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Today, National Doctors’ Day, is a time for us all to reflect on the work our 16 extraordinary doctors – do each and every day.
At Advanced Podiatry of Manhasset, Huntington, Plainview Maspeth and Corum, our doctors are not afraid to challenge the status quo and raise health for all by raising the standard of care we provide to our patients. More than one year into battling the COVID-19 pandemic, our tireless dedication to treating, protecting and being there for our patients is truly inspiring. We continue to make breakthrough advancements in podiatric care, and serve as trusted healthcare influencers in our communities. The important work that our doctors do and the resilience of you, our patients, show allows us to raise our sights to brighter days ahead. And for that, we thank you, our patients.On behalf of our entire Advanced Podiatry team, on this National Doctor's Day, we thank you, our patients, again, for allowing us to take care of your foot health needs. It is our honor to be your doctors!
As Dr. Vieira mentioned in his blog yesterday, Tiger woods was involved in a serious motor vehicle accident in California two days ago. Initially, news reports mentioned Tiger to have sustained serious injuries to both lower legs, the latest information however seems to indicate his right lower extremity was the primary source of injury.
Tiger was brought to UCLA Medical Center, a level one trauma center and underwent extensive emergency surgery on that right lower leg. Certainly, what they describe is a life-altering combination of injuries that will involve extensive recovery but overall does not seem life-threatening.
A statement was released by Chief Medical Officer at UCLA, Anish Mahajan MD, outlining some details of his operative management. I would like to dissect some of the statements to give better clarity.
Dr. Mahajan’s statement is as follows, “TigerWoods suffered significant orthopaedic injuries to his right lower extremity that were treated during emergency surgery by Orthopaedic trauma specialists at Harbor-UCLA Medical center…”. “Comminuted open fractures affecting both the upper and lower portions of the tibia and fibula bones were stabilized by inserting a rod into the tibia. Additional injuries to the bones of the foot and ankle were stabilized with a combination of screws and pins. Trauma to the muscle and soft-tissue of the leg required surgical release of the coverings of the muscles to relief pressure due to swelling”.
This statement provides amazing insight as to the anatomical areas involved and what the initial procedures addressed. At first glance, we know the fractureswere comminuted, meaning not a simple break andactually involved “shattering” of the bone into multiple small fragments. Obviously, this is more serious than a linear break of the bone and usually will involve a lengthier recovery. We know that the fractures involved the upper portion and lower portions of the lower leg, meaning he can have soft tissue injuries to the knee and/or ankle in addition to possible disruption of the cartilage in the ankle and/or knee. When a break exits through the ankle cartilage this is termed a “pilon” fracture and this will certainly be life altering for Tiger and may require future surgery. We also know the fracture was “open” , meaning the bone did penetrate through the skin which significantly increases the chance for infection as debris from the car accident could enter the body and contaminate his leg. I am sure he is receiving the appropriate antibiotics and an extensive washout of the area was performed. They were able to stabilize the Tibia with a rod, a metallic implant that is inserted into the medullary canal of the bone, that will stabilize his fractures to allow for healing to start. This is good news for Tiger.
Also, his statement indicates Tiger woods had a condition called “Compartment Syndrome”. When he describes surgical release of the coverings of the muscles, this is known as a fasciotomy and the necessary treatment to release elevated muscle compartment pressures. Compartment Syndrome in addition to the fractures being “open” are both surgical emergencies in the orthopaedic world. If fasciotomy is not performed, the blood vessels to the muscles close down from excessive pressures and the muscles can actually die off very quickly.
Lastly, although there was not a great amount of detail, he may have sustained fractures to bones in the foot. It appears they were fixed with screws and plates but I cannot comment on which bones were involved.
We do know he is awake, responsive and recovering at this time and the surgery seemed to go well. Based on the information given, I know Mr. Woods is in good hands with a team of excellent specialists there at UCLA. I wish him a speedy recovery, one without pain and good function. I will keep our patients and followers updated with more details as they come in.
The sports world was shocked yesterday with news of Tiger Wood's terrible car wreck in California. Tiger has been recovering from his most recent, and 5th back surgery. He was in California to host a golf tournament over the weekend and was on his way to do a presser.
In June of 2019 Kevin Durant confirmed on social media that he had suffered and underwent surgical correction for a Right ruptured achilles tendon.
Durant had just returned back to the NBA Finals at the time of his injury after sustaining a calf strain. The achilles tendon is a tendon at the back of the leg that connects the calf muscles to the heel bone. Injuries of this magnitude are not just seen in professional athletes but can also be a risk for our “Weekend Warrior” patients - a term affectionately given to men and women who participate in athletics in their spare time. Muscle imbalances, tight muscles, lack of stretching, poor shoegear, uneven surfaces or failing to rehab appropriately from an injury minor or not can make us all susceptible to injury.
Most professional athletes take about 10 months to recover from this type of surgery, Durant, due to the pandemic, had 19 months to let his body heal - to properly prepare for the season and give his body the best shot at returning to pre-injury form.
To date, Durant has been having an amazing season with the Brooklyn Nets and is showing no signs of this injury impacting his game.
One of the greatest take aways for this basketball fan and podiatrist is that injuries, big and small, need time. They need proper rehab to build strength, correct muscle imbalances, and get our athletes - high school, college, professional and weekend back on the field or court safely with their best foot forward.