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Tua Tagovailoa Injury: Surgeon's Expertise of Dislocated Hip Joint, Surgery, Rehabilitation, Future Prospects, and more



Landscapes from the College of Football and the NFL playoffs in 2020 took an unexpected turn this weekend when Alabama star Tua Tagoiloaa suffered a devastating hamstring injury. The injury, hip dislocation, with a posterior wall fracture occurred with 3:01 remaining before the half-time game of the Crimson Tide against Mississippi.

Coach Nick Saban revealed after the game that it was supposed to be Tagovailoa's last drive in the game – they turned left and were tracked by two Bulldogs defenders who landed with all their weight on top of Tagovailoa. Alabama was 35-7 at the time ̵

1; but he wanted to give him more exposure to foul play in two minutes.

In a statement after the game, orthopedic surgeon from Alabama's team, Dr. Lyle Kane, gave an early prediction: "Tua Tagawiloa suffered a dislocation of the right hip joint, which was immediately reduced to the stadium. He underwent additional tests to determine the most a good course of treatment. He is expected to achieve a full recovery but will miss the remainder of the season. "

is a complex injury with several obstacles left for Tagovailoa before he can return to the field. As such, CBS Sports talks with Dr. Louis Levitt, who is vice president and secretary of the Centers for Advanced Orthopedics in Washington

. "The problem is that we, as a lay public, do not really know the extent of the injury. true orthopedic emergencies, other than breaking a bone and passing the bone through the skin that did not happen – this is the injury [Joe] of Theismann – for example, "Leviticus explained.

"This was the case when the hip joint was deployed for a limited period of time to return the hips back to the socket because it compromised the blood flow to the ball of the ball and the socket of the joints, therefore causing the helicopter to drive it reasonably. trauma center to reduce the hip joint, "Leviticus continued.

"Once the hip joint is in the socket again – and I say by presumption because [that] we don't know – somehow. If you pull the ball back into the socket, you catch some bone fragments. Therefore, you can't leave it that way. come in surgically and remove the bone fragments.

"Once the ball is back in the socket, then you have to evaluate, through various tests, the extent to which the socket is damaged and what you should do to stabilize the socket. Often the most common the form of this dislocation is e taken out of the nest when the ball is dislocated. "

Levitt said that this form of injury is uncommon and is usually associated with automobile accidents with severe cases.

"It takes tremendous strength to deploy your hip joint into a young player like this. Usually these are car crashes that get your feet in the socket and then out of the socket. You often break the socket in that," Levitt said. "I would suggest that he would more than likely need a surgical procedure to stabilize the socket at least: plates and screws to bring the pieces back. All this is speculation because we don't really know the extent of the injury."

Tagovailoa will miss the rest of the 2019 season and possibly the entirety of the 2020 season. Many wonder if he will ever play football again – at any level.

"The recovery for this, even in a young healthy person, is 6-12 months. I'm inclined to be wrong about 12 months, ”Levitt said. "Let's just say everything goes perfectly and they are able to repair the anatomy, the bone heals and it can begin the process of rehabilitation. The second concern you have regarding months ahead is whether the blood supply to the ball is impaired. the ball itself may die.

"Therefore, we give you Bo Jackson's story of why he ended up with avascular necrosis or AVN to the femur head because he lost his blood supply. You can simply have a deployment, return it quickly and lose blood supply. You cannot compromise your blood supply, but when you go to repair the socket, you may have to actually remove the ball or even recoil your hip joint while repairing the socket, and this compromises the blood supply that has already been caused. It's kind of like two phases. Can they reconstruct his hip joint anatomically, allow him to heal? And then will he undergo some deformation of the ball that causes him to have severe arthritis and potentially replace his hip joint in the future like Bo Jackson? "

The injury occurred around 1:30 PM ET on Saturday. The events of next week will be confidential, but Levit offered his expectations.

" I think [as of late Sunday morning] they are evaluating it. They are probably doing a CAT scan. since this is the best way to look at the bone and evaluate the soft tissue injury then they will determine – most likely at a good trauma center, sooner rather than later – [when] to come in and repair – said Levit, "I suspect it will be 48 hours to a week. Not every trauma center has papers or orthopedics on board, that are useful for performing this type of deep pelvic reconstruction. You may need to move him again. If he is at a site that is a Level 1 trauma center where they do pelvic work, it will not surprise me if he does not have surgery within 48-72 hours. "

There may be neurological problems arising from the injury, because

" Then the question is to let the wound heal, pray that it does not get an infection; he is young and healthy, if he doesn't. Then this is the process of rehabilitation, "said Levitt.

" I talked about one of the complications, because he gets a loss of blood supply and the ball dies in the long run – in the long term within one year, ie. not years, you will know that within a year. Another potential complication is that we do not know if he has any neurological injury. They will know this when they value it. … They will start reconstruction and repair it. They won't let him handle it, but they'll start moving relatively early. "

Some injuries leave athletes more susceptible to suffering such a trauma in the future. Levit says Tagawiloa will not be more vulnerable to a second hip dislocation than it was before Saturday's game."

When you see all the big car accidents and sports injuries, it's really rare. The chances of him being in the same situation again are so rare, since he got the first break when treated with the plate and screws in place, in fact it's more with "In some ways, I think his risks are not increasing because he got a break. That's really the case with high-end athletes," says Levitt.

"Bo Jackson plays professional baseball after replacing the hip joint and everyone thinks it's the biggest thing since sliced ​​bread. He probably put a hip replacement in about a decade because everyone thought can get to the level of playing professional ball. I think Jackson's hip weakened after 3-4 years and he had to make a second hip replacement and never recover from it.

"That's why you hope , the ideal scenario, the ball is again in the socket, there are no loose fragments in the socket, this is one piece of socket that can easily be pulled back in. It gets no complications and then, if all the gods shine on it, it can probably come back to play and retain his professional potential for one year. "

If everything goes accordingly with the operation, the focus shifts to the rehabilitation process.

"They will wait until the bone heals. What they will do is they will bend slightly and extend his thigh with minimal rotation of the hip joint. They can start this within 10 days after surgery. allow them to gain weight for at least 8-12 weeks then they will put it in the pool early after the wound has healed to put it in a non-gravitational environment and then the ground exercises really start to accelerate between 3-6 months. I guess they won't allow him to hit or spin It's easy, I guess, 4-6 months. "

As a junior, Tagawiloa is faced with the choice of returning to Alabama for his senior season or leaving early for the 2020 NFL Draft. The deadline for declaring is 20 January, which means that Hawaii will be approximately two months into a potentially annual rebuilding process.

There are a lot of variables in the game, but Levitt said he would probably recommend Tagovailoa to sit throughout the 2020 season, whether at a collegiate or professional level.

"He has many obstacles in front of him. … I would be wrong for this young man to be conservative. It is possible to avoid it, "notes Levitt, citing how conservative Washington Nationals have been with Timeline Strasbourg's rebuilding timeline.

Most high school athletes carry loss-of-money insurance as a guarantee of loss of potential revenue. Tagovailoa is believed to carry such insurance.

Reasonably, NFL teams will have a hard time choosing where it was designed – the top five NFL 2020 draft picks – based on unknowns. It would not be a surprise or a bad decision if he decided to return for his senior season, just sit back, heal, and prepare to throw and practice before the NFL draft for 2021.

His brother

The older Tagawailoa had already missed a single ankle injury this season for which he underwent a rigorous rope procedure.This was similar to the injury he received before the 2018 SEC Championship Game. He finished the year by completing 180 passes of 252 for 2,840 yards, 33 touchdowns and three interceptions.

Alabama turned to backup QB Mac Jones when Tagovailoa left the field. The Crimson Tide remain part of the College Football Playoff conversation with two remaining games, including a broadcast of the Iron Bowl at Auburn last week. Jones has completed 45 of 65 passes for 566 yards, four touchdowns and interceptions this season.


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