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 periodACLInjuryPearlDiverVariability 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 LibraryPatientsAnatomic and reverse total shoulder arthroplasty: variables affecting 90-day overall reimbursement
Halperin S, Dhodapkar M, Modrak M, Donohue K, Medvecky M, Grauer J. Anatomic and reverse total shoulder arthroplasty: variables affecting 90-day overall reimbursement. Seminars In Arthroplasty JSES 2024, 34: 564-570. DOI: 10.1053/j.sart.2024.02.007.Peer-Reviewed Original ResearchAnatomic total shoulder arthroplastyReverse total shoulder arthroplastyTotal shoulder arthroplastyTotal shoulder arthroplasty patientsPostoperative eventsShoulder arthroplastyPatient demographicsOverall reimbursementSurgery typeAdverse eventsMale sexAssociated with reimbursementMultivariate linear regressionOncological diagnosisEmergency department visitsPatientsOrthopedic proceduresEffective procedureAdministrative databasesHospital readmissionInsurance typeSurgeryReduce healthcare expendituresDepartment visitsIncreased frequencySuccessful 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 structuresKneeInjuryAnatomic vs. reverse total shoulder arthroplasty: usage trends and perioperative outcomes
Halperin S, Dhodapkar M, Kim L, Modrak M, Medvecky M, Donohue K, Grauer J. Anatomic vs. reverse total shoulder arthroplasty: usage trends and perioperative outcomes. Seminars In Arthroplasty JSES 2024, 34: 91-96. DOI: 10.1053/j.sart.2023.08.014.Peer-Reviewed Original ResearchTotal shoulder arthroplastyElixhauser Comorbidity IndexPerioperative outcomesAdverse eventsSurgeon volumeShoulder arthroplastyHigher Elixhauser comorbidity indexPerioperative adverse eventsSevere adverse eventsUrinary tract infectionCommon orthopaedic proceduresMatching of patientsPatient demographicsTract infectionsPearlDiver databaseMultivariable analysisOverall incidencePatient populationKidney infectionMerit further investigationOrthopedic proceduresGreater oddsRTSAIncreased percentagePatients
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 regressionRates 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 differencesRepairPatient 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 studiesPatientsDevicesPaper 29: Untreated Type 4 Ramp Injuries at Index Anterior Cruciate Ligament Reconstruction Surgery Result in Higher Rates of Revision ACL-R within the First 2 Years
Green J, Moran J, Medvecky M, Katz L, Gardner E, Joo P, Wang A, Allen C, Jimenez A, Santos E, McLaughlin W. Paper 29: Untreated Type 4 Ramp Injuries at Index Anterior Cruciate Ligament Reconstruction Surgery Result in Higher Rates of Revision ACL-R within the First 2 Years. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00055. PMCID: PMC10392483, DOI: 10.1177/2325967123s00055.Peer-Reviewed Original ResearchRamp lesionsRevision ACLACL reconstructionACL tearsRAMP groupRevision surgeryRisk factorsLevel I academic centerInitial ACL reconstructionMeniscal ramp lesionsRetrospective chart reviewSignificant biomechanical changesHigh rateStudent's t-testConcomitant ACLAssociated injuriesChart reviewPatient ageSurgery resultsPreoperative MRIClinical dataClinical informationLesions intraAcademic centersPatients
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 differenceSpontaneous 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 improvementComplicationsHamstringsInjuryCourse
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
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 insuranceValue 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
2012
A Novel Cranioplasty Technique Incorporating Cancellous Femoral Bone and Recombinant Bone Morphogenic Protein 2
Wang F, Hoang D, Medvecky M, Amankulor N, Teng E, Narayan D. A Novel Cranioplasty Technique Incorporating Cancellous Femoral Bone and Recombinant Bone Morphogenic Protein 2. Journal Of Craniofacial Surgery 2012, 23: 1083-1086. PMID: 22777455, DOI: 10.1097/scs.0b013e31824e69b9.Peer-Reviewed Original ResearchConceptsRecombinant bone morphogenic protein 2Severe traumatic brain injuryBone morphogenic protein-2Femoral boneTraumatic brain injuryProtein 2Autologous donor sitesCalvarial defectsChronic infectionBrain injuryCranial operationsBone marrowAesthetic outcomeSenior surgeonAcellular collagen spongeReconstructive surgeonVicryl meshCancellous femoral bonePatientsCranioplasty techniqueBone formationCalvarial reconstructionSubjective satisfactionDonor siteImplant constructs
2010
Symptomatic hip plica: MR arthrographic and arthroscopic correlation
Katz LD, Haims A, Medvecky M, McCallum J. Symptomatic hip plica: MR arthrographic and arthroscopic correlation. Skeletal Radiology 2010, 39: 1255-1258. PMID: 20820771, DOI: 10.1007/s00256-010-1026-x.Peer-Reviewed Original ResearchConceptsHip painUnilateral hip painMechanical hip painSymptomatic plicaPathological featuresAlternative diagnosesLigamentum teresPathology reportsHip arthroscopyLabral tearsFibroconnective tissueAP directionArthroscopic correlationMR arthrographyResectionPainPatientsPlicaMR arthrographicReportSurgeryArthroscopyArthrographyArthrographicDiagnosis
2009
Extension Loss Secondary to Femoral-Sided Inverted Cyclops Lesion After Anterior Cruciate Ligament Reconstruction
Rubin L, Yeh P, Medvecky M. Extension Loss Secondary to Femoral-Sided Inverted Cyclops Lesion After Anterior Cruciate Ligament Reconstruction. The Journal Of Knee Surgery 2009, 22: 360-363. PMID: 19902733, DOI: 10.1055/s-0030-1247775.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament reconstructionCruciate ligament reconstructionTerminal knee extensionCyclops lesionLigament reconstructionACL graftKnee extensionMagnetic resonance imaging arthrographyFemoral tunnel siteArthroscopic resectionClinical examinationTibial tunnelExtension lossRapid resolutionIntercondylar notchFibrous nodulesLesionsGraftResectionPatientsArthrography
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
2006
Partial-thickness rotator cuff tears.
Wolff AB, Sethi P, Sutton KM, Covey AS, Magit DP, Medvecky M. Partial-thickness rotator cuff tears. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 715-25. PMID: 17148619, DOI: 10.5435/00124635-200612000-00003.Peer-Reviewed Original ResearchConceptsPartial-thickness rotator cuff tearsRotator cuff tearsCuff tearsRole of acromioplastyPartial-thickness tearsConservative treatmentMost patientsPatient's symptomsDegenerative tearsPatientsTearsDisease statesSymptomsSufficient durationMagnetic resonanceTreatmentExtrinsic factorsAcromioplastySurgeryPathogenesisEtiologyDiagnosis