In this episode of BoardCast, we break down what happens when internal fixation fails — and why.

From the foundational forces at play to implant-specific failure modes, we explore the physics, mechanics, and clinical pitfalls behind:

• Tension band wiring and cerclage failure
• Interlocking nail fatigue and screw pullout
• Lag screw and plate biomechanics
• Locking plate failure patterns in poor-quality bone
• The concept of Elastic Plate Osteosynthesis for juveniles
• And how to think critically about construct selection, strain distribution, and revision planning

We also test your knowledge with a board-style case on managing a comminuted fracture in poor-quality bone. If you’ve ever asked, “Why did this fix fail?” — this episode gives you the answers.

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