The Indianapolis Colts are confident quarterback Peyton Manning
will be ready for their Sept. 7 regular-season opener against the Chicago Bears.
“That’s our expectation,’’ team president Bill Polian said this afternoon.
Manning, the NFL’s two-time MVP, is expected to miss four to six weeks after undergoing surgery Monday evening to remove an infected bursa sac in his left knee. The surgery was performed in Indianapolis by Dr. Tom Klootwyk, the team’s orthopedic surgeon.
“Everything went well and the doctors are very confident that everything will go well,’’ Polian said.
Manning’s rehabilitation will force him to miss at least a portion of training camp. The Colts
report to Terre Haute on July 24 for the start of camp.
Polian wasn’t able to put a target date for Manning’s return to the practice field, but insisted “no one’s losing any sleep over this.’’
Manning, 32, hasn't spoken publicly about the procedure, and the team said he isn't expected to until training camp starts.
ABOUT BURSA INFECTIONS IN THE KNEE
Jack Farr of OrthoIndy is an orthopedic surgeon with 26 years of experience whose specialty is knees. He would not speculate on Colts quarterback Peyton Manning, who had an infected bursa surgically removed from his left knee Monday, but spoke in general terms about the bursae and the “typical” patient.
What is a bursa?
A bursa is a small fluid-filled sac that reduces friction between the knee’s moving parts. There are 11 bursae in each knee. The Colts would not comment on which bursa Manning had removed but the one most commonly affected, particularly in a football player
, is the prepatellar bursa on the front of the patella or kneecap. It enables the skin and subcutaneous tissue to glide smoothly over the kneecap.
How is an infected bursa removed?
The Colts have not specified whether Manning had open or arthroscopic surgery but either can be used to remove a prepatellar bursa. The procedure normally takes an hour or less. The bursa is removed, and the organism of infection and most effective antibiotic are identified. Antibiotic treatment can range from seven days to six weeks, depending on the organism’s sensitivity and virulence.
What is the timetable for recovery?
Removal of the prepatellar bursa doesn’t involve entering the knee joint; the knee’s structure is unaffected. A compression wrap generally is applied and activity is limited for a few days. Once the incision is healed, normal activity can be resumed. That might be 1-2 weeks for an accountant, considerably longer for a football player, who is at risk of contact or trauma on the affected knee. The Colts say they expect a full recovery in 4-6 weeks.
What is the longterm prognosis?
Because the knee joint is not affected, the likelihood of full recovery is very good. Over time, the body will reform the bursa and range of movement and effectiveness should not be compromised. A player is not more susceptible to reinjury, although scar tissue can pose a risk if subjected to repeated trauma.
— Phil Richards
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