Beast I’m sure this guy gets a ton of conservative treatment for years on it. I’m sure alumni hall can attest to that as a trainer and what he has available to him on a daily basis.Having had minor kmee surgery and my wife a knee replacement, i have a little experience with orthopedic surgery.
First, the considerations for an athlete are way different than for the average person. I tore a meniscus running and once repaired the PA Surgical assistant told me he doesn't run anymore because of the impact on knees. He suggested lower impact like an elliptical. He was about 27. An athlete wouldn't have that choice - he would have to return to the activity that caused or stressed the injury.
Any orthopedic surgeon will leave the choice of surgery to the patient. The most common advice is "You'll know when the pain or disability is too great and you want surgery."
I haven't heard that we are close to Luis considering surgery. A PT could tell if any therapy will strengthen the related muscles surrounding the injury to diminish discomfort or pain in the area. I would imagine that all non surgical treatment (including rest) would be exhausted before considering surgery.
As much as we would hate to hear it, if he had to sit out a year but it would give him a brighter basketball future, he shouldn't hesitate to do it. There is basketball beyond st. Johns.
If they are doing surgery and it sounds like it after todays info then I would think the medical staff is telling him the odds of success at this point for him having surgery outweigh the conservative seeing that he still sounds like he has issues.