ʻO nā haʻihaʻi o ka radius distal kekahi o nā haʻihaʻi maʻamau i ka poʻe ʻelemakule. ʻO ka poʻe ma waena o nā makahiki 50 a me 75 i kēia manawa i wehewehe ʻia he ʻelemakule. Ke piʻi aʻe nei ka nui o nā haʻihaʻi radius distal i kēlā me kēia makahiki e like me ka piʻi ʻana o ka neʻe ʻana o ka poʻe ʻelemakule.

ʻO ka meniscus he fibrocartilage meniscus me kahi ʻāpana triangular i loaʻa ma waena o ka condyle tibial a me ka pāpū, kahi e hoʻomaikaʻi maikaʻi ai i ka hui ʻana o ka femoro-tibial a hoʻokani i kahi kuleana nui i ka dynamics hui kuli.

ʻO ka wehe ʻana i nā kui intramedullary kahi kaʻina hana maʻamau, no ka mea, hāʻawi kēlā me kēia mea hana i nā mea hoʻoneʻe kūpono. Eia nō naʻe, ʻo ka pono maoli e wehe i ke kui intramedullary piha he mea kakaikahi. I ka wā e haki ai ke kui intramedullary, lilo ke kūlana i mea paʻakikī.

E aʻo i ka wā e pono ai ka wehe ʻana i ke kui intramedullary, me ka ʻeha pili i ka implant, ka maʻi, ka nonunion, a me ka noʻonoʻo ʻana i ka hoʻololi ʻana.