Featured Publications
Over 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 ITreatment of a Failed Posterior Cruciate Ligament Avulsion Fracture Fixation in a Skeletally Immature Patient
Moran J, Homan M, LaPrade C, Kennedy N, LaPrade R. Treatment of a Failed Posterior Cruciate Ligament Avulsion Fracture Fixation in a Skeletally Immature Patient. JBJS Case Connector 2023, 13: e23.00165. PMID: 37556573, DOI: 10.2106/jbjs.cc.23.00165.Peer-Reviewed Original ResearchConceptsPosterior cruciate ligament avulsion fractureFibular collateral ligament reconstructionRevision PCL reconstructionSkeletally Immature PatientsPosterior tibial slopeCollateral ligament reconstructionAge 17 yearsAge 13 yearsImmature patientsNonoperative managementAvulsion fractureLigament reconstructionOpen reductionPediatric patientsClinical outcomesTibial physisPCL reconstructionInternal fixationTibial slopePrimary ORIFFracture fixationPersistent instabilityRadiographic measurementsImmature girlStress radiographic measurementsCombined Repair of Medial Meniscal Ramp Lesions and Posterior Root Tears of the Lateral Meniscus During Anterior Cruciate Ligament Reconstruction
Moran J, Homan M, LaPrade C, Kennedy N, LaPrade R. Combined Repair of Medial Meniscal Ramp Lesions and Posterior Root Tears of the Lateral Meniscus During Anterior Cruciate Ligament Reconstruction. JBJS Case Connector 2023, 13: e22.00659. PMID: 36795863, DOI: 10.2106/jbjs.cc.22.00659.Peer-Reviewed Original ResearchConceptsMedial meniscal ramp lesionsAnterior cruciate ligament reconstructionMeniscal ramp lesionsCruciate ligament reconstructionLateral meniscus root tearsRamp lesionsLigament reconstructionRevision anterior cruciate ligament reconstructionRoot tearsRevision ACL reconstructionShort-term outcomesPosterior root tearMeniscus root tearsTranstibial pullout repairACL reconstructionClinical outcomesCase reportCombined repairLateral meniscusOne-yearPullout repairRepair techniquesPatientsLesionsTears
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 differencesRepairConcurrent Repair of Medial Meniscal Ramp Lesions and Lateral Meniscus Root Tears in Patients Undergoing Anterior Cruciate Ligament Reconstruction: The “New Terrible Triad”
LaPrade C, Homan M, Moran J, Kennedy N, LaPrade R. Concurrent Repair of Medial Meniscal Ramp Lesions and Lateral Meniscus Root Tears in Patients Undergoing Anterior Cruciate Ligament Reconstruction: The “New Terrible Triad”. Arthroscopy Techniques 2023, 12: e1565-e1578. PMID: 37780663, PMCID: PMC10533866, DOI: 10.1016/j.eats.2023.04.028.Peer-Reviewed Original ResearchMedial meniscal ramp lesionsLateral meniscus root tearsMeniscal ramp lesionsMeniscus root tearsRamp lesionsTerrible triadPatients Undergoing Anterior Cruciate Ligament ReconstructionRoot tearsAnterior cruciate ligament reconstructionAnterior cruciate ligament tearsACL graft failureCruciate ligament reconstructionACL reconstruction surgeryCruciate ligament tearsRepair techniquesGraft failureLigament reconstructionLigament tearsACL pathologyReconstruction surgeryConcurrent repairArthroscopic assessmentTearsBiomechanical consequencesLesionsFactors 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 specialtyComparative 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