The guy that made the video also wrote this on r/soccer.
Hey fellas, my name is Andy, I am a physical therapy student I actually run @SeraphinHealth and made this video, got some more info that I couldn’t fit in the video for y’all.
Some background facts I could’t fit in the video:
-The knock he suffered vs. Ludogorets was initially thought to be very minor, which is why he was originally thought to only be out for 3 weeks -Somewhere between the 8 surgeries, he had a procedure done on this bone. His bone then became infected -Santi’s wound initially healed in January, but was re-opened during while training on a bike
My full hypothesis on what I think happened (combination of facts and professional opinion):
Santi’s actual Achilles tendon has been 100% fine since January, but the skin around it has been causing all the issues.
Santi was subbed off vs. Ludogorets and most likely suffered a very minor achilles injury, which caused the achilles to become inflamed. This tendon in the back of the leg is constantly sliding up and down the back of the calf and ankle bones. I believe Santi also had a bone spur the entire time (think of a very sharp pebble sized bone growth) that caused further irritation to the already inflamed tendon. This is why between October and December, the injury got worse, not better.
Santi then had an operation in December (fact) which I believe was to remove the bone spur, as well has clean up the injured tendon. However, the initial incision that the surgeon made never completely healed (fact). This caused the surrounding skin to quite literally die (its called skin necrosis) and form an open wound. In January, Santi had the skin graft done to close the wound and started to train in February (fact).
At the start of training, Santi was doing well until he started to bike. The bike stretched the skin around the back of the ankle too much, causing it to re-open the skin graft (fact). Santi had another surgery done to fix this issue towards the end of February (fact).
After that, I honestly have no idea why he’s been out. That should have healed up by Mid-April, but according to Santi’s Instagram, he didn’t start working out until July. It is a fact that he has had at least 8 surgeries, and by my count there are at least 4 that are still unaccounted for.
He still has a long road ahead. He lost SO much muscle mass in both legs, and is working to be match fit by January.