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Great news for kids: OSSIOfiber® Metal-Free Compression Screws and Trimmable Fixation Nails are now FDA cleared for various bone fractures in children (ages 2-12) and adolescents (ages 12-21). Read More

OSSIOfiber® Trimmable Fixation Nails

All-Natural Healing for Multiple Applications

Bio-Integrative OSSIOfiber® Trimmable Fixation Nail Family

Add Strength and Stability Without Adding Metal

Our unique Trimmable Nail enables all-natural healing and utility in a wide range of surgical applications with the added convenience of sterile, disposable instrumentation.

Bio-Integrative OSSIOfiber® Trimmable Fixation Implant Benefits

Strong, Screw-Like Stability with All the Utility of a Trimmable Nail

OSSIOfiber® Trimmable Fixation Nails are equally strong in the initial stability and fixation strength — and superior in rotational resistance to traditional metal cannulated headless compression screws.*

*Data on File.

Before After Trimmable Ossio – Naturally Transformative Bone Healing

OSSIOfiber® Image courtesy of Dr. Bob Baravarian

X-rays are of two similar patients who underwent an identical surgical approach. One patient was treated with Bio-Integrative OSSIOfiber® while the other was treated with metal compression screws.*

*Results from case studies are not are not predictive of results. Results may vary




Ordering Info

Bio-Integrative OSSIOfiber® Trimmable Fixation Nails

OSSIOfiber® Cannulated and Solid-Core Fixation Nails allow surgeons to offer patients a strong and bio-integrative solution for a wide range of surgical techniques.

  • Comprised of OSSIOfiber® Intelligent Bone Regeneration Technology
  • Superior to conventional metal compression screws in compression and pull-out resistance*, and equivalent in shear and flexural stability in an osteotomy construct**. Gradual load sharing minimizes stress risers and promotes return to function
  • Up to 5X increased surface area available for bone integration may contribute to a more stable construct***
  • Artifact free on CT, X-Ray. MRI safe

Choose the configuration that best fits your patients’ needs:


  • 3.0 X 50mm, One Implant
  • 4.0 X 70mm, One Implant


  • 2.4 X 30, Two Implants
  • 2.4 X 50mm, One Implant
  • 4.0 X 50mm, One Implant
  • 4.0 X 50mm, Two Implants

* In Vitro Data on File at OSSIO
** In Vitro Flexural Strength Test in a Simulated Osteotomy Construct. Data on File at OSSIO.
*** In Vitro Initial Pull Out Strength of 2.4x50mm OSSIOfiber® Trimmable Fixation Nails. Data on File at OSSIO.

Product Bottom Ossio – Naturally Transformative Bone Healing

Want to Order? Hear More?

For Product Inquiries, Customer Service, Ordering Information…
Contact Us At:

(833) 781-7373 |

The OSSIOfiber® Trimmable Fixation Nail

The First and Only Bio-Integrative Trimmable Nail

The Broad Surgical Applications of OSSIOfiber® Trimmable Fixation Nail are achieved with a straight-forward, 5 Step Fixation Process

  • Standard Instrumentation accommodates a broad range of surgical applications and techniques 
  • Visual and tactile confirmation ensures reproducibility
  • Easy implant insertion and reduction for secure fixation
Download Cannulated Nail Surgical Technique Guide
Google Docs 1 Ossio – Naturally Transformative Bone Healing
Download Solid-Core Nail Surgical Technique Guide
Google Docs 1 Ossio – Naturally Transformative Bone Healing
Ossio Can Trimmablenails Steps D Ossio – Naturally Transformative Bone Healing

Cannulated Trimmable Fixation Nail

For illustration purposes only

Ossiofiber Final Callouts 1 Scaled 1 Ossio – Naturally Transformative Bone Healing

The Science Behind OSSIOfiber® Intelligent Bone Regeneration Technology

A True Breakthrough in Orthopedic Fixation

As a first-of-its-kind implant material, OSSIOfiber® is stronger than cortical bone and leaves nothing permanent behind. It leverages the individual integration mechanism of both material components and internal micro-architecture to achieve the optimal environment for bone healing.

Learn More

Frequently Asked Questions (FAQ)

The OSSIOfiber® Trimmable Fixation Nails were designed for broad utility across many surgical procedures including foot/ankle and hand/wrist applications. 

The OSSIOfiber® Trimmable Fixation Nail System is indicated for maintenance of alignment and fixation of bone fractures, osteotomies, arthrodesis and bone grafts in the presence of appropriate additional immobilization (e.g. rigid fixation implants, cast, brace). Refer to the product Instructions for Use for indications, contraindications, and additional information.

Refer to the product Instructions for Use for indications, contraindications, and additional information.

Yes, the OSSIOfiber® Trimmable Fixation Nail System is covered under existing reimbursement codes in the US for common orthopedic procedures. Please contact OSSIO for more information.

OSSIOfiber® is 5x stronger than conventional bio-resorbables and contributes to early bone attachment and subsequent bone integration. Findings from a 2-year preclinical study comparing OSSIOfiber® to conventional bio-resorbables showed that unlike conventional bio-resorbables, OSSIOfiber® integrates in a gradual and predictable way, with no adverse inflammation observed. Please refer to the “Science Behind OSSIOfiber®” page of this website for more detailed information. *Data on file at OSSIO

The OSSIOfiber® bio-integration process begins shortly after surgery and continues in a gentle, gradual, and predictable way until it is completely incorporated into the surrounding anatomy in roughly 78-104 weeks, as proven in pre-clinical studies. After full bio-integration, the implant is completely gone and replaced by healthy bone. Bone attachment is seen in as little as 2 weeks post surgery, followed by incorporation and ultimate replacement of the implant by tissue – a process that continues until nothing permanent is left behind.

OSSIOfiber® is currently commercially available in the US. If you are interested in using OSSIOfiber®, please fill out the form below and a team member will be in touch.

Interested in OSSIOfiber®?

Complete the form and an OSSIOfiber® Advisor will get in touch.

Customer Service

For product inquiries or purchasing questions contact 833-781-7373 or email


Commercial Headquarters
300 Tradecenter Drive, Suite 3690
Woburn, MA, 01801

Science & Manufacturing Center

8 HaTochen Street
Cesarea, Israel 3079861

OSSIOfiber® has been used by over 900 surgeons across the US


1. Data on file at OSSIO 2. Clinical study data on file at OSSIO 3. Kaiser, P.B., Watkins, I., Riedel, M. D., Cronin, P., Briceno, J., Kron, J. Y. (2019). Implant Removal Matrix for the Foot and Ankle Orthopaedic Surgeon. Foot & Ankle Specialist, 12(1), 79-97. 4. Pre-clinical animal studies (in-bone implantation of OSSIOfiber® and PLDLA control in rabbit femurs). Data on File at OSSIO. 5. Haddad, S. F., Helm, M. M., Meath, B., Adams, C., Packianathan, N., & Uhl, R. (2019). Exploring the Incidence, Implications, and Relevance of Metal Allergy to Orthopaedic Surgeons. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 3(4), e023. 6. Pot J, Wensen RV, Olsman J. Hardware Related Pain and Hardware Removal after Open Reduction and Internal Fixation of Ankle Fractures. The Foot and Ankle Online Journal. 2011;4(5). doi:10.3827/ faoj.2011.0405.0001.