United proposed a surgeon in London but Malacia wished to undergo treatment in the Netherlands with his own choice of surgeon. United agreed to that request and Malacia travelled home for the operation, which was conducted outside of the club’s oversight.
Yet scans on the affected knee had revealed that small fragments of cartilage remained around the meniscus.
A decision was taken to proceed with corrective surgery. The operation was carried out in November by the same surgeon responsible for the first, with representatives from United overseeing it.
At United, there are questions over Malacia’s visit to the Netherlands last summer and whether the correct procedures were followed in the initial stages of his rehabilitation while the player was not under the club’s watch. Malacia failed to contact the club and update them on his progress regularly.
Those close to Malacia admit the player did not regularly communicate with the club while in the Netherlands, but insist that he did not do any training or rehabilitation work last summer as he was still walking on crutches and recovering from surgery.
Rather than any missteps in the initial stages of his rehabilitation, others, at least partly, put Malacia’s delayed return down to United’s medical department not always having the capacity to give the player the level of attention required.
United’s busy schedule of fixtures, particularly in the first half of the campaign, is said to have meant that Malacia was at times only able to take part in rehabilitation work four days a week, with the other three taken up by matches or staff days off.
This season’s consistently long injury list at Old Trafford has been a factor, sometimes stretching the medical department’s resources. Sources, speaking on condition of anonymity to protect relationships, have indicated that other players set to return sooner have sometimes had to take priority over Malacia.