Course Description

The concept of biological internal fixation has been predicated for years with the goal of maximizing preservation of the blood supply to the fractured bone. This trend resulted in new implants and new techniques that allowed surgeons to approach fracture fixation with smaller, less invasive approaches. The principal concept is to gain access to the bone via small incisions away from the fracture zone, thus preserving blood supply to the fracture fragments. Minimally invasive surgical approaches reduce pain and minimizes trauma to the soft tissues leading. The small incisions provide a means of inserting a bone plate and placing screws to achieve stabilization and osteosynthesis. Methods of fracture reduction are included using the technique of indirect fracture reduction. Participants will learn different techniques to perform minimally-invasive fracture repair using MIS approaches with and without intraoperative imaging.

The technique of minimally invasive plate osteosynthesis (MIPO) describes the stabilization of a fractured bone with a bone plate and screws which are applied without performing an extensive open surgical approach to directly expose, reduce and stabilize the fracture. When MIPO is performed, the fracture segments are aligned using indirect reduction techniques in a closed fashion. Small plate insertion incisions are made over the anticipated (intended) locations of the proximal and distal ends of the bone plate. A tunnel is developed adjacent to the fractured bone, beneath the overlying soft tissues. The plate is inserted through the tunnel and fixed in place with bone screws inserted through the plate insertion incisions. MIPO techniques can result in superior preservation of blood supply to the fracture site, less disruption of supporting soft tissue structures, and potentially a faster return to function and more rapid bone healing than would be achieved with an open surgical approach to facilitate bone plating.

This course will familiarize participants with minimally-invasive fracture repair of shaft, articular and periarticular fractures of the humerus, radius/ulna, femur and tibia. Following lecture and case review, participants will repair fractures on plastic bone models and cadavers. Postoperative radiographs will be taken to evaluate the participants repair technique.

Day 1 Shaft Fractures

8:00 Welcome & Introductions

8:05 Minimally-Invasive Repair of Shaft Fractures – MIPO Techniques

8:30 Tibia Fracture Repair using MIPO Technique

8:50 Femur Fracture Repair using MIPO Technique

9:15 Break

9:30 Laboratory 1: Comminuted Tibia Fracture MIPO Repair (Plastic Bone and Cadaver) – IM Pin and Bone Plate

11:00 Laboratory 2: Comminuted Femur Fracture MIPO Repair (Cadaver) – IM Pin and Bone Plate

12:30 Lunch

1:15 Radius Fracture Repair using MIPO Technique

1:35 Laboratory 3: Comminuted Radius Ulna Fracture MIPO Repair (Cadaver) – IM Pin and Bone Plate

3:00 Humerus Fracture Repair using MIPO Technique

3:20 Laboratory 4: Comminuted Humerus Fracture MIPO Repair (Plastic Bone and Cadaver) – Double Plate using Alignment Pin

5:30 Conclusion of Day 1

Day 2 Articular and Periarticular Fractures

8:00 Review of Day 1 Radiographs

9:00 Break

9:15 Elbow fracture repair using MIPO Technique

9:45 Laboratory 5: Elbow Fracture MIPO repair (Cadaver) – Headless Compression Screw/Lag Screw, Bone Plate

12:00 Lunch

12:45 Distal Periarticular Tibial Fracture MIPO Repair

1:10 Laboratory 6: Distal Tibial Periarticular MIPO Repair (Plastic Bone and Cadaver) – Double Plate

2:45 Physeal Fracture Repair using MIPO Technique

3:00 Laboratory 7: Distal Femur Physeal Fracture Repair with MIPO (Plastic Bone and Cadaver) – K-wires

4:45 Wrap up discussion

5:00 Conclusion of Course

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098
Call Us 435.200.2161
Email Us ce@nexus.vet

Bundle CBLO Principles & Surgery with CBLO Advanced to save on both courses!

This bundle contains registration for the following courses and dates:

November 13-14, 2025 CBLO Principles & Surgery in Park City, Utah

November 15-16, 2025 Advanced CBLO in Park City, Utah

Participants are encouraged to invite a technician/assistant to join them for the course. Develop your surgical team when you train alongside each other to perform new procedures. Technicians/Assistants must be registered for the same product as their respective veterinarian in order to attend the course.

Summary

CORA Based Leveling Osteotomy (CBLO) is a procedure where the tibial plateau angle is modified by centering the saw blade at the location of the CORA (center of rotation of angulation). In doing so there is no secondary translation, i.e., the proximal anatomic axis and distal anatomic axis are aligned. The osteotomy is stabilized with an implant specially designed locking plate and counter-sink compression screw. The course will detail surgical planning, surgical technique, post-operative management, complications, and long-term outcome. In this course participants will familiarize themselves with the CBLO procedure through lecture, clinical case presentations, radiographic pre-operative planning, and by performing the procedures on saw bone models and cadavers. Course participants will learn basic techniques in addition to techniques including management of Juvenile CCL injury with CBLO, small breed CBLO application (small plastic bone), and CBLO with concurrent patella luxation correction

Learning Objectives

• At the end of the course, each participant will be able to identify the position of the normal proximal CORA in the canine tibia on a lateral radiographic view. 
• At the end of the course, each participant will be able to identify modalities to facilitate diagnosis of the CrCL deficient stifle. 
• At the end of the course, each participant will be able to describe the surgical anatomy and approach to the stifle. 
• At the end of the course, each participant will be able to describe procedures to examine the menisci and identify tears in the medial or lateral meniscus. 
• At the end of the course, each participant will be able to describe the CORA based osteotomy as a procedure to treat ACL injury in the dog. 

Participants are encouraged to invite a technician/assistant to join them for the course. Develop your surgical team when you train alongside each other to perform new procedures. Technicians/Assistants must be registered for the same product as their respective veterinarian in order to attend the course.

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098
Call Us 435.200.2161
Email Us ce@nexus.vet

More information for this course will be available shortly. Save this item to your cart and check back at a later time to learn more about the content of this hands-on CE program.

Participants are encouraged to invite a technician/assistant to join them for the course. Develop your surgical team when you train alongside each other to perform new procedures. Technicians/Assistants must be registered for the same product as their respective veterinarian in order to attend the course.

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098
Call Us 435.200.2161
Email Us ce@nexus.vet

This bundle contains registration for the following courses and dates:

November 19-20, 2025 Small Animal Head & Neck Surgery in Park City, Utah

November 21-22, 2025 Small Animal Abdominal Surgery in Park City, Utah

This course will cover the most common surgical procedures performed on the head and neck in general practice with 7 hours of lectures and 7 hours of wet lab on canine cadavers. After this course, the participants will better understand the pathologies inducing upper airway obstruction in dogs and cats. Emergency treatment of an upper airway obstruction with a temporary tracheostomy will be presented.

The different types of salivary mucocele will be explained, and their surgical treatment will be illustrated with several surgical cases. The critical anatomical landmarks important for a successful surgical outcome will be presented.

The different surgical options for treating otitis externa and media will be illustrated. The benefit of an early lateral ear resection associated with a ventral bulla osteotomy will be explained to improve the medical treatment of otitis externa and avoid a total ear canal ablation. Total ear canal ablation will also be performed in the practical session. 

Thyroidectomy and parathyroidectomy will be addressed in the lecture.

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098
Call Us 435.200.2161
Email Us ce@nexus.vet

This course will focus on basic abdominal surgical procedures performed in general practice. A strong emphasis will be placed on basic surgical principles related to gastrointestinal surgery and urinary surgery. This course includes 6.5 hours of lecture and 8 hours of lab using canine cadavers. During the cadaver labs, basic gastrointestinal surgery (gastrotomy, gastrectomy, gastropexy, enterotomy, enterectomy), cystotomy, urethrostomy, and splenectomy will be demonstrated by instructors and then performed by participants. At the end of this course, participants will be comfortable performing the techniques mentioned above.

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098
Call Us 435.200.2161
Email Us ce@nexus.vet

Summary

Are you ready to move on to the next level in cranial cruciate ligament repair? 

TPLO's are a great way to give your patients with CrCL tears an optimal opportunity for a positive outcome, as well as developing a tremendous profit center for your practice. More than 600 general practitioners have learned TPLO from our team of surgeons. Our expert instructors will teach the concepts of TPLO in a small-group setting to maximize individual time with participants. 

This interactive, hands-on course includes lectures and practical, hands-on practice that will teach the theory and method of Tibial Plateau Leveling Osteotomy (TPLO). Participants will perform TPLO's on plastic bones and cadavers using state-of-the-art equipment and implants. Course participants will use locking plate technology to simplify, increase precision, and reduce complications of the procedure. Participants should have a basic knowledge of anatomy and surgical approach of the stifle and principles of bone plate application. Post-Operative radiographs will be taken to assess the participant's repair technique. Post-Operative management will also be discussed. 

Learning Objectives

• Know the indications and rationale for TPLO 
• Understand the principles of TPLO surgery 
• Learn how to correctly plan for a TPLO for different breeds of dogs and cats 
• Learn surgical techniques and tips to execute a successful TPLO 
• Gain a better understanding of the requirements and "best practices" for post-operative TPLO care 

Participants are encouraged to invite a technician/assistant to join them for the course. Develop your surgical team when you train alongside each other to perform new procedures. Technicians/Assistants must be registered for the same product as their respective veterinarian in order to attend the course.

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098 
Call Us 435.200.2161 
Email Us ce@nexus.vet

This course is intended for veterinary professionals who have completed an introductory TPLO course and are ready to take on more specialized, advanced cases.

Now that you're comfortable with TPLO surgery for routine CrCL injuries, are you ready to tackle more challenging patients? This two-day intermediate course is designed for veterinary professionals looking to expand their expertise in treating complex joint conditions using TPLO techniques. The course will focus on CrCL repair in toy breed dogs and cats, as well as in dogs with concomitant patellar luxation, providing a deeper understanding of the anatomical challenges and surgical considerations unique to these patients.

Key topics include the addition of isometric extracapsular sutures to stabilize the stifle following TPLO surgery, addressing excessive internal rotation post-surgery, and treating dogs with hyper-lax stifles. Additionally, the course will cover advanced techniques such as TPLO combined with Tibial Tuberosity Transposition (TTT) for managing low-grade medial patellar luxation (MPL), and Distal Femoral Osteotomy (DFO) for high-grade MPL.

By the end of the course, participants will be equipped with the skills and knowledge to confidently approach complex TPLO surgeries and modifications, ensuring excellent functional outcomes for smaller patients and those with challenging joint conditions.

Course Objectives

• Learn how to approach TPLO surgery in toy breeds and cats, addressing unique anatomical considerations.
• Gain proficiency in using the vPOP Planning App for pre-surgical planning specific to toy breed TPLO cases.
• Learn how to modify the TPLO procedure in patients with concomitant patellar luxation.
• Master TPLO combined with Isometric Extracapsular Sutures to control internal rotation for improved surgical outcomes.
• Understand and utilize the OrthoSta system for enhanced surgical precision.
• Perform TPLO combined with Tibial Tuberosity Transposition (TTT) for managing low-grade MPL, and Distal Femoral Osteotomy (DFO) for high-grade MPL.
• Develop a deeper understanding of advanced surgical modifications to improve outcomes in patients with joint deformities.

Participants are encouraged to invite a technician/assistant to join them for the course. Develop your surgical team when you train alongside each other to perform new procedures. Technicians/Assistants must be registered for the same product as their respective veterinarian in order to attend the course.

Day 1

Day 2

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098
Call Us 435.200.2161
Email Us ce@nexus.vet

This program has been RACE approved for 16 hours of continuing education credit in jurisdictions that recognize RACE approval.
RACE ID: 20-1294405

Summary

Do you have difficulty approaching or reducing long bone fractures? Are you interested in learning simple techniques designed for the general practitioner to repair the most common fractures in dogs and cats? This laboratory is the one for you! We will teach reliable techniques and give valuable practical tips useful in repairing simple and more challenging comminuted fractures of long bones. New implant designs have made fracture repair much simpler and more affordable. In addition, postoperative management of patients has also been simplified and complications are rare if the principles of fracture repair are followed. 

This course will familiarize participants with fracture repair techniques through lecture and clinical case presentations. Following lecture and case review, participants will repair fractures on plastic bone models and cadavers. Postoperative radiographs will be taken to evaluate the participants repair technique. 

Learning Objectives

• Understand the principles of bone healing and the differences between secondary and primary bone healing.  
• Review fracture classification and choice of fixation. 
• Discuss the concept of direct versus indirect fracture reduction and decision making on approach. 
• Appreciate the biomechanics and decision making for intramedullary pins, cerclage wire, bone screws, bone plates and methods of bone plating (compression, neutralization, and bridging). 

Participants are encouraged to invite a technician/assistant to join them for the course. Develop your surgical team when you train alongside each other to perform new procedures. Technicians/Assistants must be registered for the same product as their respective veterinarian in order to attend the course.

This unique facility is nestled on 1.4-acres in the quaint mountain town of Park City and is home to the Bark City Veterinary Specialists practice and Nexus Park City. The property has been newly renovated but retains its rustic mountain charm. Bark City is home to the renowned veterinary orthopedic surgeon, Dr. Brian Beale.

Included in Your Experience

When participating in a course at Nexus Park City, you can expect the following amenities to be included.

• Complimentary lunch
• All general/specialty instrumentation used in each course
• Instructor’s course notes

Visit Us 5373 UT-224, Park City, UT 84098
Call Us 435.200.2161
Email Us ce@nexus.vet