Izinzipho ze-intramedullary ngokuvamile zisetshenziselwa ukwelapha ukuphuka kwamathambo amade, njengethambo lethanga) kanye ne-tibia (ithambo lethambo).Ezinye izimo ezivamile ezingase zidinge izinzipho ze-intramedullary zihlanganisa ama-Complexfractures, ukuhlukumezeka kwamandla aphezulu, Ukuphuka okungezona, ukuphuka kwe-Malunion njll. kuncike ezimweni ezithile zokuphuka, impilo yesiguli iyonke, kanye nokuhlolwa kukadokotela ohlinzayo.