2023
Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries: Response
Moran J, LaPrade R, Medvecky M. Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries: Response. The American Journal Of Sports Medicine 2023, 51: np59-np60. PMID: 38031752, DOI: 10.1177/03635465231198498.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 differencesRepairPatient Safety in MRI with the Use of a Joint-Spanning External Fixator for Knee Dislocation
Marcel A, Green J, Alaia E, Alaia M, Katz L, Medvecky M. Patient Safety in MRI with the Use of a Joint-Spanning External Fixator for Knee Dislocation. JBJS Reviews 2023, 11: e23.00070. PMID: 37535762, DOI: 10.2106/jbjs.rvw.23.00070.Peer-Reviewed Original ResearchMeSH KeywordsExternal FixatorsHumansKneeKnee JointMagnetic Resonance ImagingPatient SafetyUnited StatesConceptsMagnetic resonance imagingKnee-spanning external fixatorExternal fixatorMR boreConstruct configurationsKnee dislocationMR ConditionalMRI scanningPatient benefitUS FoodDrug AdministrationClinical decisionResonance imagingMedical teamPatient safetySmall sample sizeFixatorPhysiciansSafety guidelinesManufacturer's labelSample sizeBorePrevious studiesPatientsDevicesEstablishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method
Medvecky M, Kahan J, Richter D, McLaughlin W, Moran J, Islam W, Miller M, Wascher D, Treme G, Campos T, Held M, Schenck R. Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method. Journal Of Bone And Joint Surgery 2023, 105: 1182-1192. PMID: 37352339, DOI: 10.2106/jbjs.23.00039.Peer-Reviewed Original ResearchConceptsCompression fracturesArticular fracturesResponse rateFracture patternsInferior pole fractureTibial tubercle fracturesMultiligamentous knee injuriesKnee ligament injuriesTibial plateau fracturesWeight-bearing surfaceSpecific fracture patternsTubercle fracturesAvulsion fractureFracture dislocationKnee injuriesLigament injuryBody fracturesComplex injuriesPlateau fracturesSurface involvementType IIIbType IIIAConsensus definitionClinical scenariosDelphi techniqueThe 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 Research
2022
Poorer functional Outcomes in Patients with Multi‐Ligamentous Knee Injury with Concomitant Patellar Tendon Ruptures at 5 years Follow‐Up
Mojica ES, Bi AS, Vasavada K, Moran J, Buzin S, Kahan J, Alaia EF, Jazrawi LM, Medvecky MJ, Alaia MJ. Poorer functional Outcomes in Patients with Multi‐Ligamentous Knee Injury with Concomitant Patellar Tendon Ruptures at 5 years Follow‐Up. Knee Surgery, Sports Traumatology, Arthroscopy 2022, 31: 325-331. PMID: 36048200, DOI: 10.1007/s00167-022-07110-3.Peer-Reviewed Original ResearchConceptsMulti-ligamentous knee injuriesPatellar tendon ruptureTendon ruptureBody mass indexKnee injuriesFunctional outcomeInternational Knee Documentation Committee Subjective Knee FormPoorer Functional OutcomesWorse functional outcomeExtensor mechanism injuriesSubjective Knee FormHigh-energy injuriesPatient-reported outcomesPatellar tendon injuryPropensity-score matchingSchenck classificationTegner scoreLysholm scoreMulticenter cohortClinical outcomesMechanism injuriesRare presentationSurgical repairKnee FormMass indexIncidence, 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 proceduresRisk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study
Bi AS, Mojica ES, Markus DH, Blaeser AM, Kahan J, Moran J, Jazrawi LM, Medvecky MJ, Alaia MJ. Risk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 3175-3181. PMID: 35777677, DOI: 10.1016/j.arthro.2022.06.017.Peer-Reviewed Original ResearchConceptsMultiligamentous knee injuriesBody mass indexPostoperative stiffnessVascular injuryIndex surgerySurgical managementExact testLevel 1 academic trauma centerBMI of patientsMulticenter retrospective cohort studyMean body mass indexLogistic regressionRate of MUATwo-center cohortRetrospective cohort studyEffect of obesityAcademic trauma centerGrade of obesityMultivariate logistic regressionExternal fixator useFisher's exact testSignificant differencesCovariates of ageMUA proceduresSchenck classification
2021
An Imaging Overview of the Posterior Septum of the Knee and Trans-Septal Portal Procedure: Normal Anatomy, Indications, and Unique Imaging Considerations
Moran J, Porrino J, Cheng R, Schneble CA, Kahan JB, Molho DA, Katz L, Miller MD, Medvecky MJ. An Imaging Overview of the Posterior Septum of the Knee and Trans-Septal Portal Procedure: Normal Anatomy, Indications, and Unique Imaging Considerations. Current Problems In Diagnostic Radiology 2021, 51: 562-567. PMID: 34217559, DOI: 10.1067/j.cpradiol.2021.04.001.Peer-Reviewed Original ResearchIncreased Neurovascular Morbidity Is Seen in Documented Knee Dislocation Versus Multiligamentous Knee Injury
Kahan JB, Schneble CA, Li D, Petit L, Huang P, Bullock J, Porrino J, Richter DL, Schenck RC, Medvecky MJ. Increased Neurovascular Morbidity Is Seen in Documented Knee Dislocation Versus Multiligamentous Knee Injury. Journal Of Bone And Joint Surgery 2021, 103: 921-930. PMID: 33587513, DOI: 10.2106/jbjs.20.01151.Peer-Reviewed Original Research
2017
Similar 30-Day Complications for Septic Knee Arthritis Treated With Arthrotomy or Arthroscopy: An American College of Surgeons National Surgical Quality Improvement Program Analysis
Bovonratwet P, Nelson SJ, Bellamkonda K, Ondeck NT, Shultz BN, Medvecky MJ, Grauer JN. Similar 30-Day Complications for Septic Knee Arthritis Treated With Arthrotomy or Arthroscopy: An American College of Surgeons National Surgical Quality Improvement Program Analysis. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2017, 34: 213-219. PMID: 28866341, DOI: 10.1016/j.arthro.2017.06.046.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramSurgery treatment groupPerioperative complicationsSeptic kneeAdverse eventsTreatment groupsTreatment modalitiesOpen arthrotomyAmerican CollegeSurgeons National Surgical Quality Improvement Program analysisNational Surgical Quality Improvement Program analysisSurgeons National Surgical Quality Improvement ProgramMultivariate analysisSurgical Quality Improvement ProgramOperating roomSeptic knee arthritisSimilar perioperative complicationsMinor adverse eventsRate of readmissionSerious adverse eventsRetrospective comparative studyNSQIP data setsSignificant differencesQuality Improvement ProgramPatient demographics
2016
Hinged-Knee External Fixator Used to Reduce and Maintain Subacute Tibiofemoral Coronal Subluxation.
Geiger EJ, Arzeno AH, Medvecky MJ. Hinged-Knee External Fixator Used to Reduce and Maintain Subacute Tibiofemoral Coronal Subluxation. The American Journal Of Orthopedics 2016, 45: e497-e502. PMID: 28005105.Peer-Reviewed Original ResearchConceptsExternal fixatorKnee dislocationLigament repairExternal fixationAcute knee dislocationsAcute ligament repairManagement of subacuteSupplementary treatment optionLateral ligament injuryRegular aerobic exerciseCruciate ligament repairMotor vehicle accidentsHinged external fixationCoronal subluxationTibiofemoral subluxationPostoperative useTibial subluxationLigament injuryLigament reconstructionTibiofemoral dislocationAerobic exerciseTreatment optionsSubluxationVehicle accidentsCoronal plane
2015
Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee
Medvecky MJ, Tomaszewski P. Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee. Sports Medicine And Arthroscopy Review 2015, 23: e7-e14. PMID: 25932883, DOI: 10.1097/jsa.0000000000000067.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligamentInjury patternsCruciate ligamentMedial collateral ligament injuryThird-degree sprainsCollateral ligament injuriesMedial-sided injuriesClassification of injuryCommon ligamentous injuryExtent of injuryJoint motionCadaveric biomechanical testingMCL injuryACL injuryLigament deficiencyLigament injuryOperative treatmentLigamentous injuriesPhysical examinationKnee subluxationPosteromedial instabilityInjuryMedial structuresActive individualsBiomechanical testing
2011
Comparison of 3D vs. 2D fast spin echo imaging for evaluation of articular cartilage in the knee on a 3T system scientific research
Milewski MD, Smitaman E, Moukaddam H, Katz LD, Essig DA, Medvecky MJ, Haims AH. Comparison of 3D vs. 2D fast spin echo imaging for evaluation of articular cartilage in the knee on a 3T system scientific research. European Journal Of Radiology 2011, 81: 1637-1643. PMID: 21683539, DOI: 10.1016/j.ejrad.2011.04.072.Peer-Reviewed Original Research
2009
Extension Loss Secondary to Femoral-Sided Inverted Cyclops Lesion After Anterior Cruciate Ligament Reconstruction
Rubin L, Yeh P, Medvecky M. Extension Loss Secondary to Femoral-Sided Inverted Cyclops Lesion After Anterior Cruciate Ligament Reconstruction. The Journal Of Knee Surgery 2009, 22: 360-363. PMID: 19902733, DOI: 10.1055/s-0030-1247775.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament reconstructionCruciate ligament reconstructionTerminal knee extensionCyclops lesionLigament reconstructionACL graftKnee extensionMagnetic resonance imaging arthrographyFemoral tunnel siteArthroscopic resectionClinical examinationTibial tunnelExtension lossRapid resolutionIntercondylar notchFibrous nodulesLesionsGraftResectionPatientsArthrography
2007
Arthrofibrosis of the knee.
Magit D, Wolff A, Sutton K, Medvecky MJ. Arthrofibrosis of the knee. Journal Of The American Academy Of Orthopaedic Surgeons 2007, 15: 682-94. PMID: 17989419, DOI: 10.5435/00124635-200711000-00007.Peer-Reviewed Original ResearchConceptsMotion lossAnterior cruciate ligament injuryCruciate ligament injuryReliable treatment optionControl of inflammationPathogenesis of arthrofibrosisArthroscopic lysisInflammatory mediatorsLigament injurySurgical débridementSurgical timingSalvage procedureFunctional outcomeRehabilitation protocolTreatment optionsMultiligament injuriesEarly motionNovel therapiesSurgical techniqueArthrofibrosisInjuryDébridementInflammationPatientsAnesthesia
2003
MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee.
Haims AH, Medvecky MJ, Pavlovich R, Katz LD. MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee. American Journal Of Roentgenology 2003, 180: 647-53. PMID: 12591668, DOI: 10.2214/ajr.180.3.1800647.Peer-Reviewed Original Research