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X-Bolt Hip Fracture Fixation Surgical Technique

X-Bolt is a hip fracture fixation orthopaedic surgical technique, similar in technique and construct to a standard sliding hip screw (SHS) but using an 'Expanding Bolt' in place of the lag screw.

The X-Bolt IM Hip Nailing System is intended for use in fracture fixation in the femur in adults with osteopenia or osteoporosis:
 * Intertrochanteric and subtrochanteric fractures
 * Segmental fractures
 * Comminuted fractures
 * Pathological fractures
 * Fractures with bone loss
 * Pseudoarthrosis, non-union, mal-union, and delayed union
 * Surgically created defects such as osteotomies

The X-BOLT® Dynamic Hip Plating System is intended for use in fracture fixation in the proximal femur in adults with osteopenia or osteoporosis:
 * Intracapsular and extracapsular fractures of the femoral neck
 * Trochanteric fractures of the proximal femur
 * Stable subtrochanteric fractures of the proximal femur

X-Bolt is FDA 510(k) approved - X-Bolt Orthopaedics achieved FDA 510(k) clearance to market the X-Bolt Hip Nailing and Hip Plating fixation systems.

CLINICAL TRIALS
These systems received CE Mark approval in 2011 and have been the subject of two large clinical trials, WHITE1 (100 subjects) and WHITE4 (1,140 subjects) , conducted by Oxford University and supported by NIHR Oxford Biomedical Research Centre.