By Bryan Hoch / MLB.com | 01/16/13 8:42 AM ET
NEW YORK -- Alex Rodriguez is scheduled to undergo surgery on Wednesday to repair his left hip, a procedure that is expected to keep the Yankees third baseman out of action until midseason.
Dr. Bryan Kelly will perform the surgery at the Hospital for Special Surgery in New York and estimates that he will need two hours in the operating room to address the slugger's torn labrum, bone impingement and a cyst.
"I like to tell people six months is a reasonable time frame for return to play when we're doing the procedure we're discussing with a bone correction," Kelly said. "Optimistically speaking, what we're hoping for is for him to be able to return after the All-Star break."
Rodriguez's injuries were identified in November and are thought to have been a major factor in the 37-year-old's struggles during the postseason, when he went 3-for-25 (.120) with 12 strikeouts against the Orioles and Tigers.
Because of those injuries, Kelly said that Rodriguez was unable to properly rotate his hips, which likely explains why Rodriguez told coaches he was feeling a lack of explosiveness swinging the bat in the playoffs.
Since that time, Rodriguez has been preparing for Wednesday's procedure by following a prehabilitation regimen to strengthen the hip, while reducing inflammation. Kelly said that the wait will improve Rodriguez's chance for a healthy return to the Yankees lineup.
"Operating earlier actually will frequently result in a more prolonged recovery afterwards, because it takes longer for the muscles to respond and recover from the surgery," Kelly said.
Kelly stressed that he does not believe Rodriguez's injuries are a result of performance-enhancing drug use.
"His hip was formed like that from the age of 15. It doesn't change its shape after that," Kelly said. "In that respect, this has nothing to do with performance-enhancing drugs."
Kelly said that he will not know the full extent of Rodriguez's injury until Wednesday. The procedure will involve making three small incisions in Rodriguez's hip and inserting a camera to assess the damage.
An anchor will be placed into the top of the hip to reattach the torn labrum, the femoral head will be shaved to a rounder shape to provide greater range of motion, and cartilage damage will be repaired if possible.
"We can definitely fix two of the three problems, the impingement and the labrum," Kelly said. "One thing is certain -- the less permanent damage you have to the cartilage, the greater the probability is for return to pre-injury level of play."
After the surgery, Rodriguez will need six to 12 weeks for the tissue to heal, but will be able to begin performing range-of-motion exercises.
This is the second major surgical procedure in the last five years for Rodriguez, who also had his right hip repaired by Vail, Colo.-based specialist Dr. Marc Philippon before the 2009 season.
"Dr. Kelly has got a great reputation," Yankees general manager Brian Cashman said. "I have full confidence that between the operating physician and the patient, whose work ethic is legendary, that this will all work out over time.
"But right now, time is a problem. We're going to be missing him for some time. We will deal with that."
Bryan Hoch is a reporter for MLB.com. Follow him on Twitter @bryanhoch and read his MLBlog, Bombers Beat. This story was not subject to the approval of Major League Baseball or its clubs.
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