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 yokuhlukana okuhlukahlukene okungazinzile, njengokuphuka kwentamo ye-femoral, i-stem fractures, i-femoral neck fractures, ukuphuka kwesiqu se-humeral, njll., ukuqeda ukucekelwa phansi kokugeleza kwegazi ngokuncishiswa kwe-incision.

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,

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 eliphezulu 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 enciphisa ukucasuka kwezicubu ezithambile, futhi ukukhuphuka kwe-tibial yangaphakathi okungaphezu kwe-3 mm kuboniswe ukuthi kuyingozi enkulu engozini yokuncipha kwe-Oxford Knee Score (OKS) nobuhlungu obandayo. Inhloso eyinhloko yalolu cwaningo bekuwukuhlola yonke imiphumela yomtholampilo neyomfanekiso ye-UKA.

I-Intramedullary tibial nailing: ukufinyelela nokuqondanisa, ubuhlungu bamadolo angaphambili

I-Clavicle fractures ingenye yezifo ezivame kakhulu, ezibalelwa ku-3% wazo zonke iziqephu. Ngokomlando, bekulashwa ngokungasebenzi, kodwa imiphumela ibingahlali mihle ngaso sonke isikhathi. Ukwelashwa okungezona ukusebenza kungaholela ezinkingeni ezifana nobuhlungu, i-malunion, ne-thoracic outlet syndrome. Ngenxa yentuthuko yamasu okulungisa ukuhlinza, odokotela abaningi abahlinzayo bakhethe ukusebenzisa ukulungiswa kokuhlinzwa ukuze belaphe ukuphuka kwe-clavicle okususiwe.