Joel Embiid’s Knee Injury Explained: Orthopedic Surgeon Outlines Options and Realistic Outcomes for the Sixers Big Man

Joel Embiid’s ongoing knee issues and the uncertainty surrounding his recovery present a significant challenge for both the player and the Philadelphia 76ers. Here’s a detailed analysis of the situation, including the severity of his injury, potential treatment options, and the likelihood of him returning to MVP form:

1. Severity of Joel Embiid’s Injury

• Meniscus Surgery Complications: Embiid underwent surgery to repair a torn meniscus in his left knee on February 2, 2024. While this is a common procedure with a generally high success rate, the fact that his knee is still causing him pain over a year later is concerning. This suggests that the injury may be more complex than initially thought.
• Potential Articular Cartilage Damage: Dr. Derek Ochiai, a sports medicine expert, noted that meniscus tears often accompany articular cartilage injuries. Articular cartilage provides a smooth surface for joint movement, and damage to this area can significantly impact performance and recovery. If Embiid has articular cartilage damage, it would complicate his recovery and require additional treatment.
• Lack of Clear Plan: The Sixers’ decision to shut Embiid down for the season without a clear treatment plan indicates that his injury is significant and may not respond well to conservative treatments like pain management or injections.

2. Treatment Options

• Orthobiologic Injections: Treatments such as platelet-rich plasma (PRP) injections could help stimulate healing in the knee, particularly if the issue involves cartilage damage. However, these are less invasive and may not fully address more severe structural problems.
• Osteochondral Implants: If Embiid has significant cartilage damage, a more invasive procedure like osteochondral implants (transplanting healthy cartilage to the damaged area) might be necessary. This would require a longer recovery time but could provide a more permanent solution.
• Meniscal Transplant: If Embiid’s repaired meniscus is not functioning properly, a meniscal transplant could be an option. This is a complex procedure with a lengthy recovery timeline, as seen in Lonzo Ball’s case. Ball returned to the court 18 months after his surgery, but Embiid’s larger frame and playing style could make his recovery even more challenging.

3. Can Joel Embiid Return to MVP Form?

• Physical Limitations: Dr. Ochiai expressed skepticism about Embiid returning to his MVP-level dominance, citing the physical toll of the injury and the competitive nature of the NBA. Even with successful treatment, Embiid may not regain the same explosiveness and agility that made him one of the league’s most dominant players.
• Mental Toll: Embiid has openly discussed the emotional and mental challenges of dealing with injuries, which can affect his confidence and performance on the court. Overcoming these psychological hurdles will be just as important as the physical recovery.
• Age and Conditioning: At 31 years old, Embiid is entering the latter stages of his prime. The combination of age, deconditioning due to extended time off, and the wear and tear of his playing style could make it difficult for him to return to peak form.

4. Long-Term Outlook

• Potential for Continued Play: Assuming no further setbacks, Dr. Ochiai believes Embiid could still play for several more years, albeit at a potentially reduced level compared to his MVP season. His skill set and basketball IQ could allow him to remain effective even if he loses some of his physical dominance.
• Uphill Battle: Embiid’s recovery will require patience and careful management. The Sixers and Embiid will need to weigh the risks and benefits of various treatment options, balancing short-term recovery with long-term career sustainability.
• Trade Considerations: If Embiid’s injury concerns persist, the Sixers may face difficult decisions about his future with the team. While he remains one of the league’s most talented players, his injury history could impact his trade value and the team’s willingness to build around him.