Sisitemu ya Intramedullary Nail igizwe no guteramo ibyuma birimo guhuza imisumari yimbere, guhuza imisumari ya fusion, hamwe na capit. Imisumari yimbere irimo umwobo hafi kandi kure kugirango wemere imigozi ifunga. Intramedullary Interlocking Imisumari itangwa hamwe nuburyo butandukanye bwo gushyira screw hashingiwe kuburyo bwo kubaga, ubwoko bwimisumari nibimenyetso. Guhuza imisumari ya Fusion yerekanwe kuri arthrodezi ifatanye ifite umwobo wo gufunga kumpande zombi zifatanije. Imigozi yo gufunga igabanya amahirwe yo kugabanuka no kuzunguruka kurubuga rwa fusion.