Ukunciphisa okuvaliweyo yindlela yokunciphisa encinci engasetyenziselwa ukuphuka okuzinzileyo ngaphandle kokulahleka kwegazi, akukho mngcipheko wokusuleleka, ukubuyiswa ngokukhawuleza kokusebenza, ukunciphisa iindleko zonyango, kwaye ingasetyenziselwa ukunciphisa ukuvalwa kwesikhonkwane esingenanto kunye ne-intramedullary pin fixation unyango lweefractures ezingazinzanga, ezifana ne-femoral neck fractures, i-femoral neck fractures, i-humeral stem fractures, njl., Ukuphelisa ukutshatyalaliswa kokuhamba kwegazi ngokunciphisa ukusika.

I-Femoral neck fracture yenye yezona zinto zixhaphakileyo ezijongene nokulimala kwamathambo ekusebenzeni kweklinikhi, kunye neninzi yezigulane ezisebekhulile ezibalelwa ngaphezu kwe-50% ye-hip fractures. Ngokwezibalo, iziganeko zokuqhekeka kwentamo ye-femoral ziye zanda ngokuthe ngcembe kwiminyaka yakutshanje, kunye

I-Unicompartmental knee arthroplasty (UKA) yindlela yotyando ye-knee arthroplasty (TKA) yonyango lwe-osteoarthritis unicompartmental. Nangona kunjalo, idatha yezinga lokungaphumeleli kwe-UKA libonisa i-7-year-survival rate ye-74%, ephantsi kakhulu kune-TKA (92%). Nangona imiba yezigulane ezayo inyusa umngcipheko wokungaphumeleli, njengezigulana ezincinci kunye ne-body mass index (BMI) inokunyusa umngcipheko wokungaphumeleli kwe-UKA, iimpazamo zobugcisa botyando ziye zabonwa njengemiba ebalulekileyo yomngcipheko wokusilela kwangoko. Kwi-UKA, kulucelomngeni ukufezekisa ukulungelelaniswa kweprosthetic kunye ne-overhang (overhang). I-prosthesis ye-tibial kufuneka ibe nobukhulu kwaye ifakwe ngendlela yokunciphisa ukucaphuka kwezicubu ezithambileyo, kunye ne-medial tibial overhang engaphezu kwe-3 mm ibonakaliswe njengengozi enkulu yokunciphisa i-Oxford Knee Score (OKS) kunye nokwanda kwentlungu. Eyona njongo iphambili yolu phononongo yayikukuvavanya zonke iziphumo zeklinikhi kunye nemifanekiso ye-UKA.

I-Intramedullary tibial nailing: ukufikelela kunye nokulungelelaniswa, intlungu yamadolo angaphambili

I-Clavicle fractures yenye yezona zinto zixhaphakileyo, zibalelwa kwi-3% yazo zonke iifractures. Ngokwembali, ibinganyangwa ngokungasebenziyo, kodwa iziphumo bezisoloko zilungile. Unyango olungasebenziyo lunokukhokelela kwiingxaki ezinjengeentlungu, i-malunion, kunye ne-thoracic outlet syndrome. Ngenxa yokuphuculwa kweendlela zokulungisa utyando, oogqirha abaninzi baye bakhetha ukusebenzisa ukulungiswa kotyando ukunyanga i-clavicle fractures.