'23 IL OT Charles Jagusah (Notre Dame Signee)

IrishInOntario

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The issue was the soil and debris getting in the wound, and even with a 2 hr clean-out process after initial injury it still later developed into an infection. In September, the hardware failed due to bone not healing so the hardware was exchanged but infection was inhibiting some of his bone growth. In January the hardware was removed again and infection was still persistent but now he’s in a position WITHOUT infection after cycles of antibiotics and seeding directly into the bone. Fast forward to newest surgery (March 18) and the bone will be grafted and stabilized, and this will allow him time to fully heal, FINALLY!

Will have to wait for his bone to heal and muscles to regain strength with weight training before the RTP side of things with him. At minimum he's out until Summer.
This is why I'm hoping for a mid season return. If he comes back for BYU or even for Miami, I'd be thrilled to have him for about half the season if he's healthy! He and the staff might have a different timetable in mind, but by time the graph heals, he participates in some serious, prolonged strength and conditioning and practices his way back into game shape, I'm more than ok with having him on the shelf for another 7'ish months... Especially if means we get 90%+ of the player he was before he got hurt for the team's run to the playoffs!
 

NDMD

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The issue was the soil and debris getting in the wound, and even with a 2 hr clean-out process after initial injury it still later developed into an infection.

This is the problem with open fractures, high risk of infection. Once that happens, it's very hard to treat because antibiotics do not absorb well into bone. He probably was on IV antibiotics for 6+ weeks, and based on the number of reported surgeries, likely needed essentially a puck of antibiotics placed between both ends of bone.

I'm crossing my fingers he's on the other side of this now, but this is very different situation to the natty run 2 years ago. Very difficult to stay in shape & maintain strength while going through all this. I will be pleasantly surprised if he can contribute this year.
 

NDisme

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I do lean toward this being a wait until next year for him. Unless someone is really struggling which I hope isn’t the case. He’s been through a lot in the last 2 years and I’d prefer you don’t need him this year and then he can boost then’27 line At full health.
 

RudyVerse

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Guys it’s also not a leg injury and it’s not even April. This has just as much chance of being the final and successful surgery as anyone getting their labrum repaired right now.

Past infections don’t mean he’s likely to experience it again, no reason to think this isn’t his final surgery.

High odds he makes a difference and even starts at some point in 2026.
 

FightingIrishLover7

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Guys it’s also not a leg injury and it’s not even April. This has just as much chance of being the final and successful surgery as anyone getting their labrum repaired right now.

Past infections don’t mean he’s likely to experience it again, no reason to think this isn’t his final surgery.

High odds he makes a difference and even starts at some point in 2026.
In fact, it sounds like the infection is completely clear now which is a huge good sign. Now he's finally back to a "normal" surgery and should hopefully be on a "normal" recovery timeline.

It sounds like the worst part is finally behind him
 

IrishInOntario

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This is the problem with open fractures, high risk of infection. Once that happens, it's very hard to treat because antibiotics do not absorb well into bone. He probably was on IV antibiotics for 6+ weeks, and based on the number of reported surgeries, likely needed essentially a puck of antibiotics placed between both ends of bone.

I'm crossing my fingers he's on the other side of this now, but this is very different situation to the natty run 2 years ago. Very difficult to stay in shape & maintain strength while going through all this. I will be pleasantly surprised if he can contribute this year.
I'm certainly not a doctor, am not trying to pretend I am a doctor and am not going mascarade as one. However, I do coach college football and have for some time. I also happen to be close friends with our team orthopedic surgeon, who happens to also cheer for Notre Dame and is broadly aware of the injury Charles Jagusah is battling back from. I asked him his opinion on a timeline for return to play for Jagusah in 2026 and I'll paraphrase what he told me below. I'm curious if you agree with his assessment.

Our doc said the following... Without knowing the actual specifics, the following is a realistic timeline that he would recommend to the team and player if he was advising them and taking into consideration the complications Jagusah has already faced in his recovery to this point. He also added several caveats and assumptions such as... A). The infection has been fully rectified. B). The new hardware takes and associated bone growth falls inside the range of average C). There are no further complications such as future infection. D). There is no significant muscular or nerve damage that he's unaware of and E). He follows a strict / well monitored and aggressive rehab schedule.

This timeline he said is intentionally conservative considering the extensive complications associated with the injury and subsequent recovery...

Mar 18th: Surgery

May 27th (10 weeks post surgery): Return to post surgical cardiovascular and targeted lower body training with emphasis on protecting the upper body. No significant upper body weight-bearing.

Jul 8th: (16 weeks post surgery): Return to upper body strength and conditioning with a slow build back to lifting heavy with the upper body. A strength and conditioning regimen consisting of a 12 week build back towards playing, featuring the gradual reintroduction of football specific drills and and upper body impact. All the while, cardiovascular and lower body training continues.

Sept 30th (28 weeks post surgery): Return to practice with some initial limitations that are gradually removed each week, ahead of anticipated return to play.

November 7th (33.5 weeks post surgery): Return to play vs Miami with hopes of playing in the final 4 regular season games and as many as 4 playoff games.
 
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TorontoGold

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I'm certainly not a doctor, am not trying to pretend I am a doctor and am not going mascarade as one. However, I do coach college football and have for some time. I also happen to be close friends with our team orthopedic surgeon, who happens to also cheer for Notre Dame and is broadly aware of the injury Charles Jagusah is battling back from. I asked him his opinion on a timeline for return to play for Jagusah in 2026 and I'll paraphrase what he told me below. I'm curious if you agree with his assessment.

Our doc said the following... Without knowing the actual specifics, the following is a realistic timeline that he would recommend to the team and player if he was advising them and taking into consideration the complications Jagusah has already faced in his recovery to this point. He also added several caveats and assumptions such as... A). The infection has been fully rectified. B). The new hardware takes and associated bone growth falls inside the range of average C). There are no further complications such as future infection. D). There is no significant muscular or nerve damage that he's unaware of and E). He follows a strict / well monitored and aggressive rehab schedule.

This timeline he said is intentually conservative considering the extensive complications associated with the injury and subsequent recovery...

Mar 18th: Surgery

May 27th (10 weeks post surgery): Return to post surgical cardiovascular and targeted lower body training with emphasis on protecting the upper body. No significant upper body weight-bearing.

Jul 8th: (16 weeks post surgery): Return to upper body strength and conditioning with a slow build back to lifting heavy with the upper body. A strength and conditioning regimen consisting of a 12 week build back towards playing, featuring the gradual reintroduction of football specific drills and and upper body impact. All the while, cardiovascular and lower body training continues.

Sept 30th (28 weeks post surgery): Return to practice with some initial limitations that are gradually removed each week, ahead of anticipated return to play.

November 7th (33.5 weeks post surgery): Return to play vs Miami with hopes of playing in the final 4 regular season games and as many as 4 playoff games.

How does a surgeon in Ontario know that timeline? Not believable at all!

July 1st - Requisition back from family doctor
December 1st - intake form received
February 1st - consultation with surgeon
May 1st - Surgery
November 1st - MAID.
 

IrishInOntario

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How does a surgeon in Ontario know that timeline? Not believable at all!

July 1st - Requisition back from family doctor
December 1st - intake form received
February 1st - consultation with surgeon
May 1st - Surgery
November 1st - MAID.
Did you not read my post? Our ortho doc literally produced a hypothetical, highly generalized timeline based on a broad understanding of the injury and subsequent complications. He doesn't know anything specific about Jagusah's timeline. He provided numerous caveats and made it clear that he couldn't make a more succinct assessment without understanding the specific details of Jagusah's situation.

It was one doctor, suggesting what he might recommend from an outsiders perspective and I was asking another doctor if he felt that timeline was feasible / realistic in his view.
 

TorontoGold

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Did you not read my post? Our ortho doc literally produced a hypothetical, highly generalized timeline based on a broad understanding of the injury and subsequent complications. He doesn't know anything specific about Jagusah's timeline. He provided numerous caveats and made it clear that he couldn't make a more succinct assessment without understanding the specific details of Jagusah's situation.

It was one doctor, suggesting what he might recommend from an outsiders perspective and I was asking another doctor if he felt that timeline was feasible / realistic in his view.
I was making a joke about our healthcare system and the long waits.
 

GoldenToTheGrave

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It would be kinda funny if he came in the last couple games of our championship run and sorta saves the day (again).
 

NDMD

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Guys it’s also not a leg injury and it’s not even April. This has just as much chance of being the final and successful surgery as anyone getting their labrum repaired right now.

Past infections don’t mean he’s likely to experience it again, no reason to think this isn’t his final surgery.

Both these takes are 100% untrue, post open fracture osteomyelitis is well established to prolong recovery rates and has significantly higher rates of infection recurrence or fracture nonunion compared to closed fractures. Comparing this to a labrum tear is absurd

Our doc said the following... Without knowing the actual specifics, the following is a realistic timeline that he would recommend to the team and player if he was advising them and taking into consideration the complications Jagusah has already faced in his recovery to this point. He also added several caveats and assumptions such as... A). The infection has been fully rectified. B). The new hardware takes and associated bone growth falls inside the range of average C). There are no further complications such as future infection. D). There is no significant muscular or nerve damage that he's unaware of and E). He follows a strict / well monitored and aggressive rehab schedule.

I wont speculate on the recovery and ramp up time to be ready to contribute at a CFP level, but the timeline he gave up to ~16 weeks is reasonable. The biggest variable that is impossible to predict is resolution of infection. Everything can be going well on schedule and it can pop up 8 weeks later and you're back to square one
 

sfk324

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Both these takes are 100% untrue, post open fracture osteomyelitis is well established to prolong recovery rates and has significantly higher rates of infection recurrence or fracture nonunion compared to closed fractures. Comparing this to a labrum tear is absurd



I wont speculate on the recovery and ramp up time to be ready to contribute at a CFP level, but the timeline he gave up to ~16 weeks is reasonable. The biggest variable that is impossible to predict is resolution of infection. Everything can be going well on schedule and it can pop up 8 weeks later and you're back to square one
Yeah, I just finished working on a case with a guy who had a complex fracture of his leg after he was hit by a car with substantial debris resulting in recurrent MRSA. 5 years of debridements and antibiotic treatments, every one of which his care team thought would do the trick, only for it to recur. He's out of options and needs an ATK amputation.

Being optimistic, like Rob Hunt, is fine. But reading between the lines of Hunt's actual statement, it's not a sure thing, and there are way too many unknowns for anyone who hasn't seen Jagusah's records to play prognosticator.
 

RudyVerse

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Both these takes are 100% untrue, post open fracture osteomyelitis is well established to prolong recovery rates and has significantly higher rates of infection recurrence or fracture nonunion compared to closed fractures. Comparing this to a labrum tear is absurd



I wont speculate on the recovery and ramp up time to be ready to contribute at a CFP level, but the timeline he gave up to ~16 weeks is reasonable. The biggest variable that is impossible to predict is resolution of infection. Everything can be going well on schedule and it can pop up 8 weeks later and you're back to square one

Yeah, 16 weeks (your words) and it’s March. Like I said there’s no reason to panic and assume he’s not a huge factor this year. Appreciate the downvote though.
 

IrishInOntario

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Both these takes are 100% untrue, post open fracture osteomyelitis is well established to prolong recovery rates and has significantly higher rates of infection recurrence or fracture nonunion compared to closed fractures. Comparing this to a labrum tear is absurd



I wont speculate on the recovery and ramp up time to be ready to contribute at a CFP level, but the timeline he gave up to ~16 weeks is reasonable. The biggest variable that is impossible to predict is resolution of infection. Everything can be going well on schedule and it can pop up 8 weeks later and you're back to square one
Thanks for the response! Appreciate your professional opinion. Our doc seemed to share your concern with infection as the primary factor as well. Both the proliferation of the former infection if they thought it was gone but isn't, and the possibility with new infection that is a risk anytime surgery is performed.

Thanks again!
 
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