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Article

The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture

1
Galen-Orthopedics, Jerzego 6, 43-150 Bierun, Poland
2
Galen Lab, Jerzego 6, 43-150 Bierun, Poland
3
Faculty of Biomedical Engineering, Silesian University of Technology, 44-100 Gliwice, Poland
4
The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065 Katowice, Poland
*
Author to whom correspondence should be addressed.
Academic Editor: Gabi Chaushu
Appl. Sci. 2021, 11(6), 2482; https://doi.org/10.3390/app11062482
Received: 2 February 2021 / Revised: 8 March 2021 / Accepted: 8 March 2021 / Published: 10 March 2021
(This article belongs to the Special Issue Multicriterial Assessment of Ligament Healing in the Knee Joint)
Purpose: The purpose was to determine the impact of the size of bone bruises (BBs) on bone tunnel enlargement (BTE) occurrence. Materials and methods: Twenty-four (24) patients who underwent anterior cruciate ligament reconstruction (ACLR) were included in this retrospective study. The measurements of BBs based on the initial MRI scan, bone tunnel size based on the control MRI scan, and the spatial determination of BB in relation to the bone tunnel location were evaluated. To analyze the relationship between BBs and BTE in homogeneous groups regarding the time from injury to ACLR (t(I-S)), the largest subgroup B (n = 15), in which t(I-S) was 31 to 60 days, was isolated for further investigation. Results: Based on subgroup B, a weak correlation (r = 0.33) existed between the BB volume and BTE size in the femur and tibia. Considering the relationship between the distance from the BB to the bone tunnel in the femur (f-l) and its enlargement (Δfd), there was a moderate and statistically significant (p < 0.05) negative correlation (r = −0.64). The correlation between those parameters was even stronger (r = −0.77) in subgroup B (time interval between injury and surgery ranged from 31 to 60 days). Conclusions: A retrospective analysis of MRI data in patients after ACL reconstruction surgery showed a relevant association between the distance from the BB to the bone tunnel and BTE in the femur. The relationship was not confirmed in the tibia. View Full-Text
Keywords: bone bruises; anterior cruciate ligament reconstruction; bone tunnel enlargement bone bruises; anterior cruciate ligament reconstruction; bone tunnel enlargement
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MDPI and ACS Style

Rajca, J.; Gzik, M.; Ficek, K. The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture. Appl. Sci. 2021, 11, 2482. https://doi.org/10.3390/app11062482

AMA Style

Rajca J, Gzik M, Ficek K. The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture. Applied Sciences. 2021; 11(6):2482. https://doi.org/10.3390/app11062482

Chicago/Turabian Style

Rajca, Jolanta, Marek Gzik, and Krzysztof Ficek. 2021. "The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture" Applied Sciences 11, no. 6: 2482. https://doi.org/10.3390/app11062482

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