Isipikili sangaphakathi komnkantsha wethambo Isistimu iqukethe izigxivizo zensimbi ezifaka phakathi izinzipho ze-intramedullary ezixhumene, izinzipho ezihlanganisiwe ezihlanganisiwe, namakepisi wezinzipho. Izinzipho ze-Intramedullary ziqukethe izimbobo ezisondelene futhi ezikude ukuze zamukele Izikulufu zokukhiya . I-Intramedullary Interlocking Nails inikezwa ngezinketho ezihlukahlukene zokubeka isikulufa ngokusekelwe endleleni yokuhlinzwa, uhlobo lwezinzipho kanye nezinkomba. Izinzipho Zokuhlanganiswa Okuhlanganayo ezikhonjiswe i-arthrodesis ehlangene zinezimbobo zokukhiya nhlangothi zombili zejoyinti elihlanganiswayo. I- Izikulufu zokukhiya yehlisa ukuba nokwenzeka kokufinyezwa nokuzungezisa kusayithi lokuhlanganisa.