to help improve their pain and function.

 

Stiffness and some weakness is very common. Physical therapy may be able to help with this. You may have a permanent limp and need to use a cane or assistive device. Rarely, more serious complications may require more surgery, hospital stays, or medications. These complications include swelling, infection, blood clots, and painful hardware."

Edited January 5 by Herc11

[Herc11]

Example of someone that needed a knee replacement:

 

Varying degrees of a fx:

 

[Herc11]

Now this is only a guess. I definitely don't have enough info from what has been disclosed about his specific injury. I have been holding out hope that he would be able to return for a late playoff run, but we know McD doesn't like to rush injuries back and it would be quite a gamble to have Milano's first game back in the AFC champ or even SB. Seeing that he has been walking and bearing weight, he is most likely in the physical therapy stage. You don't gamble coming back from a knee injury without the leg at full strength. That would only be risking a devasting injury to the knee ligaments that could rule him out next season. 

 

Edited January 5 by Herc11

[Ray Stonada]

It’s good to understand Milano’s injury and exciting to get him back when we do.

 

I would not rush it. Why? We just went through this with Von, and we can’t afford to make the team worse in the playoffs while a guy ramps up.
 

Linebacker is not a position where we need help right now anyway. Bernard and Dodson are balling. 
 

Defense looks great. It’s the pass game that we need to up its level to get the Lombardi. 

[RunTheBall]

10 hours ago, YattaOkasan said:

Interested to hear why you say this when Kyle has consistently said he’ll be fine once he recovers which takes a while. 

 

I’m an anesthesiologist with a couple thousand knee replacements under my belt. Most of these football players end up with arthritic knees. Now add a fracture that crosses the joint space at the top of the tibia and you are talking guaranteed arthritis. He will be fine to play and finish out his career, it’s soon after he retires that he will be getting that knee tuned up. Fortunately, we’ve come so far with knee replacements that they can be same day surgeries. At one place we’d do 5 a day by 4 pm.

 

Kyle is a physical therapist, he’s not a physician btw. Listen to the difference between him and Chao who’s actually an orthopedic surgeon. Night and day. He’s very good at discussing likely rehab times once he knows the injury, because that’s his job. He is right that Milano will be able to play post injury.

I get his schtick, I know Marino likes to have him on weekly, but I rarely hear useful information from him. It’s a lot of hedging “Well, he didn’t practice all week, but if does play Sunday it will be a limited snap count”. Wow, brilliant.

 

 

Edited January 5 by RunTheBall

[eball]

11 hours ago, SoonerBillsFan said:

Or...amd just spit balling here...we can finally dump this big nickle crap and go with a blitzing 4-3?  Can't say we don't have the backers for it once he comes back.

 

Why, because this defense has been so awful?

 

[corta765]

15 hours ago, Augie said:

 

I broke that in a high school scrimmage against Amherst. Nobody really cared this much. 🤷‍♂️

your sacrifice was acceptable

[BuffaloBill]

23 hours ago, Augie said:

 

I broke that in a high school scrimmage against Amherst. Nobody really cared this much. 🤷‍♂️

 

We will have a pity party for you …. All wishing to attend please show up at Augies house, 4:00 PM today.

[Augie]

8 hours ago, BuffaloBill said:

 

We will have a pity party for you …. All wishing to attend please show up at Augie’s house, 4:00 PM today.

 

Our credit card machine is down, so it will be cash only for parking fees and cover charge. FYI 

 

Oh, and it’s BYOB! 🍺 

[DallasBillsFan1]

Wish we had him for the Philly game ... he would have snuffed that run by Hurts at the end.

[nedboy7]

I’m afraid this thread is breaking the internets medical misinformation rules. 

[JerseyBills]

15 hours ago, WideNine said:

When Milano gets back we will have some quality depth at the LB position where there was a lot ??? early in the season and I thought we were thin.

 

The taking heads and media pundants were all preaching doom and gloom with Edmunds' departure in FA and that the Bills would struggle with an unproven Bernard.

 

Both Dodson and Bernard have come on strong.

 

 

 

 

Dodson has been a lifesaver for this D and gives Dorian more time to adjust to the nfl. Defense seems to be fully back to where they were, playing as 1, fast ans aggressive. 

I anticipate a similar performance against Mia than in week 4. 

Douglas might be better than Tre, Daquan is back and Dodson has played great

[WideNine]

11 hours ago, Mango said:

Mea culpa from me on that one. I raked Beane over the coals for not having anybody else in house. 

 

Your not the only one.

 

I listen to Marino's podcast and I was right there with him worrying about starting an unproven Bernard.

 

I was wrong about Oliver taking a step forward too with his injury-plagued contract year... thought he was just too small to man the 3-tech and hold up. I felt like Beane was throwing money away.

 

Looks like a bargain deal now with the way he has come on and the reps he commands game to game.

 

 

 

[ColoradoBills]

7 hours ago, Herc11 said:

Another excerpt from ota.org

 

"Sometimes the break is so bad you need to be taken to the operating room to have an external fixator put on. An external fixator is a device made up of pins that are put in your femur (thigh bone) and tibia (leg bone) and bars that connect the pins together. This is a temporary way of holding the leg and bones in a better position (lines them up) and allows the swelling to go down until it is safe to fix your bone with plates and screws."

 

Here's a pic of a fx that requires screws and plates:

More from ota.org on the recovery:

 

"You will not be able to bear weight on your leg for weeks after breaking your bone. That means no walking on or pushing off of your broken leg. This is to keep the bones from moving as you heal. Depending on your injury, this will last 6 to 12 weeks. You may need to use crutches, a walker and/or a wheelchair. A knee immobilizer or hinged knee brace may be used to provide support for your leg. You will be instructed to work on gentle motion of your knee, ankle, and hip. This is to prevent stiffness and also to help your cartilage to heal. Your surgeon will let you know how much you should bend your knee. You may be prescribed physical therapy to help with motion and strength. It is important to follow up with your surgeon to make sure your bones are healing well and that your motion is good."

 

And as a some have eluded to, this injury can cause issues down the road due to the injury to the cartilage that lines the joint side of the tibia.

 

"Tibial plateau fractures injure the joint surface cartilage. The injured knee joint can develop arthritis. The symptoms include pain with use, stiffness, swelling, and inability to tolerate exercise, stairs, or running. Some patients have bad enough arthritis that they have a knee replacement to help improve their pain and function.

 

Stiffness and some weakness is very common. Physical therapy may be able to help with this. You may have a permanent limp and need to use a cane or assistive device. Rarely, more serious complications may require more surgery, hospital stays, or medications. These complications include swelling, infection, blood clots, and painful hardware."

 

I spent my entire work career making those plates and screws.  Extremely interesting the engineering that goes into them.

[BearNorth]

I read that Travis Kelce had a tibial plateau fracture his rookie year, and was placed on IR.  He seems to have recovered and played at a "fairly" high level. 

 

"According to FOX Sports' Jay Glazer, the Chiefs initially feared a repeat of the 2013 NFL season with Kelce. That year, Kelce, suffered a tibial plateau fracture that ended his rookie season before it even really began. He was placed on season-ending injured reserve during in October with that microfracture in his knee. "

[Milanos Milano]

Just eat a couple of these and Milano will be ready to go by Sunday. 

[Cvanvol7]

8 hours ago, Bills!Win! said:

He still hasn’t been placed on season ending IR. Very odd seeing that it’s week 18

This is not a thing, any player put on the Reserve/Injured list is eligible to have a 21 day window open after missing 4 weeks if added to the list after the start of the season. There arent separate designations. 

[Milanos Milano]

We have Flutie Flakes. Why do the Bills not have Milano’s Milano, should partner with PF. I’d buy it. 

Edited January 5 by Araiza Curse