I talked about Xavier Nady and the PRP therapy that he’s getting on his elbow in today’s UTK. I got some new info on it that’s really fascinating and couldn’t wait for tomorrow’s column. There’s a factor with Nady that hadn’t been taken into account. Having had Tommy John surgery previously, Nady’s ligament is in fact a tendon. PRP has been used far more frequently with tendons, so that would make this more likely to succeed right? Maybe. Tendons used to replace ligaments undergo something called ligamentization. The tendon turns into a ligament over a period of years. That likely means that Nady’s tendon graft is now anatomically a ligament, returning this to the same kind of procedure that Takashi Saito had. Then again, it’s never been done on a grafted ligament … or tendon … or whatever it is now.
It’s this kind of fascinating crossroad of baseball and medical technology that makes my job fun.