Patellofemoral instability (PFI) inowanzoitika mukukuvara kwemabvi evana. PFI inokonzerwa nekusaenzana kwe patellar dynamic relationship mu femoral trochlear groove. Kubviswa kwekunze kwepatella ndiyo yakanyanyisa yePFI, iyo inokonzerwa nekukuvadzwa kwemukati stabilizer, zvichiita kuti patella irove lateral femoral condyle.

Kuputsika kunowanzoperekedzwa nekukuvara kune dzimwe nhengo dzemuviri. Muchirongwa chese chekurapa, varwere vanofanirwa kurapwa vese.

Unicompartmental knee arthroplasty (UKA) inzira yekuvhiya kune yakazara knee arthroplasty (TKA) yekurapa unicompartmental osteoarthritis. Zvisinei, dheta pamusoro pekukundikana kweUKA kunoratidza 7-gore kupona kwe74%, iyo yakanyanya kuderera kupfuura yeTKA (92%). Kunyange zvazvo zvikonzero zvevarwere pachavo zvinowedzera njodzi yekukundikana, zvakadai sevarwere vadiki uye yakakwirira body mass index (BMI) inogona kuwedzera njodzi yekukundikana kweUKA, zvikanganiso zvekuvhiya zvehunyanzvi zvakaonekwa sezvikonzero zvakakosha zvekutadza kwekutanga. MuUKA, zvinonetsa kuwana yakakwana prosthetic alignment uye overhang (overhang). Iyo tibial prosthesis inofanira kunge yakakura uye yakasimwa nenzira inoderedza kutsamwiswa kwezvinyoro zvinyoro, uye kuputika kwepakati kwepakati kwepamusoro pe3 mm kwakaratidzwa kuva chinhu chikuru chengozi yekuderera kweOxford Knee Score (OKS) uye kuwedzera kurwadziwa. Chinangwa chikuru chechidzidzo ichi chaive chekuongorora mhedzisiro yekiriniki nekufungidzira yeUKA.

Femoral neck fracture ndeimwe yezvinowanzosangana nekukuvadzwa kwemapfupa mumakiriniki, uye vazhinji vevarwere vakwegura vanoverengera kupfuura 50% yehudyu fractures. Maererano nehuwandu, chiitiko chekutyoka kwemutsipa wevakadzi chakawedzera zvishoma nezvishoma mumakore achangopfuura, ne

Yakavharwa kuderedzwa ndiyo nzira shoma inopindira inogona kushandiswa kune yakagadzikana kuputsika kwemagumo pasina kurasikirwa kwekuyerera kweropa, pasina njodzi yehutachiona, kukurumidza kushanda kupora, kuderedzwa zvakanyanya mari yekurapa, uye inogona kushandiswa kuvharwa kuderedzwa kwembambo mbambo uye intramedullary pini kugadzirisa kurapwa kwakasiyana kusagadzikana fractures, senge femoral neck fractures, femoral fractures, femoral fractures. humeral stem fractures, nezvimwewo, kubvisa kuparadzwa kwekuyerera kweropa nekuderedza kuderedzwa.