Isistimu ye Isipikili sangaphakathi komongo wethambo iqukethe izifakelo zensimbi ezihlanganisa izinzipho ze-intramedullary ezixhumene, izinzipho ezihlanganisiwe ezixhumene, 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 kokufushaniswa nokuzungezisa kusayithi lokuhlanganisa.