Interesting take on Rossi's injuries by an another doctor:
http://www.superbikeplanet.com/2010/Jul/100709millerrossi.htm
American Dean Miller worked as a physiotherapist in Grand Prix and MotoGP for over twenty years. During that time he worked with riders such as Kenny Roberts, Kenny Roberts Junior, Wayne Rainey, John Kocinski, Eddie Lawson and many others. He was the official physiotherapist for both Team Roberts and later Team Suzuki, wrote a book on training with motocrosser Brad Lackey, and helped countless riders recover from racing injuries both minor and major.
Scores of fans around the globe were surprised to see a photograph surface on-line this week of Valentino Rossi, one taken in late June. In the photo, Rossi, who suffered a reported compound fracture of the tibia and fibula in early June, is standing on his broken leg, talking to a female fan. Rossi later rode a Yamaha WSBK Superbike at Misano essentially a month after his crash and double surgeries. Miller has not worked with Rossi and has no first hand knowledge of Rossi's injury (beyond what he had read on-line at enthusiast sites) or treatment, but has worked with a vast number of riders with broken legs over the years.
Miller wasn't surprised to see Rossi standing on his broken leg so soon and wasn't shocked to learn that he'd tested a Superbike in order to gauge his fitness.
"It's not abnormal for him (Rossi) to be up and walking. In fact, that would be an advisable perspective if he had the treatments that I believe he did," Miller said.
"It's not unusual at all," Miller continued, "his biggest complication would probably be is that he had a fracture that resulted with a puncture through the skin. So, when that happens, you're worried about infection. But if that is clear and the surgeon installed a orthopedic rod in his broken leg, and there are no other issues, I'd suggest that walking and riding four weeks after is not really "early" in my opinion. Two weeks, I might have advised the rider to slow down a little."
"Essentially the rod takes the place of the bone," Miller explained. "It takes the pressure, and helps the bone to heal. In fact, you may want the rider to start walking on it sooner than some think, it helps promote healing, the pressure."
Enthusiasts may have feared the worst given that many still remember the broken tibia and fibula that Honda GP rider Michael Doohan suffered on Friday, June 22 1992 in qualifying for the Dutch TT. Doohan's treatment and recovery were nightmarish with doctors at one point fearing that they may have to amputate his leg.
Miller inferred that Doohan's injury, and also the one that Miguel DuHamel suffered in June of 1998 at Loudon, happened almost in the dark ages in terms of modern surgical technique.
"Michael's injury happened almost twenty years ago," he said. "And sports medicine and orthopedic surgery have come a long way since then. Back then, surgeons were doing hundreds of these procedures a year, whereas now they do thousands of them, and have been doing so for years. Techniques have really improved."
"With Michael's injury, he had issues with compartment syndrome and a lack of blood flow from the knee. He had other issues beyond the bone simply healing. Michael also had bad bruising of the bone, which was another issue. With DuHamel, my understanding is that he also had knee injury and any time you have a joint injury it complicates things. No two injuries are ever the same, of course."
Psychologically, riders feel that the normal rules do not apply, be they speed limits, dating rules or those regarding the length of time needed for the human body to heal from injury.
Ex-Team Roberts trainer Dean Miller says that Rossi's broken leg and that of Michael Doohan are very different.
image: thanks, keith patti
Miller agreed, "You know, they always feel better than they think. All these guys have a tendency to get up and start moving quicker than some feel is prudent. I don't see it being a problem. I read his comments after the test and that he's sore should not be a surprise. He hasn't been using his leg the way he's used to so the ankle will be sore. And he has an existing shoulder injury so he has some other things going on. Whether he can ride at the Sachsenring in a week, I don't know. Who is better at knowing what his limits are than Valentino Rossi? I don't think anybody will doubt his perspective. If he's competitive and feels he can do it, then he may give it a shot."
"You know," Miller said in closing, "Valentino Rossi has been widely described as superhuman when healthy. Why would anyone be surprised that he is superhuman when healing from injury?"
Miller currently works as a trainer in the Athletic Department at Rice University.