2024
Clinical 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
Poster 308: Clinical Outcomes After Multi-ligamentous Knee Injuries in Patients Over 40-Years-Old at Average 4-Years Follow-Up
Green J, Chalem I, Triana J, Rao N, Moran J, buldo-licciardi M, Jazrawi L, Campbell K, Medvecky M, Alaia M, Li Z. Poster 308: Clinical Outcomes After Multi-ligamentous Knee Injuries in Patients Over 40-Years-Old at Average 4-Years Follow-Up. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00281. PMCID: PMC10392478, DOI: 10.1177/2325967123s00281.Peer-Reviewed Original ResearchMulti-ligamentous knee injuriesTegner activity scaleVisual analog scaleClinical outcomesOperative managementLysholm scoreKnee injuriesOutcome measuresMulti-center retrospective cohort studyRetrospective cohort studyLysholm knee scoreSubjective Knee FormMechanism of injuryLong-term outcomesPatient-reported outcomesPoor outcome measuresHigh-energy mechanismsRegression modelsDaily functional statusHistory of dislocationTegner scoreCohort studyKnee scoreSurgical repairSurgical treatmentFactors 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
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 differencePredictors 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 examination
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