Maupangiri Ochita Opaleshoni am'mafupa awona kupita patsogolo kwakukulu kwazaka zambiri, zomwe zapangitsa kuti pakhale zotsatira zabwino zachipatala komanso zokumana nazo za odwala. Chimodzi mwazinthu zatsopanozi ndi katswiri wa tibial intramedullary nail, njira yopangira opaleshoni yomwe yasintha kasamalidwe ka ti.

Kubwera kwa intramedullary msomali kunasintha kwambiri chithandizo cha kuthyoka kwa mafupa aatali. Ngakhale kuti lusoli linalipo kwa zaka mazana ambiri, silinakwaniritse zomwe zilipo panopa mpaka theka lachiwiri la zaka za zana la 20. Njira yopita kuchipambano sinali yophweka nthawi zonse, popeza njirayo idakumana ndi okayikira

Mau oyamba Kuthyoka kwa mapewa kumatha kukhala kuvulala kofooketsa komwe kumakhudza kuyenda ndi moyo wamunthu. Mwamwayi, kupita patsogolo kwa opaleshoni ya mafupa kwapangitsa kuti pakhale njira zatsopano zochizira, monga multi-lock humeral intramedullary nail. M'nkhaniyi, tidzakambirana

Maopaleshoni a mafupa asintha kwambiri pazaka zambiri, kupereka njira zabwino zochiritsira zosweka ndi kupunduka kwa mafupa. Kupititsa patsogolo kumodzi kotereku mu opaleshoni ya mafupa ndi katswiri wa femoral intramedullary nail. Njira yatsopanoyi yasintha kwambiri chithandizo cha kusweka kwa chikazi

Msomali wa PFNA ndi njira yomwe imagwiritsidwa ntchito kwambiri pa intramedullary fixation pochiza fractures zachikazi, makamaka osakhazikika komanso osteoporotic fractures. Tsamba lake la antirotation limapangitsa kukhazikika, limathandizira kulimbikitsana koyambirira, ndikuchepetsa kulephera kukonza, kupangitsa PFNA kukhala yankho lothandiza pakusamalidwa kwamakono kwa mafupa ovulala.