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
Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method
Medvecky M, Kahan J, Richter D, McLaughlin W, Moran J, Islam W, Miller M, Wascher D, Treme G, Campos T, Held M, Schenck R. Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method. Journal Of Bone And Joint Surgery 2023, 105: 1182-1192. PMID: 37352339, DOI: 10.2106/jbjs.23.00039.Peer-Reviewed Original ResearchConceptsCompression fracturesArticular fracturesResponse rateFracture patternsInferior pole fractureTibial tubercle fracturesMultiligamentous knee injuriesKnee ligament injuriesTibial plateau fracturesWeight-bearing surfaceSpecific fracture patternsTubercle fracturesAvulsion fractureFracture dislocationKnee injuriesLigament injuryBody fracturesComplex injuriesPlateau fracturesSurface involvementType IIIbType IIIAConsensus definitionClinical scenariosDelphi technique
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 examinationRelationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Injury: A Multicenter Study
Markus DH, Mojica ES, Bi A, Kahan JB, Moran J, Mannino BJ, Alaia EF, Jazrawi LM, Medvecky MJ, Alaia MJ. Relationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Injury: A Multicenter Study. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: e1461-e1466. PMID: 36326829, DOI: 10.5435/jaaos-d-21-01252.Peer-Reviewed Original ResearchConceptsMultiligamentous knee injuriesPeroneal nerve injuryACL tear groupNerve injuryPosterolateral corner injuriesNerve palsyChart reviewKnee injuriesTear groupMulticenter retrospective cohort analysisComplete anterior cruciate ligament ruptureAnterior cruciate ligament ruptureMore knee ligamentsParticular injury patternPeroneal nerve palsyRetrospective chart reviewRetrospective cohort analysisBody mass indexCruciate ligament ruptureGreater relative riskComplete injurySurgical characteristicsIntact ACLLigament involvementPeroneal nerveRisk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study
Bi AS, Mojica ES, Markus DH, Blaeser AM, Kahan J, Moran J, Jazrawi LM, Medvecky MJ, Alaia MJ. Risk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 3175-3181. PMID: 35777677, DOI: 10.1016/j.arthro.2022.06.017.Peer-Reviewed Original ResearchConceptsMultiligamentous knee injuriesBody mass indexPostoperative stiffnessVascular injuryIndex surgerySurgical managementExact testLevel 1 academic trauma centerBMI of patientsMulticenter retrospective cohort studyMean body mass indexLogistic regressionRate of MUATwo-center cohortRetrospective cohort studyEffect of obesityAcademic trauma centerGrade of obesityMultivariate logistic regressionExternal fixator useFisher's exact testSignificant differencesCovariates of ageMUA proceduresSchenck classificationPosterior 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
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 Research