2024
Rate and Timing of Revision and Contralateral Anterior Cruciate Ligament Reconstruction Relative to Index Surgery
Halperin S, Dhodapkar M, McLaughlin W, Hewett T, Grauer J, Medvecky M. Rate and Timing of Revision and Contralateral Anterior Cruciate Ligament Reconstruction Relative to Index Surgery. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671241274671. PMID: 39376746, PMCID: PMC11457252, DOI: 10.1177/23259671241274671.Peer-Reviewed Original ResearchAnterior cruciate ligament (ACL) reconstructionContralateral reconstructionRevision ACLRContralateral ACL injuryACL injuryMultivariate logistic regressionLevel of evidenceIpsilateral revisionsCross-sectional studyPatient cohortIpsilateral reconstructionFemale sexMultivariate analysisPatient counselingInjury-prevention programsPatientsTime of revisionYounger ageGraft reinjuryAdministrative databasesLogistic regressionStudy periodACLInjuryPearlDiverVariability in the Spectrum of Reporting on the Schenck KD I Classification in the Orthopaedic Literature: A Systematic Review and Meta-analysis
Green J, Marcel A, Li Z, Moran J, Schenck R, Alaia M, Medvecky M. Variability in the Spectrum of Reporting on the Schenck KD I Classification in the Orthopaedic Literature: A Systematic Review and Meta-analysis. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671241264214. PMID: 39291123, PMCID: PMC11406613, DOI: 10.1177/23259671241264214.Peer-Reviewed Original ResearchMultiligament kneeKnee dislocationOdds ratioNeurological injuryConcomitant neurologic injurySchenck Knee DislocationTear patternsSystematic literature search of PubMedLiterature search of PubMedConcomitant vascular injuryPooled odds ratioSearch of PubMedSystematic reviewLevel of evidenceMeta-analysesCollateral ligamentSystematic literature searchPublished clinical resultsClinical resultsPooled analysisNeurovascular injuryVascular injuryWeb of ScienceCochrane LibraryPatientsClinical and Functional Outcomes of Documented Knee Dislocation Versus Multiligamentous Knee Injury: A Comparison of KD3 Injuries at Mean 6.5 Years Follow-up
Hughes A, Li Z, Garra S, Green J, Chalem I, Triana J, Jazrawi L, Medvecky M, Alaia M. Clinical and Functional Outcomes of Documented Knee Dislocation Versus Multiligamentous Knee Injury: A Comparison of KD3 Injuries at Mean 6.5 Years Follow-up. The American Journal Of Sports Medicine 2024, 52: 961-967. PMID: 38400667, DOI: 10.1177/03635465241231032.Peer-Reviewed Original ResearchIncidence of neurovascular injuryMultiligamentous knee injuriesVisual analog scaleTegner activity levelFollow-upKnee injuriesNeurovascular injuryCohort studyActivity levelsDocumented dislocationSubgroup analysisInternational Knee Documentation Committee (IKDC) scoreKnee dislocationVisual analog scale painFunctional outcomesMulticenter retrospective cohort studyLong-term follow-upTegner activity scaleMultivariate linear regressionLevel of evidencePoor clinical outcomesRetrospective cohort studyPredictive of outcomeActivity ScaleInjury patterns
2023
Examining the Schenck KD I Classification in Patients With Documented Tibiofemoral Knee Dislocations: A Multicenter Retrospective Case Series
Green J, Yalcin S, Moran J, Vasavada K, Kahan J, Li Z, Alaia M, Medvecky M. Examining the Schenck KD I Classification in Patients With Documented Tibiofemoral Knee Dislocations: A Multicenter Retrospective Case Series. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671231168892. PMID: 37378278, PMCID: PMC10291419, DOI: 10.1177/23259671231168892.Peer-Reviewed Original ResearchMultiligament knee injuriesTibiofemoral knee dislocationTibiofemoral dislocationKnee dislocationCase seriesSports medicine fellowship-trained surgeonsMulticenter retrospective case seriesMagnetic resonance imaging (MRI) scansRetrospective case seriesRetrospective chart reviewResonance imaging scansFellowship-trained surgeonsFuture outcome studiesLevel of evidenceBicruciate injuriesChart reviewI injuryRadiological evidenceSurgical managementKnee injuriesExtensor mechanismCruciate ligamentImaging scansKnee radiographsCollateral injuryOpioid 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 patientsExamining Preoperative MRI for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade 3 Combined Posterolateral Corner Knee Injury
Moran J, Jimenez A, Katz L, Wang A, McLaughlin W, Gillinov S, Patel R, Kunze K, Hewett T, Alaia M, LaPrade R, Medvecky M. Examining Preoperative MRI for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade 3 Combined Posterolateral Corner Knee Injury. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671221144767. PMID: 36756171, PMCID: PMC9900669, DOI: 10.1177/23259671221144767.Peer-Reviewed Original ResearchPreoperative magnetic resonance imagingMedial meniscal ramp lesionsAcute grade 3Meniscal ramp lesionsMultiligament knee injuriesMagnetic resonance imagingPosterolateral corner knee injuriesRamp lesionsPLC injuriesIntraclass correlation coefficientGrade 3Knee injuriesBone bruisingBone bruiseAnterior cruciate ligament injuryLevel 1 trauma centerCruciate ligament injuryDays of injuryCross-sectional studyLevel of evidenceMeniscocapsular tearsConsecutive patientsLigament injuryTrauma centerMultiligament reconstructionComparative 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
Subsequent 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 differenceRepair 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 procedurePredictors Using Machine Learning of Complete Peroneal Nerve Palsy Recovery After Multiligamentous Knee Injury: A Multicenter Retrospective Cohort Study
Vasavada K, Shankar DS, Bi AS, Moran J, Petrera M, Kahan J, Alaia EF, Medvecky MJ, Alaia MJ. Predictors Using Machine Learning of Complete Peroneal Nerve Palsy Recovery After Multiligamentous Knee Injury: A Multicenter Retrospective Cohort Study. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221121410. PMID: 36172267, PMCID: PMC9511346, DOI: 10.1177/23259671221121410.Peer-Reviewed Original ResearchMultiligamentous knee injuriesBody mass indexPN palsyKnee injuriesMale sexMulticenter retrospective cohort studyElevated body mass indexPeroneal nerve palsyRetrospective cohort studyUrban hospital systemCase-control studyLevel of evidenceMagnetic resonance imagingLarge patient data setsNonrecovery groupNerve palsyNerve recoveryPostoperative variablesCohort studyKnee dislocationRetrospective reviewFoot dropMass indexNerve contusionPhysical examinationIncidence, Timing, and Risk Factors for 5-Year Revision Surgery After Autologous Chondrocyte Implantation in 533 Patients
Gillinov SM, Fosam A, Burroughs PJ, Schneble CA, McLaughlin WM, Moran J, Jimenez AE, Grauer JN, Medvecky MJ. Incidence, Timing, and Risk Factors for 5-Year Revision Surgery After Autologous Chondrocyte Implantation in 533 Patients. The American Journal Of Sports Medicine 2022, 50: 2893-2899. PMID: 35916771, DOI: 10.1177/03635465221111115.Peer-Reviewed Original ResearchConceptsBony realignment proceduresAutologous chondrocyte implantationBody mass indexPrimary Autologous Chondrocyte ImplantationRevision surgeryRisk factorsRealignment proceduresPostoperative yearKnee arthroplastyFemale sexChondrocyte implantationECI scoresElixhauser comorbidity index scoreChondral defectsComorbidity Index scoreKaplan-Meier analysisLarge national cohortUnicompartmental knee arthroplastyTotal knee arthroplastyOsteochondral allograft transplantationLevel of evidenceOsteochondral autograft transferArticular cartilage proceduresFull-thickness chondral defectsChondral proceduresExamining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury
Moran J, Schneble CA, Katz LD, Fosam A, Wang A, Li DT, Kahan JB, McLaughlin WM, Jokl P, Hewett TE, LaPrade RF, Medvecky MJ. Examining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury. The American Journal Of Sports Medicine 2022, 50: 1618-1626. PMID: 35384729, DOI: 10.1177/03635465221087406.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesBone bruise patternsPeroneal nerve injuryMagnetic resonance imagingCPN injuryPhysical examinationBone bruisingNerve injuryBone bruisePLC injuriesKnee injuriesBruise patternsCommon peroneal nerve injuryLevel 1 trauma centerBoard-certified musculoskeletal radiologistsHigh-energy traumaPosterolateral corner injuriesLevel of evidenceCPN palsySchenck classificationInjury subtypesKnee dislocationCase seriesTrauma centerLigamentous injuriesA Novel MRI Mapping Technique for Evaluating Bone Bruising Patterns Associated With Noncontact ACL Ruptures
Moran J, Katz LD, Schneble CA, Li DT, Kahan JB, Wang A, Porrino J, Fosam A, Cheng R, Jokl P, Hewett TE, Medvecky MJ. A Novel MRI Mapping Technique for Evaluating Bone Bruising Patterns Associated With Noncontact ACL Ruptures. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221088936. PMID: 35480066, PMCID: PMC9036340, DOI: 10.1177/23259671221088936.Peer-Reviewed Original ResearchNoncontact ACL injuryAnterior cruciate ligamentBone bruise patternsIntraclass correlation coefficientBone bruiseACL injuryTibial plateauFemoral condylePrevious knee injuryMechanism of injuryAnterior tibial translationBruise patternsCross-sectional studyLevel of evidenceInternal tibial rotationLateral femoral condyleNoncontact ACL ruptureLateral tibial plateauMedial tibial plateauPosterior regionMedial femoral condyleIntrarater intraclass correlation coefficientsContusion patternACL ruptureACL reconstruction
2020
The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury
Kahan JB, Li D, Schneble CA, Huang P, Bullock J, Porrino J, Medvecky MJ. The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury. The American Journal Of Sports Medicine 2020, 48: 3541-3548. PMID: 33074710, DOI: 10.1177/0363546520962503.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesPeroneal nerve injuryPeroneal nerve palsyLateral collateral ligamentLocation of injuryNerve palsyNerve injuryPLC injuriesFibular avulsionMidsubstance tearsNeurovascular injuryKnee injuriesInjury patternsVascular injuryAcute posterolateral corner injuriesLevel 1 trauma centerPosterolateral corner injuriesZone of injuryLevel of evidenceHigh rateFemoral avulsionKnee cohortComplete injuryDistal injuriesCase series
2017
The Influence of Medical Insurance on Patient Access to Orthopaedic Surgery Sports Medicine Appointments Under the Affordable Care Act
Wiznia DH, Nwachuku E, Roth A, Kim CY, Save A, Anandasivam NS, Medvecky M, Pelker R. The Influence of Medical Insurance on Patient Access to Orthopaedic Surgery Sports Medicine Appointments Under the Affordable Care Act. Orthopaedic Journal Of Sports Medicine 2017, 5: 2325967117714140. PMID: 28812034, PMCID: PMC5528187, DOI: 10.1177/2325967117714140.Peer-Reviewed Original ResearchSports medicine specialistsBucket-handle meniscus tearsMedicaid patientsMedicine specialistsPatient accessPrivate insuranceAffordable Care ActMeniscus tearsSpecialty care settingsLack of referralLevel of evidenceCare ActAppointment success rateCohort studyInsurance typeCare settingsKnee arthroscopyPatientsPrivate patientsMeniscus repairMedicaidStudy periodMedicaid reimbursementHealth careMedical insurance