Cam Newton's Lisfranc has not gotten better................as I've posted in the past, was not properly rehabbed from Aug 22 injury............then re-injured............predicted 6-8 week rehab from re-injury (nowhere close yet)............now because of all of this, he may no longer be able to conservatively rehab, and surgery is likely in his future...............his season is probably over either way.
After all this time, Newton is
finally going to have surgery. His injury has been mismanaged from the beginning. In the present Rapoport report, the postoperative rehab period is grossly underestimated [highlighted in bolded red below], and the outcome grossly overestimated.
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Panthers' Cam Newton (foot) now considering surgery
- Ian Rapoport
- NFL Network Insider
- Published: Nov. 10, 2019 at 06:59 a.m.
- Updated: Nov. 10, 2019 at 12:38 p.m.
Before
Carolina Panthers quarterback
Cam Newton was placed on injured reserve, he sought several opinions from various experts. The visit to Dr. Robert Anderson in Green Bay sealed it -- he would put off surgery and try to rehab and heal over a matter of weeks.
This week, however, that situation may have changed.
Almost certainly out for the season, Newton is now considering surgery to repair the Lisfranc injury in his foot, sources say. The procedure, which would come in the next week or two, has
a recovery time of eight-to-10 weeks -- three months at the most.
Conceivably,
Newton's ligaments in his foot would be healthy and repaired by March, when his future will be decided. The original plan was to wait and rehab, with the hope being that in a matter of weeks he could return. When he
was placed on injured reserve, which he understood, the focus shifted to the future.
This season, Newton has been supportive of starter
Kyle Allen, which has been clear in social media comments by both players. Theoretically, he could come off IR if the
Panthers make the playoffs, but that's a longshot. Most likely, he's done for 2019.
But in the spring, his future will come to light.
Newton wants to continue playing, a source said, despite the various injuries that have severely limited him the last two seasons. While the team won't publicly or privately address what happens next with Newton, it remains highly unlikely that he'll be with the
Panthers in 2020.
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Here is the latest review of Lisfranc repair with return to play and performance outcome results in NFL players.:
Orthopedics. 2018 Jul 1;41(4):e479-e482. doi: 10.3928/01477447-20180424-03. Epub 2018 Apr 30.
Performance-Based Outcomes Following Lisfranc Injury Among Professional American Football and Rugby Athletes.
Singh SK,
George A,
Kadakia AR,
Hsu WK.
Abstract
Professional National Football League (NFL) and rugby athletes have high rates of Lisfranc injuries. Although favorable return-to-play rates have been previously reported, a thorough assessment of postinjury performance is lacking. Professional NFL and rugby athletes who sustained a Lisfranc injury were identified using a well-established protocol confirmed by multiple sources of the public record. Return-to-play rate and time to return were determined for each athlete. League participation and game performance were collected 1 season prior to injury and up to 3 seasons after injury. Statistical analysis was performed, with P≤.05 being significant. A total of 47 athletes (NFL=35, rugby=12) with Lisfranc injuries were identified, having 23 ligamentous injuries and 24 fractures.
Thirty-five (75%) were treated operatively. Among NFL players, 29 (83%) returned to play, taking 10.0±2.9 months to do so. Overall, NFL players started fewer games 2 and 3 seasons following surgery (P=.002 and .035, respectively) and showed a significant decline in performance 1 season after return compared with preinjury levels (21%; P=.05). Offensive players had a significantly greater decline in statistical performance compared with defensive counterparts (P=.02).
Although professional NFL athletes return to play at a high rate (83%) following Lisfranc injury, their league participation and performance is significantly decreased on return. Ligamentous and bony injuries have similar prognoses; however, offensive players show greater declines in performance compared with defensive players. To best guide therapy, players, coaches, and team physicians should be aware of the impact of Lisfranc injuries on career performance and longevity. [Orthopedics. 2018; 41(4):e479-e482.].