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00:00This is the Injury Report, presented by NYU Langone Health.
00:05Giants wide receiver Malik Nabors.
00:07Leek is months removed from surgery on his torn ACL meniscus in his right knee
00:12that we saw him suffer in week four.
00:14So in today's Injury Report, we're talking with Dr. Daniel J. Kaplan,
00:18sports orthopedic surgeon at NYU Langone,
00:21because fans want to know if Leek is going to be full goal week one
00:25or if he's going to start the 2026 season on PUP list.
00:29So let's talk about that second and third stage of the rehab.
00:34What does that entail?
00:36Like how soon will he be out there running and even cutting?
00:42So three months is technically when you're allowed to start jogging.
00:46Now, I always tell my patients the same thing.
00:48Just because you're allowed to do something does not mean you're able to.
00:51There's a big difference between those two things.
00:53So at three months, technically that tissue is healed enough where it might be safe.
00:57But if he doesn't feel like he has the coordination or strength back,
00:59maybe he pushes that back a little bit from three to three and a half or four.
01:03Cutting, we usually say, is around six months, plus or minus.
01:06But again, it depends how fast he recovered from that last phase.
01:09Usually around between six and eight months is when you're cutting and doing sports specific drills
01:13and then full go between eight and ten months, depending upon his recovery at that stage.
01:19So I'm sure you treat patients with torn ACLs at NYU laying going all the time.
01:26So let's say your patient isn't an athlete at all.
01:29His name isn't Malik Neighbors or OBJ or Adrian Peterson.
01:34Is Adrian Patterson just your everyday person?
01:36What's their rehab and their recovery process like?
01:39Like how would that differ from Adrian Patterson and Adrian Peterson?
01:43Love that twist there.
01:45Nice. So Adrian Patterson, they're going to get the same overall timeline.
01:50So a lot of our timelines for ACL reconstruction, which we're still researching a little bit, is based on time.
01:56So there takes a certain amount of time for the new graft.
01:59So the new ACL, we give someone to what's called incorporate or ligamentize.
02:04So that means some of it is just based on time.
02:06That's why that eight to ten month mark exists, because research studies have shown it takes about that long
02:11for that to become sort of a normal ligament.
02:13But that's only one side of the coin.
02:15The other side is functional.
02:17So as much as we need to rely on timelines and biology, we also want to treat each patient individually
02:22and make sure we're doing the right thing at each time point.
02:25So usually at three months, like I said, you're allowed to start jogging.
02:28At six months, you're allowed to start pivoting.
02:30At nine, call it eight to nine months, you're allowed to start going back to sports.
02:34But everyone's different and everyone needs different things.
02:36So if you haven't gotten your quad strength back, which is a big holdup,
02:40or you don't have all your motion, then maybe you have to go a little bit slower.
02:43Or maybe if you're killing it on every front, you can go a little bit faster and push it
02:47to like early eight months going back.
02:50So yes, there are generalities and there are broad strokes for what we want our patients
02:55to be doing.
02:55But at the same time, me, like everyone else I know, at least at NYU, would really give
02:59it a patient-specific approach for everyone.
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