2024
Variability in the Spectrum of Reporting on the Schenck KD I Classification in the Orthopaedic Literature: A Systematic Review and Meta-analysis
Green J, Marcel A, Li Z, Moran J, Schenck R, Alaia M, Medvecky M. Variability in the Spectrum of Reporting on the Schenck KD I Classification in the Orthopaedic Literature: A Systematic Review and Meta-analysis. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671241264214. PMID: 39291123, PMCID: PMC11406613, DOI: 10.1177/23259671241264214.Peer-Reviewed Original ResearchMultiligament kneeKnee dislocationOdds ratioNeurological injuryConcomitant neurologic injurySchenck Knee DislocationTear patternsSystematic literature search of PubMedLiterature search of PubMedConcomitant vascular injuryPooled odds ratioSearch of PubMedSystematic reviewLevel of evidenceMeta-analysesCollateral ligamentSystematic literature searchPublished clinical resultsClinical resultsPooled analysisNeurovascular injuryVascular injuryWeb of ScienceCochrane LibraryPatientsSuccessful 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 structuresKneeInjuryClinical 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
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 regressionMagnetic resonance imaging quality in the context of a knee-spanning external fixator placed inside the MR bore: a literature review
Marcel A, Green J, Porrino J, Katz L, Medvecky M. Magnetic resonance imaging quality in the context of a knee-spanning external fixator placed inside the MR bore: a literature review. Skeletal Radiology 2023, 53: 629-636. PMID: 37955679, DOI: 10.1007/s00256-023-04505-2.Peer-Reviewed Original ResearchKnee-spanning external fixatorExternal fixatorNoise ratioMR boreSoft tissue repairDevice compositionKnee injury patientsLimb-threatening injuriesSoft tissue injuriesUtility of MRIMagnetic resonance imagingMagnetic field strengthImage qualityField strengthKnee dislocationInjury patientsTissue injuryAnatomical assessmentUseful diagnostic informationResonance imagingLigamentous structuresFixatorMRIEmergent assessmentMRI sequencesPatient Safety in MRI with the Use of a Joint-Spanning External Fixator for Knee Dislocation
Marcel A, Green J, Alaia E, Alaia M, Katz L, Medvecky M. Patient Safety in MRI with the Use of a Joint-Spanning External Fixator for Knee Dislocation. JBJS Reviews 2023, 11: e23.00070. PMID: 37535762, DOI: 10.2106/jbjs.rvw.23.00070.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingKnee-spanning external fixatorExternal fixatorMR boreConstruct configurationsKnee dislocationMR ConditionalMRI scanningPatient benefitUS FoodDrug AdministrationClinical decisionResonance imagingMedical teamPatient safetySmall sample sizeFixatorPhysiciansSafety guidelinesManufacturer's labelSample sizeBorePrevious studiesPatientsDevicesExamining the Schenck KD I Classification in Patients With Documented Tibiofemoral Knee Dislocations: A Multicenter Retrospective Case Series
Green J, Yalcin S, Moran J, Vasavada K, Kahan J, Li Z, Alaia M, Medvecky M. Examining the Schenck KD I Classification in Patients With Documented Tibiofemoral Knee Dislocations: A Multicenter Retrospective Case Series. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671231168892. PMID: 37378278, PMCID: PMC10291419, DOI: 10.1177/23259671231168892.Peer-Reviewed Original ResearchMultiligament knee injuriesTibiofemoral knee dislocationTibiofemoral dislocationKnee dislocationCase seriesSports medicine fellowship-trained surgeonsMulticenter retrospective case seriesMagnetic resonance imaging (MRI) scansRetrospective case seriesRetrospective chart reviewResonance imaging scansFellowship-trained surgeonsFuture outcome studiesLevel of evidenceBicruciate injuriesChart reviewI injuryRadiological evidenceSurgical managementKnee injuriesExtensor mechanismCruciate ligamentImaging scansKnee radiographsCollateral injury
2022
Predictors 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 examinationExamining 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 injuries
2021
Increased 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
2019
Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic
Cravez E, Ibe I, Medvecky M. Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic. 2019, 139-152. DOI: 10.1007/978-3-030-05396-3_10.Peer-Reviewed Original ResearchAnterior cruciate ligamentMagnetic resonance imagingInjury patternsCruciate ligamentMedial collateral ligament injuryMedial-sided knee injuriesCombined Anterior Cruciate LigamentThird-degree sprainsCollateral ligament injuriesZone of injuryMedial-sided injuriesComplete knee dislocationClassification of injuryCommon ligamentous injuryExtent of injuryJoint motionCadaveric biomechanical testingACL injuryMCL injuryKnee dislocationOperative treatmentSurgical treatmentKnee injuriesLigament deficiencyLigament injury
2016
Hinged-Knee External Fixator Used to Reduce and Maintain Subacute Tibiofemoral Coronal Subluxation.
Geiger EJ, Arzeno AH, Medvecky MJ. Hinged-Knee External Fixator Used to Reduce and Maintain Subacute Tibiofemoral Coronal Subluxation. The American Journal Of Orthopedics 2016, 45: e497-e502. PMID: 28005105.Peer-Reviewed Original ResearchConceptsExternal fixatorKnee dislocationLigament repairExternal fixationAcute knee dislocationsAcute ligament repairManagement of subacuteSupplementary treatment optionLateral ligament injuryRegular aerobic exerciseCruciate ligament repairMotor vehicle accidentsHinged external fixationCoronal subluxationTibiofemoral subluxationPostoperative useTibial subluxationLigament injuryLigament reconstructionTibiofemoral dislocationAerobic exerciseTreatment optionsSubluxationVehicle accidentsCoronal plane
2013
Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic
Medvecky M. Surgical Treatment of Combined ACL and Medial-Sided Knee Injuries: Acute and Chronic. 2013, 131-145. DOI: 10.1007/978-0-387-49289-6_10.Peer-Reviewed Original ResearchAnterior cruciate ligamentInjury patternsCruciate ligamentMedial collateral ligament injuryMedial-sided knee injuriesCombined Anterior Cruciate LigamentThird-degree sprainsCollateral ligament injuriesMedial-sided injuriesComplete knee dislocationClassification of injuryCommon ligamentous injuryExtent of injuryJoint motionCadaveric biomechanical testingACL injuryMCL injuryKnee dislocationOperative treatmentSurgical treatmentKnee injuriesLigament deficiencyLigament injuryLigamentous injuriesPhysical exam
2007
A Multidisciplinary Approach to the Evaluation, Reconstruction and Rehabilitation of the Multi-Ligament Injured Athlete
Medvecky MJ, Zazulak BT, Hewett TE. A Multidisciplinary Approach to the Evaluation, Reconstruction and Rehabilitation of the Multi-Ligament Injured Athlete. Sports Medicine 2007, 37: 169-187. PMID: 17241105, DOI: 10.2165/00007256-200737020-00005.Peer-Reviewed Original ResearchConceptsLigament injuryKnee injuriesCruciate ligamentLateral collateral ligament injurySerious knee ligament injuriesFull recoveryCollateral ligament injuriesKnee ligament injuriesLimb-threatening injuriesAnterior cruciate ligamentDiagnostic imaging evaluationRecent surgical advancesPosterior cruciate ligamentMedial collateral ligamentKnee dislocationDevastating injuriesImaging evaluationTotal disabilityImproved outcomesSurgical advancesAllograft tissueCollateral ligamentRehabilitative interventionsRehabilitative techniquesOrthopaedic literature