Real Madridwill possibly have to make do without the services of Sami Khedira for the rest of the season as the midfielder has suffered a torn anterior cruciate ligament.
The 26-year-old picked up the injury in Germany's 1-1 draw with Italy on Friday after a collision withAzzurristar Andrea Pirlo and was promptly forced to leave the pitch after 67 minutes.
Khedira visited the hospital for further examination and a series of tests have now revealed that he has suffered a torn ACL.
"Sami will have to undergo surgery. We hope that he will be healthy again at the start of the World Cup," Germany doctor Hans-Wilhelm Muller-Wohlfahrt told the official DFB website.
No exact details have been given about the length of Khedira's absence, but the midfielder is expected to be out of action for at least six months.
"This is a huge blow for Sami and the rest of the team. He's a real fighter, though, and always remains optimistic. That will help him," Germany coach Joachim Low commented.
"I am optimistic that he will be ready in time for the World Cup in Brazil."
# Mascherano: Messi must be selfish
The Barcelona and Argentina man believes his team-mate needs to think only of himself as he starts his recovery from a hamstring injury
Javier Mascherano says Barcelona team-mate Lionel Messi needs to be the "most selfish person in the world" during his recovery from injury.
The star forward is currently facing six to eight weeks out of action with a hamstring injury, which he picked up against Betis last weekend.
Mascherano, who captained Argentina in the draw with Ecuador in the absence of Messi, admits he knew the injury was a serious one and urged his club and international team-mate to focus only on himself as he works his way back to fitness.
"When Messi was lying on the ground and looking back to the bench I knew something was badly wrong," the ex-Liverpool player said toole.
"Now he has to be the most selfish person in the world. I say that in a good way - he needs to really look after himself and recover well.
"An injury is never good news but it certainly does not hurt to rest properly and take some time out just for you. He needs to focus on recovering."
Mascherano rejected the suggestion that being without Messi could prove to be a positive experience for Barcelona as they learn to reduce their dependence on him.
"Not having Messi in the team is never a positive thing," he said.
"Leo is fine now. He has passed the stage of logical bitterness that you get when you are injured and is now focused on getting better. It is just a muscle injury, so nothing too severe."
Barcelona face Granada on Saturday when they return to action after the international break, a match which is followed by a Champions League trip to Ajax.
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