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During the offseason, Karl and Martin apparently "patched things up." Believing injuries were behind him, Martin learned the swelling now occurring in his right knee would require another microfracture procedure.On November 15, 2006, after playing two regular season games, Martin underwent his second knee operation in less than two years.
He was named to the NBA All-Rookie First Team and finished second in voting for NBA Rookie of the Year.
During the 2005–06 season, Martin missed 26 games due to knee tendinitis, but was able to return in time for the playoffs.
During that playoff series against the Los Angeles Clippers, Martin was suspended from the Denver Nuggets indefinitely for "conduct detrimental to the team." During halftime of game two of the first round series, Martin got into an argument with head coach George Karl over his playing time, and refused to play for the second half of the game.
But his mother as well as his older sister, who by then was working two jobs and attending college, steered him to return to school.
By the time he was a junior, he led Cincinnati to a 27-6 record and was named second-team All-Conference USA and, in the summer following, he led the U. team to the gold medal in the World University Games, leading the team in scoring and rebounding.