Zvipikiri zvemukati medullary zvinowanzo shandiswa kurapa kuputsika kwemapfupa akareba, senge thefemur (chidya bhonzo) uye tibia (shinbone). Mamwe mamiriro ezvinhu anowanzoitika angada intramedullary chipikiri anosanganisira Complexfractures, High-energy trauma, Nonunionfractures, Malunion fractures, Malunion fractures etc. zvinoenderana nemamiriro chaiwo ekutyoka, hutano hwemurwere hwese, uye kuongororwa kwachiremba.