Evolving the design of intramedullary nails

Want to know how?

Micromotion stimulates bone callus formation at the fracture site

why micromotion?

Enabling fixation with 1mm of controlled axial micromotion

meet the team behind micromotion


Published Research

Our Story

As our musculoskeletal system has evolved so have our methods of fracture fixation, from the ancient Egyptians using papyrus and splints, to plaster casts, external fixators and now the present day where titanium nails are implanted surgically in the bone.

OrthoXel is a specialist orthopaedic trauma company, using innovative engineering design to evolve truly next generation fracture fixation devices. OrthoXel is committed to developing powerful patient-focused fracture care, offering surgeon-designed devices and an innovative approach to clinical evaluation, from initial concept designs through to full product launch. The Apex Tibial Nailing System has US 510(k) and is currently in clinical use. The Apex Femoral Nailing System has also received FDA 510(k) clearance.

Find Out More | Meet The Team

Our Products

Apex Femoral Nailing System

Fracture fixation reinvented – the first and only femoral nailing system to feature micromotion fixation. The nail can also be rigidly locked by the addition of a locking endcap that compresses all screws into a totally rigid construct. Various trajectories of advanced locking options offer unparalleled flexibility resulting in the ability to be utilized for a wide range of femur fracture types.

  • US FDA 510k cleared
  • Versatile locking options
  • Antegrade Greater Trochanteric Entry
  • Anatomical curvature nail
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Apex Tibial Nailing System

The Apex Tibial Nailing System is the next evolution in fracture fixation. The world’s first nailing system to promote secondary bone healing with controlled axial micromotion and outstanding torsional stability. Multiple advanced locking options deliver best-in-class fixation for a wide variety of clinical needs. With infrapatellar and suprapatellar insertion options.

  • US FDA 510k cleared
  • Unique axial micromotion
  • Ultimate rigid cross locking
  • Click here to read clinical evidence
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News & Events

OrthoXel Welcome Lord Mayor of Cork, Cllr Colm Kelleher and Mayor of Cork County, Cllr Gillian Coughlan to new offices.

OrthoXel were delighted to welcome Lord Mayor of Cork, Cllr Colm Kelleher and Mayor of the County of Cork,... Find Out More

Case: Male 45 Heavy Smoker, Suspected Poly-Substance Abuse Closed Tibial Fracture

Case Information: Male, age 45, heavy smoker, alcoholic, unemployed with suspected poly-substance abuse. Bike accident resulted in a closed... Find Out More

OrthoXel founders co-author exciting new tibial fracture research protocol published in JB&JS

OrthoXel is thrilled to have three of its founding members’; Charles Daly, Hannah Dailey and James Harty, co-author this... Find Out More

Our Testimonials

Hannah Dailey

Chief Scientific Officer

Our clinical research protocol is one of a kind. We are using cutting-edge image-based analysis techniques to visualize the fracture and new bone formation. We can assess the structural integrity, not just the visual appearance of callus [new bone] formation, giving insights into healing that are fully quantifiable, robust, and unbiased.

Our Testimonials

James Harty

Consultant Orthopaedic Surgeon Cork University Hospital

As an orthopaedic surgeon in a high intensity trauma center it is tremendously exciting to be implanting the Apex Tibia Nail, with features that are unique vs any other intramedullary nail available today.

Our Testimonials

Rob Hurley

Orthopaedic Surgeon, Cork University Hospital

“The science behind the Apex nail just makes sense. We have all had those patients whose fractures just wouldn’t heal. We had been using essentially the same technology for decades, without once trying to harness the natural biology of fracture healing. The Apex nail addresses this, and it is exciting times ahead.”

healthcare professionals

If you are a healthcare professional and would like to review surgical technique guides or instructions for use click here