2023
Medicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy
Gillinov S, Kim D, Islam W, Lee M, Moran J, Fong S, Mahatme R, McLaughlin W, Maldonado D, Medvecky M, Grauer J, Jimenez A. Medicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 40: 1117-1125. PMID: 37597701, DOI: 10.1016/j.arthro.2023.08.011.Peer-Reviewed Original ResearchPrimary hip arthroscopyFemoroacetabular impingement syndromeEmergency department visitsSecondary surgery rateED visitsMedicaid patientsHip arthroscopyDepartment visitsSurgery ratesSecondary surgeryLabral tearsLarge national database studyTenth Revision diagnosis codesNational database studyFive-year ratesElixhauser Comorbidity IndexKaplan-Meier analysisRevision diagnosis codesBody mass indexMultivariate logistic regressionTotal hip arthroplastyLarge national databaseComorbidity indexPostoperative complicationsAdverse eventsOpioid Prescription Patterns 90 Days After Arthroscopic Rotator Cuff Repair: A 10-Year National Database Analysis
Day W, Tang K, Joo P, Grauer J, Yalcin S, Wilhelm C, Medvecky M. Opioid Prescription Patterns 90 Days After Arthroscopic Rotator Cuff Repair: A 10-Year National Database Analysis. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671231159063. PMID: 37056452, PMCID: PMC10087648, DOI: 10.1177/23259671231159063.Peer-Reviewed Original ResearchArthroscopic rotator cuff repairOpioid prescription trendsRotator cuff repairOpioid prescriptionsPrescription trendsCuff repairCurrent prescription patternsPostoperative pain managementElixhauser Comorbidity IndexNational database analysisNational administrative databaseLevel of evidenceRegression analysisMean MMEMore MMEsPostoperative amountPostoperative MMEPostoperative morphineComorbidity indexNaïve patientsPrescriber specialtyAdult patientsPostoperative periodPrescription patternsYounger patients
2022
Total shoulder arthroplasty: ninety-day adverse events and 5-year implant survival in patients with hidradenitis suppurativa
Gouzoulis M, Ratnasamy P, Caruana D, Wiznia D, Medvecky M, Grauer J. Total shoulder arthroplasty: ninety-day adverse events and 5-year implant survival in patients with hidradenitis suppurativa. Seminars In Arthroplasty JSES 2022, 32: 676-680. DOI: 10.1053/j.sart.2022.07.012.Peer-Reviewed Original ResearchTotal shoulder arthroplastySurgical site infectionMinor adverse eventsAdverse eventsSite infectionTSA patientsImplant survivalHS patientsSkin lesionsLog-rank Mantel-Cox testFive-year implant survivalKaplan-Meier survival curvesHigher comorbidity burdenMethods Adult patientsNon-HS groupsSevere adverse eventsElixhauser Comorbidity IndexChronic skin disorderPotential risk factorsMantel-Cox testRisk of infectionComorbidity burdenComorbidity indexPostoperative complicationsReoperation rateEmergency 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