In the world of sports, injuries are unfortunately universal. Whether you're a championship contender or a cellar-dweller, a stroke of bad luck can change the course of your season. The best teams, however, are capable of responding to bad luck.
That's where the Buffalo Bills currently find themselves.
While Josh Allen and his offense may earn most of the headlines, the Bills' defense has been a large part of the club's recent success. And Matt Milano has been a key presence at the heart of that unit. The linebacker, however, is now sidelined by a leg injury.
That blow would hamstring even the deepest defense, but with Super Bowl aspirations, the Bills can't afford to sit on their collective hands. With the NFL trade deadline less than a week away, Buffalo will have a decision to make.

The Milano Injury Changes the Bills' Defense
Football is a team sport, but certain players find a way to leave their fingerprints all over a game. Milano is one of those talents.
During his six-plus seasons in Western New York, the linebacker has recorded 488 total tackles, 10 interceptions and nine fumble recoveries. He's also a well-loved leader within the organization.
"Just kind of like a gut punch, man," rookie Dorien Williams said after Milano was injured during Buffalo's trip to London. "I mean, we all love Mad Matt. Matt's a well-loved guy in the entire building, just how much he's done for me in this program. Just teaching me the little things and how tough of a guy he is. It definitely hurts to see him go down."
That injury, which looked bad at the time, still seems to be rather serious. Milano has been ruled out indefinitely and head coach Sean McDermott has suggested that things are a bit more complex than an ordinary injury.
Bills HC Sean McDermott didn't offer much more on the specific injury to LB Matt Milano other than saying it was more complicated than normal specificities of injuries.
— Joe Buscaglia (@JoeBuscaglia) October 24, 2023
Mentioned it would be better for head athletic trainer Nate Breske to explain it than him.
And that's bad news for Buffalo on more than an emotional level. Their veteran linebacker isn't just a leader; he's a key part of the club's defense and excels at locking down the middle of the field.
The Bills pass defense has struggled to defend the middle of the field without Matt Milano, who suffered a knee injury in Week 5.
— Next Gen Stats (@NextGenStats) October 23, 2023
Their success rate allowed on passes to the middle third is 22.4% higher with Milano off the field this season.#BillsMafia pic.twitter.com/P0hf75qc3c
Given that the Bills have been a bit inconsistent in 2023—heading into Thursday Night Football, the club is sitting at 4-3 after a disappointing loss to the Patriots—there isn't room for resting on the club's collective laurels.
So, how can Buffalo address that at the trade deadline?
The Bills Can Target Offensive or Defensive Help
Given that Milano's injury has created a void in the center of Buffalo's defense, there are two different ways the organization can address their current reality at the trade deadline.
The first and more obvious route is trading for a direct replacement. While finding someone who can replace Milano's leadership might be tough, there are some linebackers out there. Jordan Hicks, for example, has been floated as a realistic trade target. Denver's Josey Jewell is also an impending free agent, should the Broncos decide to sell. Carolina's Justin Houston and Tennessee's Aziz Al-Shaair are also out of contract this offseason, making them potential rental options.
But let's suppose that Buffalo's brass decides that Milano brings so much to the table that it's not worth bringing in a less-than-ideal replacement. In that case, perhaps the best defense is an even stronger offense. Scoring more points than the opposition, after all, is how you win football games.
While it's easy to think of the current Bills as a high-octane offense, the club has lacked a secondary receiving option. Stephon Diggs is a genuine game-changer, but things fall off after his 55 receptions. Gabe Davis has found the end zone four times, but his 22 catches through seven games leave something to be desired. Tight end Dalton Knox will also be out indefinitely following wrist surgery, which doesn't help matters.
To that end, Buffalo could target a receiver at the deadline. Chasing DeAndre Hopkins would be some serious big-game hunting, but someone like Hunter Renfrow or Adam Theilen could be a less flashy way to add a secure pair of hands to the lineup.
Either way, though, Milano's absence could be the domino that gets the Bills moving at the trade deadline. A major injury is undeniably bad luck, but Buffalo's brass still has some time to lessen the hit.
And, with some of the league's top teams lurking elsewhere in the AFC, there's no room for complacency.
Uncommon Knowledge
Newsweek is committed to challenging conventional wisdom and finding connections in the search for common ground.
Newsweek is committed to challenging conventional wisdom and finding connections in the search for common ground.
About the writer
Joe Kozlowski is a Newsweek reporter based in New York City. His focus is reporting on trending sports stories. Joe ...Read more
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