The Globe and Mail—Toronto, Canada—July 24, 2012
John Herdman has a hunch that Canadians will come away from the London Olympics remembering the name Jonelle Filigno.
Filigno, who has eight goals in 42 national-team matches and has scored seven times in her last 20 matches, is also grateful to modern medicine, to a doctor in New York City who had all the answers to three months of questions.
Filigno twisted her right ankle in September when she was taken out on a breakaway in a match for Rutgers University. She was fitted for a boot and brace and underwent therapy with little improvement. In December, she walked into the office of Dr. John Kennedy at Hospital for Special Surgery in New York City with a package of magnetic resonance imaging results, X-rays and bone scans and a determination to be ready for the Olympics.
Filigno did not know – not until Kennedy’s sensitive MRI machines did their work – that she had suffered four separate pathologies to the ankle. She had a high ankle sprain, in addition to a cartilage injury in the front of the ankle joint.
“She had sheared off some of the cartilage and had created this massive amount of scar tissue at the front of the joint that created some bone,” Kennedy said. “That meant there was an anterior impingement of her ankle. Plus, she had broken a bit of the bone on her heel and damaged a ligament attached to it.
“For all of these things to occur at once, she really hit the unlucky jackpot,” Kennedy added.
“In terms of putting a number on it, in terms of all ankle injuries we see, something like this would be less than 1 per cent. The biggest problem was how to take care of all of the injuries without slicing and dicing her ankle joint. Surgery like that would keep her out eight, maybe 10 months.”
In an operation that took a little more than two hours and was done solely through arthroscopy, Kennedy used wires instead of screws for the high ankle injury. “That holds it together and also allows for dynamic motion, which is important for a soccer player,” he said. He also repaired the cartilage and used Filigno’s bone marrow and blood to “grow” ligaments. “We drilled little holes and seeded them with her growth factors,” Kennedy said. “It makes cartilage like gang-busters.
“Functionally, the ankle is perfect. But by comparison to what Jonelle had to do, our job was easy. These were hard, hard yards for her, but she’s a determined person. She did everything she needed to do and more.”
Read the full story at Theglobeandmail.com.
Dr. Kennedy is currently the clinical director of the running clinic at Hospital for Special Surgery. He graduated from Royal College of Surgeons in 1989 and has since practiced in both Ireland & the U.S. He specializes in osteochondral injuries, Achilles tendon injuries, ankle instability, and ligament reconstruction and has a primary interest in lower limb surgery, particularly sports-related injuries.