NkaneloVuhandzuri bya marhambu byi hoxa xandla swinene eku tshunguleni ka swiyimo swa misiha na marhambu, naswona ku tirhisiwa ka tipuleti ta nsimbi leyi nga riki na swilo i mukhuva lowu tolovelekeke eka maendlelo yo tano. Tipuleti ta nsimbi leyi nga riki na swilo swa marhambu i switirhisiwa swa vutshunguri leswi tirhisiwaka hi tindlela to hambana-hambana leswi endleriweke ku antswisa ku hola ka marhambu ni ku tiya. Eka xihloko lexi, .

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.

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 ra xiyimo xa le henhla leri nyikaka swipfuno leswikulu ku tlula swa ndhavuko