Apex Tibial Nailing System

The Apex Tibial Nail is the next evolution in fracture fixation – the first and only nailing system to promote secondary bone healing with controlled axial micromotion and outstanding torsional stability. This system also offers unprecedented freedom to select from additional biomechanically optimized fixation options. Precision-engineered components provide best-in-class stability, from ultimate rigid locking to gold-standard dynamization, all using familiar surgical techniques, including suprapatellar insertion and intuitive instrumentation.

Read the Clinical Whitepaper: Early Healing in High-Risk Fractures Following Apex Micromotion Fixations.

Read the Apex Tibial Nailing System Whitepaper: Demonstrating Enhanced Fatigue Life with Micromotion Fixation; reducing mechanical stress in the proximal screws and extends construct fatigue life up to 15%.

Featured Locking Options

Unique Axial Micromotion

Micromotion fixation with two, three or four screws creates a biomechanically optimal construct for secondary bone healing by promoting callus formation. This innovative approach to construct biomechanics is available only in the Apex Tibial Nail, which features a patented gliding insert system. This meticulously designed and precision-engineered construct achieves axial motion with industry-leading torsional stability. The unique insert-guided micromotion also reduces stresses in the screws, leading to enhanced product fatigue life in even the most challenging clinical scenarios.* The surgeon has the option to place up to four proximal screws in micromotion locking mode.

Ultimate Rigid Cross Locking

Rigid locking is designed for clinical scenarios that demand enhanced stability and construct stiffness. A unique endcap engages the patented insert system to simultaneously lock up to four proximal screws rigidly with the proximal nail body, allowing no relative motion*. Unlike other enhanced-stability constructs, this locking option requires no additional time or surgical complexity and is achieved simply by inserting the purpose-made endcap.