Karyewar radius mai nisa yana cikin mafi yawan karaya a cikin tsofaffi. A halin yanzu an ayyana mutanen da ke tsakanin shekaru 50 zuwa 75 a matsayin tsofaffi. Halin raunin radius mai nisa yana ƙaruwa kowace shekara yayin da kewayon motsi a cikin tsofaffi yana ƙaruwa.

Meniscus wani nau'i ne na fibrocartilage mai siffar meniscus tare da sashin giciye na triangular da ke tsakanin tibial condyle da plateau, wanda ya inganta ingantaccen haɗin gwiwa na femoro-tibial kuma yana taka muhimmiyar rawa a cikin haɗin gwiwa na gwiwa.

Cire kusoshi na intramedullary hanya ce ta yau da kullun, kamar yadda kowane masana'anta ke ba da kayan aikin cirewa da suka dace. Koyaya, ainihin buƙatar cire cikakkiyar ƙusa intramedullary yana da wuya. Da zarar ƙusa intramedullary ya karye, lamarin ya zama mai wahala musamman.

Koyi lokacin cire ƙusa na intramedullary ya zama dole, gami da ciwo mai alaƙa da shuka, kamuwa da cuta, rashin haɗin kai, da la'akarin maye gurbin haɗin gwiwa.