Description

In this BoardsCast episode, we explore the double-edged sword of surgical stability — and how too much can actually delay or damage bone healing.

We unpack:

• The biomechanical basis of stress shielding
• Why Wolff’s Law applies in both directions
• How over-stiff constructs reduce callus and remodel poorly
• Where stress shielding leads to cortical thinning, screw loosening, or implant failure
• Strategies to minimize shielding through plate length, screw number, and implant selection
• Board-style case examples and recovery insights

If you’ve ever questioned whether your fixation was too rigid — or wondered why a perfectly stable repair still failed — this episode connects the dots between construct design and biologic response.

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