Assessment of metabolic syndrome in obese children and adolescents

The dramatic increase in the prevalence of childhood obesity and its resultant co morbidities are associated with significant increase in the prevalence of the metabolic syndrome in children and adolescents. To detect the prevalence of metabolic syndrome [MS] among obese children and adolescents attending to Suez Canal University Hospital. The study was done on 84 obese child and adolescent. All of them were subjected to history taking, clinical examination and laboratory investigations for assessment of metabolic syndrome among them. The prevalence of the metabolic syndrome was 53.3% and there were statistically significant relationship between its prevalence and the degree of obesity [p<0.05]. Each component of metabolic syndrome gets worse with increasing the degree of obesity. The prevalence of the metabolic syndrome is high among obese children and adolescents, and it increases with worsening obesity

Resurfacing hip arthroplasty in rheumatoid arthritis

20 hybrid hip surface replacements were performed in 16 rheumatoid patients with an average age of 27.5 years. The implant used was the Cormet 2000 made of cast CoCrMo alloy with a cementless hydroxyapatite-coated cup and a cemented femoral component. An extensile posterior approach was used in all cases, and for adequate exposure of the acetabulum the femoral head and neck were hided underneath the gluteal muscles after hip dislocation. At an average follow up period of 3 years [range 1-5 years], the clinical results were evaluated using the Harris Hip Scoring System [total 100 points]. The average preoperative score was 42 points and improved postoperatively to an average of 89 points. The radiological results showed osteointegration of all the acetabular cups. Except for one patient who developed femoral neck fracture 1 year postoperatively, there were no other significant complications.

Photorefractive corneal procedures in patients with systemic diseases

This retrospective, non-randomized, non-comparative clinical study included 14 eyes of 7 patients who underwent laser in situ keratomileusis [LASIK] and 4 eyes of 4 patients who underwent photorefractive keratectomy [PRK] as a primary procedure to correct their myopia and astigmatism. All patients had a history of controlled systemic autoimmune diseases including rheumatoid arthritis, systemic lupus erythematosus, dermatomyositis, psoriasis and Behcet's disease. The visual acuity, refraction, keratometric readings, slit-lamp biomicroscopy and corneal topography were assessed in these eyes at regular follow-up periods of 1, 3 and 6 months postoperatively. The mean pre-LASIK/PRK spherical equivalent [SE] decreased from -4.01 D +/- 1.51 standard deviation [SD] preoperatively to - 0.31 D +/- 0.47 SD by the end of the sixth postoperative month which was statistically significant. The mean preoperative uncorrected visual acuity [UCVA] was less than 20/200. Six months after LASIK/PRK procedure, UCVA was 20/25 that was also statistically significant. Retreatment for regression was necessary in 5 [27.7%] eyes at variable periods of time following the primary procedure. The procedures were done easily without any unusual intraoperative complications. The postoperative symptom suggestive of dry eye were not more than usual with the exception of one eye which developed exaggerated symptoms

Evaluation of high tibial osteotomy for osteoarthritic varus knees

Dome shaped high libial osteotomy has been performed for 40 knees of 34 patients suffering from osteoarthritis of their knees. They gave 50% excellent results, 35% good, 10% fair and 5% poor results