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

<b>Purpose:</b> The purpose was to determine the impact of the size of bone bruises (BBs) on bone tunnel enlargement (BTE) occurrence. <b>Materials and methods:</b> Twenty-four (24) patients who underwent anterior cruciate ligament reconstruction (ACLR) were included in this...

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Main Authors: Jolanta Rajca, Marek Gzik, Krzysztof Ficek
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/6/2482
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author Jolanta Rajca
Marek Gzik
Krzysztof Ficek
author_facet Jolanta Rajca
Marek Gzik
Krzysztof Ficek
author_sort Jolanta Rajca
collection DOAJ
description <b>Purpose:</b> The purpose was to determine the impact of the size of bone bruises (BBs) on bone tunnel enlargement (BTE) occurrence. <b>Materials and methods:</b> 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. <b>Results:</b> 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 (<i>f</i>-l) and its enlargement (Δ<i>f</i>d), there was a moderate and statistically significant (<i>p <</i> 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). <b>Conclusions:</b> 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.
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spelling doaj.art-3ebcda5a63144b5d9fa312184362250f2023-11-21T09:58:05ZengMDPI AGApplied Sciences2076-34172021-03-01116248210.3390/app11062482The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL RuptureJolanta Rajca0Marek Gzik1Krzysztof Ficek2Galen-Orthopedics, Jerzego 6, 43-150 Bierun, PolandFaculty of Biomedical Engineering, Silesian University of Technology, 44-100 Gliwice, PolandGalen-Orthopedics, Jerzego 6, 43-150 Bierun, Poland<b>Purpose:</b> The purpose was to determine the impact of the size of bone bruises (BBs) on bone tunnel enlargement (BTE) occurrence. <b>Materials and methods:</b> 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. <b>Results:</b> 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 (<i>f</i>-l) and its enlargement (Δ<i>f</i>d), there was a moderate and statistically significant (<i>p <</i> 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). <b>Conclusions:</b> 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.https://www.mdpi.com/2076-3417/11/6/2482bone bruisesanterior cruciate ligament reconstructionbone tunnel enlargement
spellingShingle Jolanta Rajca
Marek Gzik
Krzysztof Ficek
The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture
Applied Sciences
bone bruises
anterior cruciate ligament reconstruction
bone tunnel enlargement
title The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture
title_full The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture
title_fullStr The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture
title_full_unstemmed The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture
title_short The Influence of Bone Bruises on Bone Tunnel Enlargement Regarding ACL Rupture
title_sort influence of bone bruises on bone tunnel enlargement regarding acl rupture
topic bone bruises
anterior cruciate ligament reconstruction
bone tunnel enlargement
url https://www.mdpi.com/2076-3417/11/6/2482
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