Amekoko siwo wowɔna le ŋgɔdonyawo me kpɔ ŋgɔyiyi gãwo teƒe le ƒeawo me, si na atikewɔwɔ me tsonu nyo ɖe edzi eye dɔnɔwo ƒe nuteƒekpɔkpɔwo nyo ɖe edzi. Nu yeye mawo dometɔ ɖekae nye nu yeye si nye tibial intramedullary nail, si nye amekokomɔnu si trɔ asi le TI ƒe dɔdzikpɔkpɔ ŋu .

Aɖatsi si le lãkusia me ƒe vava trɔ asi le ƒu ƒe gbagbã didiwo dada ŋu. Togbɔ be aɖaŋua nɔ anyi ƒe alafa geɖe hã la, meɖo eƒe nɔnɔme si li fifia gbɔ o vaseɖe ƒe alafa 20 lia ƒe afã evelia me. Mɔ si dzi woato akpɔ dzidzedze menɔa bɔbɔe ɣesiaɣi o, elabena wotsɔ ɖikela do go aɖaŋua .

Ŋgɔdonya Abɔta ƒe gbagbã ate ŋu anye abi siwo gblẽa nu le ame ŋu si gblẽa nu le ame ƒe ʋuʋu kple agbenɔnɔ ƒe nyonyome ŋu. Dzɔgbenyuietɔe la, ŋgɔyiyi siwo wowɔ le ƒumeŋutinunya me na woto atikewɔwɔmɔnu yeyewo vɛ, abe humeral intramedullary nail si wotsɔa ʋuƒo geɖe ƒoa nui ene. Le nyati sia me la, mí .

Ƒumeŋuɖui ƒe dɔwɔwɔwo va trɔ ŋutɔ le ƒeawo me, si na atikewɔmɔnu nyuiwo nyo na ƒu ƒe gbagbã kple ƒu ƒe gbagbã. Ŋgɔyiyi mawo dometɔ ɖekae nye ƒumeŋutinunya ƒe dɔwɔwɔ na amee nye afɔkpodzi ƒe lãkusi si wotsɔ ƒoa afɔkpodzie si bi ɖe ƒumeŋuɖui me. Mɔnu yeye sia trɔ asi le afɔkpodzi ƒe gbagbã ŋu .

PFNA ƒe ɖa nye nusi wozãna le ʋuka me ƒe ɖoɖo si wozãna le afisiafi hena afɔkpodzi ƒe gbagbã siwo te ɖe eŋu dada, vevietɔ akɔta ƒe gbagbã siwo meli ke o kple ƒumeŋuɖui. Eƒe antirotation blade doa ŋusẽ liƒo, edoa alɔ ʋuʋu kaba, eye wòɖea fixation ƒe kpododonu dzi kpɔtɔna, si wɔnɛ be PFNA nyea egbɔkpɔnu nyui aɖe le egbegbe ƒumeŋutinunya ƒe nuveviwɔame dzi kpɔkpɔ me.