Product Description
Orthofix introduces a new generation of radiolucent external fixators designed for simplicity and rapid application.
- Less O.R. time - ready to use with no assembly required.
- No maintenance or sterilization costs - conveniently packaged in a sterile kit.
- Less inventory - minimal instrumentation.
- Xtraordinary - packaged as a sterile kit in three time-saving configurations, ready for all long bone trauma applications.
- Xtra light - as strong as conventional fixators, only lighter, for easier application and more patient comfort.
- X-ray friendly - the first large fixator body to be radiolucent.
- XCaliber - High Caliber Fixation from Orthofix.
Periarticular Hybrid Fixator
- Excellent periarticular fixation in small fragments and osteoporotic bone
- For comminuted fractures near joints
- Up to four wires on one ring for increased stability
- Rings convert from two-thirds to full circumference
- Ball-joints allow correction up to 44 degrees from straight position, in any direction, with fixator in place
- Telescoping body for fracture reduction and compression/distraction
- Ball-joints lock/unlock from either side. One instrument for fixator locking/unlocking
Indication
Comminuted fractures near joints.
Surgeon Benefits
Made of an innovative composite plastic material, XCaliber is stronger than conventional fixators, only much lighter. This means it’s easier to handle, easier to apply, and more comfortable for the patient:
- No obstruction to fracture visualization, allowing faster and easier reduction
- Less radiation exposure for the surgical team
- Easier to check callus formation and bone healing
- Single use – no maintenance and sterilization costs
- Less inventory, minimal instrumentation
Surgeon Support Materials
* Protected PDF files: You will not be able to copy or print.
- Quick Reference Guide (PG190_E0):
The XCaliber Hybrid Fixator (PDF 2.0MB) - XCaliber Hybrid Fixator Sell Sheet (XC0309PL_E0) (PDF 309KB)
Clinical References:
- The biology of fracture repair and the role of dynamization. Kenwright J. and Richardson J.B. pp. 8-17 in Orthofix External Fixation in Trauma and Orthopaedics, G. De Bastiani, A.G. Apley and A: Goldberg (Eds), Springer 2000
- The impact of external fixation of femoral fractures on mortality and morbidity in polytrauma patients. Brug E., Winckler S., Pullen M. and Klein W. pp. 244-248 in Orthofix External Fixation in Trauma and Orthopaedics, G. De Bastiani, A.G. Apley and A: Goldberg (Eds), Springer 2000
- High energy tibial plateau fractures. Marsh J.L. pp. 256-266 in Orthofix External Fixation in Trauma and Orthopaedics, G De Bastiani, A.G. Apley and A: Goldberg (Eds), Springer 2000
- Proximal metaphyseal fractures of the tibia. Renzi Brivio L. pp. 267-274 in Orthofix External Fixation in Trauma and Orthopaedics, G. De Bastiani, A.G. Apley and A: Goldberg (Eds), Springer 2000
- Diaphyseal fractures of the tibia: defining the place of external fixation. Hardy J.R.W. and Richardson J.B. pp. 275-285 in Orthofix External Fixation in Trauma and Orthopaedics, G. De Bastiani, A.G. Apley and A: Goldberg (Eds), Springer 2000
- Distal tibial and plafond fractures. Marsh J.L. pp. 286-298 in Orthofix External Fixation in Trauma and Orthopaedics, G. De Bastiani, A.G. Apley and A: Goldberg (Eds), Springer 2000
- The influence of fixator design on fracture repair. Salvagno S. pp. 77-84 in Orthofix External Fixation in Trauma and Orthopaedics, G. De Bastiani, A.G. Apley and A: Goldberg (Eds), Springer 2000
- External Fixation of the Tibia. Pennig D. In: Musculoskeletal Trauma: Tibia and Fibula. Eds D. Pennig C. Court-Brown, Butterworth–Heinemann, UK, 101-129 1997
- External fixation of children's fractures: use of the Orthofix dynamic axial fixator. Hull J.B., Sanderson P.L.,Rickman, M., Bell M.J. , Saleh M. J Pediatr Orthop B 6(3):203-206, 1997. PubMed Abstract
- Tibial fractures in children. Pennig D. In: Musculoskeletal Trauma: Tibia and Fibula. Eds D. Pennig, C. Court-Brown, Butterworth–Heinemann, UK, 246-259, 1997
- Supracondylar fractures of the femur treated by external fixation. Marsh J.L., Jansen H., Yoong H.K. and Found E.M.. J. Orthop Trauma 11(6):405-410, 1997. PubMed Abstract
- Operative treatment of fractures of the tibial plafond. A randomized, prospective study. Wyrsch B.,. McFerran M.A, McAndrew M, Limbird T.J., Harper M.C., Johnson K.D., Schwartz H.S. J Bone Joint Surg Am 78(11):1646-1657, 1996. PubMed Abstract
- Principles of dynamic axial fixation. Klein W. ,in: Dynamic axial external fixation, W. Klein,Helmut S. Neumann, Erwin Brug (Eds), Hans Marseille Verlag GmbH Munich, 33-46 1996
- The role of femoral fractures in polytraumatized patients. Winckler, Magdeburg and Brug, in: Dynamic axial external fixation, W. Klein,Helmut S. Neumann, Erwin Brug (Eds), Hans Marseille Verlag GmbH Munich, 95-102 1996
- Dynamic axial fixation in closed tibial fractures. Rieger H., Klein W. and Brug E., in: Dynamic axial external fixation, W. Klein, Helmut S. Neumann, Erwin Brug (Eds), Hans Marseille Verlag GmbH Munich, 103-109 1996
- The tibial pilon fracture. Brug E. and Westhphal Th. In: Dynamic axial external fixation, W. Klein, Helmut S. Neumann, Erwin Brug (Eds), Hans Marseille Verlag GmbH Munich, 1996
- Principles of dynamic axial fixation: biological and mechanical considerations. Renzi-Brivio L., Lavini F. and Agostini S. Dynamic axial external fixation, W. Klein,Helmut S. Neumann, Erwin Brug, Hans Marseille Verlag GmbH Munich, 1996
- Indications foe dynamic axial fixation in paediatric fractures. Mittmann Ch., Klein W. and Brug E., in: Dynamic axial external fixation, W. Klein, Helmut S. Neumann, Erwin Brug (Eds), Hans Marseille Verlag GmbHMunich, 119-124 1996
- Management of fractures in children. The Leipzig concept. Bennek J., in: Dynamic axial external fixation, W. Klein,Helmut S. Neumann, Erwin Brug (Eds), Hans Marseille Verlag GmbH Munich, 125-137 1996
- Dynamisation timing and its effect on bone healing when using the Orthofix fixator. Foxworthy M. and Pringle R.M. Injury 26: 117 - 119, 1995. PubMed Abstract
- Dynamisation of tibial fractures. Richardson J.B. et al. Dynamisation of tibial fractures. JBJS 77-B: 412-416, 1995. PubMed Abstract
- Use of an articulated external fixator for fractures of the tibial plafond. Marsh JL, Bonar S, Nepola JV, Decoster TA, Hurwitz SR Journal of Bone and Joint Surgery 77 A:1498-1509, 1995. PubMed Abstract
- External fixation and limited internal fixation for complex fractures of the tibial plateau. Marsh J.L., Smith S.T., Do T.T.. Journal of Bone and Joint Surgery 77 A: 661-673, 1995. PubMed Abstract
- External fixation for tibial fractures: clinical results and cost effectiveness. Shaw DL, Lawton JO. J R Coll Surg Edinb;40(5):344-346. 1995. PubMed Abstract
- A decade of tibial shaft fractures in Nottingham and Derby. Wallace W.A. and Howard P.W. Int. J. Orthop Trauma, supp vol 3 n° 3:61-63,1993
- Unilateral external fixation for severe pilon fractures. Bonar S.K. and Marsh J.L.. Foot & Ankle Vol. 14(2):57-64, February 1993. PubMed Abstract
- The dynamic axial fixator in the treatment of pertrochanteric fractures of the femur. Scarante B., Ranellucci M., Lavini F.. Supp. to International Journal of Orthopaedic Trauma 3(3): 58-60, 1993
- Dynamic axial fixation for femoral shaft fractures in children: indications and results. Klein W., Mittman C. and Brug E.. Supp. to International Journal of Orthopaedic Trauma 3(3): 55-57, 1993
- Intra-articular fractures of the distal tibia. Surgical management by limited internal fixation and articulated distraction. Saleh M, Shanahan M., Fern E.. Injury 24: 37-40, 1993. PubMed Abstract
- The place of unilateral external fixation in the treatment of tibial fractures. Pennig D., Castle House Publications Ltd Tunbridge Wells, UK, October 1991
- Unilateral external fixation until healing with the dynamic axial fixator for severe open tibial fractures. Marsh J.L., Nepola J.V., Wuest T.K., Osteen D., Cox K., Oppenheim W. J Orthop Trauma 5(3):341-348, 1991. PubMed Abstract
- The dynamic axial fixator in fractures of the tibia and femur. A retrospective study in 98 patients. Zachee B, Roosen P, Mc Aechern AG Acta Orthop Belg. 57(3):266-271, 1991. PubMed Abstract
- Dynamic axial fixation for severe tibia fractures. A multicenter study. Marsh J.L., Nepola J.V., Wuest T.K., Osteen D., Cox K., Oppenheim WJ. Proceedings of the University of Montpellier 1990 meeting on the Evolution of external fixation, p.113, 1990
- External fixation for open tibia fractures. J. Marsh and J. Nepola. Orthop. Review XIX, n°3:273, 1990
- Tibial plateau fractures treated with external fixation and minimal internal fixation. Smith S.T., Marsh J.L. , Nepola J.V. and Found E.M.. The Iowa Orthopaedic Journal, vol 11:69-77. 1990
- Dynamic axial fixation for femoral fractures in children. Klein W, Pennig D. and Brug E.. Proceedings of the University of Montpellier 1990 meeting on the Evolution of external fixation, p.195, 1990
- Complementary osteosynthesis and dynamic axial fixation of the distal tibia (article in German) Baranowski D., Pennig D., Borchardt W. Unfallchirurg 93(6):270-274, 1990. PubMed Abstract
- Using the DAF in articular fractures. Lavini F., Renzi Brivio L., Aldegheri R., Agostini S., and Tessari G. Proceedings of the University of Montpellier 1990 meeting on the Evolution of external fixation, p.171, 1990
- Management of femoral fractures with the dynamic axial fixator. Renzi-Brivio L., Lavini F., Tessari G., Agostini S. Proceedings of the University of Montpellier 1990 meeting on the Evolution of external fixation, p.141, 1990
- Limb salvage in type IIIC lower extremity injuries. Oppenheim W., Boss W.K, Hutter A. Proceedings of the University of Montpellier 1990 meeting on the Evolution of external fixation, p.115, 1990
- The treatment of paediatric fractures with dynamic axial external fixation. Price C.T., Levengood G.A., Zink W.P.. Techniques Orthop. 4 (3):74-79, 1989.
- Treatment of open tibial fractures with the Orthofix fixator. Melendez EM, Colon C. Clin Orthop. 241:224-230. 1989. PubMed Abstract
- Use of unilateral external fixation in pediatric femur shaft fracture within the scope of polytrauma (article in German). Klein W., Pennig D., Brug. E. Unfallchirurg 92(6):282-286, 1989. PubMed Abstract
- Dynamic axial external fixation. De Bastiani G., Aldegheri R., Renzi Brivio L., Trivella G., Automedica, Vol. 10, pp. 235/272, 1989
- Closed fractures. Renzi Brivio L., Lavini F., De Bastiani G. , External Fixation and Functional Bracing, Coombs, Green and Sarmiento (Eds), Orthotext, UK, 1989
- Dynamic axial fixation. A rational alternative for the external fixation of fractures. De Bastiani G., Aldegheri R., Renzi Brivio L.. Int Orthop 10(2):95-99, 1986. PubMed Abstract
- The treatment of fractures with a dynamic axial fixator. De Bastiani G. et al JBJS 66-B:538-545, 1984 PubMed Abstract
Patient Benefits
Minimally invasive
Patient Support Materials
* Protected PDF files: You will not be able to copy or print.
- Quick Reference Guide (PG190_E0):
The XCaliber Hybrid Fixator (PDF 2.0MB) - XCaliber Hybrid Fixator Sell Sheet (XC0309PL_E0) (PDF 309KB)
Testimonials
On August 28, 2004, I had just taken off from Payson, AZ in my sport plane when I encountered a severe windsheer, which
forced us into the ground in a rugged wilderness area. It took rescuers five hours to reach us and get my passenger and I to
the hospital, by which time I had stopped breathing due to blood loss from the compound fracture of my left tibia. Both
tibias were shattered in the accident. Because of the burns on my skin and the necessary skin grafts, rods and pins were not
options for stabilizing my leg bones, so external fixators were attached. Fourteen months after the accident that nearly
killed me, I walked into the medical examinerÔ³ office for a flight physical. After an hour and a half of paperwork and a
physical examination, the doctor pronounced me fit to fly and I left with a new Class III medical certificate. Just before
Christmas I flew my Piper Turbo Arrow to Denver to visit my brother and his family. I cannot tell you how incredibly
fortunate I feel to be able to get back in the saddle again and do something that I love so much.
Mike Gibbs, Sheffield Ring Fixator and XCaliber Hybrid Fixator patient of Dr. Frank Tindal, Phoenix, AZ
Part Reference Numbers
| Part Reference No. | Description |
|---|---|
| 10038 |
Clamp for Supplementary Screw Holder Bar |
| 19200 | Manipulation Forceps |
| 80042 | Post, 50 mm |
| 80044 | Post, 100 mm |
| 81043 | Supplementary Screw Holder Bar Radiolucent, 300 mm |
| 99-25100 | Instrument Kit, Sterile |
| 99-91010 | Static Compression/Distraction Unit, Sterile |
| 99-91015 | Dynamic Compression/Distraction Unit, Sterile |
| 99-91038 | Supplementary Screw Holder Kit, Sterile |
| 99-91080 | XCaliber Hybrid Kit, sterile |
Rings are available in the following diameters: 125 mm, 150 mm, 175 mm, 190 mm, 220 mm. They are available in aluminum or in a composite radiolucent material.

