AVANTE MEU TRICOLOR
·31 Agustus 2025
André Silva’s future uncertain: Surgery advised, decision pending

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Yahoo sportsAVANTE MEU TRICOLOR
·31 Agustus 2025
The forward is yet another medical problem that Tricolor is facing this season (Photo: Divulgação/SPFC)
MARCIO MONTEIRO
@avantmtricolor
The injury to André Silva, just like Lucas’s, is starting to turn into a soap opera at São Paulo. The forward suffered a posterior cruciate ligament injury and a strain in the anterior cruciate ligament in his right knee during the match against Atlético-MG, at Morumbi, on the 24th.
Days later, on Tuesday (26), accompanied by Tricolor’s doctor, Dr. Ricardo Galotti, the player went to a consultation with Dr. Moisés Cohen, the club’s medical consultant, to try to determine what the treatment approach would be. Almost a week later, however, nothing has been decided yet.
Dr. Cohen made his position clear to the player and the club: it is necessary to perform a surgical procedure on André Silva. Now, whether the forward will follow the recommendation is another story.
“If he’s going to undergo surgery, honestly, I don’t know, because the decision is up to the athlete, but my recommendation is surgery. It’s a totally different case from Lucas Moura. For example, it’s exactly like the case of Lucas Veríssimo, it’s a case where the injury is partial. You don’t mess with the stability of the knee,” said Dr. Moisés Cohen in an interview with Rádio Bandeirantes this weekend.
“With André, he had a more serious injury. My recommendation is to reconstruct the posterior cruciate ligament. But sometimes, the athlete listens to opinions and someone might say, you don’t need surgery. And of course, between needing and not needing, maybe he’ll choose not to have surgery. But my safe recommendation is to reconstruct the posterior cruciate ligament,” the doctor confirmed.
Cohen detailed André Silva’s knee injury, comparing it to the injuries of Lucas, Calleri, and Ryan Francico, others who worry São Paulo fans by being sidelined.
“André’s is a posterior cruciate ligament injury, like Lucas’s, only total. Or subtotal, let’s say. So, what parameter do we use? The parameter is to see if there is posteriorization of the tibia, which is the leg bone. When you push the knee at 90 degrees, you push the leg backward. If you do that, your leg won’t go back, because the posterior cruciate ligament holds it.”
“When it goes back, it’s because the posterior cruciate ligament isn’t holding. This is one of the reasons why, in my opinion, surgery is indicated. Unlike Calleri and Ryan Francisco, it’s an anterior cruciate ligament injury, which is the trivial, most common one. So, these are already known injuries, generally complete injuries, it’s rare to have a partial injury.”
“So you can’t play, you can’t be active. That’s why we know these are always injuries that require surgery. The posterior, when it’s a small partial injury, and if you look at the trauma, it’s a textbook trauma, because he falls with his knee bent, with direct trauma against the ground.”
“We call it as if you’re driving a car, the car brakes, crashes, and you hit your knee on the dashboard. So the dashboard trauma, the tibia goes backward and tears the posterior cruciate ligament. So if you take that to the field, if you watch the play, you’ll see he fell exactly like that, with forced knee flexion, which is when you tension the posterior cruciate ligament, and in his case, it tore,” the professional explained.
While his future is still undecided, André Silva continues to undergo internal treatments at the club’s Reffis in Barra Funda. With or without surgery, his return to the field this season is practically uncertain, and São Paulo continues to search for a new top scorer, now until the end of the year.
This article was translated into English by Artificial Intelligence. You can read the original version in 🇧🇷 here.