2024
Three-Dimensional Imaging of the Patellofemoral Joint Improves Understanding of Trochlear Anatomy and Pathology and Planning of Realignment
Schneble C, Yu K, Venkadesan M, Cooperman D, Beitler B, Sieberer J, Fulkerson J. Three-Dimensional Imaging of the Patellofemoral Joint Improves Understanding of Trochlear Anatomy and Pathology and Planning of Realignment. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2024 PMID: 38697330, DOI: 10.1016/j.arthro.2024.04.010.Peer-Reviewed Original ResearchSuccessful Management of Impending Skin Necrosis After a Posterolateral Knee Dislocation
Santos E, Schneble C, Kim D, Medvecky M. Successful Management of Impending Skin Necrosis After a Posterolateral Knee Dislocation. JAAOS Global Research And Reviews 2024, 8: e23.00149. PMID: 38648386, PMCID: PMC11037736, DOI: 10.5435/jaaosglobal-d-23-00149.Peer-Reviewed Original ResearchConceptsImpending skin necrosisSkin necrosisKnee dislocationPosterolateral knee dislocationFull-thickness skin necrosisComplicating treatment optionsSoft tissueSoft tissue envelopeMedial soft tissuesTreatment optionsPerioperative periodMedial ligamentous structuresCutaneous injuryIncarcerationNecrosisSkin injuryPatientsSuccessful managementLigamentous structuresKneeInjuryDetailed Assessment of Confounders is Necessary for Valid Interpretation of the Results in Patellofemoral Cartilage Restoration Studies
Schneble C. Detailed Assessment of Confounders is Necessary for Valid Interpretation of the Results in Patellofemoral Cartilage Restoration Studies. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2024, 40: 2884-2886. PMID: 38554813, DOI: 10.1016/j.arthro.2024.03.033.Peer-Reviewed Original ResearchCartilage restoration proceduresStudy populationRestorative proceduresChondral defect sizeYounger patientsAssessment of confoundersVariable anatomyCartilage restorationClinical situationsPotential confoundersChondral defectsPatellofemoral compartmentPatientsPatellofemoral jointConfoundingFailure rateDefect sizeSurgical Approach to Patellofemoral Pain
Schneble C, Fulkerson J. Surgical Approach to Patellofemoral Pain. 2024, 1-17. DOI: 10.1007/978-3-030-82869-1_69-1.Peer-Reviewed Original ResearchPatellofemoral painSurgical treatmentTreatment of patellofemoral painPeripatellar soft tissuesAnterior knee painSource of painPain improvementPersistent painPain sourceSurgical approachNonsurgical treatmentSurgical interventionKnee painOrthopedic providersPainPatellofemoral syndromeRealignment proceduresAlleviate symptomsSoft tissue releaseSoft tissuePatellofemoral jointTissue releaseArticular cartilageTreatmentSubchondral bone
2023
Tibial Tubercle Osteotomy: Anterior, Medial and Distal Corrections
Schneble C, Tucker B, Fulkerson J. Tibial Tubercle Osteotomy: Anterior, Medial and Distal Corrections. Operative Techniques In Sports Medicine 2023, 31: 151032. DOI: 10.1016/j.otsm.2023.151032.Peer-Reviewed Original ResearchRates of subsequent surgeries after meniscus repair with and without concurrent anterior cruciate ligament reconstruction
Kahan J, Burroughs P, Petit L, Schneble C, Joo P, Moran J, Modrak M, Mclaughlin W, Nasreddine A, Grauer J, Medvecky M. Rates of subsequent surgeries after meniscus repair with and without concurrent anterior cruciate ligament reconstruction. PLOS ONE 2023, 18: e0294964. PMID: 38015977, PMCID: PMC10684064, DOI: 10.1371/journal.pone.0294964.Peer-Reviewed Original ResearchConceptsConcurrent anterior cruciate ligament reconstructionAnterior cruciate ligament reconstructionSecondary surgery rateCruciate ligament reconstructionSurgery ratesMeniscus repairLigament reconstructionKnee surgeryArthroscopic anterior cruciate ligament reconstructionMeniscal repairSecondary surgical proceduresLarge national databaseLarge patient databaseSubsequent surgerySecondary proceduresSecondary surgeryLarge cohortSurgical proceduresPatient databasePatientsSurgeryCohortNational databaseSignificant differencesRepairThe Effect of Guided Growth Surgery on Langenskiold Stage and Mechanical Axis in Early-Onset Blount Disease: A Retrospective Case Series
Hanstein R, Schneble C, Schulz J, Lo Y, Socci A, Sharkey M. The Effect of Guided Growth Surgery on Langenskiold Stage and Mechanical Axis in Early-Onset Blount Disease: A Retrospective Case Series. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 32: e240-e250. PMID: 37852243, DOI: 10.5435/jaaos-d-21-00515.Peer-Reviewed Original ResearchEarly-onset Blount diseaseRemoval of hardwareTension-band platingMechanical axis deviationBlount diseaseGrowth surgeryMechanical axisFirst-line surgical treatmentMechanical lateral distal femoral angleMechanical medial proximal tibial angleMedial proximal tibial angleLateral distal femoral angleImprovement/resolutionProximal tibial angleRetrospective case seriesDistal femoral angleMost patientsSecondary outcomesPrimary outcomeSurgical treatmentTibial angleCase seriesRetrospective reviewVarus deformityFemoral angleThe Posterior Trans-Septal Portal in Knee Arthroscopy Review of the Technique Evolution, Indications, and Technical Pearls.
Moran J, Schneble C, Kahan J, Tyagi S, Miller M, Medvecky M. The Posterior Trans-Septal Portal in Knee Arthroscopy Review of the Technique Evolution, Indications, and Technical Pearls. Bulletin Of The NYU Hospital For Joint Disease 2023, 81: 109-117. PMID: 37200328.Peer-Reviewed Original ResearchThree-Dimensional Reproductions for Surgical Decision-Making in the Treatment of Recurrent Patella Dislocation
Yu K, Beitler B, Cooperman D, Frumberg D, Schneble C, McLaughlin W, Fulkerson J. Three-Dimensional Reproductions for Surgical Decision-Making in the Treatment of Recurrent Patella Dislocation. Arthroscopy Techniques 2023, 12: e807-e811. PMID: 37424639, PMCID: PMC10323671, DOI: 10.1016/j.eats.2023.02.010.Peer-Reviewed Original ResearchRecurrent patella dislocationPatellofemoral jointPatella dislocationTrochlea dysplasiaSurgical decisionPatellofemoral instabilityJoint stabilityPatellar trackingOsseous factorsComplex anatomyDysplasiaSurgical planningFemoral trochleaSoft tissuePatientsTreatmentThree-dimensional reproductionClassification systemSurgicalSurgical Treatment of Recurrent Patellar Instability: History and Current Concepts
Schneble C, Molho D, Fulkerson J. Surgical Treatment of Recurrent Patellar Instability: History and Current Concepts. 2023, 305-314. DOI: 10.1007/978-3-031-09767-6_21.Peer-Reviewed Original ResearchComparative Success of Repair Versus Reconstruction for Knee Extra-articular Ligament Injuries
Kahan J, Burroughs P, Mclaughlin W, Schneble C, Moran J, Joo P, Modrak M, Richter D, Wascher D, Treme G, Schenck R, Grauer J, Medvecky M. Comparative Success of Repair Versus Reconstruction for Knee Extra-articular Ligament Injuries. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671221143539. PMID: 36743731, PMCID: PMC9893380, DOI: 10.1177/23259671221143539.Peer-Reviewed Original ResearchCruciate ligament reconstructionLigament injurySurgical repairLigament reconstructionRevision surgeryKnee injuriesExtra-articular ligament reconstructionSubsequent surgery ratesOptimal surgical treatmentKnee ligament injuriesHigher revision rateLevel of evidenceLarge national databaseHigh rateLigament proceduresReconstruction cohortRepair cohortCohort studySurgical treatmentSurgery ratesPatient cohortSecondary proceduresRevision rateLigamentous reconstructionSurgical technique
2022
The malnourished consult: A quiet prevalence in complex musculoskeletal patients
Lewis K, Islam S, Carney M, Junn A, Schneble C, Colen D, Prsic A. The malnourished consult: A quiet prevalence in complex musculoskeletal patients. Orthoplastic Surgery 2022, 10: 57-63. DOI: 10.1016/j.orthop.2022.09.006.Peer-Reviewed Original ResearchSpinal fusion patientsPatient risk factorsPlastic surgery consultationWound infectionFusion patientsSurgery consultationKnee arthroplastyRisk factorsHip arthroplastyEarly plastic surgeryResults Ninety patientsMajor perioperative complicationsWound-related complicationsRetrospective chart reviewHigh-risk surgerySingle academic centerLogistic regression modelsBackground MalnutritionNinety patientsPerioperative complicationsChart reviewPatient demographicsWound dehiscenceSurgical outcomesMusculoskeletal patientsSubsequent Surgery Up to 10 Years After Osteochondral Allograft and Osteochondral Autograft: An Analysis of More Than 2000 Patients
Burroughs P, Kahan J, Moran J, Gillinov S, Joo P, Schneble C, Moore H, Grauer J, Medvecky M. Subsequent Surgery Up to 10 Years After Osteochondral Allograft and Osteochondral Autograft: An Analysis of More Than 2000 Patients. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221139127. PMID: 36582936, PMCID: PMC9793021, DOI: 10.1177/23259671221139127.Peer-Reviewed Original ResearchOsteochondral allograft transplantOsteochondral autograft transferSubsequent knee surgerySubsequent surgeryKnee surgeryMantel-Cox log-rank testKaplan-Meier survival curvesHigh rateLog-rank testLevel of evidenceCohort studyPatients 10Meier survivalAllograft transplantsKnee arthroplastySecondary surgeryAdministrative databasesAutograft transferPatientsSurgeryOsteochondral autograftSurvival analysisSurvival curvesOsteochondral allograftsStatistical differenceGouty Tophi Encompassing Retained Suture Material 7 Years After Achilles Tendon Rupture Repair
Dhodapkar M, Schneble C, Kahan J, Yoo B. Gouty Tophi Encompassing Retained Suture Material 7 Years After Achilles Tendon Rupture Repair. JBJS Case Connector 2022, 12: e22.00433. PMID: 36820881, DOI: 10.2106/jbjs.cc.22.00433.Peer-Reviewed Original ResearchConceptsAchilles tendon rupture repairHistory of abscessRuptured Achilles tendonTreatment of patientsAchilles tendon repairHistory of goutUric acid levelsMonosodium urate crystalsTendon rupture repairAnkle massInitial repairMale patientsGouty tophiAchilles tendonTendon repairUrate crystalsRupture repairPatientsAcid levelsSuture materialAbscessGoutRepairDebridementTophiOver One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel IReconceptualization of Trochlear Dysplasia in Patients With Recurrent Patellar Dislocation Using 3-Dimensional Models
Yu K, Cooperman D, Schneble C, McLaughlin W, Beitler B, Kaliney R, Wang A, Fulkerson J. Reconceptualization of Trochlear Dysplasia in Patients With Recurrent Patellar Dislocation Using 3-Dimensional Models. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221138257. PMID: 36458105, PMCID: PMC9706073, DOI: 10.1177/23259671221138257.Peer-Reviewed Original ResearchRecurrent patellar dislocationPatellar dislocationTrochlear dysplasiaProximal trochleaTomography scanControl kneesTrochlear grooveFemoral condyleHealthy control kneesIntercondylar notch roofProximal trochlear grooveComputed tomography scanCross-sectional studyLevel of evidenceDistal femoral condylePosterior femoral condylesLateral trochlear ridgeNotch roofMediolateral positioningNovel 3D measurement methodPatientsKneeDysplasiaSurgical planningOsseous anatomyRepair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique
Moran J, Kahan J, Schneble C, McLaughlin W, Green J, Gillinov S, Cheng R, Patel R, Jimenez A, LaPrade R, Schenck R, Medvecky M. Repair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221131817. PMID: 36389620, PMCID: PMC9663643, DOI: 10.1177/23259671221131817.Peer-Reviewed Original ResearchInternational Knee Documentation CommitteePatient-reported outcome measuresMultiligament knee injuriesPeroneal nerve injuryAvulsion injuriesNerve injuryKrackow sutureLysholm scoreAcute repairKnee injuriesOutcome scoresMean International Knee Documentation CommitteePosterolateral cornerSubjective International Knee Documentation CommitteeSubjective outcome scoresAcute grade 3Level of evidenceFailure rateLower outcome scoresCruciate injuryTegner scoreCase seriesSurgical repairGraft augmentationSalvage procedureIn-hospital complications after cervical fusion in cases with versus without cerebral palsy
Galivanche AR, Gillinov SM, Mercier MR, Schneble CA, Varthi AG, Grauer JN, Frumberg DB. In-hospital complications after cervical fusion in cases with versus without cerebral palsy. North American Spine Society Journal (NASSJ) 2022, 12: 100167. PMID: 36132746, PMCID: PMC9483629, DOI: 10.1016/j.xnsj.2022.100167.Peer-Reviewed Original ResearchMinor adverse eventsCerebral palsyHospital complicationsAdverse eventsCervical fusionNational Inpatient Sample databaseMultiple logistic regression modelHospital adverse eventsCervical spine pathologyCervical fusion surgeryRetrospective cohort designMultiple logistic regressionLogistic regression modelsHospital mortalityMore comorbiditiesHospital morbidityHospital stayPerioperative outcomesPreoperative variablesPropensity matchingSurgical interventionFusion surgeryCohort designSpine pathologyCervical pathologyPosterior Cruciate Ligament
Schneble C, Fanelli G, Medvecky M. Posterior Cruciate Ligament. 2022, 87-99. DOI: 10.1007/978-3-030-94789-7_6.Peer-Reviewed Original ResearchPosterior cruciate ligamentMultiligamentous knee injuriesPCL injuriesCollateral ligament repairKnee injuriesCruciate ligamentLigament repairMultiple treatment optionsZone of injuryPosterior tibial translationSoft tissue injuriesHybrid repairPCL reconstructionChronic injuryTibial translationTreatment optionsTissue injuryInjuryPrimary restraintAppropriate timingCruciateRepairLigamentNumerous factorsChronicity
2021
Quadriceps Tendon Attachment Technique for Medial Quadriceps Tendon-Femoral Ligament (MQTFL) Reconstruction in the Surgical Treatment of Recurrent Patella Dislocation
Yu KE, Barden B, Molho DA, Reed DN, Schneble C, McLaughlin W, Fulkerson JP. Quadriceps Tendon Attachment Technique for Medial Quadriceps Tendon-Femoral Ligament (MQTFL) Reconstruction in the Surgical Treatment of Recurrent Patella Dislocation. Arthroscopy Techniques 2021, 11: e95-e98. PMID: 35127434, PMCID: PMC8807880, DOI: 10.1016/j.eats.2021.09.009.Peer-Reviewed Original ResearchRecurrent patella dislocationPatella dislocationLigament reconstructionSurgical treatmentQuadriceps tendonReconstruction graftMedial patellofemoral ligament reconstructionOptimal graft lengthRectus femoris tendonPatellofemoral ligament reconstructionPatellofemoral joint stabilityFracture riskMPFL reconstructionFemoris tendonVastus medialisAnatomic reconstructionGraft orientationJoint stabilityAnatomic midpointGraftGraft lengthPatella apexTendonTreatmentPatients