Socket interface pressure and amputee reported outcomes for comfortable and uncomfortable conditions of patellar tendon bearing socket: a pilot study

The objectives of the current study were to compare intra-socket pressure differences between comfortable and uncomfortable socket conditions, and the usefulness of subject perception of satisfaction, activity limitations, and socket comfort in distinguishing between these two socket conditions. Five unilateral trans-tibial amputees took part in the study. They answered the Socket Comfort Score (SCS) and Trinity Amputation and Prosthetic Experience Scale (TAPES) questionnaires before the interface pressure (in standing and walking) was measured for the uncomfortable socket condition at five regions of the residual limb. Participants were then provided with a comfortable socket and wore it for two weeks. Participants who were satisfied with the socket fit after two weeks repeated the SCS and TAPES questionnaires and interface pressure measurements. The differences between the test results of the two conditions were not statistically significant, except for the interface pressure at the popliteal region during the early stance phase, TAPES socket fit subscale, and the SCS. Due to large variability of the data and the lack of statistical significance, no firm conclusion can be made on the possible relationship between the interface pressure values and the patient-reported outcomes of the two socket conditions. A larger sample size and longer acclimation period are required to locate significant differences.N/

Cost utility analysis of knee prosthesis with complete microprocessor control (C-leg) compared with mechanical technology in trans-femoral amputees

C-leg, Cost–utility, Amputees, EuroQol, M2,

Cardiovascular disease and inflammation

Polycystic ovary syndrome (PCOS) is not only a reproductive disorder, but also a complex, multifaceted, endocrine disease with several associated health complications. In fact, multiple lines suggest an increased cardiovascular risk and cardiovascular disease characterized by an impairment of cardiac structure and function, endothelial dysfunction, lipid abnormalities, and low-grade chronic inflammation. The increased prevalence of low-grade chronic inflammation in women with PCOS represents an emerging novel mechanism for cardiovascular disease in these women. All these features are likely linked to the insulin-resistance often present in women with PCOS. Cardiovascular disease and inflammation represent important long-term sequelae of PCOS that warrant further in-depth investigation