Apex nails are the first and only IM nails to promote secondary bone healing with controlled axial micromotion and outstanding torsional stability.

The Vertex Hip Fracture Nailing System (Vertex HFN) provides optimal stability, versatility and usability through the use of a fluted nail stem, two interdigitating screws and a stability-focused set screw.

Vertex HFN Superior

Learn More >

Vertex HFN Inferior

Learn More >

Vertex HFN Single Lag

Learn More >

VERTEX SOLUTION

*The Vertex Hip Fracture Nailing System (Vertex HFN) is not currently available for sale or distribution within the European Union.

OUR MISSION

OrthoXel is dedicated to developing and launching a fracture fixation portfolio that consistently challenges the accepted and positively impacts patient outcomes.

Discover the History of Intramedullary Nailing

History of Intramedullary Nailing

Company Milestones

Sean Campbell

Assistant Professor & Orthopaedic Trauma Surgeon, Department of Orthopaedic Surgery, UC Davis Medical Center (Sacramento, California)

“What intrigued me about the Apex Nail is that it allows mini-dynamization even with multiple interlocks, giving both stability and controlled motion. In challenging fractures - like non-weightbearing or delayed-healing cases - I’ve seen how this design can help restimulate bone healing once patients start walking. It’s a really practical solution.”

“

Augustine Saiz

Assistant Professor & Orthopaedic Trauma Surgeon, Department of Orthopaedic Surgery, UC Davis Medical Center (Sacramento, California)

“I’ve used the Apex Nail in complex flap and transport cases where healing environments are far from ideal. The controlled micromotion seems to stimulate robust callus formation, even in senescent bone. It’s created conditions more conducive to healing and reduced the risk of nonunion in some very difficult fractures.”

“

MICHAEL J. WEAVER

Chief of Orthopaedic Surgery, Brigham & Women's Hospital (Boston, Massachusetts)

“I was proud to partner with OrthoXel for The Summit in Cologne, Germany. We showcased the Apex Tibial Nailing System in a live surgical demonstration. This system features controlled axial micromotion technology and enhanced torsional stability, designed to promote fracture healing and improve patient outcomes.”

“

ARVIND VON KEUDELL

Director of Geriatric Orthopaedic Trauma Surgery and Research, Brigham and Women’s Hospital (Boston, Massachusetts)

“I’ve followed OrthoXel’s developments for some time and have always been interested in their innovative approach to fracture care with micromotion technology. I had fun conducting a live surgical demonstration and discussing the benefits of the Apex Tibial Nailing System for extreme distal fractures.”

“

Douglas R. Dirschl

Professor & Chairman of Orthopaedic Surgery, Baylor College of Medicine
(Houston, Texas)

“With the exciting news of Vertex’s FDA 510(k) clearance, I eagerly anticipate this innovative nail providing benefit to my patients and those of other fracture surgeons. The Vertex’s design offers enhanced stability as well as the flexibility to tailor treatment to individual patient and fracture needs. Like with their Apex nail, the OrthoXel team has once again demonstrated excellence and innovation in product design.”

“

JAMES HARTY

Professor of Orthopaedic Surgery (UCC), Consultant Orthopaedic Surgeon (CUH) & Chief Medical Officer at OrthoXel (Cork, Ireland)

“I am delighted to see the Apex Femoral Nail build on the success previously experienced with the Apex Tibial Nail through the utilization of micromotion technology. This is a novel nailing system and I am proud to be part of this continued revolutionization of fracture fixation.”

“

Hannah Dailey

Associate Professor of Mechanical Engineering & Mechanics (Lehigh University, Pennsylvania) & Chief Scientific Officer at OrthoXel

“I am very proud of our innovative technology, which optimizes the biomechanics of fracture fixation to achieve faster healing. For the last 30 years, intramedullary nails have increasingly focused on features to enhance stability and clinical outcomes have plateaued. Apex nails are different because they provide axial motion without sacrificing rotational stability to deliver better clinical outcomes.”

“

Our Testimonials

Apex Tibial Nailing System

Apex Femoral Retrograde Nailing System

Apex Femoral Antegrade Nailing System

Vertex HFN Superior

Vertex HFN Inferior

Vertex HFN Single Lag

OUR MISSION

OrthoXel is dedicated to developing and launching a fracture fixation portfolio that consistently challenges the accepted and positively impacts patient outcomes.

Discover the History of Intramedullary Nailing

Contact Us

Latest Articles

New White Paper: Fracture Healing Following Delayed Weight Bearing in High-Energy Tibial Fractures Treated with Apex Micromotion Fixation

Clinical Study Insights: Early Experience with the Apex Tibial Nail | Dr. Joseph Johnson

Building Momentum in 2026: Distributor Training, Clinical Leadership & Research Excellence