2024
Rate and Timing of Revision and Contralateral Anterior Cruciate Ligament Reconstruction Relative to Index Surgery
Halperin S, Dhodapkar M, McLaughlin W, Hewett T, Grauer J, Medvecky M. Rate and Timing of Revision and Contralateral Anterior Cruciate Ligament Reconstruction Relative to Index Surgery. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671241274671. PMID: 39376746, PMCID: PMC11457252, DOI: 10.1177/23259671241274671.Peer-Reviewed Original ResearchAnterior cruciate ligament (ACL) reconstructionContralateral reconstructionRevision ACLRContralateral ACL injuryACL injuryMultivariate logistic regressionLevel of evidenceIpsilateral revisionsCross-sectional studyPatient cohortIpsilateral reconstructionFemale sexMultivariate analysisPatient counselingInjury-prevention programsPatientsTime of revisionYounger ageGraft reinjuryAdministrative databasesLogistic regressionStudy periodACLInjuryPearlDiverSuccessful 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
2023
Patient-reported outcomes and return to pre-injury activities after surgical treatment of multi-ligamentous knee injuries in patients over 40-years-old: Average 5-years follow-up
Li Z, Green J, Chalem I, Triana J, Rao N, Hughes A, Campbell K, Jazrawi L, Medvecky M, Alaia M. Patient-reported outcomes and return to pre-injury activities after surgical treatment of multi-ligamentous knee injuries in patients over 40-years-old: Average 5-years follow-up. The Knee 2023, 46: 89-98. PMID: 38070381, DOI: 10.1016/j.knee.2023.11.014.Peer-Reviewed Original ResearchMulti-ligamentous knee injuriesPre-injury activitiesSurgical treatmentLysholm scoreOlder patientsCase seriesClinical outcomesKnee injuriesInternational Knee Documentation Committee scoreMulti-center retrospective case seriesFair clinical outcomePre-injury sportTegner activity scaleRetrospective case seriesTime of injuryPatient-reported outcomesMean IKDCPreoperative characteristicsKnee dislocationDevastating injuriesPatientsActivity ScaleIKDCInjuryStepwise linear regressionExamining 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 Research
2022
Spontaneous Healing of a Posteriorly Displaced Lateral Meniscus Bucket-Handle Tear in a Multiligament Knee Injury
Green J, Seddio A, Roybal D, Moran J, Katz L, Medvecky M. Spontaneous Healing of a Posteriorly Displaced Lateral Meniscus Bucket-Handle Tear in a Multiligament Knee Injury. JBJS Case Connector 2022, 12: e22.00503. PMID: 36821095, DOI: 10.2106/jbjs.cc.22.00503.Peer-Reviewed Original ResearchConceptsBucket-handle meniscus tearsMultiligament knee injuriesKnee injuriesSpontaneous healingAtypical magnetic resonanceAnterior cruciate ligamentBucket-handle tearPolytrauma patientsCompartment syndromeCruciate ligamentMeniscus tearsConcomitant ruptureUnusual caseMedial meniscusMeniscal repairFragment reductionLateral meniscusInjuryTearsHealingMagnetic resonancePainPatientsSyndromeExtravasationAcute Surgical Repair of Simultaneous Bilateral Proximal Hamstring Tendon Avulsion
Green JS, Moran J, Kahan JB, McLaughlin WM, Wang A, Medvecky MJ. Acute Surgical Repair of Simultaneous Bilateral Proximal Hamstring Tendon Avulsion. JBJS Case Connector 2022, 12: e22.00147. PMID: 36099532, DOI: 10.2106/jbjs.cc.22.00147.Peer-Reviewed Original ResearchConceptsProximal hamstring tendon avulsionPostoperative rehabilitation courseSimultaneous surgical repairSurgical repairTendon avulsionRehabilitation courseAcute surgical repairProximal hamstringRare injuryPostoperative managementSurgical interventionBilateral avulsionAvulsionActivity levelsPatientsRepairSignificant improvementComplicationsHamstringsInjuryCoursePosterior Cruciate Ligament
Schneble C, Fanelli G, Medvecky M. Posterior Cruciate Ligament. 2022, 87-99. DOI: 10.1007/978-3-030-94789-7_6.Peer-Reviewed Original ResearchPosterior 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 factorsChronicity
2021
The 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
2017
Value of Upright X-Rays in Diagnosis ofACJoint Injuries in Polytrauma Patients.
Gala RJ, Varthi AG, Medvecky MJ. Value of Upright X-Rays in Diagnosis ofACJoint Injuries in Polytrauma Patients. Connecticut Medicine 2017, 81: 111-115. PMID: 29738157.Peer-Reviewed Original ResearchConceptsPolytrauma patientsUpright radiographsAC jointAC joint injuriesCommon orthopedic problemAC joint separationsUpright x-rayOperative interventionClinical courseMultiple injuriesTreatment recommendationsJoint injuryFurther managementSupine positionOrthopedic problemsPatientsInjuryHigh-degree injuriesJoint separationStandard protocolRadiographsX-rayAmount of displacementAcromioclavicularDiagnosis
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
2009
Fractures About the Knee in Children and Adolescents
Medvecky M, Noonan B. Fractures About the Knee in Children and Adolescents. Techniques In Orthopaedics 2009, 24: 204-210. DOI: 10.1097/bto.0b013e3181b58ed4.Peer-Reviewed Original Research
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
2000
Gender disparity of anterior cruciate ligament injury. Etiological theories in the female athlete.
Medvecky M, Bosco J, Sherman O. Gender disparity of anterior cruciate ligament injury. Etiological theories in the female athlete. Bulletin Of The NYU Hospital For Joint Disease 2000, 59: 217-26. PMID: 11409241.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament injuryFemale ACL injuryCruciate ligament injuryACL injuryLigament injuryFemale athletesInjury ratesNumerous etiological factorsACL injury ratesGender disparitiesEtiological factorsNeuromuscular factorsKnee flexionInjuryMovement trainingDefinitive causationAthletesEtiological theoriesTraining programIntrinsic factorsDisparitiesHamstringsEtiologyFactorsPhysicians