Vol 44 # 4 December 2012 - Kma.org.kw

December 2012
KUWAIT MEDICAL JOURNAL 352
Materials and Methods: A total of 803, randomly selected students aged 17 to 23 years (346 male, 457
female) from different colleges in Kuwait, were included in the study between 2009 and 2010. Systolic and
diastolic blood pressure measurements were taken by trained personnel. Pre-hypertension was defined as
systolic pressure between 120 and 139 mm Hg or diastolic pressure between 80 and 89 mm Hg. Risk factor
measurements that were determined, included smoking, body mass index (BMI), and family history of
hypertension. Blood samples were collected and impaired glucose tolerance (IGT) and lipid profile levels
were determined.
Results: There were no hypotensive students. Normotensives constituted 53.5% (n = 430), pre-hypertensives
formed 39.5% (n = 317), and hypertensive students comprised of 7% (n = 56). The overall proportions
of hypertension and pre-hypertension were higher among male students (85.7 and 64.4%) than female
students (14.3 and 35.6%), respectively. Hypertensive and pre-hypertensive students versus normotensive
students had significantly higher levels of BMI-based obesity, smoking, glycated hemoglobin (HbA1c),
and IGT. Also, hypertensive and pre-hypertensive, compared to normotensive students, had significantly
higher proportions (21.4, 18.3, and 4.0%, respectively) of risky high-density lipoprotein (HDL) level
(< 1 mg / dL), cholesterol (7.1, 3.8, and 1.4%, respectively), and triglycerides (TG) (17.9, 9.1, and 7.9%,
respectively) where p was< 0.001, 0.016, and 0.051, respectively.
Conclusion: Hypertensive and pre-hypertensive students showed elevated levels of lipids and BMIbased
obesity more than normotensive students. TG, HDL, HbA1c, and cholesterol appeared to influence
pre-hypertension.
Closed Reduction and Percutaneous Cannulated Screws Fixation
of Displaced Intra-Articular Calcaneus Fractures
Foot Ankle Surg 2012; 18:164-179
Abdelgaid SM
AL-Razi Orthopedic Hospital, Kuwait. E-mail: Sherifmaa@yahoo.com
Background: Displaced intra-articular calcaneal fractures remain a therapeutic challenge due to fracture
complexity and different treatment options. One of the adverse effects of operative treatment is secondary
damage to soft tissues. To avoid soft tissue complications, several less invasive procedures have been
introduced. The most frequently used minimally invasive technique is closed reduction of fracture and
percutaneous cannulated screws fixation.
Method: This study evaluates the medium-term outcome of a new technique of percutaneous treatment in
60 cases operated in Al-Razi orthopedic hospital in Kuwait in the period from 2007 to 2009. The described
technique applies the principle of closed manipulation with new reduction method using a medial
subperiosteal tunnel to manipulate the fragments. The technique involves new method of distribution of
screws required to fix the fracture.
Results: According to the American Orthopedic Foot and Ankle Society Hind foot Score, 38.3% of all cases
(22 cases) had excellent results, 41% good (25 cases), fair results in 15% (9 cases), and poor results in 5% (4
cases). The overall satisfactory results (excellent and good) were 79.3%.
Conclusion: The technique is suitable for most types of intra-articular fractures especially in patients with
compromised soft tissues in which open reduction and internal fixation is contraindicated.