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 Case Reports and Technical NotesConceptsImpending skin necrosisSkin necrosisKnee dislocationPosterolateral knee dislocationFull-thickness skin necrosisComplicating treatment optionsSoft tissueSoft tissue envelopeMedial soft tissuesTreatment optionsPerioperative periodMedial ligamentous structuresCutaneous injuryIncarcerationNecrosisSkin injuryPatientsSuccessful managementLigamentous structuresKneeInjury
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 differencesRepairThe 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 ResearchComparative 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 differenceOver 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 IRepair 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 procedureIncidence, 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 proceduresComparative Analysis of Patient-Reported Outcome Measures for Proximal Hamstring Injuries: A Systematic Review
Green JS, Moran J, Schneble CA, Zazulak B, Li DT, Jimenez A, Medvecky MJ. Comparative Analysis of Patient-Reported Outcome Measures for Proximal Hamstring Injuries: A Systematic Review. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221104758. PMID: 35898205, PMCID: PMC9310242, DOI: 10.1177/23259671221104758.Peer-Reviewed Original ResearchSingle Assessment Numeric EvaluationMarx Activity Rating ScalePatient-reported outcome measuresPerth Hamstring Assessment ToolProximal Hamstring Injury QuestionnaireNon-Arthritic Hip ScoreTegner activity scaleLower Extremity Functional ScaleProximal hamstring injuriesHip Outcome ScoreCommon patient-reported outcome measuresHamstring injuryHealth domainsHip scoreSF-12Outcome measuresSystematic reviewInternational Hip Outcome ToolLos Angeles activity scoreProximal hamstring tendon injuryHarris hip scoreShort Form SurveyActivity Rating ScaleAspects of healthIHOT-12Posterior Cruciate Ligament
Schneble C, Fanelli G, Medvecky M. Posterior Cruciate Ligament. 2022, 87-99. DOI: 10.1007/978-3-030-94789-7_6.ChaptersPosterior cruciate ligamentMultiligamentous knee injuriesPCL injuriesCollateral ligament repairKnee injuriesCruciate ligamentLigament repairMultiple treatment optionsZone of injuryPosterior tibial translationSoft tissue injuriesHybrid repairPCL reconstructionChronic injuryTibial translationTreatment optionsTissue injuryInjuryPrimary restraintAppropriate timingCruciateRepairLigamentNumerous factorsChronicityExamining 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 injuriesArthroscopic Synovectomy for Tenosynovial Giant Cell Tumor/Pigmented Villonodular Synovitis in the Posterior Knee Using the Posterior Trans-Septal Portal Technique
Moran J, Miller MD, Schneble CA, Yalcin S, Katz LD, Medvecky MJ. Arthroscopic Synovectomy for Tenosynovial Giant Cell Tumor/Pigmented Villonodular Synovitis in the Posterior Knee Using the Posterior Trans-Septal Portal Technique. JBJS Essential Surgical Techniques 2022, 12: e21.00051. PMID: 35685235, PMCID: PMC9173520, DOI: 10.2106/jbjs.st.21.00051.Peer-Reviewed Case Reports and Technical NotesArthroscopic synovectomyMacrophage-colony stimulating factorPosteromedial portalPosterior septumPosterolateral portalPopliteal arteryVillonodular synovitisPortal techniqueAnterolateral portalPosterior portalInternational Knee Documentation CommitteeBaseline magnetic resonance imagingPosterior compartmentTenosynovial giant cell tumorGood functional outcomeExcellent clinical resultsExternal beam radiationGiant cell tumorPosterior cruciate ligamentPigmented villonodular synovitisFull knee functionMagnetic resonance imagingScar tissue formationUncommon benign proliferationAsymptomatic recurrence
2021
Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures
Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. JBJS Open Access 2021, 6: e21.00069. PMID: 34841192, PMCID: PMC8613370, DOI: 10.2106/jbjs.oa.21.00069.Peer-Reviewed Original ResearchMedial meniscal tearsBone marrow edemaDeep medial collateral ligamentMedial collateral ligamentAcute anterior cruciate ligamentACL ruptureMarrow edemaMCL injuryPosterior hornMedial meniscusPreoperative magnetic resonance imaging (MRI) scansBoard-certified musculoskeletal radiologistsMagnetic resonance imaging (MRI) scansSuperficial medial collateral ligamentSuspicion of injuryACL graft failureACL reconstruction surgeryAnterior cruciate ligamentResonance imaging scansPotential risk factorsChi-square testingMeniscofemoral portionGraft failureInsertion sitePhysical examinationAn 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 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
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
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