NkaneloVuhandzuri bya marhambu byi vonile nhluvuko lowukulu eka malembe lawa ya hundzeke, leswi yiseke eka ku antswisiwa ka mimbuyelo ya vutshunguri na ku antswisiwa ka ntokoto wa vavabyi. Xin’wana xa swilo swo tano leswi hlamarisaka i xipikiri xa vutshila xa tibial intramedullary, ku nga endlelo ra vuhandzuri leri hundzuleke ndlela leyi ti yi lawulaka ha yona

Ku fika ka xipikiri xa le ndzeni ka medullary ku hundzule vutshunguri bya ku tshoveka ka marhambu yo leha. Hambileswi endlelo leri a ri ri kona ku ringana malembe-xidzana yo tala, a ri fikelelanga xiyimo xa rona xa sweswi ku fikela eka hafu ya vumbirhi ya lembe-xidzana ra vu-20. Ndlela yo humelela a yi nga olovi minkarhi hinkwayo, tanihi leswi endlelo leri a ri hlangana ni lava kanakanisaka

NkaneloKu tshoveka ka makatla ku nga va ku vaviseka loku tsanisaka loku khumbaka ku fambafamba ka munhu na khwalithi ya vutomi. Nkateko wa kona, nhluvuko eka vuhandzuri bya marhambu wu endle leswaku ku endliwa tindlela letintshwa ta vutshunguri, to tanihi xipikiri xa multi-lock humeral intramedullary nail. Eka xihloko lexi, hi ta

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.