Nidaamka ciddiyaha ee tooska ah ee loo yaqaan ' Cidhifyada ciddiyaha ee Ingentrand-ka waxay leeyihiin godad si heer sare ah oo kala duwan si ay u aqbalaan xirmooyinka qufulka. Cidhiidhada luqadaha dhex-dhexaadka ah ee dhexgalka Isku-darka ciribtirka ciddiyaha ee lagu tilmaamay in arthrodesis wadajirka ah ay leeyihiin godad daboolan oo loogu talagalay qufulka labada dhinac ee wadajirka ah. Xirmooyinka qufulka waxay yareeyaan suuragalnimada gaabinta iyo wareejinta goobta firidhsan.