2024
Successful 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 structuresKneeInjury
2022
Gouty 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 I
2021
What Factors Affect Whether Patients Return to the Same Surgeon to Replace the Contralateral Joint? A Study of Over 200,000 Patients
Moore HG, Schneble CA, Kahan JB, Sculco PK, Grauer JN, Rubin LE. What Factors Affect Whether Patients Return to the Same Surgeon to Replace the Contralateral Joint? A Study of Over 200,000 Patients. The Journal Of Arthroplasty 2021, 37: 425-430. PMID: 34871749, DOI: 10.1016/j.arth.2021.11.036.Peer-Reviewed Original ResearchConceptsBilateral total hip arthroplastyTotal knee arthroplastyTotal hip arthroplastyContralateral total hip arthroplastySame surgeonDifferent surgeonsAdverse eventsContralateral jointGreater oddsSurgery-related adverse eventsBilateral total knee arthroplastyNational Provider Identifier numberFirst joint replacementFirst total hip arthroplastyPossible independent predictorsContralateral replacementIndependent predictorsSicker patientsKnee arthroplastyAdministrative databasesHip arthroplastyLower oddsPatientsArthroplastyJoint replacementClinical Characteristics and Perioperative Complication Profiles of COVID-19–Positive Patients Undergoing Hip Fracture Surgery
Galivanche AR, Mercier MR, Schneble CA, Brand J, Pathak N, Varthi AG, Rubin LE, Grauer JN. Clinical Characteristics and Perioperative Complication Profiles of COVID-19–Positive Patients Undergoing Hip Fracture Surgery. JAAOS Global Research And Reviews 2021, 5: e21.00104. PMID: 34653097, PMCID: PMC8522872, DOI: 10.5435/jaaosglobal-d-21-00104.Peer-Reviewed Original ResearchConceptsHip fracture surgeryCOVID-19 positive patientsMinor adverse eventsAdverse eventsCOVID-19 positivityFracture surgeryHigh incidenceCOVID-19 positive groupCOVID-19 positive statusCOVID-19-negative groupGeriatric hip fracture surgeryPerioperative complication profilePostoperative adverse eventsHip fracture patientsSerious adverse eventsPatient risk factorsAdministrative claims dataCOVID-19 infectionAdverse event informationOngoing global pandemicClinical characteristicsFracture patientsPostoperative eventsPreoperative variablesPropensity matchingThe Van Gorder approach for total elbow arthroplasty
Kahan JB, Schneble CA, Simcock X, Evans PJ, Maschke SD, Seitz W, Donohue KW. The Van Gorder approach for total elbow arthroplasty. Journal Of Shoulder And Elbow Surgery 2021, 31: 495-500. PMID: 34653613, DOI: 10.1016/j.jse.2021.09.005.Peer-Reviewed Original ResearchConceptsTotal elbow arthroplastyPrimary total elbow arthroplastyVisual analog scaleTriceps insertionElbow arthroplastyElbow surgeryCommon surgical indicationsGlobal health qualityPrior elbow surgerySuperficial wound complicationsPreoperative VAS scoreOnly patientsPostoperative rangeWound complicationsInflammatory arthritisPostoperative visitVAS scoresAdditional surgerySurgical indicationsSurgical managementTriceps tendonAnalog scaleLife scoresMean ageSurgical approachSurgical Excision of a Giant Schwannoma of the Hand
Moran J, Kahan JB, Schneble CA, Lindskog D, Donohue K. Surgical Excision of a Giant Schwannoma of the Hand. JBJS Case Connector 2021, 11: e21.00318. PMID: 34534146, DOI: 10.2106/jbjs.cc.21.00318.Peer-Reviewed Original ResearchMeasuring Proximal Tibial Metaphyseal Width and Lateral Epiphyseal Height Improves Determination of Remaining Growth in Children
Kahan JB, Li DT, Schneble CA, Elabd A, Attia E, Esparza R, Cui JJ, Li E, Moran J, Smith BG, Cooperman DR. Measuring Proximal Tibial Metaphyseal Width and Lateral Epiphyseal Height Improves Determination of Remaining Growth in Children. Journal Of Pediatric Orthopaedics 2021, 41: e739-e744. PMID: 34325444, DOI: 10.1097/bpo.0000000000001853.Peer-Reviewed Original ResearchConceptsFull-length radiographsEpiphyseal heightInclusion criteriaPediatric patient populationMetabolic bone diseaseOrthopedic surgical interventionMultivariable regression modelsPrior surgeryRegression modelsSurgical interventionPatient populationPrevious infectionKnee radiographsProximal tibiaBone diseaseLevel IIIMetaphyseal widthSkeletal maturityRadiographsFinal heightMultiple linear regressionQuantitative markerLinear regressionAge 16ChildrenAn 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 ResearchThe Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury: Response
Kahan J, Li D, Schneble C, Huang P, Porrino J, Medvecky M. The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury: Response. The American Journal Of Sports Medicine 2021, 49: np27-np28. PMID: 34081555, DOI: 10.1177/03635465211014491.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 ResearchIn response
Schneble CA. In response. Journal Of Orthopaedic Trauma 2021, 35: e183-e183. PMID: 33591067, DOI: 10.1097/bot.0000000000002087.Peer-Reviewed Original ResearchPopliteal Artery Occlusion with Collateral Blood Flow in a Reducible Knee Dislocation During Pregnancy: A Case Report.
Schneble CA, Kahan JB, Burroughs PJ, Nasreddine AY, Sumpio BE, Medvecky MJ. Popliteal Artery Occlusion with Collateral Blood Flow in a Reducible Knee Dislocation During Pregnancy: A Case Report. JBJS Case Connector 2021, 11 PMID: 33835994, DOI: 10.2106/jbjs.cc.20.00516.Peer-Reviewed Case Reports and Technical NotesConceptsPopliteal artery occlusionKnee dislocationPosterolateral knee dislocationArtery occlusionLimb preservationAdequate distal perfusionRight popliteal arteryCollateral blood flowOrthopedic surgical servicesRestoration of functionPregnant patientsDistal perfusionMultiligamentous injuriesNonoperative managementArterial injuryPopliteal arteryHealthy womenArterial perfusionOperative managementCase reportOcclusive injurySurgical servicesBlood flowUnique caseInjury
2020
Reliability of Radiographic Union Scoring in Humeral Shaft Fractures.
Schneble CA, Li DT, Kahan J, Brand J, Socci A, Haims A, Yoo BJ. Reliability of Radiographic Union Scoring in Humeral Shaft Fractures. Journal Of Orthopaedic Trauma 2020, 34: e437-e441. PMID: 32427814, DOI: 10.1097/bot.0000000000001811.Peer-Reviewed Original ResearchConceptsHumeral shaft fracturesShaft fracturesRadiographic unionAmerican Level 1 Trauma CenterRetrospective medical record reviewLevel 1 trauma centerMedical record reviewInitial nonoperative managementDiaphyseal humerus fracturesHealing of boneIntraclass correlation coefficientClinic followAdult patientsNonoperative managementHumerus fracturesRecord reviewTrauma centerEmergency departmentInclusion criteriaLateral radiographsSystem scoreInterobserver reliabilityTime pointsPatientsFollowThe 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 seriesPredicting Growth Quantitatively Through Proximal Tibia Radiograph Markers.
Kahan JB, Li DT, Schneble CA, Esparza R, Cui J, Cooperman DR. Predicting Growth Quantitatively Through Proximal Tibia Radiograph Markers. Journal Of Pediatric Orthopaedics 2020, 40: e889-e893. PMID: 32404656, DOI: 10.1097/bpo.0000000000001587.Peer-Reviewed Original ResearchOpen pronation abduction ankle fractures associated with increased complications and patient BMI
Kahan J, Brand J, Schneble C, Li D, Saad M, Kuether J, Yoo B. Open pronation abduction ankle fractures associated with increased complications and patient BMI. Injury 2020, 51: 1109-1113. PMID: 32151422, DOI: 10.1016/j.injury.2020.02.065.Peer-Reviewed Original ResearchConceptsOpen ankle fracturesAnkle fracturesFracture subtypesMore reoperationsKnee amputationSingle level one trauma centerLevel one trauma centerCurrent Procedural Terminology codesPercentage of patientsMechanism of injuryNumber of reoperationsRisk of complicationsBody mass indexNumber of patientsProcedural Terminology codesType of fracturePaucity of literatureMedical comorbiditiesAverage BMIOperative treatmentPatient BMIMass indexTrauma centerFracture groupInjury patternsSignificant Improvement in the Value of Surgical Treatment of Tibial Plateau Fractures Through Surgeon Practice Standardization.
Kempton LB, Schneble CA, Brown K, Sorkin AT, Virkus WW. Significant Improvement in the Value of Surgical Treatment of Tibial Plateau Fractures Through Surgeon Practice Standardization. Journal Of The American Academy Of Orthopaedic Surgeons 2020, 28: 772-779. PMID: 31996608, DOI: 10.5435/jaaos-d-18-00720.Peer-Reviewed Original ResearchConceptsPartial articular fracturesComplete articular fracturesArticular fracturesGroup 2Group 1Clinical outcomesInjury characteristicsPhysical functionPatient outcomesSurgical careMedian costSurgical costsOutcomes Measurement Information System Physical FunctionMedian f/uMcMaster Universities Osteoarthritis IndexVisual analog pain scaleAnalog pain scaleSimilar patient outcomesProspective observational studyPROMIS PF scoresTibial plateau fracturesPain interference domainTibial plateau fracture fixationOsteoarthritis IndexPain scaleReliability of International Classification of Disease-9 Versus International Classification of Disease-10 Coding for Proximal Femur Fractures at a Level 1 Trauma Center.
Schneble CA, Natoli RM, Schonlau DL, Reed RL, Kempton LB. Reliability of International Classification of Disease-9 Versus International Classification of Disease-10 Coding for Proximal Femur Fractures at a Level 1 Trauma Center. Journal Of The American Academy Of Orthopaedic Surgeons 2020, 28: 29-36. PMID: 30969187, DOI: 10.5435/jaaos-d-17-00874.Peer-Reviewed Original ResearchConceptsProximal femur fracturesFemur fracturesICD-9International ClassificationICD-10Level 1 trauma centerDiseases-10 codingMedical record codingTrauma centerBilling codesLevel IBilling recordsICD codesMedicaid ServicesSignificant differencesPhysiciansFracturesIntercoder reliabilityLack reliability
2019
Musculoskeletal Urgent Care Centers in Connecticut Restrict Patients with Medicaid Insurance Based on Policy and Location.
Wiznia DH, Schneble CA, O'Connor MI, Ibrahim SA. Musculoskeletal Urgent Care Centers in Connecticut Restrict Patients with Medicaid Insurance Based on Policy and Location. Clinical Orthopaedics And Related Research® 2019, 478: 1443-1449. PMID: 31490351, PMCID: PMC7310493, DOI: 10.1097/corr.0000000000000957.Peer-Reviewed Original ResearchConceptsUrgent care centersMedicaid insuranceCare centerMedian household incomeMedicaid policiesHealthcare disparitiesUrgent care clinicZip codesAcademic medical centerPrivate practice groupsHousehold incomeCare clinicsInitial visitScreen patientsInsurance statusInsurance typeUrgent careMedicaid patientsMedical CenterPatientsLocal hospital systemMedicaid reimbursement ratesHospital systemClinic officeCare