Tyler Saito, an 18-year-old high school quarterback playing in his final game prior to starting his collegiate baseball career, was tackled in the open field, causing his left knee to give way. The knee dislocation caused injury to his common peroneal nerve and tears to his anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), and posterolateral corner ligaments.
Following his injury, Tyler’s family was told that this devastating injury could not be handled locally, so he was referred to Dr. Marx. Tyler travelled to New York City to see Dr. Marx, who not only helped him recover knee stability and nerve function, but also realize his dream of playing collegiate baseball. Multi-ligament knee injuries like Tyler’s are complex and difficult to manage, particularly when they are associated with nerve or vascular injuries. Dr. Marx surgically reconstructed Tyler’s ACL, PCL and lateral side ligaments with Achilles tendon allografts while meticulous neurolysis of the peroneal nerve was performed by Dr. Aaron Daluiski, a hand surgeon who also specializes in nerve injuries.
The intricate operation was successful, and Tyler recovered for four weeks before beginning 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 playing in games for his college team.
Dr. Marx recently presented this complex surgical case and Tyler’s successful recovery in the Winter 2015 issue of Grand Rounds from HSS. Dr. Marx notes that, while return to high-level athletics is not expected following a knee dislocation like Tyler’s, it can be achieved with careful surgical technique and a motivated, dedicated patient. Read more about Tyler’s case and Dr. Marx’s surgical technique here.