Knee replacement surgery and its effect on long term

The primary indication for total knee replacement is relief of significant, disabling pain caused by severe arthritis. Total knee replacement surgery begins with correct planning of both the incision and the exposure of the joint. Definitely, these are factors that are just as important to an optimal outcome as choosing the right implant, positioning the components, and balancing the ligaments. While it is true that the standard incision and arthrotomy will, in most primary implant cases, provide adequate joint exposure, it is also true that cases characterized by certain conditions, such as previous cutaneous incisions, present specific skin and exposure problems that need to be recognized, planned for and overcome

Diabetic foot awareness among diabetic patients in Saudi Arabia

Aim of the work: diabetic foot disease[DFD] is diabetic patient's foot affection by ulcers which are accompanied by peripheral vascular disease and/or diabetic neuropathy of the lower limb. Prevalence of diabetic ulcer is ranging from 2%-10%. High rate of lower limb amputation in DFD [More than 15%] and survival rate for undertaken amputation patient are short. Ninety diabetic amputations are performed monthly in Saudi Arabia capital of Riyadh. Identification of DFD and diabetic patient's awareness of DFD and how to take care of it will reduce the incidence of more complications like amputation. This study aimed to evaluate knowledge, education, attitude and practice with diabetic foot among diabetic patients all over Saudi Arabia

Patients and Method: cross-sectional study directed among the diabetic clinic visitors in Primary Health Care Centers [PHCs s]. Selection of 55 PHCs was done by random sampling. Ten diabetic patients were randomly selected from each PHCs and collecting of data was done by interviews. Research questionnaire contains three parts; first part is asking about demographic data; second part is about data that are focusing on diabetes and its related questions and last part is the main part which asking about diabetic foot

Results: 519 diabetic patients were participated in this study. Only 180 participants were complaining of diabetic complications [34.7%]. Most of participants [55.1%] get high score 7-8 out of 8 questions in Knowledge. Although, there were 166 persons [32%] who couldn't reach full score in attitude evaluation. There was a large percentage of our participants [69%] had very low score 0-2 out of 6 in assessment of previous education of diabetic foot. More than half of participants [56.5%] had score 6-10 out of 15 in evaluation of practice with diabetic foot

Conclusion: diabetic foot in Saudi Arabia is existing, even amputations and other diabetic foot complications were also present. Diabetic patients have good knowledge and attitude toward diabetic foot. Education about diabetic foot and practice is still weak

Evaluation of tuberculosis awareness in eastern and western Saudi Arabia

Background: previously, and specifically at the last period of 20th century, TB was one of the major leading cause of death. However, the incidence of TB has been decreased. Around ten million cases have been reported in 2015, 61% of them are recorded in Asia. The yearly incidence rate of TB that is recorded in Saudi Arabia is 12/100,000. Eradicating TB is the future plan for the entire world, and WHO are intending to get free TB world. This plan can't be real if general populations are not aware of TB

Aim: the aim of this study is to assess knowledge, attitude and practice with TB among eastern and western Saudi Arabia community

Method: that was cross-sectional study. So, participants have been selected by random sample from public places in eastern and western Saudi Arabia. The tool that we used to collect data is Self-administrated questionnaire contains demographic part and awareness of TB evaluation part. Then we compare evaluations results according to many variables specifically the region by Chi-Square Test. We consider the result of the comparison is significant level once P-value < 0.05

Result: around 750 participants in this study [Response rate 93.75%] by mean age 32. Only 3.6% have a history of TB and 16.8 % have relative with a history of TB. Only 18.1% of participants have good knowledge, only 15.1% have favorable attitude and most of the participants have a good practice [63.7%]. People with high degree educational level have better knowledge than others. People who have relative with a history of TB have better knowledge. Females are better in attitude more than male, western populations have a better attitude than eastern, and people who have relative with a history of TB have a better attitude. People with high degree education have a better practice than others and people who have relative with a history of TB have a better practice

Conclusion: eastern and western region in Saudi Arabia have a very poor knowledge and Attitude towards TB, and Western populations have better attitude compared to that of Eastern. Participants have high percentage of a good practice which still needs to be improved Level of education is an important factor that may control the level of knowledge about TB