Nts'etsopele ea kalafo ea ho robeha ha botšehali e ka saloa morao ho tloha lilemong tsa bo-1940 ha Kuntscher a ne a hlahisa mokhoa o koetsoeng oa lipekere oa intramedullary. Tšebeliso ea lipekere tsa intramedullary (IMNs) ho fractures ea botšehali e fetohile mokhoa oa tlhokomelo lilemong tse mashome a seng makae tse fetileng, 'me lintlafatso tsa morao-rao tsa lipekere tsa intramedullary le tsoelo-pele ea mekhoa ea ho buoa li lumeletse keketseho e kholo ea tšebeliso ea intramedullary nailing ea femur.