X-BOLT Hip Fracture Fixation

0% cut-out in WHITE1, 0.8% cut-out in WHITE4

13 Sep 2019

WHITE 4 Results

Results from the world's largest ever multi-centre RCT comparing extracapsular hip fractur...

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27 Apr 2019

WHITE 4 follow-up complete

Data analysis is now underway on WHITE4 (X-BOLT vs SHS), the world's largest ever hip frac...

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23 Jan 2019

One-Year Follow-Up in 1000th Patient

Largest Ever Clinical Trial in Hip Fracture Fixation Completes One-Year Follow-Up in 1000t...

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Expanding Bolt Technology

Strong anchorage with rotational stability, without spinning the femoral head. Very easy to reverse and remove if need be. Strong scientific evidence with clinical studies in the WHITE One (n=100) and WHITE Four (n=1,140) randomized controlled trials with a zero (0%) X-BOLT reoperation rate in unstable A2 and A3 fractures in the published WHITE One study.

X-Bolt Plating

X-Bolt Plating

Similar to a SHS technique, the X-Bolt substitutes the lag s...

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X-Bolt Nailing

X-Bolt Nailing

A smaller diameter nail causes less disruption to the greate...

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X-Bolt Mini-Plate

X-Bolt Mini-Plate

Simple, freehand technique. Rotationally stronger than three...

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Hip Fractures and Osteoporosis

a huge social and financial impact

Hip fracture is a major public health issue due to an ever increasing ageing population globally. Approximately 1.6 million hip fractures occur worldwide each year, by 2050 this number could reach between 4.5 million and 6.3 million. Failure of screw-based fixation in osteoporotic bone has a huge impact on patients' function and independence, adding massively to overall financial costs:

1 in 6

Lifetime risk of hip fracture is 1 in 6 for white women, compared with a 1 in 9 risk of breast cancer


A hip fracture episode typically costs $40,000 (€35,000)

6% failure rate

Re-operations occur in 6% of patients, huge patient impact & additional $50,000 in costs

4.5 - 6.3 million

By 2050 the number of cases is estimated to reach between 4.5 million and 6.3 million

Less than 50%

Less than half those who survive the hip fracture regain their previous level of function


33% of survivors are either totally dependent or in a nursing home in the following year