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7. Outcomes of Grade III Medial Collateral Ligament Injuries Treated Concurrently With Anterior Cruciate Ligament Reconstruction: A Multicenter Study

Author

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.

Published
2019
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8. Protocol for a multicenter, randomised controlled trial of surgeon-directed home therapy vs. outpatient rehabilitation by physical therapists for reverse total shoulder arthroplasty: the SHORT trial

Author

Kennedy, June S., Reinke, Emily K., Friedman, Lisa G. M., Cook, Chad, Forsythe, Brian, Gillespie, Robert, Hatzidakis, Armodios, Jawa, Andrew, Johnston, Peter, Nagda, Sameer, Nicholson, Gregory, Sears, Benjamin, Wiesel, Brent, Garrigues, Grant E., Hagen, Christopher, Hong, Insup, Roach, Marcella, Jones, Natasha, Mahendraraj, Kuhan, Michaelson, Evan, Bader, Jackie, Mauter, Libby, Mengers, Sunita, Renko, Nellie, Strony, John, Hart, Paul, Steele, Elle, Naylor, Amanda, Gaudette, Jaina, and Sprengel, Katherine

Published
2021
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10. Change in Anterior Cruciate Ligament Graft Choice and Outcomes Over Time

Author

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.

Published
2017
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13. Factors Associated With High-Grade Lachman, Pivot Shift, and Anterior Drawer at the Time of Anterior Cruciate Ligament Reconstruction

Author

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.

Published
2016
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14. Meniscal Treatment as a Predictor of Worse Articular Cartilage Damage on MRI at 2 Years After ACL Reconstruction: The MOON Nested Cohort

Author

Altahawi, Faysal, Reinke, Emily K, Briskin, Isaac, Cantrell, William A, Flanigan, David C, Fleming, Braden C, Huston, Laura J, Li, Xiaojuan, Oak, Sameer, Obuchowski, Nancy A, Scaramuzza, Erica A, Winalski, Carl S, Zajichek, Alex, Spindler, Kurt P, and Jones, Morgan H

Subjects
Adult, Cartilage, Articular, Adolescent, Anterior Cruciate Ligament Injuries, Physical Therapy, Sports Therapy and Rehabilitation, musculoskeletal system, Magnetic Resonance Imaging, Article, Cohort Studies, Orthopedics, Humans, Female, Meniscus, Orthopedics and Sports Medicine, Prospective Studies
Abstract

Background: Patients undergoing anterior cruciate ligament reconstruction (ACLR) are at an increased risk for posttraumatic osteoarthritis (PTOA). While we have previously shown that meniscal treatment with ACLR predicts more radiographic PTOA at 2 to 3 years postoperatively, there are a limited number of similar studies that have assessed cartilage directly with magnetic resonance imaging (MRI). Hypothesis: Meniscal repair or partial meniscectomy at the time of ACLR independently predicts more articular cartilage damage on 2- to 3-year postoperative MRI compared with a healthy meniscus or a stable untreated tear. Study Design: Cohort study; Level of evidence, 2. Methods: A consecutive series of patients undergoing ACLR from 1 site within the prospective, nested Multicenter Orthopaedic Outcomes Network (MOON) cohort underwent bilateral knee MRI at 2 to 3 years postoperatively. Patients were aged Results: The cohort included 60 patients (32 female; median age, 18.7 years). Concomitant meniscal treatment at the time of index ACLR was performed in 17 medial menisci (13 meniscal repair and 4 partial meniscectomy) and 27 lateral menisci (3 meniscal repair and 24 partial meniscectomy). Articular cartilage damage was worse in the ipsilateral reconstructed knee ( P < .001). A meniscal injury requiring surgical treatment with ACLR predicted a worse CDS for medial meniscal treatment (medial compartment CDS: P = .005; whole joint CDS: P < .001) and lateral meniscal treatment (lateral compartment CDS: P = .038; whole joint CDS: P = .863). Other predictors of a worse relative CDS included age for the medial compartment ( P < .001), surgically observed articular cartilage damage for the patellofemoral compartment ( P = .048), and body mass index ( P = .007) and age ( P = .020) for the whole joint. Conclusion: A meniscal injury requiring surgical treatment with partial meniscectomy or meniscal repair at the time of ACLR predicted worse articular cartilage damage on MRI at 2 to 3 years after surgery. Further research is required to differentiate between the effects of partial meniscectomy and meniscal repair.

Published
2022
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15. Relationship Between Pain Catastrophizing and 6-Month Outcomes Following Anterior Cruciate Ligament Reconstruction.

Author

Jochimsen, Kate N., Pelton, Margaret R., Mattacola, Carl G., Huston, Laura J., Reinke, Emily K., Spindler, Kurt P., Lattermann, Christian, and Jacobs, Cale A.

Subjects
ANTERIOR cruciate ligament surgery, HEALTH outcome assessment, PAIN, POSTOPERATIVE period, RESEARCH funding, STATISTICS, TIME, DATA analysis, SECONDARY analysis, VISUAL analog scale, TREATMENT effectiveness, DATA analysis software, PAIN catastrophizing, PATIENTS' attitudes, EVALUATION
Abstract

Background: Pain catastrophizing predicts poor outcomes following orthopedic procedures for patients with chronic conditions; however, limited research has focused on acute injuries. This study aimed to quantify the progression of Pain Catastrophizing Scale (PCS) scores from injury to 6-months post–anterior cruciate ligament reconstruction (ACLR) and determine if preoperative or 6-month PCS scores were related with self-reported pain or function 6 months post-ACLR. The authors hypothesized PCS scores would minimally fluctuate and would be related with worse outcomes 6-months post-ACLR. Methods: All 48 participants (27 male/21 female; aged 22.7 [4.6] y, body mass index 24 [3.3]) included in this secondary analysis of a randomized control trial sustained an ACL injury during sports activity. Participants completed the PCS and Pain Visual Analog Scale (VAS) at 5 time points: within 7 days of injury (INITIAL), day of surgery, 2 weeks postoperative (2W), 6 weeks postoperative (6W), and 6 months postoperative (6M). They completed the Knee Injury and Osteoarthritis Outcome Score (KOOS) at 6M. Wilcoxon signed-rank tests and Spearman rank-order correlations were used for analysis. Results: PCS scores were not fixed (INITIAL: 11.6 [10.8], day of surgery: 2.5 [3.7], 2W: 8.0 [7.8], 6W: 3.7 [6], 6M: 0.8 [2.3]). They fluctuated in response to injury and ACLR similar to Pain VAS scores. Preoperative PCS scores were not related with 6M outcomes; however, 6M PCS scores were significantly related with 6M Pain VAS and KOOS subscales. Conclusions: PCS scores fluctuated in response to injury and ACLR. Preoperative PCS scores were not related with 6M outcomes; however, 6M PCS scores correlated with pain and function at 6M. High pain catastrophizing appears to be a natural response immediately following acute ACL injury and ACLR, but may not be indicative of a poor postoperative result. PCS scores 6-months following ACLR may provide useful information regarding self-reported pain and function. [ABSTRACT FROM AUTHOR]

Published
2020
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16. Does the Chronicity of Anterior Cruciate Ligament Ruptures Influence Patient-Reported Outcomes Before Surgery?

Author

Nguyen, Joseph T., Wasserstein, David, Reinke, Emily K., Spindler, Kurt P., Mehta, Nabil, Doyle, John B., Marx, Robert G., Amendola, Annunziato, Andrish, Jack T., Brophy, Robert H., Dunn, Warren R., Huston, Laura J., Kaeding, Christopher C., McCarty, Eric C., Parker, Richard D., Wolcott, Michelle L., Wolf, Brian R., and Wright, Rick W.

Published
2017
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23. Baseline Predictors of Health-Related Quality of Life After Anterior Cruciate Ligament Reconstruction: A Longitudinal Analysis of a Multicenter Cohort at Two and Six Years

Author

Dunn, Warren R, Wolf, Brian R, Harrell, Frank E, Jr., Reinke, Emily K, Huston, Laura J, Spindler, Kurt P, Nwosu, Samuel K, Kaeding, Christopher C, Parker, Richard D, Wright, Rick W, Andrish, Jack T, McCarty, Eric C, Amendola, Annunziato, Marx, Robert G, Wolcott, Michelle L, Liu, Zhouwen, and Alvarez, JoAnn M

Published
2015
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28. sj-pdf-1-ajs-10.1177_03635465211025003 – Supplemental material for Neither Residual Anterior Knee Laxity Up to 6 mm nor a Pivot Glide Predict Patient-Reported Outcome Scores or Subsequent Knee Surgery Between 2 and 6 Years After ACL Reconstruction

Author

Magnussen, Robert A., Reinke, Emily K., Huston, Laura J., Briskin, Isaac, Cox, Charles L., Dunn, Warren R., Flanigan, David C., Jones, Morgan H., Kaeding, Christopher C., Matava, Matthew J., Parker, Richard D., Smith, Matthew V., Wright, Rick W., and Spindler, Kurt P.

Subjects
FOS: Clinical medicine, 110323 Surgery, 110604 Sports Medicine, FOS: Health sciences, 110314 Orthopaedics
Abstract

Supplemental material, sj-pdf-1-ajs-10.1177_03635465211025003 for Neither Residual Anterior Knee Laxity Up to 6 mm nor a Pivot Glide Predict Patient-Reported Outcome Scores or Subsequent Knee Surgery Between 2 and 6 Years After ACL Reconstruction by Robert A. Magnussen, Emily K. Reinke, Laura J. Huston, Isaac Briskin, Charles L. Cox, Warren R. Dunn, David C. Flanigan, Morgan H. Jones, Christopher C. Kaeding, Matthew J. Matava, Richard D. Parker, Matthew V. Smith, Rick W. Wright and Kurt P. Spindler in The American Journal of Sports Medicine

Published
2021
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29. sj-pdf-1-ajs-10.1177_0363546521995182 – Supplemental material for The Clinical Radiographic Incidence of Posttraumatic Osteoarthritis 10 Years After Anterior Cruciate Ligament Reconstruction: Data From the MOON Nested Cohort

Author

Everhart, Josh S., Jones, Morgan H., Yalcin, Sercan, Reinke, Emily K., Huston, Laura J., Andrish, Jack T., Cox, Charles L., Flanigan, David C., Kaeding, Christopher C., Magnussen, Robert A., Obuchowski, Nancy, Parker, Richard D., Pedroza, Angela D., Sanders, Rosemary A., Winalski, Carl S., and Spindler, Kurt P.

Subjects
FOS: Clinical medicine, 110323 Surgery, 110604 Sports Medicine, FOS: Health sciences, human activities, 110314 Orthopaedics
Abstract

Supplemental material, sj-pdf-1-ajs-10.1177_0363546521995182 for The Clinical Radiographic Incidence of Posttraumatic Osteoarthritis 10 Years After Anterior Cruciate Ligament Reconstruction: Data From the MOON Nested Cohort by The MOON Group in The American Journal of Sports Medicine

Published
2021
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33. Incidence and Predictors of Subsequent Surgery following ACL Reconstruction: A 6-Year Follow-up Study

Author

Sullivan, Jaron P., Huston, Laura J., Zajichek, Alexander, Reinke, Emily K., Andrish, Jack T., Brophy, Robert H., Dunn, Warren R., Flanigan, David C., Kaeding, Christopher C., Marx, Robert G., Matava, Matthew J., McCarty, Eric C., Parker, Richard D., Vidal, Armando F., Wolf, Brian R., Wright, Rick W., and Spindler, Kurt P.

Subjects
Adult, Male, Reoperation, Young Adult, Anterior Cruciate Ligament Reconstruction, Risk Factors, Anterior Cruciate Ligament Injuries, Incidence, Humans, Female, musculoskeletal system, Article, Follow-Up Studies
Abstract

The cause of subsequent surgery after anterior cruciate ligament (ACL) reconstruction varies, but if risk factors for specific subsequent surgical procedures can be identified, we can better understand which patients are at greatest risk.To report the incidence and types of subsequent surgery that occurred in a cohort of patients 6 years after their index ACL reconstruction and to identify which variables were associated with the incidence of patients undergoing subsequent surgery after their index ACL reconstruction.Cohort study; Level of evidence, 2.Patients completed a questionnaire before their index ACL surgery and were followed up at 2 and 6 years. Patients were contacted to determine whether any underwent additional surgery since baseline. Operative reports were obtained, and all surgical procedures were categorized and recorded. Logistic regression models were constructed to predict which patient demographic and surgical variables were associated with the incidence of undergoing subsequent surgery after their index ACL reconstruction.The cohort consisted of 3276 patients (56.3% male) with a median age of 23 years. A 6-year follow-up was obtained on 91.5% (2999/3276) with regard to information on the incidence and frequency of subsequent surgery. Overall, 20.4% (612/2999) of the cohort was documented to have undergone at least 1 subsequent surgery on the ipsilateral knee 6 years after their index ACL reconstruction. The most common subsequent surgical procedures were related to the meniscus (11.9%), revision ACL reconstruction (7.5%), loss of motion (7.8%), and articular cartilage (6.7%). Significant risk factors for incurring subsequent meniscus-related surgery were having a medial meniscal repair at the time of index surgery, reconstruction with a hamstring autograft or allograft, higher baseline Marx activity level, younger age, and cessation of smoking. Significant predictors of undergoing subsequent surgery involving articular cartilage were higher body mass index, higher Marx activity level, reconstruction with a hamstring autograft or allograft, meniscal repair at the time of index surgery, or a grade 3/4 articular cartilage abnormality classified at the time of index ACL reconstruction. Risk factors for incurring subsequent surgery for loss of motion were younger age, female sex, low baseline Knee injury and Osteoarthritis Outcome Score symptom subscore, and reconstruction with a soft tissue allograft.These findings can be used to identify patients who are at the greatest risk of incurring subsequent surgery after ACL reconstruction.

Published
2020

37. Surgery versus Physical Therapy for a Meniscal Tear and Osteoarthritis

Author

Katz, Jeffrey N., Brophy, Robert H., Chaisson, Christine E., de Chaves, Leigh, Cole, Brian J., Dahm, Diane L., Donnell-Fink, Laurel A., Guermazi, Ali, Haas, Amanda K., Jones, Morgan H., Levy, Bruce A., Mandl, Lisa A., Martin, Scott D., Marx, Robert G., Miniaci, Anthony, Matava, Matthew J., Palmisano, Joseph, Reinke, Emily K., Richardson, Brian E., Rome, Benjamin N., Safran-Norton, Clare E., Skoniecki, Debra J., Solomon, Daniel H., Smith, Matthew V., Spindler, Kurt P., Stuart, Michael J., Wright, John, Wright, Rick W., and Losina, Elena

Published
2013
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43. Do Bone–Patellar Tendon–Bone ACL-Reconstructed Knees Have More Signs of Patellofemoral Posttraumatic Osteoarthritis Than Their Uninjured Contralateral Knees at 2 Years?

Author

Oak, Sameer R., primary, Cantrell, William A., additional, Altahawi, Faysal, additional, Li, Xiaojuan, additional, Winalski, Carl S., additional, Flanigan, David C., additional, Reinke, Emily K., additional, Huston, Laura J., additional, Jones, Morgan H., additional, and Spindler, Kurt P., additional

Published
2021
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48. Predictors of Radiographic Osteoarthritis 2-3 Years after ACL Reconstruction: Data from MOON Onsite Nested Cohort

Author

Jones, Morgan H., primary, Oak, Sameer R., additional, Andrish, Jack T., additional, Brophy, Robert H., additional, Cox, Charles L., additional, Dunn, Warren R., additional, Flanigan, David C., additional, Fleming, Braden C., additional, Huston, Laura J., additional, Kaeding, Christopher C., additional, Kolosky, Michael, additional, Lynch, Thomas Sean, additional, Magnussen, Robert A., additional, Matava, Matthew J., additional, Parker, Richard D., additional, Reinke, Emily K., additional, Scaramuzza, Erica, additional, Smith, Matthew V., additional, Winalski, Carl S., additional, Wright, Rick W., additional, Zajichek, Alex, additional, and Spindler, Kurt P., additional

Published
2019
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49. Outcomes of Grade III Medial Collateral Ligament Injuries Treated Concurrently With Anterior Cruciate Ligament Reconstruction: A Multicenter Study

Author

Westermann, Robert W., primary, Spindler, Kurt P., additional, Huston, Laura J., additional, Wolf, Brian R., additional, Amendola, Annunziato, additional, Andrish, Jack T., additional, Brophy, Robert H., additional, Flanigan, David C., additional, Jones, Morgan H., additional, Kaeding, Christopher C., additional, Marx, Robert G., additional, Matava, Matthew J., additional, McCarty, Eric C., additional, Parker, Richard D., additional, Reinke, Emily K., additional, Vidal, Armando F., additional, Wolcott, Michelle L., additional, and Wright, Rick W., additional

Published
2019
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50. Neither Residual Anterior Knee Laxity Up to 6 mm nor a Pivot Glide Predict Patient-Reported Outcome Scores or Subsequent Knee Surgery Between 2 and 6 Years After ACL Reconstruction.

Author

Magnussen, Robert A., Reinke, Emily K., Huston, Laura J., Briskin, Isaac, Cox, Charles L., Dunn, Warren R., Flanigan, David C., Jones, Morgan H., Kaeding, Christopher C., Matava, Matthew J., Parker, Richard D., Smith, Matthew V., Wright, Rick W., and Spindler, Kurt P.

Subjects
*KNEE physiology, *RESEARCH, *STATISTICS, *ANALYSIS of variance, *HEALTH outcome assessment, *MEDICAL cooperation, *REGRESSION analysis, *FISHER exact test, *RISK assessment, *T-test (Statistics), *POSTOPERATIVE period, *DESCRIPTIVE statistics, *ANTERIOR cruciate ligament surgery, *DATA analysis software, *BODY mass index, *DATA analysis, *KNEE surgery, *LONGITUDINAL method
Abstract

Background: A primary goal of anterior cruciate ligament reconstruction (ACLR) is to reduce pathologically increased anterior and rotational laxity of the knee, but the effects of residual laxity on patient-reported outcomes (PROs) after ACLR remain unclear. Hypothesis: Increased residual laxity at 2 years postoperatively is predictive of a higher risk of subsequent ipsilateral knee surgery and decreases in PRO scores from 2 to 6 years after surgery. Study Design: Cohort study; Level of evidence, 2. Methods: From a prospective multicenter cohort, 433 patients aged <36 years were identified at a minimum 2 years after primary ACLR. These patients underwent a KT-1000 arthrometer assessment and pivot-shift test and completed PRO assessments with the Knee injury and Osteoarthritis Outcome Score and International Knee Documentation Committee (IKDC) scores. Patients completed the same PROs at 6 years postoperatively, and any subsequent ipsilateral knee procedures during this period were recorded. Subsequent surgery risk and change in PROs from 2 to 6 years postoperatively were compared based on residual side-to-side KT-1000 arthrometer differences (<−1 mm, −1 to 2 mm, 2 to 6 mm, and >6 mm) in laxity at 2 years postoperatively. Multiple linear regression models were built to determine the relationship between 2-year postoperative knee laxity and 2- to 6-year change in PROs while controlling for age, sex, body mass index, smoking status, meniscal and cartilage status, and graft type. Results: A total of 381 patients (87.9%) were available for follow-up 6 years postoperatively. There were no significant differences in risk of subsequent knee surgery based on residual knee laxity. Patients with a difference >6 mm in side-to-side anterior laxity at 2 years postoperatively were noted to have a larger decrease in PROs from 2 to 6 years postoperatively (P <.05). No significant differences in any PROs were noted among patients with a difference <6 mm in side-to-side anterior laxity or those with pivot glide (IKDC B) versus no pivot shift (IKDC A). Conclusion: The presence of a residual side-to-side KT-1000 arthrometer difference <6 mm or pivot glide at 2 years after ACLR is not associated with an increased risk of subsequent ipsilateral knee surgery or decreased PROs up to 6 years after ACLR. Conversely, patients exhibiting a difference >6 mm in side-to-side anterior laxity were noted to have significantly decreased PROs at 6 years after ACLR. [ABSTRACT FROM AUTHOR]

Published
2021
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