MedScape recently featured one of Dr. Marx’s patients, Tyler Saito, an 18-year old high school quarterback who was tackled in open field, with his left foot planted. Tyler’s knee gave way, resulting in injury to the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), and posterolateral corner ligament, coupled with extensive damage to the common peroneal nerve. Tyler’s injury was so severe that initially, many doctors told him that he may never be able to walk normally. Eventually, Tyler was referred to Dr. Marx, who acknowledged the complexity of Tyler’s multi-ligament injury, yet was confident in his ability to get him back in the game to pursue his collegiate baseball career as planned.
Dr. Marx performed an ACL and PCL reconstruction, while Dr. Aaron Daluiski, a hand surgeon at HSS who specializes in nerve injuries, performed the neurolysis of the peroneal nerve. After a successful procedure and four weeks of recovery, Tyler began physical therapy, range of motion exercises, and progressive weight bearing. One year after surgery, Tyler was able to begin fielding and batting practice. By 16 months post-surgery, Tyler was back on the field competing for his college team.
While return to collegiate athletics is not expected following knee dislocation, Tyler’s case shows that it can be achieved with meticulous surgical technique, a dedicated surgeon, and a motivated patient.