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Libor Kozák


samjp26

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I wonder what our insurance on him looks like.  Presumably we will be getting something considering it's entirely realistic he could end up missing almost two years of a four year contract with injury?   He broke his leg on January 2nd 2014, almost exactly a year ago.  It could be August 2015 before he is playing first team football again if he doesn't feature this season.  That is a hell of a lot of football to miss and I'd hope we are compensated for it financially on some level.  

 

**edit**

 

Hopefully an English news agency picks up on the interview and conducts their own too. 

Article also said Clark will buy Kozak a few pints of his favorite czech beer to compensate the time out

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I've had 3 ops and every time as I've been wheeled into surgery the surgeon always asks me what I'm having done... is that normal??? [emoji52]

I imagine so.

 

I assume it's to make sure that if he's expecting to be amputating your leg but you turn around and say "I'm having my tonsils out" he doesn't go lopping a limb off by accident.

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Shouldn't the italian doctor have noticed his broken fibula and fixed it? Why does he blame the english doctors?

 

I assume the Italian doctor set the bone and then he went back to England to recuperate. While back in England he started training on the advice of the English doctors who hadn't spotted that the bone had not healed fully. That's how I read it anyway. It's a real worry that he might not ever make is back to football now, See Luc Nilis.

Edited by villa89
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Shouldn't the italian doctor have noticed his broken fibula and fixed it? Why does he blame the english doctors?

 

I assume the Italian doctor set the bone and then he went back to England to recuperate. While back in England he started training on the advice of the English doctors who hadn't spotted that the bone had not healed fully. That's how I read it anyway. It's a real worry that he might not ever make is back to football now, See Luc Nilis.

Did he have two separate breaks, or one which got worse in England? If there was two from the beginning, shouldn't the italian doctor have noticed them both?

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Shouldn't the italian doctor have noticed his broken fibula and fixed it? Why does he blame the english doctors?

 

I assume the Italian doctor set the bone and then he went back to England to recuperate. While back in England he started training on the advice of the English doctors who hadn't spotted that the bone had not healed fully. That's how I read it anyway. It's a real worry that he might not ever make is back to football now, See Luc Nilis.

 

He broke 2 bones not one bone twice

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Was it impossible for the Lazio doctor to find the other break?

Why are only english doctors to blame for that?

I think they're sayign the Italian doctors found both breaks, treated them, and sent Libor back to England to recover.

 

He was then cleared by English doctors to train before the second break had fully recovered.

Edited by Stevo985
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Was it impossible for the Lazio doctor to find the other break?

Why are only english doctors to blame for that?

 

The way I understood it, the Italian doctor IS the guy who found the second break that his English doctors completely missed. Kozak was having pain in training, the English doctors just told him "Oh, that's normal, don't worry about it." Kozak requested permission to go see his old doctor at Lazio, and that's the guy who said "Well, THERE's your problem."

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Was it impossible for the Lazio doctor to find the other break?

Why are only english doctors to blame for that?

I think they're sayign the Italian doctors found both breaks, treated them, and sent Libor back to England to recover.

 

He was then cleared by English doctors to train before the second break had fully recovered.

This does make sense, I think.

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The important thing to know is that the tibia is always fixated with metal plates and rods. The fibula, however, is not always plated and can be left as is, depending on the severity of the fracture. I would assume based on what I've read that the fibular fracture was not severe enough after realigning it to warrant surgery. I would find it very hard to believe that doctors would have initially missed any fractures given it was compound, etc. 

 

Sometimes the fibula does not heal 100% in the sense that the calcification occurs as normal but the is no unification between the ends of the fracture. The function of the fibula is for muscle attachment and not for weight bearing, so it is normal for doctors to allow loaded activity with it not fully healed (Libor mentions this in the interview). Also, bones only adapt and heal to the stresses they are placed under (Wolff's Law). With that in mind, I think there was a discrepancy between how severe the English doctors thought the fibula break was versus the Italian doctors. The issue could also be that the Italian doctors gave Libor a training protocol based on what I just mentioned, expecting him to progress and for the bone to heal. However, they weren't able to directly follow-up with him under their protocols. The surgery report would have been forwarded to the English doctors so that they knew exactly what was found and what was done. They would have known how the fibula was treated. If the fibula fails to heal as normal there are further procedures that can then be done. From what I can understand from the translation, Libor had a bone graft, which is the unwanted, but normal, next step. It is possible that the English doctors had a viewpoint that was different than the Italians'. This is usual in the medical world. I had a player with the same injury that was cleared for full game play without a fully healed fibula. He of course had pain but didn't have any complications. Another surgeon might not have cleared him.

 

It would be interesting to see who exactly Libor was sent to in England. Not by name, but by specialty. Surgeons are a quirky type and they don't always like to operate on other surgeon's patients, but I would find it hard to believe that the caliber of surgeon a professional club should be sending their players to would be maltreating patients.

You're just making that all up. Clearly there are good doctors and bad doctors and we just don't know which is which in this case. Stop making it all complicated and nuanced.

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The important thing to know is that the tibia is always fixated with metal plates and rods. The fibula, however, is not always plated and can be left as is, depending on the severity of the fracture. I would assume based on what I've read that the fibular fracture was not severe enough after realigning it to warrant surgery. I would find it very hard to believe that doctors would have initially missed any fractures given it was compound, etc. 

 

Sometimes the fibula does not heal 100% in the sense that the calcification occurs as normal but the is no unification between the ends of the fracture. The function of the fibula is for muscle attachment and not for weight bearing, so it is normal for doctors to allow loaded activity with it not fully healed (Libor mentions this in the interview). Also, bones only adapt and heal to the stresses they are placed under (Wolff's Law). With that in mind, I think there was a discrepancy between how severe the English doctors thought the fibula break was versus the Italian doctors. The issue could also be that the Italian doctors gave Libor a training protocol based on what I just mentioned, expecting him to progress and for the bone to heal. However, they weren't able to directly follow-up with him under their protocols. The surgery report would have been forwarded to the English doctors so that they knew exactly what was found and what was done. They would have known how the fibula was treated. If the fibula fails to heal as normal there are further procedures that can then be done. From what I can understand from the translation, Libor had a bone graft, which is the unwanted, but normal, next step. It is possible that the English doctors had a viewpoint that was different than the Italians'. This is usual in the medical world. I had a player with the same injury that was cleared for full game play without a fully healed fibula. He of course had pain but didn't have any complications. Another surgeon might not have cleared him.

 

It would be interesting to see who exactly Libor was sent to in England. Not by name, but by specialty. Surgeons are a quirky type and they don't always like to operate on other surgeon's patients, but I would find it hard to believe that the caliber of surgeon a professional club should be sending their players to would be maltreating patients.

Thanks a-k for a very well written and educational post.

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The important thing to know is that the tibia is always fixated with metal plates and rods. The fibula, however, is not always plated and can be left as is, depending on the severity of the fracture. I would assume based on what I've read that the fibular fracture was not severe enough after realigning it to warrant surgery. I would find it very hard to believe that doctors would have initially missed any fractures given it was compound, etc. 

 

Sometimes the fibula does not heal 100% in the sense that the calcification occurs as normal but the is no unification between the ends of the fracture. The function of the fibula is for muscle attachment and not for weight bearing, so it is normal for doctors to allow loaded activity with it not fully healed (Libor mentions this in the interview). Also, bones only adapt and heal to the stresses they are placed under (Wolff's Law). With that in mind, I think there was a discrepancy between how severe the English doctors thought the fibula break was versus the Italian doctors. The issue could also be that the Italian doctors gave Libor a training protocol based on what I just mentioned, expecting him to progress and for the bone to heal. However, they weren't able to directly follow-up with him under their protocols. The surgery report would have been forwarded to the English doctors so that they knew exactly what was found and what was done. They would have known how the fibula was treated. If the fibula fails to heal as normal there are further procedures that can then be done. From what I can understand from the translation, Libor had a bone graft, which is the unwanted, but normal, next step. It is possible that the English doctors had a viewpoint that was different than the Italians'. This is usual in the medical world. I had a player with the same injury that was cleared for full game play without a fully healed fibula. He of course had pain but didn't have any complications. Another surgeon might not have cleared him.

 

It would be interesting to see who exactly Libor was sent to in England. Not by name, but by specialty. Surgeons are a quirky type and they don't always like to operate on other surgeon's patients, but I would find it hard to believe that the caliber of surgeon a professional club should be sending their players to would be maltreating patients.

You took the words out of my mouth A-K. I don't think I could have written it any better. ;-)

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