Simini Boards Cast

Stress Shielding & Bone Loss: When Stability Hurts Healing

Simini Podcasts Season 1 Episode 28

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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