Misomali ya intramedullary imagwiritsidwa ntchito pochiza mafupa aatali othyoka, monga thefemur (fupa la ntchafu) ndi tibia (shinbone). Nthawi zina zomwe zingafunike msomali wa intramedullary ndi monga Complexfractures, High-energy traumas, Nonunionfractures, Malunion fractures, Malunion fractures etc. zimadalira pamikhalidwe yomwe yathyoka, thanzi lonse la wodwalayo, ndi kuyezetsa kwa dokotala.