Request an Account

Schedule a Demo

Connect with a Sales Representative

Need Training?

Know our Educational Offering

Clinical Evidence

Time and Cost-saving Solution / From

Mechanical tests sponsored by Orthofix and performed at Texas Scottish Rite Hospital for Children highlight that TL-HEX with ball-and-socket universal joint struts provides more stability than hexapod frames with cardan universal joint struts. TL-HEX, with its high frame stability, represents a time- and cost-saving solution for circular fixation.

Complete the form
Download will start immediately after

Efficacy, Accuracy, Stability, Versatility,
Ease-of-use and Cost-effectiveness / From

6 evidence-based advantages of TL-HEX

Complete the form
Download will start immediately after

Safe and Effective

Independent Clinical Studies support the safety and efficacy of the TL-HEX System in trauma, deformity correction procedures and in the treatment of non-unions.

Adult patients – Clinical Studies


The tibial bayonet method of wound closure.

Strategies in Trauma and Limb Reconstruction, 2018 / O’Farrell P, Barnard AC, Birkholtz F.
Read the article


Monofocal distraction treatment of stiff aseptic tibial nonunions with hexapod circular external fixation.

Journal of Limb Lengthening & Reconstruction, 2017 / Mahomed N, O’Farrell P, Barnard AC, Birkholtz FF. Read the article

Hexapod external fixator closed distraction in the management of stiff hypertrophic tibial nonunions.

The Bone & Joint Journal, 2015 / Ferreira N, Marais LC, Aldous C. Read the article

Management of tibial non-unions according to a novel treatment algorithm.

Injury, 2015 / Ferreira N, Marais LC. Read the article

Femoral locking plate failure salvaged with hexapod circular external fixation: a report of two cases.

Strategies in Trauma and Limb Reconstruction, 2016 / Ferreira N, Marais LC. Read the article

Deformity Correction

Orthoplastic consideration during distal tibia deformity and limb lengthening utilizing Truelok hexapod circular external fixator.

Journal of Orthopaedics Trauma Surgery and Related Research, 2018 / Rodriguez-Collazo E, Frania S, Hyrczyk J. Read the article

Pediatric patients – Clinical Studies

Deformity Correction

Evaluation of the external fixator TrueLok Hexapod System for tibial deformity correction in children.

Orthopaedics & Traumatology: Surgery & Research, 2017 / Pesenti S,Iobst CA, Launay F Read the article

The use of gradual correction with the TL-HEX external fixator in Blount’s disease.

Bone Joint Journal, 2014 / Mare P, Thompson D. Read the article

Congenital dislocation of the knee in a three-year-old-child with Larsen syndrome: Treatment with a hexapod-type external fixator.

Knee, 2018 / Klein C, Bulaid Y, Deroussen F, Plancq MC, Printemps C, Gouron R. Read the article

Treatment of complex foot deformities with hexapod external fixator in growing children and young adult patients.

Foot and Ankle Surgery, 2018 / Riganti S, Coppa V, Nasto LA, Di Stadio M, Calevo MG, Gigante AP, Boero S. Read the article

Correction of complex lower limb angular deformities with or without length discrepancy in children using the TL-HEX hexapod system: comparison of clinical and radiographical results.

J Pediatr Orthop B, 2019 / Riganti S, Nasto LA, Mannino S, Marrè Brunenghi G, Boero S. Read the article

Other patients – Clinical Studies

A comparison of deformity correction capabilities in hexapod frame systems.

Journal of Limb Lengthening & Reconstruction 2016 / Iobst CA, Samchukov M, Cherkashin A. Read the article

Radiographic analysis of hexapod external fixators: fundamental differences between the Taylor Spatial Frame and TrueLok-Hex.

Journal of Medical Engineering and Technology, 2015 / Ferreira N, Birkholtz F. Read the article

The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients.

Strategies in Trauma and Limb Reconstruction, 2014 / Ferreira N, Marais LC. Read the article

Treatment Strategies and Frame Configurations in the Management of Foot and Ankle Deformities.

Clinics in Podiatric Medicine and Surgery, 2018 / Cherkashin AM, Samchukov ML, Birkholts F. Read the article

Preliminary results using patient-specific 3d printed models to improve preoperative planning for correction of post-traumatic tibial deformities with circular frames.

Injury, 2018 / Corona PS, Vicente M, Tetsworth K, Glatt V. Read the article

CareHEXcellence for patients’
post-surgical rehabilitation

The immediate post-surgical period after discharge from the hospital is generally a critical time in orthopedic patients. The incorporation of patient-facing mobile applications providing technical and psychological support in post-surgical rehabilitation is of great interest for patients, surgeons and the whole healthcare system.

Care HEXcellence provides materials and tools for post-surgical rehabilitation, like mobile applications, to support your patients towards complete recoveries.