Arthroplasty yo mu ivi idasanzwe (UKA) ni uburyo bwo kubaga ubundi buryo bwo kuvura ivi (TKA) bwo kuvura osteoarthritis idafite ibice. Nyamara, imibare yerekana kunanirwa kwa UKA yerekana imyaka 7 yo kubaho kwa 74%, ikaba iri munsi cyane ugereranije na TKA (92%). Nubwo abarwayi ubwabo bongera ibyago byo gutsindwa, nk'abarwayi bakiri bato ndetse n’ikigereranyo kinini cy’umubiri (BMI) gishobora kongera ibyago byo gutsindwa kwa UKA, amakosa ya tekiniki yo kubaga yafashwe nk’impamvu zikomeye zitera kunanirwa hakiri kare. Muri UKA, biragoye kugera kubikorwa byiza bya prostate no guhuza (overhang). Prothèse ya tibial igomba kuba nini kandi igaterwa muburyo bugabanya uburakari bworoshye bworoshye, kandi tibial medial overhang ya mm zirenga 3 byagaragaye ko ari ibintu byingenzi bishobora gutera amanota ya Oxford Knee (OKS) no kongera ububabare. Intego yibanze yubu bushakashatsi kwari ugusuzuma ibyavuye mu mavuriro n’amashusho muri UKA.

Kuvunika ijosi ry'umugore ni kimwe mu bikomeretsa cyane amagufwa mu bikorwa byo kwa muganga, aho abarwayi benshi bageze mu zabukuru bangana na 50% by'imvune zo mu kibuno. Nk’uko imibare ibigaragaza, indwara zo kuvunika ijosi ry’umugore zagiye ziyongera buhoro buhoro mu myaka yashize, hamwe

Kugabanya gufunga ni tekinike yibasirwa cyane ishobora gukoreshwa kumeneka ihamye yimitsi idatakaza umuvuduko wamaraso, nta ngaruka zo kwandura, gukira vuba, kugabanuka kwamafaranga yubuvuzi, kandi irashobora gukoreshwa muburyo bwo kugabanya gufunga imisumari yimisumari no kuvura imiti ivura imvune zinyuranye zidahungabana, nko kuvunika kwijosi ryumugore, kuvunika kwangirika kwamaraso, kugabanuka kwa tibiofibular.

Gukuraho imisumari yimbere ni inzira isanzwe, kuko buriwukora atanga ibikoresho byo gukuraho. Ariko, icyifuzo gikenewe cyo gukuraho imisumari yuzuye ntisanzwe. Iyo imisumari yimbere imaze guturika, ibintu biba bigoye cyane.

Umusumari uteganijwe ni iki? Gutera imisumari imbere ni kubaga gusana igufwa ryacitse kandi rikaguma rihamye. Amagufwa asanzwe akosorwa nubu buryo ni ikibero, shin, ikibuno, hamwe nububoko bwo hejuru. Umusumari cyangwa inkoni ihoraho bishyirwa hagati yamagufwa. Bizagufasha gushobora gushyira uburemere kuri th