Inkqubo ye-Inramellary ye-Intramellary iqulethe ukufakelwa kwe-metic kubandakanya ukunxibelelana nezikhonkwane zangaphakathi, ukulungisa iinzipho zemfusa, kunye ne-caps ye-Nail. Izikhonkwane ze-intramellary ziqulathe imingxunya yokuqhubela phambili nangokuzamkela isikhafu sokutshixa. I-Intramellary i-Intramellary edibeneyo inikezwe ngeendlela ezahlukeneyo zokubeka isikhafu esekwe kwindlela yoqhaqho, uhlobo lwezipikili kunye nezibonakaliso. Ukunxibelelana nezikhonkwane ze-fusion kubonakalisiwe ukuba i-Arthrodes ye-Arthrodesis inemingxunya yokutshixa kwelinye icala lendlela edibeneyo. Izikrelem ezitshixileyo zinciphisa amathuba okungcangcazela kunye nokujikeleza kwindawo ye-fusion.