NkaneloKu tshoveka ka tibial i swin’wana swa ku vaviseka ka marhambu yo leha loku talaka ku hlangana na kona eka ku vaviseka ka marhambu. Hikuva tibia yi rhwala ndzhwalo lowukulu wa michini loko yi ri na ku funengetiwa ka tinyama to olova loku nga nyawuriki, ku fikelela ku khomiwa loku tiyeke handle ko kavanyeta mphakelo wa ngati swi tshama swi ri xin’wana xa

Vuhandzuri bya marhambu byi hundzukile swinene hi ku famba ka malembe, byi nyikela tindlela to antswa to tshungula ku tshoveka ka marhambu ni ku tsana ka marhambu. Yin’wana ya nhluvuko wolowo eka vuhandzuri bya marhambu i xipikiri xa vutshila xa femoral intramedullary. Endlelo leri ra vutshila ri hundzule vutshunguri bya ku tshoveka ka xirhendze

Xipikiri xa PFNA i sisiteme ya intramedullary fixation leyi tirhisiwaka ngopfu ku tshungula ku tshoveka ka proximal femoral, ngopfu ngopfu ku tshoveka ka hip loku nga tshamisekangiki na osteoporotic. Blade ya yona ya antirotation yi ndlandlamuxa ku tshamiseka, yi seketela ku hlengeletiwa ka ha ri na nkarhi, naswona yi hunguta ku tsandzeka ka fixation, leswi endlaka leswaku PFNA yi va ntlhantlho lowu tirhaka eka nhlayiso wa manguva lawa wa marhambu ya marhambu.

Anakanya hi ku humelela eka vutshunguri bya ku tshoveka loku hundzulaka endlelo ro hola, ku pfumelela vavabyi ku tlhela va kota ku famba-famba ni khwalithi ya vutomi bya vona hi ku hatlisa ku tlula rini na rini. Ku tivisa Titanium Elastic Nail, endlelo ra vuhandzuri bya xiyimo xa le henhla leri nyikaka swipfuno leswikulu ku tlula swa ndhavuko

Ku tshoveka ka femoral, ngopfu ngopfu loku humelelaka eka femur (thigh bone), ku nga va ku vaviseka lokukulu no tsanisa. Eka swiyimo laha ku tshoveka ku rharhanganeke kumbe ku katsa ku lahlekeriwa lokukulu ka marhambu, ku pfuxetiwa ka femoral reconstruction intramedullary nail hakanyingi ku tekiwa tanihi ndlela ya vutshunguri leyi tirhaka. Leswi ar