Simini Boards Cast

Conservative Ortho: When Not to Cut


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In this BoardsCast episode, we flip the script and focus on when orthopedic surgery isn’t the best choice. Conservative orthopedic management isn’t just “doing nothing” — it’s a calculated decision based on biology, biomechanics, and behavior.

You’ll learn:

  • Which fractures actually heal well without surgery
  • What stability looks like radiographically and clinically
  • The role of load-sharing vs. load-sparing in conservative success
  • When cage rest, slings, or splints work — and when they backfire
  • Risks of fibrous union, joint stiffness, and disuse atrophy
  • Communication strategies to help clients commit to non-operative care

From pelvic fractures to scapular bodies and greenstick lesions, this episode helps you confidently identify when it’s better not to cut.

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Simini Boards CastBy Simini Podcasts