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 kweakasiyana asina kugadzikana fractures, senge femoral neck fractures, femoral fractures, femoral fractures. humeral stem fractures, nezvimwewo, kubvisa kuparadzwa kwekuyerera kweropa nekuderedza kuderedzwa.

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

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 kushatirwa 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.

Intramedullary tibial nailing: kuwana uye kurongeka, kurwadziwa kwemabvi anterior

Clavicle fractures ndechimwe chezvakanyanya kutsemuka, zvichitora 3% yezvose zvakaputsika. Nhoroondo, yakarapwa zvisiri-kushanda, asi mhedzisiro yacho haina kugara yakanaka. Kurapa kusina-operative kunogona kutungamirira kumatambudziko akadai sekurwadziwa, malunion, uye thoracic outlet syndrome. Nekuda kwekuvandudzwa kwemaitiro ekuvhiya ekugadzirisa, vazhinji vanovhiya vakasarudza kushandisa gadziriso yekuvhiya kurapa yakadzingwa clavicle fractures.