2023
Rates 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 differencesRepairFactors Associated With Increased Opioid Prescriptions Following Anterior Cruciate Ligament Reconstruction in Opioid-Naïve Patients
Yalcin S, Joo P, McLaughlin W, Moran J, Caruana D, Flores M, Grauer J, Medvecky M. Factors Associated With Increased Opioid Prescriptions Following Anterior Cruciate Ligament Reconstruction in Opioid-Naïve Patients. Arthroscopy Sports Medicine And Rehabilitation 2023, 5: 100740. PMID: 37645399, PMCID: PMC10461142, DOI: 10.1016/j.asmr.2023.04.023.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionOpioid-naïve patientsOpioid prescriptionsCruciate ligament reconstructionOrthopaedic surgeonsMean MMEOpioid useLigament reconstructionPreoperative diagnosisArthroscopic anterior cruciate ligament reconstructionMedical providersFollowing Anterior Cruciate Ligament ReconstructionOlder ageRetrospective cohort studyCollateral ligament repairSubstance use disordersMean morphineNaïve patientsOpioid dosesPrescriber specialtyCohort studyPatient factorsChronic painAverage MMEPhysician specialtyPrevious Isolated Medial Bucket-Handle Meniscus Repair Significantly Increases Risk of Subsequent Ipsilateral Anterior Cruciate Ligament Reconstruction
McLaughlin W, Gillinov S, Joo P, Moran J, Jimenez A, Grauer J, Gardner E. Previous Isolated Medial Bucket-Handle Meniscus Repair Significantly Increases Risk of Subsequent Ipsilateral Anterior Cruciate Ligament Reconstruction. Arthroscopy Sports Medicine And Rehabilitation 2023, 5: e671-e678. PMID: 37388885, PMCID: PMC10300536, DOI: 10.1016/j.asmr.2023.03.008.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionBucket-handle meniscus tearsSubsequent anterior cruciate ligament reconstructionCruciate ligament reconstructionBucket-handle meniscus repairControl groupLigament reconstructionMeniscal injuryMeniscus surgeryGreater oddsMeniscus repairRetrospective cohort studyAge-matched patientsKaplan-Meier analysisCohort studyPrior surgeryRetrospective reviewInclusion criteriaMeniscus tearsHigh riskGeneral populationMeniscal tearsOperative methodPatientsLevel IIIPaper 20: Prior Isolated Meniscus Surgery Significantly Increases the Risk for Future Ipsilateral Anterior Cruciate Ligament Reconstruction up to 5 Years: An Analysis of over 100,000 Patients
McLaughlin W, Gillinov S, Joo P, Moran J, Grauer J, Gardner E. Paper 20: Prior Isolated Meniscus Surgery Significantly Increases the Risk for Future Ipsilateral Anterior Cruciate Ligament Reconstruction up to 5 Years: An Analysis of over 100,000 Patients. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00020. PMCID: PMC10071215, DOI: 10.1177/2325967123s00020.Peer-Reviewed Original ResearchMeniscus tearsPopulation incidenceHigher oddsSurgical treatmentACL reconstructionMeniscus injuryGeneral populationAnterior cruciate ligament reconstructionACL injury preventionACL-R surgeryIncidence of aCLIsolated meniscus tearSubsequent ACL injuryCruciate ligament reconstructionMultivariate logistic regressionGeneral population incidenceICD-10 codesSignificant higher oddsBucket-handle tearYear age rangeACL injuryACL tearsLigament reconstructionRehabilitation protocolConcurrent fractureComparative 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
Emergency Department Visits Within 90 Days of Anterior Cruciate Ligament Reconstruction
Kammien AJ, Zhu JR, Gouzoulis MJ, Moore HG, Galivanche AR, Medvecky MJ, Grauer JN. Emergency Department Visits Within 90 Days of Anterior Cruciate Ligament Reconstruction. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221083586. PMID: 35340726, PMCID: PMC8941698, DOI: 10.1177/23259671221083586.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionCruciate ligament reconstructionED visitsElixhauser Comorbidity IndexSurgical siteComorbidity indexED utilizationLigament reconstructionWeek 3Higher Elixhauser comorbidity indexSurgical site painGreater comorbidity burdenEmergency department visitsDescriptive epidemiologic studyMultivariate logistic regressionHealth care systemComorbidity burdenPatient agePostoperative dataYounger patientsDepartment visitsIndependent predictorsPostoperative weekEmergency departmentFemale sex
2021
Temporal Utilization of Physical Therapy Visits After Anterior Cruciate Ligament Reconstruction
Burroughs PJ, Kahan JB, Moore HG, Grauer JN, Gardner EC. Temporal Utilization of Physical Therapy Visits After Anterior Cruciate Ligament Reconstruction. Orthopaedic Journal Of Sports Medicine 2021, 9: 2325967120982293. PMID: 33681401, PMCID: PMC7900793, DOI: 10.1177/2325967120982293.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionPT visitsCruciate ligament reconstructionPostoperative periodLigament reconstructionPhysical therapy visitsEarly postoperative periodInterquartile rangeDescriptive epidemiological studySport-specific exercisesPhysical therapy rehabilitationTherapy visitsPatient agePearlDiver databaseFemale patientsStudy cohortKnee functionMean ageNational cohortPatient recoveryInclusion criteriaStage rehabilitationTherapy rehabilitationEpidemiological studiesPatients