626 results on '"Matava, Matthew J."'
Search Results
2. Descriptive Characteristics and Outcomes of Patients Undergoing Revision Anterior Cruciate Ligament Reconstruction With and Without Tunnel Bone Grafting
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Group, MARS, DeFroda, Steven F, Owens, Brett D, Wright, Rick W, Huston, Laura J, Pennings, Jacquelyn S, Haas, Amanda K, Allen, Christina R, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Lantz, Brett Brick A, Spindler, Kurt P, Stuart, Michael J, Albright, John P, Amendola, Annunziato, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Transplantation ,Clinical Research ,Musculoskeletal ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Cohort Studies ,Humans ,Osteoarthritis ,Quality of Life ,Reoperation ,bone graft ,outcomes ,revision anterior cruciate ligament reconstruction ,tunnel lysis ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics - Abstract
BackgroundLytic or malpositioned tunnels may require bone grafting during revision anterior cruciate ligament reconstruction (rACLR) surgery. Patient characteristics and effects of grafting on outcomes after rACLR are not well described.PurposeTo describe preoperative characteristics, intraoperative findings, and 2-year outcomes for patients with rACLR undergoing bone grafting procedures compared with patients with rACLR without grafting.Study designCohort study; Level of evidence, 3.MethodsA total of 1234 patients who underwent rACLR were prospectively enrolled between 2006 and 2011. Baseline revision and 2-year characteristics, surgical technique, pathology, treatment, and patient-reported outcome instruments (International Knee Documentation Committee [IKDC], Knee injury and Osteoarthritis Outcome Score [KOOS], Western Ontario and McMaster Universities Osteoarthritis Index, and Marx Activity Rating Scale [Marx]) were collected, as well as subsequent surgery information, if applicable. The chi-square and analysis of variance tests were used to compare group characteristics.ResultsA total of 159 patients (13%) underwent tunnel grafting-64 (5%) patients underwent 1-stage and 95 (8%) underwent 2-stage grafting. Grafting was isolated to the femur in 31 (2.5%) patients, the tibia in 40 (3%) patients, and combined in 88 patients (7%). Baseline KOOS Quality of Life (QoL) and Marx activity scores were significantly lower in the 2-stage group compared with the no bone grafting group (P≤ .001). Patients who required 2-stage grafting had more previous ACLRs (P < .001) and were less likely to have received a bone-patellar tendon-bone or a soft tissue autograft at primary ACLR procedure (P≤ .021) compared with the no bone grafting group. For current rACLR, patients undergoing either 1-stage or 2-stage bone grafting were more likely to receive a bone-patellar tendon-bone allograft (P≤ .008) and less likely to receive a soft tissue autograft (P≤ .003) compared with the no bone grafting group. At 2-year follow-up of 1052 (85%) patients, we found inferior outcomes in the 2-stage bone grafting group (IKDC score = 68; KOOS QoL score = 44; KOOS Sport/Recreation score = 65; and Marx activity score = 3) compared with the no bone grafting group (IKDC score = 77; KOOS QoL score = 63; KOOS Sport/Recreation score = 75; and Marx activity score = 7) (P≤ .01). The 1-stage bone graft group did not significantly differ compared with the no bone grafting group.ConclusionTunnel bone grafting was performed in 13% of our rACLR cohort, with 8% undergoing 2-stage surgery. Patients treated with 2-stage grafting had inferior baseline and 2-year patient-reported outcomes and activity levels compared with patients not undergoing bone grafting. Patients treated with 1-stage grafting had similar baseline and 2-year patient-reported outcomes and activity levels compared with patients not undergoing bone grafting.
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- 2022
3. Degenerative Meniscus Tears Treated Nonoperatively With Platelet-Rich Plasma Yield Variable Clinical and Imaging Outcomes: A Systematic Review
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Gopinatth, Varun, Batra, Anjay K., Chahla, Jorge, Smith, Matthew V., Matava, Matthew J., Brophy, Robert H., and Knapik, Derrick M.
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- 2024
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4. Most Anterior Cruciate Ligament Injuries in Professional Athletes Occur Without Contact to the Injured Knee: A Systematic Review of Video Analysis Studies
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Gopinatth, Varun, Smith, Matthew V., Matava, Matthew J., Brophy, Robert H., and Knapik, Derrick M.
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- 2024
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5. Association Between Graft Choice and 6-Year Outcomes of Revision Anterior Cruciate Ligament Reconstruction in the MARS Cohort
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Group, MARS, Wright, Rick W, Huston, Laura J, Haas, Amanda K, Pennings, Jacquelyn S, Allen, Christina R, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Lantz, Brett A, Spindler, Kurt P, Stuart, Michael J, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Transplantation ,Clinical Research ,6.4 Surgery ,Evaluation of treatments and therapeutic interventions ,Musculoskeletal ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Autografts ,Bone-Patellar Tendon-Bone Grafting ,Cohort Studies ,Humans ,Male ,Reoperation ,Transplantation ,Autologous ,anterior cruciate ligament ,ACL reconstruction ,revision ,outcomes ,graft failure ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics - Abstract
BackgroundAlthough graft choice may be limited in the revision setting based on previously used grafts, most surgeons believe that graft choice for anterior cruciate ligament (ACL) reconstruction is an important factor related to outcome.HypothesisIn the ACL revision setting, there would be no difference between autograft and allograft in rerupture rate and patient-reported outcomes (PROs) at 6-year follow-up.Study designCohort study; Level of evidence, 2.MethodsPatients who had revision surgery were identified and prospectively enrolled in this cohort study by 83 surgeons over 52 sites. Data collected included baseline characteristics, surgical technique and pathology, and a series of validated PRO measures. Patients were followed up at 6 years and asked to complete the identical set of PRO instruments. Incidence of additional surgery and reoperation because of graft failure were also recorded. Multivariable regression models were used to determine the predictors (risk factors) of PROs, graft rerupture, and reoperation at 6 years after revision surgery.ResultsA total of 1234 patients including 716 (58%) men were enrolled. A total of 325 (26%) underwent revision using a bone-patellar tendon-bone (BTB) autograft; 251 (20%), soft tissue autograft; 289 (23%), BTB allograft; 302 (25%), soft tissue allograft; and 67 (5%), other graft. Questionnaires and telephone follow-up for subsequent surgery information were obtained for 809 (66%) patients, while telephone follow-up was only obtained for an additional 128 patients for the total follow-up on 949 (77%) patients. Graft choice was a significant predictor of 6-year Marx Activity Rating Scale scores (P = .024). Specifically, patients who received a BTB autograft for revision reconstruction had higher activity levels than did patients who received a BTB allograft (odds ratio [OR], 1.92; 95% CI, 1.25-2.94). Graft rerupture was reported in 5.8% (55/949) of patients by their 6-year follow-up: 3.5% (16/455) of patients with autografts and 8.4% (37/441) of patients with allografts. Use of a BTB autograft for revision resulted in patients being 4.2 times less likely to sustain a subsequent graft rupture than if a BTB allograft were utilized (P = .011; 95% CI, 1.56-11.27). No significant differences were found in graft rerupture rates between BTB autograft and soft tissue autografts (P = .87) or between BTB autografts and soft tissue allografts (P = .36). Use of an autograft was found to be a significant predictor of having fewer reoperations within 6 years compared with using an allograft (P = .010; OR, 0.56; 95% CI, 0.36-0.87).ConclusionBTB and soft tissue autografts had a decreased risk in graft rerupture compared with BTB allografts. BTB autografts were associated with higher activity level than were BTB allografts at 6 years after revision reconstruction. Surgeons and patients should consider this information when choosing a graft for revision ACL reconstruction.
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- 2021
6. Global variations in treatment and outcomes reported for anterior shoulder instability: a systematic review of the literature
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Knapik, Derrick M., Kuhn, Andrew W., Ganapathy, Aravinda, Gibian, Joseph T., Yaeger, Lauren H., Matava, Matthew J., Smith, Matthew V., and Brophy, Robert H.
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- 2023
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7. Predictors of clinical outcome following revision anterior cruciate ligament reconstruction
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Wright, Rick W, Huston, Laura J, Haas, Amanda K, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Lantz, Brett Brick A, Mann, Barton, Spindler, Kurt P, Stuart, Michael J, Nwosu, Samuel K, Pennings, Jacquelyn S, Albright, John P, Amendola, Annunziato Ned, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush‐Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Ma, C Benjamin, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O'Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, LTC Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Physical Injury - Accidents and Adverse Effects ,Patient Safety ,Clinical Research ,Prevention ,Comparative Effectiveness Research ,Adult ,Anterior Cruciate Ligament Reconstruction ,Female ,Humans ,Male ,ACL ,clinical outcomes ,knee ,ligament ,osteoarthritis ,MARS Group ,Biomedical Engineering ,Clinical Sciences ,Human Movement and Sports Sciences ,Orthopedics - Abstract
The underlying theme throughout this series of studies authored by the Multicenter anterior cruciate ligament (ACL) Revision Study consortium has been to determine the modifiable predictors or risk factors of long-term outcomes of revision ACL reconstruction. The observational studies described and summarized in the manuscript are both clinically relevant and of great interest in finding out the long-term consequences of the intervention and its relationship to the original injury. The successful completion of these studies has important implications for both therapy and future clinical trials. The identification of modifiable risk factors will play an important role in secondary prevention, while the identification of nonmodifiable risk factors will aid us in counseling our patients and making surgical decisions. Thus, we expect a profound clinical impact on patients' care. More importantly, this project represents an important step forward in bringing evidence to bear in clinical decision making in orthopedic surgery.
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- 2020
8. Coronal Malalignment and Revision Anterior Cruciate Ligament Reconstruction
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Incan, Paul M., Matava, Matthew J., Alaia, Michael J., editor, and Jones, Kristofer J., editor
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- 2022
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9. Relationship Between Kinesiophobia and Dynamic Postural Stability After Anterior Cruciate Ligament Reconstruction: a Prospective Cohort Study
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Knapik, Derrick M, additional, Kamitani, Aguri, additional, Smith, Matthew V, additional, Motley, John, additional, Haas, Amanda, additional, Matava, Matthew J., additional, Wright, Rick, additional, and Brophy, Robert H, additional
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- 2024
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10. Isolated, Proximal Tibiofibular Injuries in Athletic Patients: A Critical Analysis Review
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Knapik, Derrick M, additional, Gopinatth, Varun, additional, Jackson, Garrett R., additional, LaPrade, Robert F., additional, Chahla, Jorge, additional, Brophy, Robert H, additional, Matava, Matthew J., additional, and Smith, Matthew V, additional
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- 2024
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11. Stress Radiography Is a Reliable Method to Quantify Posterior Cruciate Ligament Insufficiency: A Systematic Review
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Guth, J. Jared, Brophy, Robert H., Matava, Matthew J., Steinmetz, R. Garrett, and Smith, Matthew V.
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- 2022
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12. Popliteus Avulsion Fracture After Unicompartmental Arthroplasty: A Case Report
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Inclan, Paul M., Barrack, Robert L., and Matava, Matthew J.
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- 2023
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13. Predictors of Patient-Reported Outcomes at 2 Years After Revision Anterior Cruciate Ligament Reconstruction
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Group, The MARS, Wright, Rick W, Huston, Laura J, Haas, Amanda K, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Lantz, Brett A, Mann, Barton, Spindler, Kurt P, Stuart, Michael J, Nwosu, Samuel K, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Biomedical and Clinical Sciences ,Clinical Sciences ,Arthritis ,Patient Safety ,Clinical Research ,Musculoskeletal ,Adolescent ,Adult ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Cartilage Diseases ,Cohort Studies ,Female ,Humans ,Knee Joint ,Male ,Meniscectomy ,Middle Aged ,Patient Reported Outcome Measures ,Reoperation ,Surveys and Questionnaires ,Young Adult ,ACL reconstruction ,revision ,outcomes ,IKDC ,KOOS ,Marx ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics ,Clinical sciences ,Allied health and rehabilitation science ,Sports science and exercise - Abstract
BackgroundPatient-reported outcomes (PROs) are a valid measure of results after revision anterior cruciate ligament (ACL) reconstruction. Revision ACL reconstruction has been documented to have worse outcomes when compared with primary ACL reconstruction. Understanding positive and negative predictors of PROs will allow surgeons to modify and potentially improve outcome for patients.Purpose/hypothesisThe purpose was to describe PROs after revision ACL reconstruction and test the hypothesis that patient- and technique-specific variables are associated with these outcomes.Study designCohort study; Level of evidence, 2.MethodsPatients undergoing revision ACL reconstruction were identified and prospectively enrolled by 83 surgeons over 52 sites. Data included baseline demographics, surgical technique and pathology, and a series of validated PRO instruments: International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index, and Marx Activity Rating Scale. Patients were followed up at 2 years and asked to complete the identical set of outcome instruments. Multivariate regression models were used to control for a variety of demographic and surgical factors to determine the positive and negative predictors of PRO scores at 2 years after revision surgery.ResultsA total of 1205 patients met the inclusion criteria and were successfully enrolled: 697 (58%) were male, with a median cohort age of 26 years. The median time since their most recent previous ACL reconstruction was 3.4 years. Two-year questionnaire follow-up was obtained from 989 patients (82%). The most significant positive predictors of 2-year IKDC scores were a high baseline IKDC score, high baseline Marx activity level, male sex, and having a longer time since the most recent previous ACL reconstruction, while negative predictors included having a lateral meniscectomy before the revision ACL reconstruction or having grade 3/4 chondrosis in either the trochlear groove or the medial tibial plateau at the time of the revision surgery. For KOOS, having a high baseline score and having a longer time between the most recent previous ACL reconstruction and revision surgery were significant positive predictors for having a better (ie, higher) 2-year KOOS, while having a lateral meniscectomy before the revision ACL reconstruction was a consistent predictor for having a significantly worse (ie, lower) 2-year KOOS. Statistically significant positive predictors for 2-year Marx activity levels included higher baseline Marx activity levels, younger age, male sex, and being a nonsmoker. Negative 2-year activity level predictors included having an allograft or a biologic enhancement at the time of revision surgery.ConclusionPROs after revision ACL reconstruction are associated with a variety of patient- and surgeon-related variables. Understanding positive and negative predictors of PROs will allow surgeons to guide patient expectations as well as potentially improve outcomes.
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- 2019
14. Relationship Between Sports Participation After Revision Anterior Cruciate Ligament Reconstruction and 2-Year Patient-Reported Outcome Measures
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Group, MARS, Bigouette, John P, Owen, Erin C, Lantz, Brett A, Hoellrich, Rudolf G, Huston, Laura J, Haas, Amanda K, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Mann, Barton, Spindler, Kurt P, Stuart, Michael J, Wright, Rick W, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Biomedical and Clinical Sciences ,Clinical Sciences ,Health Sciences ,Clinical Research ,Arthritis ,Physical Injury - Accidents and Adverse Effects ,Musculoskeletal ,Adolescent ,Adult ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Athletic Injuries ,Child ,Cross-Sectional Studies ,Female ,Follow-Up Studies ,Humans ,Male ,Middle Aged ,Patient Reported Outcome Measures ,Quality of Life ,Reoperation ,Return to Sport ,Self Report ,Surveys and Questionnaires ,Young Adult ,anterior cruciate ligament ,outcomes ,revision ACL ,sports participation ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics ,Clinical sciences ,Allied health and rehabilitation science ,Sports science and exercise - Abstract
BackgroundAnterior cruciate ligament (ACL) revision cohorts continually report lower outcome scores on validated knee questionnaires than primary ACL cohorts at similar time points after surgery. It is unclear how these outcomes are associated with physical activity after physician clearance for return to recreational or competitive sports after ACL revision surgery.HypothesesParticipants who return to either multiple sports or a singular sport after revision ACL surgery will report decreased knee symptoms, increased activity level, and improved knee function as measured by validated patient-reported outcome measures (PROMs) and compared with no sports participation. Multisport participation as compared with singular sport participation will result in similar increased PROMs and activity level.Study designCross-sectional study; Level of evidence, 3.MethodsA total of 1205 patients who underwent revision ACL reconstruction were enrolled by 83 surgeons at 52 clinical sites. At the time of revision, baseline data collected included the following: demographics, surgical characteristics, previous knee treatment and PROMs, the International Knee Documentation Committee (IKDC) questionnaire, Marx activity score, Knee injury and Osteoarthritis Outcome Score (KOOS), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). A series of multivariate regression models were used to evaluate the association of IKDC, KOOS, WOMAC, and Marx Activity Rating Scale scores at 2 years after revision surgery by sports participation category, controlling for known significant covariates.ResultsTwo-year follow-up was obtained on 82% (986 of 1205) of the original cohort. Patients who reported not participating in sports after revision surgery had lower median PROMs both at baseline and at 2 years as compared with patients who participated in either a single sport or multiple sports. Significant differences were found in the change of scores among groups on the IKDC (P < .0001), KOOS-Symptoms (P = .01), KOOS-Sports and Recreation (P = .04), and KOOS-Quality of Life (P < .0001). Patients with no sports participation were 2.0 to 5.7 times more likely than multiple-sport participants to report significantly lower PROMs, depending on the specific outcome measure assessed, and 1.8 to 3.8 times more likely than single-sport participants (except for WOMAC-Stiffness, P = .18), after controlling for known covariates.ConclusionParticipation in either a single sport or multiple sports in the 2 years after ACL revision surgery was found to be significantly associated with higher PROMs across multiple validated self-reported assessment tools. During follow-up appointments, surgeons should continue to expect that patients who report returning to physical activity after surgery will self-report better functional outcomes, regardless of baseline activity levels.
- Published
- 2019
15. Rehabilitation Predictors of Clinical Outcome Following Revision ACL Reconstruction in the MARS Cohort.
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Wright, Rick W, Huston, Laura J, Nwosu, Samuel K, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Haas, Amanda K, Lantz, Brett Brick A, Mann, Barton, Spindler, Kurt P, Stuart, Michael J, Albright, John P, Amendola, Annunziato Ned, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R Jr, Baker, Champ LIII, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J Jr, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay Jr, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Ma, C Benjamin, Maiers, G Peter II, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O'Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S Jr, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Behavioral and Social Science ,Patient Safety ,Physical Injury - Accidents and Adverse Effects ,Clinical Research ,Arthritis ,Physical Rehabilitation ,Aging ,Bioengineering ,Rehabilitation ,Musculoskeletal ,Adult ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Braces ,Cohort Studies ,Early Ambulation ,Female ,Humans ,Male ,Patient Reported Outcome Measures ,Range of Motion ,Articular ,Recovery of Function ,Reoperation ,Weight-Bearing ,Young Adult ,MARS Group ,Biomedical Engineering ,Clinical Sciences ,Orthopedics - Abstract
BackgroundRevision anterior cruciate ligament (ACL) reconstruction has been documented to have worse outcomes than primary ACL reconstruction. The reasons remain varied and not completely understood.MethodsPatients undergoing revision ACL reconstruction were prospectively enrolled. Data collected included baseline demographics, surgical technique and pathological condition, prescribed rehabilitation instructions, and a series of validated patient-reported outcome instruments. Patients were followed for 2 years and asked to complete a set of outcome instruments identical to those completed at baseline. Subsequent surgical procedures on the ipsilateral knee were recorded. Regression analysis was used to control for age, sex, activity level, baseline outcome scores, and the above-mentioned rehabilitation-related variables in order to assess the factors affecting clinical outcomes 2 years after revision ACL reconstruction.ResultsA total of 843 patients met the inclusion criteria and were successfully enrolled, and 82% (695) were followed for 2 years. Two rehabilitation-related factors were found to influence outcome. First, patients who were prescribed an ACL brace for their return to sports had a significantly better Knee injury and Osteoarthritis Outcome Score (KOOS) for sports and recreational activities at 2 years (odds ratio [OR] =1.50, 95% confidence interval [CI] = 1.07 to 2.11; p = 0.019). Second, patients prescribed an ACL brace for the postoperative rehabilitation period were 2.3 times more likely to have subsequent surgery by 2 years (OR = 2.26, 95% CI = 1.11 to 4.60; p = 0.024). The odds of a graft rerupture were not affected by any type of brace wear.ConclusionsRehabilitation-related factors that the physician can control at the time of an ACL reconstruction have the ability to influence clinical outcomes at 2 years. Weight-bearing and motion can be initiated immediately postoperatively. Bracing during the early postoperative period is not helpful. Use of a functional brace early in the postoperative period was associated with an increased risk of a reoperation. Use of a functional brace for a return to sports improved the KOOS on the sports/recreation subscale.Level of evidencePrognostic Level I. See Instructions for Authors for a complete description of levels of evidence.
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- 2019
16. Physiologic Preoperative Knee Hyperextension Is a Predictor of Failure in an Anterior Cruciate Ligament Revision Cohort: A Report From the MARS Group
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Group, The MARS, Cooper, Daniel E, Dunn, Warren R, Huston, Laura J, Haas, Amanda K, Spindler, Kurt P, Allen, Christina R, Anderson, Allen F, DeBerardino, Thomas M, Lantz, Brett A, Mann, Barton, Stuart, Michael J, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, York, James J, and Wright, Rick W
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Biomedical and Clinical Sciences ,Clinical Sciences ,Health Sciences ,Prevention ,Transplantation ,Clinical Research ,Adolescent ,Adult ,Anterior Cruciate Ligament ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Female ,Humans ,Knee Joint ,Male ,Preoperative Care ,Prognosis ,Prospective Studies ,Range of Motion ,Articular ,Reoperation ,Risk Factors ,Rupture ,Transplantation ,Autologous ,Young Adult ,anterior cruciate ligament ,knee hyperextension ,graft failure ,graft tensioning ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics ,Clinical sciences ,Allied health and rehabilitation science ,Sports science and exercise - Abstract
BackgroundThe occurrence of physiologic knee hyperextension (HE) in the revision anterior cruciate ligament reconstruction (ACLR) population and its effect on outcomes have yet to be reported. Hypothesis/Purpose: The prevalence of knee HE in revision ACLR and its effect on 2-year outcome were studied with the hypothesis that preoperative physiologic knee HE ≥5° is a risk factor for anterior cruciate ligament (ACL) graft rupture.Study designCohort study; Level of evidence, 2.MethodsPatients undergoing revision ACLR were identified and prospectively enrolled between 2006 and 2011. Study inclusion criteria were patients undergoing single-bundle graft reconstructions. Patients were followed up at 2 years and asked to complete an identical set of outcome instruments (International Knee Documentation Committee, Knee injury and Osteoarthritis Outcome Score, WOMAC, and Marx Activity Rating Scale) as well as provide information regarding revision ACL graft failure. A regression model with graft failure as the dependent variable included age, sex, graft type at the time of the revision ACL surgery, and physiologic preoperative passive HE ≥5° (yes/no) to assess these as potential risk factors for clinical outcomes 2 years after revision ACLR.ResultsAnalyses included 1145 patients, for whom 2-year follow-up was attained for 91%. The median age was 26 years, with age being a continuous variable. Those below the median were grouped as "younger" and those above as "older" (age: interquartile range = 20, 35 years), and 42% of patients were female. There were 50% autografts, 48% allografts, and 2% that had a combination of autograft plus allograft. Passive knee HE ≥5° was present in 374 (33%) patients in the revision cohort, with 52% being female. Graft rupture at 2-year follow-up occurred in 34 cases in the entire cohort, of which 12 were in the HE ≥5° group (3.2% failure rate) and 22 in the non-HE group (2.9% failure rate). The median age of patients who failed was 19 years, as opposed to 26 years for those with intact grafts. Three variables in the regression model were significant predictors of graft failure: younger age (odds ratio [OR] = 3.6; 95% CI, 1.6-7.9; P = .002), use of allograft (OR = 3.3; 95% CI, 1.5-7.4; P = .003), and HE ≥5° (OR = 2.12; 95% CI, 1.1-4.7; P = .03).ConclusionThis study revealed that preoperative physiologic passive knee HE ≥5° is present in one-third of patients who undergo revision ACLR. HE ≥5° was an independent significant predictor of graft failure after revision ACLR with a >2-fold OR of subsequent graft rupture in revision ACL surgery. Registration: NCT00625885 ( ClinicalTrials.gov identifier).
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- 2018
17. Return to play following nonsurgical management of superior labrum anterior-posterior tears: a systematic review
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Steinmetz, Raymond G., Guth, J. Jared, Matava, Matthew J., Brophy, Robert H., and Smith, Matthew V.
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- 2022
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18. Global variation in isolated posterior cruciate ligament reconstruction
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Knapik, Derrick M., Gopinatth, Varun, Jackson, Garrett R., Chahla, Jorge, Smith, Matthew V., Matava, Matthew J., and Brophy, Robert H.
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- 2022
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19. Risk Factors and Predictors of Significant Chondral Surface Change From Primary to Revision Anterior Cruciate Ligament Reconstruction: A MOON and MARS Cohort Study
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Group, The MARS, Magnussen, Robert A, Borchers, James R, Pedroza, Angela D, Huston, Laura J, Haas, Amanda K, Spindler, Kurt P, Wright, Rick W, Kaeding, Christopher C, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Lantz, Brett A, Mann, Barton, Stuart, Michael J, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Biomedical and Clinical Sciences ,Clinical Sciences ,Clinical Research ,Transplantation ,Arthritis ,Musculoskeletal ,Adolescent ,Adult ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Body Mass Index ,Cartilage ,Articular ,Case-Control Studies ,Female ,Humans ,Logistic Models ,Male ,Menisci ,Tibial ,Patellar Ligament ,Prospective Studies ,Reoperation ,Risk Factors ,Transplantation ,Autologous ,Transplantation ,Homologous ,Young Adult ,ACL reconstruction ,meniscus ,articular cartilage ,patient -reported outcomes ,patellofemoral compartment ,BMI ,allograft ,MARS Group ,patient-reported outcomes ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics ,Clinical sciences ,Allied health and rehabilitation science ,Sports science and exercise - Abstract
BackgroundArticular cartilage health is an important issue following anterior cruciate ligament (ACL) injury and primary ACL reconstruction. Factors present at the time of primary ACL reconstruction may influence the subsequent progression of articular cartilage damage.HypothesisLarger meniscus resection at primary ACL reconstruction, increased patient age, and increased body mass index (BMI) are associated with increased odds of worsened articular cartilage damage at the time of revision ACL reconstruction.Study designCase-control study; Level of evidence, 3.MethodsSubjects who had primary and revision data in the databases of the Multicenter Orthopaedics Outcomes Network (MOON) and Multicenter ACL Revision Study (MARS) were included. Reviewed data included chondral surface status at the time of primary and revision surgery, meniscus status at the time of primary reconstruction, primary reconstruction graft type, time from primary to revision ACL surgery, as well as demographics and Marx activity score at the time of revision. Significant progression of articular cartilage damage was defined in each compartment according to progression on the modified Outerbridge scale (increase ≥1 grade) or >25% enlargement in any area of damage. Logistic regression identified predictors of significant chondral surface change in each compartment from primary to revision surgery.ResultsA total of 134 patients were included, with a median age of 19.5 years at revision surgery. Progression of articular cartilage damage was noted in 34 patients (25.4%) in the lateral compartment, 32 (23.9%) in the medial compartment, and 31 (23.1%) in the patellofemoral compartment. For the lateral compartment, patients who had >33% of the lateral meniscus excised at primary reconstruction had 16.9-times greater odds of progression of articular cartilage injury than those with an intact lateral meniscus ( P < .001). For the medial compartment, patients who had
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- 2018
20. Posterior Humeral Avulsion of the Glenohumeral Ligament: A Critical Analysis Review
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Knapik, Derrick M., Patel, Harsh H., Smith, Matthew V., Brophy, Robert H., Matava, Matthew J., and Forsythe, Brian
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- 2022
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21. Suture Tape Augmentation Improves the Biomechanical Performance of Bone-Patellar Tendon-Bone Grafts Used for Anterior Cruciate Ligament Reconstruction
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Matava, Matthew J., Koscso, Jonathan, Melara, Lucia, and Bogunovic, Ljiljana
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- 2021
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22. Surgical Predictors of Clinical Outcomes After Revision Anterior Cruciate Ligament Reconstruction
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Group, The MARS, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Haas, Amanda K, Huston, Laura J, Lantz, Brett A, Mann, Barton, Nwosu, Sam K, Spindler, Kurt P, Stuart, Michael J, Wright, Rick W, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Biomedical and Clinical Sciences ,Clinical Sciences ,Aging ,Pain Research ,Clinical Research ,Arthritis ,Rehabilitation ,Patient Safety ,Musculoskeletal ,Activities of Daily Living ,Adult ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Case-Control Studies ,Female ,Follow-Up Studies ,Humans ,Male ,Osteoarthritis ,Knee ,Patient Reported Outcome Measures ,Postoperative Complications ,Quality of Life ,Reoperation ,Risk Factors ,anterior cruciate ligament ,revision ACL reconstruction ,outcomes ,surgical factors ,surgical approach ,tunnel position ,ACL fixation ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics ,Clinical sciences ,Allied health and rehabilitation science ,Sports science and exercise - Abstract
BackgroundRevision anterior cruciate ligament (ACL) reconstruction has been documented to have worse outcomes compared with primary ACL reconstruction.HypothesisCertain factors under the control of the surgeon at the time of revision surgery can both negatively and positively affect outcomes.Study designCase-control study; Level of evidence, 3.MethodsPatients undergoing revision ACL reconstruction were identified and prospectively enrolled between 2006 and 2011. Data collected included baseline demographics, intraoperative surgical technique and joint disorders, and a series of validated patient-reported outcome instruments (International Knee Documentation Committee [IKDC] subjective form, Knee Injury and Osteoarthritis Outcome Score [KOOS], Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], and Marx activity rating scale) completed before surgery. Patients were followed up for 2 years and asked to complete an identical set of outcome instruments. Regression analysis was used to control for age, sex, body mass index (BMI), activity level, baseline outcome scores, revision number, time since last ACL reconstruction, and a variety of previous and current surgical variables to assess the surgical risk factors for clinical outcomes 2 years after revision ACL reconstruction.ResultsA total of 1205 patients (697 male [58%]) met the inclusion criteria and were successfully enrolled. The median age was 26 years, and the median time since their last ACL reconstruction was 3.4 years. Two-year follow-up was obtained on 82% (989/1205). Both previous and current surgical factors were found to be significant contributors toward poorer clinical outcomes at 2 years. Having undergone previous arthrotomy (nonarthroscopic open approach) for ACL reconstruction compared with the 1-incision technique resulted in significantly poorer outcomes for the 2-year IKDC ( P = .037; odds ratio [OR], 2.43; 95% CI, 1.05-5.88) and KOOS pain, sports/recreation, and quality of life (QOL) subscales ( P ≤ .05; OR range, 2.38-4.35; 95% CI, 1.03-10.00). The use of a metal interference screw for current femoral fixation resulted in significantly better outcomes for the 2-year KOOS symptoms, pain, and QOL subscales ( P ≤ .05; OR range, 1.70-1.96; 95% CI, 1.00-3.33) as well as WOMAC stiffness subscale ( P = .041; OR, 1.75; 95% CI, 1.02-3.03). Not performing notchplasty at revision significantly improved 2-year outcomes for the IKDC ( P = .013; OR, 1.47; 95% CI, 1.08-1.99), KOOS activities of daily living (ADL) and QOL subscales ( P ≤ .04; OR range, 1.40-1.41; 95% CI, 1.03-1.93), and WOMAC stiffness and ADL subscales ( P ≤ .04; OR range, 1.41-1.49; 95% CI, 1.03-2.05). Factors before revision ACL reconstruction that increased the risk of poorer clinical outcomes at 2 years included lower baseline outcome scores, a lower Marx activity score at the time of revision, a higher BMI, female sex, and a shorter time since the patient's last ACL reconstruction. Prior femoral fixation, prior femoral tunnel aperture position, and knee flexion angle at the time of revision graft fixation were not found to affect 2-year outcomes in this revision cohort.ConclusionThere are certain surgical variables that the physician can control at the time of revision ACL reconstruction that can modify clinical outcomes at 2 years. Whenever possible, opting for an anteromedial portal or transtibial surgical exposure, choosing a metal interference screw for femoral fixation, and not performing notchplasty are associated with significantly better 2-year clinical outcomes.
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- 2017
23. Subsequent Surgery After Revision Anterior Cruciate Ligament Reconstruction: Rates and Risk Factors From a Multicenter Cohort
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Group, The MARS, Ding, David Y, Zhang, Alan L, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Haas, Amanda K, Huston, Laura J, Lantz, Brett A, Mann, Barton, Spindler, Kurt P, Stuart, Michael J, Wright, Rick W, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Arthritis ,Prevention ,Transplantation ,6.4 Surgery ,Evaluation of treatments and therapeutic interventions ,Musculoskeletal ,Adult ,Anterior Cruciate Ligament ,Anterior Cruciate Ligament Injuries ,Anterior Cruciate Ligament Reconstruction ,Cartilage ,Case-Control Studies ,Female ,Humans ,Knee Injuries ,Knee Joint ,Male ,Meniscus ,Middle Aged ,Patient Satisfaction ,Prospective Studies ,Reoperation ,Risk Factors ,Second-Look Surgery ,Tibial Meniscus Injuries ,Young Adult ,revision anterior cruciate ligament reconstruction ,subsequent surgery ,reoperation ,risk factors ,outcomes ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics - Abstract
BackgroundWhile revision anterior cruciate ligament reconstruction (ACLR) can be performed to restore knee stability and improve patient activity levels, outcomes after this surgery are reported to be inferior to those after primary ACLR. Further reoperations after revision ACLR can have an even more profound effect on patient satisfaction and outcomes. However, there is a current lack of information regarding the rate and risk factors for subsequent surgery after revision ACLR.PurposeTo report the rate of reoperations, procedures performed, and risk factors for a reoperation 2 years after revision ACLR.Study designCase-control study; Level of evidence, 3.MethodsA total of 1205 patients who underwent revision ACLR were enrolled in the Multicenter ACL Revision Study (MARS) between 2006 and 2011, composing the prospective cohort. Two-year questionnaire follow-up was obtained for 989 patients (82%), while telephone follow-up was obtained for 1112 patients (92%). If a patient reported having undergone subsequent surgery, operative reports detailing the subsequent procedure(s) were obtained and categorized. Multivariate regression analysis was performed to determine independent risk factors for a reoperation.ResultsOf the 1112 patients included in the analysis, 122 patients (11%) underwent a total of 172 subsequent procedures on the ipsilateral knee at 2-year follow-up. Of the reoperations, 27% were meniscal procedures (69% meniscectomy, 26% repair), 19% were subsequent revision ACLR, 17% were cartilage procedures (61% chondroplasty, 17% microfracture, 13% mosaicplasty), 11% were hardware removal, and 9% were procedures for arthrofibrosis. Multivariate analysis revealed that patients aged
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- 2017
24. Use of Publicly Obtained Data in Sports Medicine Research: A Systematic Review and Bibliometric Analysis.
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Inclan, Paul M., Kuhn, Andrew W., Troyer, Stockton C., Solomon, Gary S., and Matava, Matthew J.
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SPORTS medicine ,WOUNDS & injuries ,MEDICAL information storage & retrieval systems ,ANTERIOR cruciate ligament injuries ,SPORTS injuries ,CINAHL database ,SYSTEMATIC reviews ,MEDLINE ,FOOTBALL injuries ,MEDICAL research ,SPORTS events ,BIBLIOMETRICS ,EPIDEMIOLOGY ,HEAD injuries - Abstract
Background: Publicly obtained data (POD) have recently been utilized frequently by sports medicine researchers to describe injury patterns, risk factors, and outcomes in elite athletes. The relative ease of this type of research that is based solely on internet and media sources has resulted in a near exponential increase in the number of these POD studies. Purpose: To systematically review the sports medicine literature for studies based solely on POD. Study Design: Systematic review and bibliometric analysis; Level of evidence, 4. Methods: A systematic review of POD studies published since 2000 was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies of interest were those relying on publicly available injury reports or online media for data acquisition in collegiate, semiprofessional, and professional athletes. Results: There were 209 POD studies published between 2000 and 2022, with 173 (82.8%) of these studies published after 2016. Studies were published most frequently on athletes participating in North American professional leagues: National Football League (n = 69 [28.4%]), Major League Baseball (n = 56 [23.0%]), National Basketball Association (n = 37 [15.2%]), and National Hockey League (n = 33 [13.6%]). The most common injuries assessed were head injuries/concussions (n = 43 [21.1%]), anterior cruciate ligament injuries (n = 33 [16.2%]), and ulnar collateral ligament injuries (n = 23 [11.3%]). One-quarter of the studies (n = 53 [25.4%]) reported only 1 POD source, and 1 study (0.5%) reported no source. Additionally, 65 studies (31.1%) listed nonspecific POD resources or solely cited previous literature to describe the POD search methodology and data acquisition. Conclusion: POD studies are exponentially increasing in number, particularly across major North American professional sports leagues, with significant variability in the injury of interest, search methodology, and number of data sources. The accuracy of the conclusions reached based on the POD methodology appears highly variable. Given the potential impact of these publications as both contributors to current knowledge and drivers of future research, the sports medicine community should be aware of the inherent biases and limitations of POD injury studies. [ABSTRACT FROM AUTHOR]
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- 2024
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25. Which Metrics Are Being Used to Evaluate Children and Adolescents After ACL Reconstruction? A Systematic Review
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Anderson, Christian N., Busch, Michael T., Chambers, Henry G., Christino, Melissa A., Cordasco, Frank A., Edmonds, Eric W., Ganley, Theodore J., Green, Daniel W., Heyworth, Benton E., Kocher, Mininder S., Lawrence, J. Todd R., Micheli, Lyle J., Milewski, Matthew D., Nepple, Jeffrey J., Parikh, Shital N., Pennock, Andrew T., Saluan, Paul, Shea, Kevin G., Wall, Eric J., Willimon, Samuel C., Fabricant, Peter D., Brusalis, Christopher M., Schachne, Jonathan M., and Matava, Matthew J.
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- 2020
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26. Meniscal and Articular Cartilage Predictors of Clinical Outcome After Revision Anterior Cruciate Ligament Reconstruction
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Wright, Rick W, Huston, Laura J, Nwosu, Sam K, Haas, Amanda K, Allen, Christina R, Anderson, Allen F, Cooper, Daniel E, DeBerardino, Thomas M, Dunn, Warren R, Lantz, Brett A, Mann, Barton, Spindler, Kurt P, Stuart, Michael J, Albright, John P, Amendola, Annunziato, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garofoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Levy, Bruce A, Ma, C Benjamin, Maiers, G Peter, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Biomedical and Clinical Sciences ,Clinical Sciences ,Health Sciences ,Physical Injury - Accidents and Adverse Effects ,Chronic Pain ,Arthritis ,Pain Research ,Prevention ,Clinical Research ,Aging ,Musculoskeletal ,Adolescent ,Adult ,Anterior Cruciate Ligament Reconstruction ,Cartilage Diseases ,Cartilage ,Articular ,Cohort Studies ,Female ,Humans ,Male ,Menisci ,Tibial ,Middle Aged ,Prevalence ,Reoperation ,Return to Sport ,Risk Factors ,Young Adult ,anterior cruciate ligament ,revision ACL reconstruction ,meniscus ,articular cartilage ,chondrosis ,predictors ,outcomes ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics ,Clinical sciences ,Allied health and rehabilitation science ,Sports science and exercise - Abstract
BackgroundRevision anterior cruciate ligament (ACL) reconstruction has been documented to have worse outcomes compared with primary ACL reconstructions.Purpose/hypothesisThe purpose of this study was to determine if the prevalence, location, and/or degree of meniscal and chondral damage noted at the time of revision ACL reconstruction predicts activity level, sports function, and osteoarthritis symptoms at 2-year follow-up. The hypothesis was that meniscal loss and high-grade chondral damage noted at the time of revision ACL reconstruction will result in lower activity levels, decreased sports participation, more pain, more stiffness, and more functional limitation at 2 years after revision surgery.Study designCohort study; Level of evidence, 2.MethodsBetween 2006 and 2011, a total of 1205 patients who underwent revision ACL reconstruction by 83 surgeons at 52 hospitals were accumulated for study of the relationship of meniscal and articular cartilage damage to outcome. Baseline demographic and intraoperative data, including the International Knee Documentation Committee (IKDC) subjective knee evaluation, Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Marx activity score, were collected initially and at 2-year follow-up to test the hypothesis. Regression analysis was used to control for age, sex, body mass index, smoking status, activity level, baseline outcome scores, revision number, time since last ACL reconstruction, incidence of having a previous ACL reconstruction on the contralateral knee, previous and current meniscal and articular cartilage injury, graft choice, and surgeon years of experience to assess the meniscal and articular cartilage risk factors for clinical outcomes 2 years after revision ACL reconstruction.ResultsAt 2-year follow-up, 82% (989/1205) of the patients returned their questionnaires. It was found that previous meniscal injury and current articular cartilage damage were associated with the poorest outcomes, with prior lateral meniscectomy and current grade 3 to 4 trochlear articular cartilage changes having the worst outcome scores. Activity levels at 2 years were not affected by meniscal or articular cartilage pathologic changes.ConclusionPrior lateral meniscectomy and current grade 3 to 4 changes of the trochlea were associated with worse outcomes in terms of decreased sports participation, more pain, more stiffness, and more functional limitation at 2 years after revision surgery, but they had no effect on activity levels.RegistrationNCT00625885.
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- 2016
27. Association of Meniscal Status, Lower Extremity Alignment, and Body Mass Index With Chondrosis at Revision Anterior Cruciate Ligament Reconstruction
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Brophy, Robert H, Haas, Amanda K, Huston, Laura J, Nwosu, Samuel K, Wright, Rick W, Harris, David C, Patel, Kushal, Pearson, David, Schutzman, Jake, Tarabichi, Majd, Ying, David, Albright, John P, Allen, Christina R, Amendola, Annunziato, Anderson, Allen F, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Bush-Joseph, Charles A, Butler V, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Daniel E, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, DeBerardino, Thomas M, Dunn, Warren R, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Garafoli, Elizabeth A, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, hristopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Lantz, Brett Brick A, Levy, Bruce A, Ma, C Benjamin, Maiers, G Peter, Mann, Barton, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Spindler, Kurt P, Stuart, Michael J, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Clinical Research ,Adolescent ,Adult ,Anterior Cruciate Ligament ,Anterior Cruciate Ligament Reconstruction ,Body Mass Index ,Cartilage Diseases ,Cartilage ,Articular ,Cross-Sectional Studies ,Female ,Humans ,Knee Injuries ,Knee Joint ,Lower Extremity ,Male ,Menisci ,Tibial ,Prospective Studies ,Reoperation ,Risk Factors ,Tibia ,Young Adult ,MARS Group ,ACL reconstruction ,meniscectomy ,meniscus ,osteoarthritis ,valgus ,varus ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics - Abstract
BackgroundKnees undergoing revision anterior cruciate ligament reconstruction (rACLR) have a high prevalence of articular cartilage lesions.HypothesisThe prevalence of chondrosis at the time of rACLR is associated with meniscal status and lower extremity alignment.Study designCross-sectional study; Level of evidence, 3.MethodsData from the prospective Multicenter ACL Revision Study (MARS) cohort were reviewed to identify patients with preoperative lower extremity alignment films. Lower extremity alignment was defined by the weightbearing line (WBL) as a percentage of the tibial plateau width, while the chondral and meniscal status of each weightbearing compartment was recorded at the time of surgery. Multivariable proportional odds models were constructed and adjusted for relevant factors to examine which risk factors were independently associated with the degree of medial and lateral compartment chondrosis.ResultsThe cohort included 246 patients with lower extremity alignment films at the time of rACLR. Mean (±SD) patient age was 26.9 ± 9.5 years and body mass index (BMI) was 26.4 ± 4.6. The medial compartment had more chondrosis (grade 2/3, 42%; grade 4, 6.5%) than did the lateral compartment (grade 2/3, 26%; grade 4, 6.5%). Disruption of the meniscus was noted in 35% of patients on the medial side and 16% in the lateral side. The mean WBL was 0.43 ± 0.13. Medial compartment chondrosis was associated with BMI (P = .025), alignment (P = .002), and medial meniscal status (P = .001). None of the knees with the WBL lateral to 0.625 had grade 4 chondrosis in the medial compartment. Lateral compartment chondrosis was significantly associated with age (P = .013) and lateral meniscal status (P < .001). Subjects with "intact" menisci were found to decrease their odds of having chondrosis by 64% to 84%.ConclusionThe status of articular cartilage in the tibiofemoral compartments at the time of rACLR is related to meniscal status. Lower extremity alignment and BMI are associated with medial compartment chondrosis.
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- 2015
28. Multirater Agreement of the Causes of Anterior Cruciate Ligament Reconstruction Failure
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Matava, Matthew J, Arciero, Robert A, Baumgarten, Keith M, Carey, James L, DeBerardino, Thomas M, Hame, Sharon L, Hannafin, Jo A, Miller, Bruce S, Nissen, Carl W, Taft, Timothy N, Wolf, Brian R, Wright, Rick W, Albright, John P, Allen, Christina R, Amendola, Annunziato, Anderson, Allen F, Andrish, Jack T, Annunziata, Christopher C, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carpenter, James E, Cole, Brian J, Cooper, Daniel E, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, Dunn, Warren R, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Haas, Amanda K, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Huston, Laura J, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Lantz, Brett Brick A, Levy, Bruce A, Ma, C Benjamin, Maiers, G Peter, Mann, Barton, Marx, Robert G, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Svoboda, Steven J, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, and Wolcott, Michelle L
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Biomedical and Clinical Sciences ,Clinical Sciences ,Clinical Research ,Bioengineering ,Anterior Cruciate Ligament ,Anterior Cruciate Ligament Reconstruction ,Cohort Studies ,Databases ,Factual ,Femur ,Humans ,Knee Joint ,Observer Variation ,Radiography ,Reproducibility of Results ,Surveys and Questionnaires ,Tibia ,Transplants ,Treatment Failure ,revision ,anterior cruciate ligament ,tunnel placement ,interobserver reliability ,MARS Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics ,Clinical sciences ,Allied health and rehabilitation science ,Sports science and exercise - Abstract
BackgroundAnterior cruciate ligament (ACL) reconstruction failure occurs in up to 10% of cases. Technical errors are considered the most common cause of graft failure despite the absence of validated studies. Limited data are available regarding the agreement among orthopaedic surgeons regarding the causes of primary ACL reconstruction failure and accuracy of graft tunnel placement.HypothesisExperienced knee surgeons have a high level of interobserver reliability in the agreement about the causes of primary ACL reconstruction failure, anatomic graft characteristics, and tunnel placement.Study designCohort study (diagnosis); Level of evidence, 3.MethodsTwenty cases of revision ACL reconstruction were randomly selected from the Multicenter ACL Revision Study (MARS) database. Each case included the patient's history, standardized radiographs, and a concise 30-second arthroscopic video taken at the time of revision demonstrating the graft remnant and location of the tunnel apertures. All 20 cases were reviewed by 10 MARS surgeons not involved with the primary surgery. Each surgeon completed a 2-part questionnaire dealing with each surgeon's training and practice, as well as the placement of the femoral and tibial tunnels, condition of the primary graft, and the surgeon's opinion as to the causes of graft failure. Interrater agreement was determined for each question with the kappa coefficient and the prevalence-adjusted, bias-adjusted kappa (PABAK).ResultsThe 10 reviewers have been in practice an average of 14 years and have performed at least 25 ACL reconstructions per year, and 9 were fellowship trained in sports medicine. There was wide variability in agreement among knee experts as to the specific causes of ACL graft failure. When participants were specifically asked about technical error as the cause for failure, interobserver agreement was only slight (PABAK = 0.26). There was fair overall agreement on ideal femoral tunnel placement (PABAK = 0.55) but only slight agreement on whether a femoral tunnel was too anterior (PABAK = 0.24) and fair agreement on whether it was too vertical (PABAK = 0.46). There was poor overall agreement for ideal tibial tunnel placement (PABAK = 0.17).ConclusionThis study suggests that more objective criteria are needed to accurately determine the causes of primary ACL graft failure as well as the ideal femoral and tibial tunnel placement in patients undergoing revision ACL reconstruction.
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- 2015
29. Outcomes of Grade III Medial Collateral Ligament Injuries Treated Concurrently With Anterior Cruciate Ligament Reconstruction: A Multicenter Study
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Amendola, Annunziato, Andrish, Jack T., Brophy, Robert H., Flanigan, David C., Jones, Morgan H., Kaeding, Christopher C., Marx, Robert G., Matava, Matthew J., McCarty, Eric C., Parker, Richard D., Reinke, Emily K., Vidal, Armando F., Wolcott, Michelle L., Wright, Rick W., Westermann, Robert W., Spindler, Kurt P., Huston, Laura J., and Wolf, Brian R.
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- 2019
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30. Patients treated with surgical irrigation and debridement for infection after ACL reconstruction have a high rate of subsequent knee surgery
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Brophy, Robert H, Huston, Laura J, Wright, Rick W, Liu, Xulei, Amendola, Annunziato, Andrish, Jack T, Flanigan, David C, Jones, Morgan H, Kaeding, Christopher C, Marx, Robert G, Matava, Matthew J, McCarty, Eric C, Parker, Richard D, Wolcott, Michelle L, Wolf, Brian R, and Spindler, Kurt P
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- 2019
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31. Osteoarthritis Classification Scales
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Wright, Rick W, Ross, James R, Haas, Amanda K, Huston, Laura J, Garofoli, Elizabeth A, Harris, David, Patel, Kushal, Pearson, David, Schutzman, Jake, Tarabichi, Majd, Ying, David, Albright, John P, Allen, Christina R, Amendola, Annunziato, Anderson, Allen F, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoffrey A, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carpenter, James E, Cole, Brian J, Cooper, Daniel E, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, DeBerardino, Thomas M, Dunn, Warren R, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Lantz, Brett A, Levy, Bruce A, Benjamin, C, Maiers, G Peter, Mann, Barton, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Spindler, Kurt P, Stuart, Michael J, Svoboda, Steven J, Taft, Timothy N, Tenuta, Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Clinical Research ,Arthritis ,Musculoskeletal ,Adolescent ,Adult ,Arthrography ,Arthroscopy ,Child ,Female ,Humans ,Longitudinal Studies ,Male ,Middle Aged ,Observer Variation ,Osteoarthritis ,Knee ,Prospective Studies ,Reproducibility of Results ,Weight-Bearing ,Young Adult ,MARS Group ,Biomedical Engineering ,Clinical Sciences ,Orthopedics - Abstract
BackgroundOsteoarthritis of the knee is commonly diagnosed and monitored with radiography. However, the reliability of radiographic classification systems for osteoarthritis and the correlation of these classifications with the actual degree of confirmed degeneration of the articular cartilage of the tibiofemoral joint have not been adequately studied.MethodsAs the Multicenter ACL (anterior cruciate ligament) Revision Study (MARS) Group, we conducted a multicenter, prospective longitudinal cohort study of patients undergoing revision surgery after anterior cruciate ligament reconstruction. We followed 632 patients who underwent radiographic evaluation of the knee (an anteroposterior weight-bearing radiograph, a posteroanterior weight-bearing radiograph made with the knee in 45° of flexion [Rosenberg radiograph], or both) and arthroscopic evaluation of the articular surfaces. Three blinded examiners independently graded radiographic findings according to six commonly used systems-the Kellgren-Lawrence, International Knee Documentation Committee, Fairbank, Brandt et al., Ahlbäck, and Jäger-Wirth classifications. Interobserver reliability was assessed with use of the intraclass correlation coefficient. The association between radiographic classification and arthroscopic findings of tibiofemoral chondral disease was assessed with use of the Spearman correlation coefficient.ResultsOverall, 45° posteroanterior flexion weight-bearing radiographs had higher interobserver reliability (intraclass correlation coefficient = 0.63; 95% confidence interval, 0.61 to 0.65) compared with anteroposterior radiographs (intraclass correlation coefficient = 0.55; 95% confidence interval, 0.53 to 0.56). Similarly, the 45° posteroanterior flexion weight-bearing radiographs had higher correlation with arthroscopic findings of chondral disease (Spearman rho = 0.36; 95% confidence interval, 0.32 to 0.39) compared with anteroposterior radiographs (Spearman rho = 0.29; 95% confidence interval, 0.26 to 0.32). With respect to standards for the magnitude of the reliability coefficient and correlation coefficient (Spearman rho), the International Knee Documentation Committee classification demonstrated the best combination of good interobserver reliability and medium correlation with arthroscopic findings.ConclusionsThe overall estimates with the six radiographic classification systems demonstrated moderate (anteroposterior radiographs) to good (45° posteroanterior flexion weight-bearing radiographs) interobserver reliability and medium correlation with arthroscopic findings. The International Knee Documentation Committee classification assessed with use of 45° posteroanterior flexion weight-bearing radiographs had the most favorable combination of reliability and correlation.Level of evidenceDiagnostic Level I. See Instructions for Authors for a complete description of levels of evidence.
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- 2014
32. Patient Reported Outcomes Measurement Information System Scores Are Responsive to Early Changes in Patient Outcomes Following Arthroscopic Partial Meniscectomy
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Bernholt, David, Wright, Rick W., Matava, Matthew J., Brophy, Robert H., Bogunovic, Ljiljana, and Smith, Matthew V.
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- 2018
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33. Differences in Mechanisms of Failure, Intraoperative Findings, and Surgical Characteristics Between Single- and Multiple-Revision ACL Reconstructions
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Chen, James L, Allen, Christina R, Stephens, Thomas E, Haas, Amanda K, Huston, Laura J, Wright, Rick W, Feeley, Brian T, Albright, John P, Amendola, Annunziato Ned, Anderson, Allen F, Andrish, Jack T, Annunziata, Christopher C, Arciero, Robert A, Bach, Bernard R, Baker, Champ L, Bartolozzi, Arthur R, Baumgarten, Keith M, Bechler, Jeffery R, Berg, Jeffrey H, Bernas, Geoff, Brockmeier, Stephen F, Brophy, Robert H, Bush-Joseph, Charles A, Butler, J Brad, Campbell, John D, Carey, James L, Carpenter, James E, Cole, Brian J, Cooper, Daniel E, Cooper, Jonathan M, Cox, Charles L, Creighton, R Alexander, Dahm, Diane L, David, Tal S, DeBerardino, Thomas M, Dunn, Warren R, Flanigan, David C, Frederick, Robert W, Ganley, Theodore J, Gatt, Charles J, Gecha, Steven R, Giffin, James Robert, Hame, Sharon L, Hannafin, Jo A, Harner, Christopher D, Harris, Norman Lindsay, Hechtman, Keith S, Hershman, Elliott B, Hoellrich, Rudolf G, Hosea, Timothy M, Johnson, David C, Johnson, Timothy S, Jones, Morgan H, Kaeding, Christopher C, Kamath, Ganesh V, Klootwyk, Thomas E, Lantz, Brett Brick A, Levy, Bruce A, Ma, C Benjamin, Maiers, G Peter, Mann, Barton, Marx, Robert G, Matava, Matthew J, Mathien, Gregory M, McAllister, David R, McCarty, Eric C, McCormack, Robert G, Miller, Bruce S, Nissen, Carl W, O’Neill, Daniel F, Owens, MAJ Brett D, Parker, Richard D, Purnell, Mark L, Ramappa, Arun J, Rauh, Michael A, Rettig, Arthur C, Sekiya, Jon K, Shea, Kevin G, Sherman, Orrin H, Slauterbeck, James R, Smith, Matthew V, Spang, Jeffrey T, Spindler, Kurt P, Stuart, Michael J, Svoboda, LTC Steven J, Taft, Timothy N, Tenuta, COL Joachim J, Tingstad, Edwin M, Vidal, Armando F, Viskontas, Darius G, White, Richard A, Williams, James S, Wolcott, Michelle L, Wolf, Brian R, and York, James J
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Physical Injury - Accidents and Adverse Effects ,Transplantation ,Arthritis ,Clinical Research ,Injuries and accidents ,Adolescent ,Adult ,Anterior Cruciate Ligament Reconstruction ,Case-Control Studies ,Child ,Female ,Humans ,Knee Injuries ,Male ,Middle Aged ,Prospective Studies ,Reoperation ,Transplantation ,Autologous ,Transplantation ,Homologous ,Treatment Failure ,United States ,Young Adult ,ACL ,ACL revision ,allograft ,autograft ,Multicenter ACL Revision Study (MARS) Group ,Biomedical Engineering ,Mechanical Engineering ,Human Movement and Sports Sciences ,Orthopedics - Abstract
BackgroundThe factors that lead to patients failing multiple anterior cruciate ligament (ACL) reconstructions are not well understood.HypothesisMultiple-revision ACL reconstruction will have different characteristics than first-time revision in terms of previous and current graft selection, mode of failure, chondral/meniscal injuries, and surgical charactieristics.Study designCase-control study; Level of evidence, 3.MethodsA prospective multicenter ACL revision database was utilized for the time period from March 2006 to June 2011. Patients were divided into those who underwent a single-revision ACL reconstruction and those who underwent multiple-revision ACL reconstructions. The primary outcome variable was Marx activity level. Primary data analyses between the groups included a comparison of graft type, perceived mechanism of failure, associated injury (meniscus, ligament, and cartilage), reconstruction type, and tunnel position. Data were compared by analysis of variance with a post hoc Tukey test.ResultsA total of 1200 patients (58% men; median age, 26 years) were enrolled, with 1049 (87%) patients having a primary revision and 151 (13%) patients having a second or subsequent revision. Marx activity levels were significantly higher (9.77) in the primary-revision group than in those patients with multiple revisions (6.74). The most common cause of reruptures was a traumatic, noncontact ACL graft injury in 55% of primary-revision patients; 25% of patients had a nontraumatic, gradual-onset recurrent injury, and 11% had a traumatic, contact injury. In the multiple-revision group, a nontraumatic, gradual-onset injury was the most common cause of recurrence (47%), followed by traumatic noncontact (35%) and nontraumatic sudden onset (11%) (P < .01 between groups). Chondral injuries in the medial compartment were significantly more common in the multiple-revision group than in the single-revision group, as were chondral injuries in the patellofemoral compartment.ConclusionPatients with multiple-revision ACL reconstructions had lower activity levels, were more likely to have chondral injuries in the medial and patellofemoral compartments, and had a high rate of a nontraumatic, recurrent injury of their graft.
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- 2013
34. Change in Anterior Cruciate Ligament Graft Choice and Outcomes Over Time
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Parker, Richard D., Andrish, Jack T., Jones, Morgan H., Wright, Rick W., Matava, Matthew J., Brophy, Robert H., Marx, Robert G., McCarty, Eric C., Wolcott, Michelle L., Vidal, Armando F., Amendola, Annunziato, Wolf, Brian R., Dunn, Warren R., Kaeding, Christopher C., Pedroza, Angela D., Reinke, Emily K., Huston, Laura J., Hewett, Timothy E., Flanigan, David C., and Spindler, Kurt P.
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- 2017
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35. Validity of Research Based on Publicly Obtained Data in Sports Medicine: A Quantitative Assessment of Concussions in the National Football League
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Inclan, Paul M., primary, Kuhn, Andrew W., additional, Chang, Peter S., additional, Mack, Christina, additional, Solomon, Gary S., additional, Sills, Allen K., additional, and Matava, Matthew J., additional
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- 2023
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36. Intrarater and Interrater Reliability of Radiographic Characteristics in Skeletally Immature Patients With Anterior Cruciate Ligament Tears: A PLUTO Study Group Reliability Study.
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Perkins, Crystal A., Coene, Ryan P., Miller, Patricia E., Anderson, Chris N., Nunally, Kianna D., Parikh, Shital N., Busch, Michael T., Chambers, Henry G., Christino, Melissa A., Cordasco, Frank A., Edmonds, Eric W., Fabricant, Peter D., Ganley, Theodore J., Green, Daniel W., Heyworth, Benton E., Lawrence, John Todd R., Matava, Matthew J., Micheli, Lyle J., Milewski, Matthew D., and Nepple, Jeffrey
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- 2023
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37. Isolated, Full-Thickness Proximal Rectus Femoris Injury in Competitive Athletes: A Systematic Review of Injury Characteristics and Return to Play
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Knapik, Derrick M., primary, Alter, Thomas D., additional, Ganapathy, Aravinda, additional, Smith, Matthew V., additional, Brophy, Robert H., additional, and Matava, Matthew J., additional
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- 2023
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38. Factors Associated With High-Grade Lachman, Pivot Shift, and Anterior Drawer at the Time of Anterior Cruciate Ligament Reconstruction
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Andrish, Jack T., Jones, Morgan H., Parker, Richard D., McCarty, Eric C., Vidal, Armando F., Wolcott, Michelle L., Marx, Robert G., Amendola, Annunziato, Wolf, Brian R., Flanigan, David C., Kaeding, Christopher C., Brophy, Robert H., Matava, Matthew J., Wright, Rick W., Dunn, Warren R., Magnussen, Robert A., Reinke, Emily K., Huston, Laura J., Hewett, Timothy E., and Spindler, Kurt P.
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- 2016
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39. Ethical Considerations for Analgesic Use in Sports Medicine
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Matava, Matthew J.
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- 2016
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40. Medial Meniscal Root Avulsion: A Biomechanical Comparison of 4 Different Repair Constructs
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Mitchell, Richard, Pitts, Ryan, Kim, Young-Mo, and Matava, Matthew J.
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- 2016
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41. sj-docx-2-sph-10.1177_19417381231167333 – Supplemental material for Validity of Research Based on Publicly Obtained Data in Sports Medicine: A Quantitative Assessment of Concussions in the National Football League
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Inclan, Paul M., Kuhn, Andrew W., Chang, Peter S., Mack, Christina, Solomon, Gary S., Sills, Allen K., and Matava, Matthew J.
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111708 Health and Community Services ,FOS: Clinical medicine ,110604 Sports Medicine ,FOS: Health sciences ,110314 Orthopaedics - Abstract
Supplemental material, sj-docx-2-sph-10.1177_19417381231167333 for Validity of Research Based on Publicly Obtained Data in Sports Medicine: A Quantitative Assessment of Concussions in the National Football League by Paul M. Inclan, Andrew W. Kuhn, Peter S. Chang, Christina Mack, Gary S. Solomon, Allen K. Sills and Matthew J. Matava in Sports Health: A Multidisciplinary Approach
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- 2023
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42. sj-pdf-1-ajs-10.1177_03635465231177054 – Supplemental material for Use of Publicly Obtained Data in Sports Medicine Research: A Systematic Review and Bibliometric Analysis
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Inclan, Paul M., Kuhn, Andrew W., Troyer, Stockton C., Solomon, Gary S., and Matava, Matthew J.
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FOS: Clinical medicine ,110323 Surgery ,110604 Sports Medicine ,FOS: Health sciences ,110314 Orthopaedics - Abstract
Supplemental material, sj-pdf-1-ajs-10.1177_03635465231177054 for Use of Publicly Obtained Data in Sports Medicine Research: A Systematic Review and Bibliometric Analysis by Paul M. Inclan, Andrew W. Kuhn, Stockton C. Troyer, Gary S. Solomon and Matthew J. Matava in The American Journal of Sports Medicine
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- 2023
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43. sj-docx-1-ajs-10.1177_03635465231151389 – Supplemental material for Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study
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Wright, Rick W., Huston, Laura J., Haas, Amanda K., Pennings, Jacquelyn S., Allen, Christina R., Cooper, Daniel E., DeBerardino, Thomas M., Dunn, Warren R., Lantz, Brett (Brick) A., Spindler, Kurt P., Stuart, Michael J., Albright, John P., Amendola, Annunziato (Ned), Andrish, Jack T., Annunziata, Christopher C., Arciero, Robert A., Bach, Bernard R., Baker, Champ L., Bartolozzi, Arthur R., Baumgarten, Keith M., Bechler, Jeffery R., Berg, Jeffrey H., Bernas, Geoffrey A., Brockmeier, Stephen F., Brophy, Robert H., Bush-Joseph, Charles A., Butler, J. Brad, Campbell, John D., Carey, James L., Carpenter, James E., Cole, Brian J., Cooper, Jonathan M., Cox, Charles L., Creighton, R. Alexander, Dahm, Diane L., David, Tal S., Flanigan, David C., Frederick, Robert W., Ganley, Theodore J., Garofoli, Elizabeth A., Gatt, Charles J., Gecha, Steven R., Giffin, James Robert, Hame, Sharon L., Hannafin, Jo A., Harner, Christopher D., Harris, Norman Lindsay, Hechtman, Keith S., Hershman, Elliott B., Hoellrich, Rudolf G., Johnson, David C., Johnson, Timothy S., Jones, Morgan H., Kaeding, Christopher C., Kamath, Ganesh V., Klootwyk, Thomas E., Levy, Bruce A., Ma, C. Benjamin, Maiers, G. Peter, Marx, Robert G., Matava, Matthew J., Mathien, Gregory M., McAllister, David R., McCarty, Eric C., McCormack, Robert G., Miller, Bruce S., Nissen, Carl W., O’Neill, Daniel F., Owens, Brett D., Parker, Richard D., Purnell, Mark L., Ramappa, Arun J., Rauh, Michael A., Rettig, Arthur C., Sekiya, Jon K., Shea, Kevin G., Sherman, Orrin H., Slauterbeck, James R., Smith, Matthew V., Spang, Jeffrey T., Svoboda, LTC Steven J., Taft, Timothy N., Tenuta, Joachim J., Tingstad, Edwin M., Vidal, Armando F., Viskontas, Darius G., White, Richard A., Williams, James S., Wolcott, Michelle L., Wolf, Brian R., and York, James J.
- Subjects
FOS: Clinical medicine ,110323 Surgery ,110604 Sports Medicine ,FOS: Health sciences ,110314 Orthopaedics - Abstract
Supplemental material, sj-docx-1-ajs-10.1177_03635465231151389 for Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study by Rick W. Wright, Laura J. Huston, Amanda K. Haas, Jacquelyn S. Pennings, Christina R. Allen, Daniel E. Cooper, Thomas M. DeBerardino, Warren R. Dunn, Brett (Brick) A. Lantz, Kurt P. Spindler, Michael J. Stuart, John P. Albright, Annunziato (Ned) Amendola, Jack T. Andrish, Christopher C. Annunziata, Robert A. Arciero, Bernard R. Bach, Champ L. Baker, Arthur R. Bartolozzi, Keith M. Baumgarten, Jeffery R. Bechler, Jeffrey H. Berg, Geoffrey A. Bernas, Stephen F. Brockmeier, Robert H. Brophy, Charles A. Bush-Joseph, J. Brad Butler, John D. Campbell, James L. Carey, James E. Carpenter, Brian J. Cole, Jonathan M. Cooper, Charles L. Cox, R. Alexander Creighton, Diane L. Dahm, Tal S. David, David C. Flanigan, Robert W. Frederick, Theodore J. Ganley, Elizabeth A. Garofoli, Charles J. Gatt, Steven R. Gecha, James Robert Giffin, Sharon L. Hame, Jo A. Hannafin, Christopher D. Harner, Norman Lindsay Harris, Keith S. Hechtman, Elliott B. Hershman, Rudolf G. Hoellrich, David C. Johnson, Timothy S. Johnson, Morgan H. Jones, Christopher C. Kaeding, Ganesh V. Kamath, Thomas E. Klootwyk, Bruce A. Levy, C. Benjamin Ma, G. Peter Maiers, Robert G. Marx, Matthew J. Matava, Gregory M. Mathien, David R. McAllister, Eric C. McCarty, Robert G. McCormack, Bruce S. Miller, Carl W. Nissen, Daniel F. O’Neill, Brett D. Owens, Richard D. Parker, Mark L. Purnell, Arun J. Ramappa, Michael A. Rauh, Arthur C. Rettig, Jon K. Sekiya, Kevin G. Shea, Orrin H. Sherman, James R. Slauterbeck, Matthew V. Smith, Jeffrey T. Spang, LTC Steven J. Svoboda, Timothy N. Taft, Joachim J. Tenuta, Edwin M. Tingstad, Armando F. Vidal, Darius G. Viskontas, Richard A. White, James S. Williams, Michelle L. Wolcott, Brian R. Wolf and James J. York in The American Journal of Sports Medicine
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- 2023
- Full Text
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44. sj-pdf-1-ajs-10.1177_03635465231172769 – Supplemental material for Predictors of Return to Activity at 2 Years After Anterior Cruciate Ligament Reconstruction Among Patients With High Preinjury Marx Activity Scores: A MOON Prospective Cohort Study
- Author
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Sheean, Andrew J., Jin, Yuxuan, Huston, Laura J., Brophy, Robert H., Cox, Charles L., Flanigan, David C., Jones, Morgan H., Kaeding, Christopher C., Magnussen, Robert A., Marx, Robert G., Matava, Matthew J., McCarty, Eric C., Parker, Richard D., Wolcott, Michelle L., Wolf, Brian R., Wright, Rick W., and Spindler, Kurt P.
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Surgery ,Orthopaedics ,Sports Medicine - Abstract
Supplemental material, sj-pdf-1-ajs-10.1177_03635465231172769 for Predictors of Return to Activity at 2 Years After Anterior Cruciate Ligament Reconstruction Among Patients With High Preinjury Marx Activity Scores: A MOON Prospective Cohort Study by Andrew J. Sheean, Yuxuan Jin, Laura J. Huston, Robert H. Brophy, Charles L. Cox, David C. Flanigan, Morgan H. Jones, Christopher C. Kaeding, Robert A. Magnussen, Robert G. Marx, Matthew J. Matava, Eric C. McCarty, Richard D. Parker, Michelle L. Wolcott, Brian R. Wolf, Rick W. Wright and Kurt P. Spindler in The American Journal of Sports Medicine
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- 2023
- Full Text
- View/download PDF
45. sj-docx-1-sph-10.1177_19417381231167333 – Supplemental material for Validity of Research Based on Publicly Obtained Data in Sports Medicine: A Quantitative Assessment of Concussions in the National Football League
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Inclan, Paul M., Kuhn, Andrew W., Chang, Peter S., Mack, Christina, Solomon, Gary S., Sills, Allen K., and Matava, Matthew J.
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111708 Health and Community Services ,FOS: Clinical medicine ,110604 Sports Medicine ,FOS: Health sciences ,110314 Orthopaedics - Abstract
Supplemental material, sj-docx-1-sph-10.1177_19417381231167333 for Validity of Research Based on Publicly Obtained Data in Sports Medicine: A Quantitative Assessment of Concussions in the National Football League by Paul M. Inclan, Andrew W. Kuhn, Peter S. Chang, Christina Mack, Gary S. Solomon, Allen K. Sills and Matthew J. Matava in Sports Health: A Multidisciplinary Approach
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- 2023
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46. Understanding of Meniscus Injury and Expectations of Meniscus Surgery in Patients Presenting for Orthopaedic Care
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Brophy, Robert H., Gefen, Ashley M., Matava, Matthew J., Wright, Rick W., and Smith, Matthew V.
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- 2015
- Full Text
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47. Contributors
- Author
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Altchek, David W., primary, Angeline, Michael, additional, Ashton, Jeff, additional, Bennett, Jolene, additional, Besselink, Allan, additional, Bhatia, Sanjeev, additional, Bolgla, Lori A., additional, Brotzman, S. Brent, additional, Brumitt, Jason, additional, Butler, David S., additional, Camarillo, R. Matthew, additional, Casillas, Mark M., additional, Clark, Bridget, additional, Caughran, Alexander T., additional, D’Amato, Michael, additional, Davies, George J., additional, Duke, Michael, additional, Durall, Christopher J., additional, Ellenbecker, Todd S., additional, Farr, Brian K., additional, Field, Larry D., additional, Fitzgerald, G. Kelley, additional, Frank, Rachel M., additional, Garabekyan, Tigran, additional, Ghodadra, Neil S., additional, Giangarra, Charles E., additional, Gilliland, Charles Andrew, additional, Guido, John A., additional, Hardin, J. Allen, additional, Hardy, Maureen A., additional, Hewett, Timothy E., additional, Holmes, Clayton F., additional, Hoogenboom, Barbara J., additional, Irrgang, James J., additional, Jacobs, Margaret, additional, Jadgchew, R. Jason, additional, James, David A., additional, Jasko, John J., additional, Jenk, Drew, additional, Kibler, W. Ben, additional, Kidd, Theresa M., additional, Kiesel, Kyle, additional, Kim, Jonathan Yong, additional, Lawrance, Scott E., additional, Levinson, Michael, additional, Lodha, Sameer, additional, Loudon, Janice K., additional, Louw, Adriaan, additional, Lynch, Joseph R., additional, Manske, Robert C., additional, Matava, Matthew J., additional, Mazloom, Sean, additional, McMullen, John, additional, Meftah, Morteza, additional, Meira, Erik P., additional, Meister, Keith, additional, Miller, Scott T., additional, Moore, Josef H., additional, Nguyen, Donald, additional, Nigrini, Cullen M., additional, Novotny, Steven R., additional, O’Brien, Michael J., additional, Ozgur, Sinan Emre, additional, Paterno, Mark V., additional, Pitts, Ryan T., additional, Pontillo, Marisa, additional, Porter, Andrew S.T., additional, Powell, Christie C.P., additional, Prohaska, Daniel, additional, Provencher, Matthew T., additional, Puentedura, Emilio “Louie”, additional, Ranawat, Amar S., additional, Ranawat, Anil S., additional, Reagan, James T., additional, Reider, Bruce, additional, Reiman, Michael P., additional, Resler, Amy G., additional, Riemann, Bryan, additional, Rogers, Toby, additional, Romeo, Anthony A., additional, Romeyn, Richard, additional, Rosenthal, Michael D., additional, Savoie, Felix H., additional, Schroeder, Suzanne Zadra, additional, Sciascia, Aaron, additional, Shelbourne, K. Donald, additional, Smith, Jace R., additional, Southard, Damien, additional, Stephenson, Ken, additional, Stevens, Faustin R., additional, Stovak, Mark, additional, Tyler, Timothy F., additional, Van Thiel, Geoffrey S., additional, Wagner, Mark, additional, Wilcox, Reg B., additional, and Woods, Daniel, additional
- Published
- 2018
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48. Patellar Tendon Ruptures
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Matava, Matthew J., primary, Pitts, Ryan T., additional, and Schroeder, Suzanne Zadra, additional
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- 2018
- Full Text
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49. Predictors of Return to Activity at 2 Years After Anterior Cruciate Ligament Reconstruction Among Patients With High Preinjury Marx Activity Scores: A MOON Prospective Cohort Study.
- Author
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Sheean, Andrew J., Jin, Yuxuan, Huston, Laura J., Brophy, Robert H., Cox, Charles L., Flanigan, David C., Jones, Morgan H., Kaeding, Christopher C., Magnussen, Robert A., Marx, Robert G., Matava, Matthew J., McCarty, Eric C., Parker, Richard D., Wolcott, Michelle L., Wolf, Brian R., Wright, Rick W., and Spindler, Kurt P.
- Subjects
SCIENTIFIC observation ,MULTIVARIATE analysis ,ANTERIOR cruciate ligament ,HEALTH outcome assessment ,PHYSICAL activity ,DESCRIPTIVE statistics ,ANTERIOR cruciate ligament surgery ,DATA analysis software ,LONGITUDINAL method - Abstract
Background: Predictors of return to activity after anterior cruciate ligament reconstruction (ACLR) among patients with relatively high preinjury activity levels remain poorly understood. Purpose/Hypothesis: The purpose of this study was to identify predictors of return to preinjury levels of activity after ACLR, defined as achieving a Marx activity score within 2 points of the preinjury value, among patients with Marx activity scores of 12 to 16 who had been prospectively enrolled in the Multicenter Orthopaedic Outcomes Network (MOON) cohort. We hypothesized that age, sex, preinjury activity level, meniscal injuries and/or procedures, and concurrent articular cartilage injuries would predict return to preinjury activity levels at 2 years after ACLR. Study Design: Cohort study; Level of evidence, 2. Methods: All unilateral ACLR procedures from 2002 to 2008 performed in patients enrolled in the MOON, with preinjury Marx activity scores ranging from 12 to 16, were evaluated with a specific focus on return to preinjury activity levels at 2 years postoperatively. Return to activity was defined as a Marx activity score within 2 points of the preinjury value. The proportion of patients able to return to preinjury activity levels was calculated, and multivariable modeling was performed to identify risk factors for patients' inability to return to preinjury activity levels. Results: A total of 1188 patients were included in the final analysis. The median preinjury Marx activity score was 16 (interquartile range, 12-16). Overall, 466 patients (39.2%) were able to return to preinjury levels of activity, and 722 patients (60.8%) were not able to return to preinjury levels of activity. Female sex, smoking at the time of ACLR, fewer years of education, lower 36-Item Short Form Health Survey Mental Component Summary scores, and higher preinjury Marx activity scores were predictive of patients' inability to return to preinjury activity levels. Graft type, revision ACLR, the presence of medial and/or lateral meniscal injuries, a history of meniscal surgery, the presence of articular cartilage injuries, a history of articular cartilage treatment, and the presence of high-grade knee laxity were not predictive of a patient's ability to return to preinjury activity level. Conclusion: At 2 years after ACLR, most patients with high preinjury Marx activity scores did not return to their preinjury level of activity. The higher the preinjury Marx activity score that a patient reported at the time of enrollment, the less likely he/she was able to return to preinjury activity level. Smoking and lower mental health at the time of ACLR were the only modifiable risk factors in this cohort that predicted an inability to return to preinjury activity levels. Continued effort and investigation are required to maximize functional recovery after ACLR in patients with high preinjury levels of activity. [ABSTRACT FROM AUTHOR]
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- 2023
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50. Opioid Consumption After Knee Arthroscopy
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Wojahn, Robert D., Bogunovic, Ljiljana, Brophy, Robert H., Wright, Rick W., Matava, Matthew J., Green, John R., IV, Zalomek, Corinne A., Haas, Amanda K., Holloway, Wendy L., Garofoli, Elizabeth A., and Smith, Matthew V.
- Published
- 2018
- Full Text
- View/download PDF
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