X-Bolt Orthopedics

X-Bolt Orthopedics is a private orthopedic medical device company developing and commercializing expandable fixation implants for trauma and spine applications, with an initial focus on hip fracture repair in osteoporotic bone. Its lead commercial product, the Pro-X1 Trochanteric Nail, uses an expanding bolt mechanism intended to improve anchorage, reduce cut-out, and lower reoperation risk compared with conventional fixation approaches. The company highlights evidence from large randomized clinical trials in hip fracture fixation and has obtained U.S. FDA 510(k) clearance for multiple systems. Beyond its commercial hip product, X-Bolt is advancing additional pipeline devices in femoral neck plating, retrograde nailing, and spinal pedicle fixation. The business is headquartered in Ireland and is expanding commercialization in the United States through hospital contracting and distributor relationships.