Hayward broke his leg! Hayward broke his leg! shouted the announcer Kevin Harlan during last nights gruesome injury. If you watch the video you can actually hear the fracture as Hayward hits the ground. This is a very unfortunate start to the Celtics season and for Hayward’s career. The all star player signed with Boston in the oﬀseason for a very hefty contract of 148 million. Brad Stevens, coach of the Celtics, was Hayward’s coach during his college years. So what happens next for our 6’8” small forward? Surgery! From watching the video it looks like he fractured and dislocated his ankle. This means that he most likely broke his ﬁbula and tibia. These two bones are considered the lower leg bones which make up the ankle construct. His talus which probably sustained some damage is the bone that sits right underneath the tibia and ﬁbula. In addition to his leg bones being broken, all of his ankle ligaments are more than likely torn.
In order to ﬁx this injury the doctors would have to relocate his ankle into the proper position. This is accomplished by numbing up the area around the fracture using injectable anesthetics. Lidocaine or marcaine could be used to nerve block his leg so that they can close reduce his ankle. This technique of closed reduction is typically done immediately after the injury so that blood ﬂow is not disrupted to the foot. When a major fracture occurs, its possible to have too much swelling where the blood vessels become pinched oﬀ causing lack of ﬂow. Preserving the blood supply is extremely important and is the ﬁrst thing to check after this kind of injury. After Hayward’s ankle is reduced then surgery will come into play. Placing the bones back in their proper position is key to having the best outcome possible. Not only do the doctors have to realign the bones but they also have to ﬁx any soft tissue problems. Tendons and ligaments are key to the proper functioning of the foot, ankle, and leg. All of these body systems have to work perfectly in concert with each other so that the athlete can receive full beneﬁt from the surgery and return to his or her sport as soon as possible. It will take approximately six to eight weeks of non-weight bearing for him to heal from the surgery and about 3-6 months of physical therapy to rehab his ankle. We wish Mr. Hayward the best of luck and pray that he has a speedy recovery.