The gait characteristics and shapes of human foot are changed by their diseases and habits. Especially, it is known that the size and shape of foot of the elderly(aged) differ from these of youth foot, because of muscle degeneration and wearing footwear for a long time. Therefore, to design and make last for the elder footwear, anthropometric data measured elder feet and classified their foot type will be necessary. Nevertheless, elder footwear has been designed and made by using the same last of the youth. Therefore, to design elder footwear, we measured 49 anthropometric data on foot of the 252 elderly males and females, and classified their foot shape and type according to FI(foot index) and MPA(matarars-phalanx angle) in this study. The results showed that the elderly has a tendency of slenderizing on foot compare to the youth, and elderly females have more deformed foot type than elderly males. The results can be provided as basic information to the design of elder footwear.
This study classified the type of sole for female high school students and analyzed the characteristics of each type by the shape of the sole (plantar view) using 2D scan data. The data were collected from a foot anthropometry of 310 female high school students in Gwangju and Jeollanam-do. Left feet and right feet were measured indirectly by using flatbed scanner. The sole anthropometric measurements consisted of 24 items. The results of the investigation into the differences between left and right feet soles by the 2D measurements data indicated that there was no significant statistical differences in the length of items. The left sole had higher values than right sole in the width items and angle items; however, the lateral side of the right feet projected to the outside more often than left feet. In analyzing foot sole of female high school students, the shapes of sole were classified into three types. Type 1(41.94%), Type 2(36.77%), Type 3(21.29%). The most characteristic sole type for female high school students was Type 1. Type 1 referred to a narrow foot width with little or no curvature of the toe. Type 2 represented the longest foot, with foot width shown as a spacious and distinctive feature in width at the medial area of the foot. Type 3 represented the shortest and widest of ball width, gathered inside toe 5, and lateral side as the most projected among the three types.
Purpose: This paper reports the surgical treatment results of open calcaneal fractures performed at the author's clinics focusing on open calcaneal fractures to help understand the appropriate treatment and realistic outcomes. Materials and Methods: This study was conducted on 22 cases out of 30 patients who visited the hospital from February 2009 to December 2019 and were followed up for more than one year. In open fractures, the fracture was classified using the Gustilo-Anderson classification and was evaluated using the soft tissue status at the time of visit. Intra-articular calcaneal fractures were classified using Sanders classification. The radiological parameters were measured for the Böhler angle, Gissane angle, calcaneal length, height, and width before and after surgery, and at the last follow-up. The clinical outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale and investigated complications. In addition, statistical analysis of the incidence and associated factors of posttraumatic arthritis was conducted. Results: In all cases, the surgical treatment was performed by minimally invasive surgery. The AOFAS ankle-hindfoot scale conducted for a clinical evaluation of the final follow-up was averaged 72.5 points. In the classification of open fractures, the Gustilo-Anderson classification type IIIA was the most common, and the Sanders type III was the most common. Of the 22 cases after surgery, 15 cases had complications, 11 cases had posttraumatic arthritis, eight cases had an infection, and 4 cases had both complications. Only the Sanders classification showed a statistically significant correlation with the incidence of posttraumatic osteoarthritis (p-value 0.032). Conclusion: In treating open calcaneal fractures, internal fixation by a minimally invasive approach showed relatively satisfactory results. However, follow-up research will be needed, including the results of a long-term follow-up through a large number of cases and comparative studies with other surgical methods.
The objective of this paper was to analyse the foot type of female university students by the direct and indirect measure of foot and the measures of foot outline. The results were as follow: 1. The length and the width of foot were small and ankle slender and the modification of the big toe slight. 2. The analysis on the 16 measure items revealed five factors; the first factor was related to the width and girth of foot, the second one to the length of foot, the third one to the transformation of the little toe, the fourth one to the height of foot, the fifth one to transformation of the big toe. 3. The grouping on the shape of foot revealed three types. The inline angle of foot was the smallest in average in the type 1, while it appeared to be middle in the other types. The wider foot shapes were grouped as type 2 because their inline and outline angles of foot were the biggest in average. In the type 3, the big toe was curved a lot, since it was the largest in average. 4. From the naked eye measuring method, classification from which toe was popped-out told that Egyptian foot was 30.9%, Greek foot 27.9%. On the other hand, the instrumental method showed that Egyptian foot was 57.3%, Squared foot 35.3% and Greek foot 7.4%. 5. The result from the analysis about the traits of foot shape by the degree of the arch formation of bottom foot, showed that 33.8% had the normal foot, 66.2% slightly flat foot or middle one. There was no one with rigid flat foot. 6. The shoes size they declared were that 240cm was 33.3%, 235cm 18.1% and 245cm 18.1%. The shape of their shoe heel were flat heel(34.8%), cuban heel(25.5%), and narrow straight heel(19.9%); and that of the shoe toe were round toe(25.4%), oval toe(20.4%) and squared toe(20.4%). 7. The discomforting parts when they wear shoes were the little toe(35.4%), the rear of foot(13.9%), and the width of foot(13.9%), which was related to their dislike of shoe with the pointed toe.
Fractures located at the metaphyseal/diaphyseal junction at the base of the fifth metatarsal were first described by Sir Robert Jones in 1902. However, ever since, there has been disagreement and debate regarding the diagnosis, classification, pathomechanics, the incidences, and potential causes of delayed unions and nonunions, and the optimal method of treatment. It appears to be widely agreed that proximal fractures of the metaphyseal/diaphyseal region of the fifth metatarsal are prone to delayed union or even nonunion. Several classifications of proximal fifth metatarsal stress fractures have been devised. Torg et al. classified fractures involving the proximal part of the diaphysis of the fifth metatarsal into three types. The Torg classification is a good grading system that can be used to determine the type of surgery needed as well as for the prediction of prognosis. The ''plantar gap'' might add to the decision-making process for surgery and improve the prediction of patient prognosis. In addition, the new classification using 'plantar gap' might be used for classification of fifth metatarsal stress fracture. Fifth metatarsal stress fractures can be treated conservatively or surgically, and excellent results have been reported for surgery with rapid recovery in athletes. Intramedullary screw fixation has become a popular form of fixation for fifth metatarsal stress fractures. Bone grafting presents the problems of a longer recovery time and additional skin incision for harvesting. The modified tension band wiring is an useful and simple option for surgical treatment of challenging fifth metatarsal stress fractures.
Purpose: This study was performed to analyze the characteristics of calcaneocuboid joint involvement in intraarticular calcaneal fractures. Materials and Methods: Total number of 92 patients (111 cases) who underwent operation for intraarticular calcaneal fractures between Jan. 2000 and Oct. 2005 were included in this study. The preoperative computed tomographs of the subjects were retrospectively reviewed to analyze calcaneocuboid joint involvement. Results: It was revealed that 63 cases (56.8%) involved calcaneocuboid joint; 29cases (46.0%) showed type 1 (undisplaced or minimally displaced type, articular gap ${\le}1\;mm$), 16 cases (25.4%) exhibited type 2 (moderately displaced type, articular gap ${\ge}2\;mm$), 7 cases (11.1%) were included in type 3 (comminuted type) and 11 cases (17.5%) belonged to type 4 (fracture and dislocation). 48 out of 63 cases belonged to Sanders classification II and III that involved calcaneocuboid joint and included 25 cases (52.1%) of type 1 and 14 cases (29.2%) of type 2. Among 15 out of 63 cases included in Sanders classification IV, 4 (26.7%) showed type 1 and 6 (40.0%) belonged to type 4. According to our results, Sanders classification allowed to predict pattern of the involvement of calcaneocuboid joint (P<0.05). However, there was no statistically significant relationship between degree of posterior facet joint injuries and calcaneocuboid joint involvement (P>0.05). Conclusion: Calcaneocuboid joint involvement in intraarticular calcaneal fractures was common and more than half showed severe injuries. We concluded that further studies on the involvement of calcaneocuboid joint should be performed prior to surgical treatment of intraarticular calcaneal fractures.
Journal of the Korea Fashion and Costume Design Association
/
v.11
no.2
/
pp.183-195
/
2009
In this study, foot shapes were compared between the men in their 20's and 60's, with the application of 3-dimensional measurement data, and the classification was established in consideration of each of their features. The results are as follows: 1. The investigation into the differences between the groups for the 3-dimensional measurement items of the men in their 20's and 60's indicated that those in their 20's had larger values than those in the 60's age group for all of the length items, while those in the 60's age group had larger values for all of the angle items. 2. The analysis of the constituting factors for the feet of those in their 60's and 20's resulted in the 7 items for the 20's age group and 8 items for those in the 60's age group. 3. The comparison of foot classifications for the 60's age group and 20's age group presented 3 types each for both groups, but the features of each type was different. To examine each characteristic by each type and age group, following can be determined of the 60's age group. Type 1 had a thick instep, high malleolus position and heel and a thick formed ankle. Type 2 the entire foot was small, and the big toe was formed in such a way that it tened to bend toward the inside. When the whole size compared with similar Type 1, Type 3 had a low instep, a low heel, the big toe did not bend and ankle form was thin. The following can be determined of the 20's age group. Type 1 had narrow width a thin ankle and the big toe was formed in such a way that it bended toward the inside. Compared with length, Type 2 had wide width and a thick ankle. Type 3 had a larger overall size, thick instep and wide and the toe was big, but the characteristic of inside and outside of a malleolus position was low and the big toe's form showed no tendencies to bend.
The health of foot is connected with individual's health and affects men's activity. In order to develope comfort socks, both foot size and foot shape must be considered. The purpose of this study was to categorize men's foot shape according to age using men's foot scan data (with 2005 Size Korea). Factor analysis, Cluster analysis, ANOVA, and Duncan's test were performed for statistical analysis of the data by SPSS Win 12.00 program. The results are as follows. 1. Nine factors constituting the men's foot were extracted through factor analysis and those factors comprised 77.7% of total variance. 2. On the basis of the cluster analysis, four different foot shapes were categorized. Cluster 1 was characterized by large in toe and ankle size. Cluster 2 was characterized by short foot length, low foot height, and small foot breadth/girth. Cluster 3 was characterized by large and high in foot height. Cluster 4 was characterized by short in foot length and large in foot breadth/girth. 3. Distribution of four foot shape clusters from 20 to 70 years in age above were categorized. For the 20 to 29 years in age, cluster 2, while for the over 30 years in age cluster 4 or cluster 3 is the most dominant foot type. A foot breadth in the 50 years over is wider size range than that in the below 49 years. The foot figures of elderly men over 60 years were smaller than those of below 60 years.
Purpose: To analyze the results of conservative or surgical treatment after computed tomograhy(CT) classification in intraarticular calcaneal fractures. Materials and methods: From January 1996 to May 1999, we prospectively analyze 23 cases of intraarticular calcaneal fractures who were treated conservatively or operated by open reduction and internal fixation by extensive L-shaped lateral approach after CT classification. Results: A functional scoring system of 0-100 points which was based upon the responses to AOFAS Ankle-Hindfoot Scale for the operative group was at 82.8, compared with 73.2 for the non-operative group, and these were meaningful statistically(P<0.05). Of type I fracture, in the operative group there were 2 excellent results and in the non-operative group there were 2 excellent results, 1 good result. or type II fractures, in the operative group there were 2 excellent results, 3 good results, 1 fair result and in the non-operative group there were 1 good result, 1 fair result, 2 poor results. Of type III fractures, in the operative group there were 2 fair results, 2 poor results and in the non-operative group there were 1 fair result, 3 poor results. Bohler angles of subtalar joint were changed from initial average $13.3^{\circ}$ to postoperative average $20.9^{\circ}$ for the operative group compared with from initial average $15.5^{\circ}$ to follow-up average $14.8^{\circ}$ of the non-operative group(P<0.01). Conclusions: Computed tomography in the evaluation of intraarticular calcaneal fractures is effective tool. We believed that open reduction and internal fixation in all Crosby & Fitzgibbons type II and according to degrees of comminution reducible type III for the intraarticular calcaneal fractures is more effective method than conservative treatment.
Purpose: We reviewed the clinical finding of malignant melanoma of the foot in korean because it's advanced stage and extended lesion at diagnosis. Materials and Methods: Retrospective study was enforced about the 11 cases who has diagnosed to malignant melanoma of the foot from February 1995 to March 2004. The mean follow up period was 61 months. In this study we used age, sex, site, depth, histology, clinical stage, precursor lesion, misdiagnosis, interval to diagnosis, survival time, survival. Results: Average age was 58 years and number of female was six. Common site of involvement were heel of plantar surface (6 cases) and subungual area (2 cases). Depths of involvement were 0.3 to 10 mm, most common histological type was acral lentiginous melanoma (7 cases), stage 5 according to classification of Clark were 5 cases and stage 2 or more according to clinical staging were 8 cases. precursor lesion were benign melanocytic nevi (2 cases) and ill defined (9 cases). Chief complaint were increasing of size, color change, pain and ulceration. Conclusion: Malignant melanoma of the foot usually arise at nonvisible area and is easy to be misdiagnosed or delayed treatment. So it is hard to early diagnosis and have poor prognosis. So we need education and effort to early detection and diagnosis.
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