unicompartmental knee arthroplasty (UKA) ye nkola ey’okulongoosa okugulu okugulu okugulu (TKA) okujjanjaba obulwadde bw’amagumba obumu. Wabula, ebikwata ku muwendo gw’okulemererwa kwa UKA biraga nti emyaka 7 egy’okuwangaala gya bitundu 74%, nga kino kitono nnyo okusinga ekya TKA (92%). Wadde ng’ensonga z’abalwadde bennyini zongera obulabe bw’okulemererwa, gamba ng’abalwadde abato n’omuwendo gw’omubiri ogw’amaanyi (BMI) guyinza okwongera ku bulabe bw’okulemererwa kwa UKA, ensobi mu by’ekikugu mu kulongoosa zibadde zitwalibwa ng’ebintu ebikulu eby’obulabe eri okulemererwa amangu. Mu UKA, kizibu okutuuka ku kukwatagana kw’ebitundu by’omubiri (prosthetic alignment) n’okusukka (overhang). Ekitundu ky’omugongo (tibial prosthesis) kisaana okussibwamu sayizi n’okuteekebwa mu ngeri ekendeeza ku kunyiiga kw’ebitundu ebigonvu, n’okusukkuluma kw’omugongo ogw’omu makkati (medial tibial overhang) okusukka mm 3 kulagiddwa okuba ensonga enkulu ey’obulabe eri okukendeera kw’obubonero bw’okugulu kwa Oxford (OKS) n’obulumi obweyongedde. Ekigendererwa ekikulu eky’okunoonyereza kuno kyali kya kwekenneenya ebiva mu bujjanjabi n’okukuba ebifaananyi okutwalira awamu mu UKA.

Okumenya ensingo y’ekisambi kye kimu ku bisago ebisinga okusangibwa mu nkola y’amagumba mu nkola y’obujjanjabi, ng’abalwadde abakadde abasinga obungi bakola ebitundu ebisukka mu 50% eby’okumenya ekisambi. Okusinziira ku bibalo, obungi bw’okumenya ensingo y’omu kifuba (femoral neck fractures) kweyongedde mpolampola mu myaka egiyise, nga

Closed reduction is the minimally invasive technique that can be used for stable fractures of extremities with no loss of blood flow, no risk of infection, fast functional recovery, significantly reduced medical costs, and can be used for closed reduction hollow nail and intramedullary pin fixation treatment of various unstable fractures, such as femoral neck fractures, femoral stem fractures, tibiofibular fractures, humeral stem fractures, etc., okumalawo okusaanyaawo omusaayi okutambula nga kikendeeza ku musaayi.

Okuggyawo emisumaali egy’omu lubuto (intramedullary nails) nkola ya bulijjo, kubanga buli mukozi awaayo ebikozesebwa ebituufu eby’okuggyawo. Naye, obwetaavu bwennyini obw’okuggyawo omusumaali omujjuvu ogw’omu lubuto si kya bulijjo. Omusumaali ogw’omu lubuto bwe gumala okukutuka, embeera efuuka ey’akakodyo naddala.

Omusumaali ogw’omu lubuto (intramedullary nail) kye ki?Okusumba emisumaali egy’omu lubuto (intramedullary nailing) kwe kulongoosa okuddaabiriza eggumba eryamenyeka n’okugikuuma nga tekyukakyuka. Amagumba agasinga okunywezebwa mu nkola eno ye kisambi, ekisambi, ekisambi n’omukono ogwa waggulu. Omusumaali oba omuggo ogw’olubeerera guteekebwa wakati mu ggumba. Kijja kukuyamba okusobola okuteeka obuzito ku th .