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It is possible to replace the hinge, but it is a couple hours of tricky work. If you are not comfortable completely dismantling your computer, I would take it to a repair shop. You can usually find the hinge on ebay. Just search for "thinkpad x230 tablet swivel hinge part".
I replaced the hinge on my x61 tablet without any trouble, but I am very comfortable with repairing computers. Take lots of pictures to make sure you get it back together correctly, and keep track of where the screws go, there are a lot of them. Good luck!
Here is the repair manual for the x230: https://download.lenovo.com/pccbbs/mobiles_pdf/x230t_x230it_hmm_en_0b48730_02.pdf
Press firmly down with your thumb on the laptop base just above the F4 / F5 keys, if the display improves while doing this it is simply a loose connection which is common for tablet pc's. If this does not help, then it is either a short in the connection or worse case an issue with what is called the inverter. In any case this is an issue that requires opening up your laptop to fix. If you are not comfortable doing this sort of work call up your local computer repair shop, I recommend a personal business over a corporate one, as you will receive better customer service and more likely than not if it is a simple cable connection issue small businesses will take a few minutes out of their day to fix it on the spot and charge you far less.
This may help and may not. It seems there are lots of people having the same problem you are. The best way to get a replacement seems to buy a cheap junked out Gateway and use the hinge from it. However I would be very careful doing this because the one you buy may not have a good hinge. As many people there are with these issues I would contact Gateway to see if they had a replacement part and would ask to file an official complaint. In addition here is a number to a laptop repair company, they will help you find the most cost effective way to fix your laptop. They are good I have used them for parts before. 1 (800) 999-4409
The following website should help you out - if the problem is just a loose hinge. Maybe you've already seen this webpage, but here it is again anyway.
Your problem may be just a couplI used the directions to take off my screen and then found out my hinge was broken.
You can purchase replacement hinges and hinge covers here:
They may be a bit of work to replace. But short of replacing the hinge assembly, it doesn't sound like that is going to move.