Endlelo ra swipikiri swa le ndzeni ka marhambu ri ni swilo leswi nghenisiwaka hi nsimbi ku katsa ni swipikiri swa le ndzeni ka marhambu leswi hlanganisiweke, swipikiri swa fusion leswi hlanganisaka ni swipikiri swa swipikiri. Swipikiri swa intramedullary swina ti holes proximally na distally ku amukela swikwirikiri swo pfala. Intramedullary interlocking nails yi nyikiwa na tindlela to hambana ta ku vekiwa ka swikwirikiri leswi simekiweke eka ndlela ya vuhandzuri, muxaka wa swipikiri na swikombiso. Swipikiri swa fusion leswi hlanganisaka leswi kombisiweke swa arthrodesis ya nhlangano swina swikokovi swa swikwirikiri swo khiya eka matlhelo hinkwawo ya nhlangano lowu fuyiwaka. Swikwirikiri swo pfala swi hunguta ku koteka ka ku koma na ku rhendzeleka eka ndzhawu ya fusion.