A Radiological Study Emphasizing the Need to Standardise the Calcaneal Angles of Bohler and Gissane According to the Individual’s Anthropological Parameters
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2019, Vol 8, Issue 2
Abstract
ABSTRACT Introduction: The calcaneus is the largest tarsal bone, situated below and behind the talus forming a support to the ankle joint and most commonly injured bone during any fall on the foot. The Bohler’s and Gissane’s angles of the calcaneum play a vital role in Calcaneal fracture reduction. Aim: The measure Bohler’s and Gissane’s angles of the calcaneum and correlating the same with anthropological parameters like height, weight, Body Mass Index (BMI), age and sex. Materials and Methods: This analytical study was done in MS Ramaiah Medical College, Bangalore, Karnataka, India. The Bohler’s and Gissanes angles were measured using computed Radiographs. The anthropological parameters of the patient were measured after obtaining consent. The parameters were correlated and stastically analysed using SPSS software. Results: It was found that there is a statistically significant variation in the Bohler’s and Gissane’s angles with height, weight and BMI. It was observed that as the height of the individual increased, the Bohler’s angle increased showing a positive correlation with a p-value of 0.015. As the weight of the individual increased, the Bohler’s angle significantly decreased showing a negative correlation with p-value of 0.010. As weight increased, the Gissane’s angle widened/increased showing a positive correlation with p-value 0.013. As the BMI increased, the mean Bohler’s angle decreased showing a negative correlation with p-value <0.001. There were no significant changes in the angles with age or sex of the subjects. Conclusion: Bohler’s and Gissane’s angles of the calcaneum changes with the anatomical framework of a person. Hence surgical repair of Calcaneal fractures should be individualised for better postopertive results.
Authors and Affiliations
Rahe Ramachandran, Shailaja Shetty
Keywords
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- EP ID EP609732
- DOI 10.7860/IJARS/2019/38472:2478
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