종골 길이와 너비의 상관관계를 이용한 종골 너비 추정에 관한 연구A Study on the Estimation of Calcaneal Width Using a Correlation of Calcaneal Length and Width
- Other Titles
- A Study on the Estimation of Calcaneal Width Using a Correlation of Calcaneal Length and Width
- Authors
- 천동일; 원성훈; 황수강; 조재호; 최성우; 김용범
- Issue Date
- 2017
- Publisher
- 대한족부족관절학회
- Keywords
- Calcaneus; Imaging; Three-dimensional; Correlation
- Citation
- 대한족부족관절학회지, v.21, no.2, pp.61 - 65
- Journal Title
- 대한족부족관절학회지
- Volume
- 21
- Number
- 2
- Start Page
- 61
- End Page
- 65
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8191
- DOI
- 10.14193/jkfas.2017.21.2.61
- ISSN
- 1738-3757
- Abstract
- Purpose: The purpose of this study was to determine the correlation and ratio between the calcaneal length and width for predicting the width of calcaneus.
Materials and Methods: A total of 190 feet (190 patients) were included based on computed tomography scans. The length of calcaneus (CL) was measured on the line connecting the center of a circle tangent to the cortical margin in the anterior and posterior parts of the calcaneus in a sagittal plane (W1, W2). The width of the calcaneus was defined as the horizontal line of each part (W1, W2, W3) on the same axial plane. The relationship between the measurement was determined through a correlation analysis. The reliability was assessed based on intraclass correlation coefficients.
Results: The CL and widths of calcaneus (W1, W2, W3) had a good positive correlation (r=0.848 [W1/CL], r=0.738 [W2/CL], r=0.769 [W3/CL]; p<0.001). The mean CL and widths ratios were 0.33 (W1/CL), 0.37 (W2/CL), and 0.37 (W3/CL). Using these ratios to estimate the widths by multiplying each ratio by the measured calcaneal length, we found a difference between the estimated calcaneal widths and the actual measured calcaneal widths values was 0.25 mm, 0.43 mm, and 0.16 mm. All measurements showed good-toexcellent inter- and intraobserver reliability.
Conclusion: This study analyzed the correlation and ratio between the length and width of the calcaneus. The results will help orthopedic surgeons fixate screws in a stable manner to prevent iatrogenic injuries to the medial neurovascular structures of the calcaneus.
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