Healing in Motion: Innovations in Orthopedic Trauma with Apex Nailing Systems
In collaboration with the Orthopedic Trauma Association (OTA) we recently released a podcast. The discussion, hosted by OrthoXel’s Co-Founder and Chief Scientific Officer Professor Hannah Dailey, focused on how controlled micromotion can improve healing in complex lower limb fractures, in particular the tibia (shin bone). Joining Prof. Dailey were orthopaedic trauma surgeons Sean Campbell, M.D. and Augustine Saiz, M.D. of UC Davis, who shared their first-hand experiences using OrthoXel’s Apex Tibial Nailing System. The episode also highlighted OrthoXel’s research into the mechanobiology of fracture healing – showing how controlled motion plays a key role in lower limb fixation and intramedullary nailing, ultimately inspiring the design of the Apex Nail with 1 mm of micromotion.
At the heart of the conversation was the role of mechanobiology in fracture repair. The Apex system is designed to allow one millimetre of axial micromotion while maintaining torsional stability – a balance that decades of research suggest stimulates faster, more reliable bone healing. Both Dr. Campbell and Dr. Saiz reported that the implant integrates seamlessly into standard tibial nailing procedures, easing adoption for surgeons while offering improved outcomes in difficult cases.

The episode also explored unique clinical applications, including open fractures requiring flaps, delayed weight-bearing scenarios, and even challenging nonunions. Surgeons reported promising outcomes, citing robust callus formation and functional recovery in patients previously considered high-risk. Looking ahead, attendees of the Orthopaedic Trauma Association’s Annual Meeting, scheduled for October 16th & 17th, 2025, at the Phoenix Convention Center, will have the opportunity to meet Sean Campbell and Augustine Saiz at Booth #822. The surgeons will present their experiences with the Apex micromotion nails during a session at the booth on October 16th at 5:15 p.m.
With its blend of research insights, clinical evidence, and practical guidance, the podcast episode underscores OrthoXel’s mission to push the boundaries of orthopaedic innovation.






