Mike Trudell of Lakers.com interviewed Lakers trainer Gary Vitti. Vitti said there’s no reversing the amount of “joint degeneration” in Kobe Bryant’s knee, but noted that Bryant’s knee is not yet arthritic.
MT: Kobe Bryant said there’s “another level” he can reach physically, the one we’re so accustomed to seeing where he creates separation from defenders and so on. So the question is, how does his having a chance to come in healthier balance out with the attrition you mentioned?
Vitti: We have to do some things so that he feels more comfortable and explosive with that right knee that he’s had repetitive surgeries on. Once we get to that place, then we’d like to see him practice more, but we don’t want the time that he spends on the court being spent on frivolous things. You gotta get him out there when he needs to be out there, and get him off the floor when he doesn’t. It’s more about quality time than quantity time.
MT: Can he be stronger if those things are followed the right way?
Vitti: Yes, I do think he has more progression there, but structurally there are some issues that cannot be reversed, but can be dealt with. There are a couple of cards we have up our sleeve that we plan on playing, and he and I have been in daily communication about that.
MT: What more can you tell us about the specifics of knee injuries for players with so many miles on the court as it might apply to Bryant?
Vitti: What happens with older players -- and this isn’t Kobe’s situation – is that tendinitis turns into tendinosis, and the tendon doesn’t have the same properties that it used to have. As a result it slows them down, and once you become a step slow in this league, it’s very, very difficult to compete. That’s not Kobe’s problem, however. His is an articulating cartilage problem. The way I describe that to people is that if you look at the end of chicken bone where it’s nice and white, well, that’s not bone, it’s cartilage. Sort of like a Teflon surface that when two bones come together, that cartilage is there so that bones don’t rub on each other. Now, the fact that it’s nice and white tells you it doesn’t have a good blood flow to it, and that means it cannot heal or regenerate. So, over time, as that cartilage wears away, you end up with osteoarthritis. Kobe doesn’t have an arthritic knee, but he has a knee that has some joint degeneration to it. His issues and his age are such that it eliminates some procedures, like microfracture and that type of things. But he is a candidate for certain other things, and we know all the procedures all around the world that are available to him, and the appropriate decisions will be made, he’ll have the best care.