I-Unicompartmental knee arthroplasty (UKA) iyindlela yokuhlinzwa ye-knee arthroplasty (TKA) yokwelapha i-unicompartmental osteoarthritis. Kodwa-ke, idatha yezinga lokuhluleka kwe-UKA libonisa izinga lokusinda leminyaka engu-7 lika-74%, eliphansi kakhulu kunalelo le-TKA (92%). Nakuba izici zeziguli ngokwazo zandisa ingozi yokwehluleka, njengeziguli ezisencane kanye nenani eliphakeme lesisindo somzimba (BMI) kungase kwenyuse ingozi yokwehluleka kwe-UKA, amaphutha obuchwepheshe bokuhlinzwa abhekwe njengezici ezibalulekile zengozi yokwehluleka kwangaphambi kwesikhathi. Ku-UKA, kuyinselele ukuzuza ukuqondanisa kokwenziwa kwe-prosthetic kanye ne-overhang (i-overhang). I-prosthesis ye-tibial kufanele ibe nobukhulu futhi ifakwe ngendlela yokunciphisa ukucasuka kwezicubu ezithambile, futhi ukuqhuma kwe-tibial yangaphakathi okungaphezu kwe-3 mm kuboniswe ukuthi kuyingozi enkulu engozini yokunciphisa i-Oxford Knee Score (OKS) nobuhlungu obandayo. Inhloso eyinhloko yalolu cwaningo bekuwukuhlola yonke imiphumela yomtholampilo neyomfanekiso ye-UKA.

I-Femoral neck fracture ingenye yezingozi ezivame ukuhlangana nazo emisebenzini yomtholampilo, iningi leziguli esezikhulile ezibala ngaphezu kwe-50% ye-hip fractures. Ngokwezibalo, izigameko zokuphuka kwentamo yesifazane ziye zanda kancane kancane eminyakeni yamuva,

Ukwehliswa okuvaliwe kuyindlela encane ehlaselayo engasetshenziselwa ukuphuka okuzinzile kwamaphethelo ngaphandle kokulahlekelwa ukugeleza kwegazi, akukho bungozi bokutheleleka, ukululama okusheshayo, izindleko zezokwelapha ezincishisiwe kakhulu, futhi ingasetshenziselwa ukunciphisa ukuvala okuvaliwe kwezipikili ezingenalutho kanye nokwelashwa kwe-intramedullary pin fixation yokuphuka okungazinzile okuhlukahlukene, njengokuphuka kwentamo ye-femoral, i-stem fractures, i-femoral neck fractures, ukuphuka kwesiqu se-humeral, njll., ukuqeda ukucekelwa phansi kokugeleza kwegazi ngokuncishiswa kwe-incision.

Ukususwa kwezipikili ze-intramedullary kuyindlela evamile, njengoba umkhiqizi ngamunye ehlinzeka ngamathuluzi afanele okususa. Kodwa-ke, isidingo sangempela sokususa isipikili esiphelele se-intramedullary asivamile. Uma isipikili se-intramedullary siqhuma, isimo siba nzima kakhulu.

Yini i-intramedullary nail?I-Intramedullary nail iwukuhlinzwa ukulungisa ithambo eliphukile futhi lihlale lizinzile. Amathambo avamile alungiswa yile nqubo ithanga, i-shin, inqulu, nengalo engenhla. Isipikili noma induku ehlala njalo ifakwa phakathi nendawo yethambo. Kuzokusiza ukuthi ukwazi ukubeka isisindo ku-th