Apex Tibial Nailing System

The Apex Tibial Nailing System is the next evolution in fracture fixation – the first and only tibial nailing system to promote secondary bone healing with controlled axial micromotion and outstanding torsional stability.

Multiple Insertion Options

Unique Axial Micromotion

of up to 1 mm is facilitated by a patented gliding insert, contributing to a biomechanically optimal construct for secondary bone healing by promoting callus formation

Fully Rigid Locking

achieved by insertion of locking endcap to clamp the insert and all placed screws

allows for implantation via both suprapatellar and infrapatellar surgical approach. Bespoke instrumentation designed specifically for both approaches.

Proximal Locking Options

Micromotion Mode

is available with all proximal screw holes

Anatomical Design

10° Herzog Bend

with a variety of screw combinations available

Surgeon Designed Instrumentation

Distal Locking

2X Mediolateral Holes
1X Anterior Posterior Hole

with simple/intuitive assembly features throughout

Apex Tibial Nailing System Product Animation

Micromotion Technology Animation

WATCH ON-DEMAND:

APEX TIBIAL NAIL IN ACTION

OrthoXel took part in the World Surgery Tour: The Summit 2025, held in Cologne, Germany – an international stage where leading orthopaedic innovators and surgeons came together to assess new innovations in orthopaedic fracture care. Watch as Michael Weaver MD and Arvind Von Keudell MD conduct a live surgical demonstration comparing intramedullary nailing techniques of OrthoXel’s Apex Tibial Nail versus an external fixator.

Supporting Evidence

Micromotion Technology

Clinical Results

The combination of torsional stability and axial flexibility has been shown to enhance healing in fracture treated with plates and external fixators, but until now, has been elusive in intramedullary nails. Dive into the benefits of OrthoXel’s micromotion technology and how it compares to traditional nailing.

Tibial 1 mm Controlled Axial Micromotion

Patients treated with Apex nails in micromotion locking mode demonstrated faster healing and zero nonunions compared to patients treated with conventional locked nails. Read more about our clinical evidence here.