Nexus Veterinary CE
Advanced Fracture Repair 1 - Complicated Humerus and Radial/Ulnar Fractures (July 2025)
Includes a Live In-Person Event on 07/24/2025 at 8:00 AM (MDT)
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Register
- Veterinarian - $2,550
Overall Course Description:
This is an advanced level course designed for practitioners that have completed the “Principles of Fracture Repair” course (or equivalent) and have experience with fracture repair. The course is one of three advanced courses designed to train veterinarians to reach a high level of expertise in veterinary orthopedics. These techniques are difficult and quite demanding. They require a firm understanding of orthopedic principles, tissue handling, use of power equipment, locking plate technique, and use of bone clamps and other orthopedic instrumentation.
Fractures of the humerus and radius/ulna are common in dogs and cats. This course will discuss decision-making, surgical approach, fracture reduction techniques and surgical repair of different types of simple and comminuted fractures of the humerus and radius/ulna.
This course is designed to take one to a higher level in fracture repair. We will teach reliable techniques and give valuable practical tips useful in repairing simple and more challenging comminuted fractures. 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:
1. Understand the principles of bone healing and the differences between secondary and primary bone healing.
2. Review fracture classification and choice of fixation for fractures of the humerus and radius/ulna.
3. Discuss the concept of direct versus indirect fracture reduction and decision making on approach.
4. Learn how to correctly apply locking bone plates, plate and rod repair, lag screws and pin, Orthosta sutures and tension bands.
5. Discuss fracture fixation and surgical approaches for proximal, diaphyseal and distal fractures of the humerus, and radius/ulna.
6. Learn how to repair an ulnar fracture combined with a radial head luxation (Monteggia fracture)
Brian Beale
DVM, DACVS, ACVS Founding Fellow (Minimally-Invasive Surgery)
H-Town Veterinary Specialists
Dr. Beale knew he was going to be a vet since he was 9 years old. His original inspiration came from his Grandparents. Growing up he often spent his weekends at their home, covered in drool from playing with their English Mastiffs and Saint Bernards. In a recent article (American Humane), Dr. Beale wrote that his grandparents taught him the importance of the human-animal bond and the responsibility we have to give our pets the best care possible.
Dr. Beale’s passion is education. He has spent a large portion of his career teaching in hands-on surgery labs and speaking at large conferences. Dr. Beale co-authored Small Animal Arthroscopy, an industry defining textbook on orthopedics. He has written many other published articles and book chapters on specialized care.
Dr. Beale received his DVM & completed his residency at the University of Florida College of Veterinary Medicine. After his board certification he joined Gulf Coast Veterinary Specialists in 1992 and practiced there until 2019. In 2020, Dr. Beale founded Beale's Best and Bark City Veterinary Specialists.
Dr. Beale loves being a vet because he feels like he doesn’t have to work a day in his life. He enjoys spending his free time with his 3 kids, Isabel, Danielle, and Jared, and his wife, Mary.
Dr. Beale loves the Houston Zoo and has worked with their expert team of veterinarians on many occasions. Lions, sea turtles, monkeys, sloths, and kangaroos are only a few of the animals Dr. Beale has worked with.
Dr. Beale costarred on NetGeoWILD’s hit series, Animal ER, and he even hosted his own radio show, Your Pet’s Health, which aired on Houston KTRH 740.
COMPLICATED HUMERUS AND RADIUS/ULNA FRACTURES AGENDA
Day 1
- 8:00am Welcome & Introductions
- 8:05am Direct & indirect fracture reduction: A review
- 8:20am Comminuted humeral shaft fractures
- 8:45am Humeral condylar and supracondylar fractures
- 9:45am Break
- 10:00am Laboratory 1: Demo of lateral condyle fracture repair
- (Cadaver) – HCS and plate
- 10:30pm Laboratory 2: Lateral condyle fracture repair
- (Plastic Bone Model & R leg of Cadaver) – HCS and plate
- 12:00pm Lunch
- 12:45pm Laboratory 3: Demo of indirect reduction of humeral shaft fracture
- (Cadaver) – Double-Plate
- 1:15pm Laboratory 4: Indirect reduction of humeral shaft fracture
- (Plastic Bone Model & R leg of Cadaver) – Double-Plate
- 2:30pm Laboratory 5: Demo of supracondylar Y-fracture repair
- (Cadaver) – HCS and Double-Plate
- 3:00pm Laboratory 6: Supracondylar Y-fracture repair
- (Plastic Bone Model & L leg of Cadaver) – HCS and Double-Plate
- 5:00pm Conclusion of Day 1
Day 2
- 8:00am Review of Day 1 Radiographs
- 9:00am Break
- 9:15pm Comminuted Radius/Ulna Shaft Fractures
- 9:45am Laboratory 7: Demo of indirect reduction of radius/ulna fracture
- (Cadaver) – Plate and Rod
- 10:00pm Laboratory 8: Indirect reduction of radius/ulna fracture
- (Cadaver both legs) – Plate and Rod
- 12:00pm Lunch
- 12:45pm Ulnar Fractures and Monteggia Fractures
- 1:15pm Laboratory 9: Demo of Repair of articular fracture of olecranon
- (Cadaver) –Plate and pin
- 1:35pm Laboratory 10: Indirect reduction of articular fracture of olecranon
- (L leg of Cadaver) – Plate and pin
- 2:35pm Laboratory 9: Demo of Repair of Monteggia fracture
- (Cadaver) – Plate, Orthosta Suture
- 3:00pm Laboratory 10: Repair of Monteggia fracture
- (R leg of Cadaver) – Plate, Orthosta Suture
- 4:15pm Wrap-up discussion
- 4:30pm Conclusion of Course