Okulongoosa amagumba mu kitundu ekimu (UKA) ngeri ya kulongoosa mu kifo ky’okulongoosa amagulu gonna (TKA) okujjanjaba obulwadde bw’amagumba mu kitundu ekimu. Wabula, ebikwata ku muwendo gw’okulemererwa kwa UKA biraga nti omuwendo gw’okuwangaala mu myaka 7 gwa bitundu 74%, nga kino kiri wansi nnyo okusinga ogwa TKA (92%). Wadde ng’ensonga z’abalwadde bennyini zongera ku bulabe bw’okulemererwa, gamba ng’abalwadde abato n’omuwendo gw’omubiri ogw’amaanyi (BMI) guyinza okwongera ku bulabe bw’okulemererwa kwa UKA, ensobi z’ekikugu mu kulongoosa zibadde zitwalibwa ng’ensonga enkulu ez’obulabe eri okulemererwa amangu. Mu UKA, kizibu okutuuka ku kukwatagana okulungi kw’ebitundu by’omubiri ebikoleddwa mu ngeri ey’ekinnansi n’okuwanvuwa waggulu (overhang). Ekisenge ky’omugongo (tibial prosthesis) kirina okuba n’obunene n’okuteekebwa mu ngeri ekendeeza ku kunyiiga kw’ebitundu ebigonvu, era okuwanvuwa kw’ekisambi okw’omu makkati okusukka mm 3 kiragiddwa okuba eky’obulabe ennyo eri okukendeeza ku Oxford Knee Score (OKS) n’okweyongera kw’obulumi. Ekigendererwa ekikulu eky’okunoonyereza kuno kyali kya kwekenneenya ebiva mu bujjanjabi n’okukuba ebifaananyi okutwalira awamu ebya UKA.

Okumenya ensingo y’ekisambi kye kimu ku bisinga okusangibwa mu buvune bw’amagumba mu nkola y’obujjanjabi, ng’abalwadde abakadde abasinga obungi bakola ebitundu ebisukka mu 50% ku kumenya ekisambi. Okusinziira ku bibalo, omuwendo gw’okumenya ensingo y’ekisambi gweyongedde mpolampola mu myaka egiyise, nga...

Okukendeeza okuggaddwa y’enkola etali ya kuyingirira nnyo eyinza okukozesebwa ku kumenya okutebenkedde kw’ebitundu by’omubiri ebitali binywevu nga tewali kufiirwa musaayi, okuwona amangu mu kukola emirimu, okukendeeza ennyo ku nsaasaanya y’obujjanjabi, era esobola okukozesebwa ku kukendeeza okuggaddwa mu musumaali ogw’ebituli ne intramedullary pin fixation treatment of different unstable fractures, as femoral neck fractures, femoral stem fractures, tibiofibular okumenya, okumenya ekikolo ky’omugongo, n’ebirala, okumalawo okusaanyaawo okutambula kw’omusaayi nga bakendeeza ku kutema.

Okuggyawo emisumaali mu misuwa (intramedullary nails) nkola ya bulijjo, kubanga buli kkampuni ekola enjala egaba ebikozesebwa ebituufu ebigiggyamu. Kyokka, obwetaavu obwennyini obw’okuggyawo omusumaali omujjuvu ogw’omu lubuto (intramedullary nail) tebutera kubaawo. Omusumaali ogw’omu lubuto bwe gumala okukutuka, embeera efuuka ya magezi naddala.

Intramedullary nail kye ki?Intramedullary nailing kwe kulongoosa okuddaabiriza eggumba eryamenyese n’okulikuuma nga linywevu. Amagumba agasinga okuteekebwa mu nkola eno ge kisambi, ekisambi, ekisambi n’omukono ogwa waggulu. Omusumaali oba omuggo ogw’olubeerera guteekebwa wakati mu ggumba. Kijja kukuyamba okusobola okuteeka obuzito ku th