All types of component malrotation affect the early patient-reported outcome measures after total knee arthroplasty

PURPOSE@#Outcomes following total knee arthroplasty (TKA), whether clinical, radiological or survival analysis, have been well-studied. Still, there are some concerns about patient satisfaction with the outcome of the surgery and factors that might contribute to a suboptimal result. This study aims to determine if there is correlation between primary TKA malalignment and early patient-reported outcome measures (PROMs).@*MATERIALS AND METHODS@#Sixty patients, who had primary TKA and a minimum of 2 years of follow up, were recruited for a detailed clinical and radiological examination. Knee alignment was measured in the coronal, sagittal and axial planes. Normal and the outlier measurements of the patients' knees were defined and the clinical results (PROMs) compared to see if there was a statistically significant difference.@*RESULTS@#Correlation between postoperative limb malalignment in the coronal and the sagittal planes and PROMs was not significant. Conversely, there was significant negative correlation between all types of malrotation and PROMs.@*CONCLUSIONS@#Although malalignment has been linked to inferior outcome and implant survival, our results showed that coronal and sagittal limb malalignment has no significant effect on early PROMs. However, all types of component rotational malalignment significantly worsen early PROMs.

study of the effect of obesity on pregnant women and new born infants

Obesity is the most common nutritional problem complicating pregnancy in the United States' not only dose the incidence of women who are obese when starting their pregnancy seem to be increasing, but pregnancy also has been implicated in the development of obesity later in the life in women who are not obese, [Rossner and Ohlin, 2000]. The aim of this study was undertaken to assess the effects of obesity on pregnant women and new born infants

Method: this study was conducted at two maternal and child health centers representing Shebin El-Kom City, Menoufyia Governorate. From October, 2000 to February 2002. A total sample size of 200 pregnant women was selected. These were divided into two groups: cases and controls. One hundred obese pregnant women who met the required criteria, and control was one hundred pregnant women they were chosen by systematic random women. Tool of the study; a structured interviewing questionnaire was used to collect data. It consists of four parts: the biosocial characteristics of the studied women, Obstetrical history, 24-hr nutrient recall methods, anthropometric measurements and Laboratory investigations. Laboratory investigations includes; hemoglobin level, serum glucose, total cholesterol, triglycerides, high density lipoprotein

Result: The result of the present study revealed that:- A statistical significant difference was found between the obese pregnant and control pregnant women in relation to the mean values of laboratory investigation - A statistical significant difference was found between the obese pregnant and control women in relation to mean of infants weight and head circumference.- History heart disease and emotional upsets were recorded a significantly proportion of obese pregnant women than controls.- Also history of complications during pregnancy namely ante partum haemorhage and toxaemia of pregnancy were significantly more frequent among obese pregnant women than among controls