TORONTO -- While most of those in the stands undoubtedly recoiled when they saw
Andersons Silvas gruesome leg break Saturday night at UFC 168 in Las Vegas,
Steven Sanders had a different thought cageside.
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question I had in my mind was how low down on the leg was the fracture," the
UFCs orthopedic surgeon recalled in a media conference call Monday. "Because the
level of the fracture influences my thinking as to what type of orthopedic
device Im going to need to fix it. "But the minute it occurred, Im sitting there
going Thats fixable." Amazingly, less than 48 hours after surgery to insert a
titanium rod and three screws in his left tibia, the 38-year-old Brazilian was
up on crutches, accorded to the surgeon. "Its amazing because I dont know if I
would be able to do it that quickly," said Sanders. And the surgeon said Silvas
question prior to the operation was when could he train again. Still the former
middleweight champion is spending most of his time in his hospital bed, at this
stage, with his leg in a posterior splint. "Hes behaving as anyone would who had
just broke both their bones violently and then had a 11.5-millimetre-diameter
rod stuck down the intramedullary canal of your tibia. It hurts quite a bit,"
Sanders said. The fighter is expected to stay in hospital for a few more days
and faces a long recovery before he could compete in the cage again. But Sanders
says Silva will eventually be able to resume mixed martial arts. The surgeon
expects the fighters fractures to heal in three to six months, with a time frame
of six to nine months before trying to resume training. "The expectation is
positive," Sanders said. Silva (33-6) will be able to do some rehab work, to put
some weight on the leg "in the near future as we get though this acute pain
phase." Saturdays fight was stopped at 1:16 of the second round, with current
middleweight champion Chris Weidman declared the winner as doctors attended to a
writhing Silva. Silva broke both the tibia and fibula in his lower left leg
kicking Weidman in the main event at the MGM Grand Garden Arena. Weidman checked
the kick, meaning Silva went bone-one-bone. His leg snapped about a third of the
way up the tibia from the ankle, causing his essentially untethered ankle and
foot to swing around Weidmans leg in an stomach-churning moment. Silva, who up
until his upset loss to Weidman in July at UFC 162 was considered the top
pound-for-pound fighter on the planet, collapsed in agony. Sanders called it
"horrific pain." Sanders said Dr. Anthony Ruggeroli immediately realigned the
limb and applied traction, helping prevent the injury from getting worse. Silva
was stretchered outside the cage under the direction of Dr. Jeff Davidson and
taken to a waiting ambulance, which transported him to University Medical Centre
Hospital, a Level 1 trauma centre. The operation lasted about an hour, with the
rod inserted into his leg at the front of the knee, with a screw at the top and
two at the bottom to stabilize the bone. While the fibula was also broken,
Sanders elected not to operate on that bone because it would have required an
incision at the site of the break, opening Silva up to the risk of infection --
among other reasons. Sanders says the fibula could heal on its own, adding he
saw no evidence from X-rays there was an predisposition to a break. The surgeon
called Silvas fracture "fairly severe," given the fact that the skin was
essentially holding the leg together. That means the tissues that normally
surround the bone, and help with the healing, have undergone trauma. The soft
tissue recovery is "more of a variable" than the bone repair, said Sanders. The
injury, while horrific to watch, could have been worse, with Sanders listing off
the elements of a worse case scenario -- a break near the joint, the skin
breaking, tearing a blood vessel challenging blood supply to the foot.
"Unfortunately in my line of work, things can always sometimes be worse," he
said. That includes "limb-threatening" if the fracture compromises vascular
support to the foot. Silvas dramatic injury -- which Sanders pithily described
as "an abnormal bend in the leg at a place where its not supposed to bend" --
was "extremely close" to being much worse On the plus side, the straight nature
of the break will help in rehab, since a spiral fracture can "unwind." And the
surgeon said the rehab wont be as intense as when fighters injure knee
ligaments. The titanium rod can be removed at a later date or can stay in Silvas
leg, Sanders added. "For whatever reason, humans like titanium." Sanders has
worked with the UFC for more than a decade and has practised in Las Vegas since
1991, working with boxers prior to MMA fighters. Sivas injury recalled that of
Corey Hill, who broke his leg while throwing a kick that was checked by Dale
Hartt on a UFC card in December 2008. Hill returned to action in January 2010
and has gone 4-3 since, although not in the UFC. UFC light-heavyweight champion
Jon (Bones) Jones said Silvas injury will not change his approach to fighting.
"No Andersons last fight will not change my psychology towards kicking at all,
that was just an extremely unfortunate situation," Jones tweeted.
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on TSN2 at 11pm et/8pm pt. The nine-time Big 12 champion Jayhawks are
positioning themselves for another title, as they have run out to a flawless 6-0
mark in conference play thus far.
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defending champion beat Gael Monfils of France 7-6 (6), 6-3, while second-seeded
Andy Murray of Britain dispatched Edouard Roger-Vasselin, also of France, 6-3,
6-3. Making his first appearance since injuring his wrist a month ago, Del Potro
had difficulty with his service games in the first set.
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. "I wrote 36 on my sheet at the beginning of the game," the Cincinnati coach
said, referring the yard line the ball would need to be snapped from.Got a
question on rule clarification, comments on rule enforcements or some memorable
NHL stories? Kerry wants to answer your emails at cmonref@tsn.ca! Last night I
was focused on the Flyers come-from-behind win over the Red Wings on NBCSN but
also kept ‘half an eye on the Montreal Canadiens frantic 4-3 shootout win over
the New Jersey Devils via NHL Game Center Live on my computer screen. We have a
number of questions involving two separate plays from the Canadiens-Devils game
and both plays highlight the full concentration and split-second decisions
required of a referee as he attempts to make the correct ruling. Obtaining the
best sightline in advance is critical to correctly process information to make
the right call. The first play in question was when Montreals Max Pacioretty was
on a breakaway and had the shaft of his stick break as trailing defender
Jon Merrill attempted a wild desperation stick swing at the attacker (Incident
can be seen at 1:50 of attached highlights). I ran back in front of the
television from my kitchen during an NBC intermission when I heard initial
commentary that a stick slash had broken Paciorettys stick on a breakaway. I
rounded the corner just in time to catch a glimpse of a replay showing the wild
swing by Merrill coincide with the snap of Paciorettys stick shaft. No call
resulted on the play and the initial commentary suggested a call was missed. I
thought “oh no”, another missed stick slash on breakaway similar to one I viewed
last week. Unaware of the time in the game this play had occurred I immediately
sent out an S.O.S. via twitter; “Anybody see the broken-stick slash on a
breakaway in NJ. Another non-penalty shot call. Guess they dont make sticks like
they used to?” In the rush for social media assistance my misplaced question
mark (?) logically appeared to some as though I was stating a call had been
missed as opposed to seeking guidance. Once I was able to finally view the play
it was obvious that Jon Merrills stick clearly missed making contact with both
Max Pacioretty and his stick shaft. When Max pressured down on the shaft his
stick simply broke. Both referree Rob Martell, who had set up in perfect
position to judge the play on the ice, and Ray Ferraro on the TSN broadcast from
between the benches made the right call.
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perfect sightline. The other play in question involved a pretty obvious
trip/slew-foot by P.K. Subban that took down Patrik Elias just prior to
David Desharnais tipping in Brian Giontas shot for the tying goal with just 36.6
seconds remaining (Incident can be seen at 1:33 of attached highlights). What
wasnt so obvious on the play was that Elias set an illegal pick in an attempt to
lockup up Subban and prevent his forecheck pinch with the Montreal net empty.
With 44 seconds remaining Peter Budaj bolted to the bench for an extra attacker.
In anticipation of this the trailing referee crossed the ice from his position
near the Montreal players bench to appropriately observe the legal five-foot
substitution required to replace Budaj. That was all well and good, save the
fact that both referees were now on the same side of the ice; opposite to where
Elias and Subban contacted one another resulting in two separate infractions.
Had the trailing referee been afforded the opportunity to observe this play from
his normal position (near blue line on players bench side) I am confident an arm
would have been raised for a delayed penalty call once Patrik Elias leaned into
Subban and then placed his stick across the midsection of the Habs star
defenceman. Interference would have been the delayed call. Play would then
quickly have been stopped once Subban, having been blocked by the illegal pick,
extended his right skate behind the left leg of Elias and tripped the Devil
player to the ice with a sneaky but obvious slew-foot. Coincidental minor
penalties would have been assessed and Giontas shot would not have eventually
found the back of the net on the Desharnais redirection. Gaining the best
sightline is crucial in being able to accurately process information on every
play. Sometimes that just isnt possible. As a result of the shootout win Subban
and the Montreal Canadiens have to be very pleased this was just one of those
times.
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