Mau oyamba Kuthyoka kwa Tibial ndi ena mwa omwe nthawi zambiri amakumana nawo kuvulala kwa mafupa aatali pamavuto a mafupa. Chifukwa tibia imanyamula katundu wambiri wamakina pomwe ili ndi minofu yofewa yochepa, kukwaniritsa kukhazikika kokhazikika popanda kusokoneza magazi kumakhalabe imodzi mwa njira zochepetsera thupi.

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 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.

Tangoganizirani kupambana kwa chithandizo cha fracture chomwe chimasintha njira yochira, kulola odwala kuti ayambenso kuyenda ndi moyo wawo mofulumira kuposa kale lonse. Kufotokozera Titanium Elastic Nail, njira yopangira maopaleshoni yomwe imapereka zabwino zambiri kuposa zachikhalidwe.

Kuphulika kwa chikazi, makamaka zomwe zimachitika mu femur (fupa la ntchafu), zingakhale zovulaza kwambiri komanso zofooketsa. Pamene kupasuka kumakhala kovuta kapena kumaphatikizapo kutayika kwakukulu kwa fupa, kukonzanso kwachikazi kwa intramedullary msomali nthawi zambiri kumatengedwa ngati njira yothandizira mankhwala. Izi ar