X-Bolt - Hip Fixation System
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Straight from the MARVEL comics
One of the difficult to conquer territories in Trauma management is fragility fractures of the hip. Fragile patients combined with porotic bones; prime directive becomes avoiding failure rates. Implant cut-out is one of the main henchmen of failure.
We have tried many ways to overcome this, of which the recent methods being cement infusion. But today’s implant is straight from the marvel comics, especially feels like it’s been made by Tony Stark himself. Introducing “X-Bolt”, a screw with a deployable expansion unit that causes compaction of the bone around and provides rotational stability. This is available currently as XHS (X-bolt hip [plating] System) or as X-Bolt Pro-X1 trochanteric nail system.
Biomechanical studies show this has 25% greater peak load, 425% greater peak torque, requires 24% greater peak force to cut out, better torsional stability, and a superior cut-out resistance at various Tip-apex distances than a DHS. ‘WHiTE4’ trial, a blinded RCT showed no statistical difference in HRQoL (Health-Related Quality of Life) at 12 months.
If the biomechanical characteristics can mirror the in vivo performances, then the X-Bolt is here to stay.
