Nexus Veterinary CE
Advanced Fracture Repair 2: Complicated Femoral and Tibial Fractures (October 2025)
Includes a Live In-Person Event on 10/11/2025 at 8:00 AM (EDT)
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Register
- Technician / Assistant - $250
- Veterinarian - $3,100
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 femur and tibia 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 femur and tibia.
This course is designed to take the general practitioner 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 femur and tibia.
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 and tension band.
5. Discuss fracture fixation and surgical approaches for proximal, diaphyseal and distal fractures of the tibia, and femur.
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. One technician/assistant seat is included with veterinarian registration for our Baltimore course series, with additional registrations available for $250 per seat. In order to receive your free seat, please contact ce@nexus.vet after registration to receive a discount code for your colleague.
Day 1
| 8:00am | Welcome & Introductions |
| 8:05am | Direct & Indirect Fracture Reduction: A Review |
| 8:20am | Femoral Head and Neck Fractures |
| 8:50am | Laboratory 1: Demo capital physeal and femoral neck fracture repair (Cadaver) – k-wires and HCS/wire |
| 9:15am | Laboratory 2: Direct reduction of capital physeal fracture (Plastic Bone Model & R leg of Cadaver) – k-wires |
| 10:30am | Laboratory 3: Direct reduction of femoral neck fracture (Plastic Bone Model & L leg of Cadaver) – HCS, k-wire |
| 12:00pm | Lunch |
| 12:45pm | Comminuted Femoral Shaft Fractures |
| 1:15pm | Laboratory 4: Demo of indirect reduction of femoral shaft fracture (Cadaver) – Plate and Rod and Double-Plate |
| 1:30pm | Laboratory 5: Indirect reduction of femoral shaft fracture (Cadaver both legs) – Plate and Rod or Double-Plate |
| 3:15pm | Distal femoral physeal and supratrochlear fractures |
| 3:30pm | Laboratory 6: Direct reduction of distal femoral physeal fracture (Cadaver R leg) – Pins |
| 4:15pm | Laboratory 7: Direct reduction of distal femoral supratrochlear fracture (Cadaver L leg) – Pins |
| 5:00pm | Conclusion of Day 1 |
Day 2
| 8:00am | Review of Day 1 Radiographs |
| 9:00am | Comminuted Tibial Shaft Fractures |
| 9:30am | Laboratory 8: Demo of indirect reduction of tibial shaft fracture (Cadaver) – Plate and Rod or Double-Plate |
| 9:45am | Laboratory 9: Indirect reduction of tibial shaft fracture (Cadaver both legs) – Plate and Rod or Double-Plate |
| 12:00pm | Lunch |
| 12:45pm | Distal Tibial Fractures |
| 1:15pm | Laboratory 10: Demo of repair of distal tibial shaft fracture (Cadaver) – Double-Plate (straight and T-plate) |
| 1:30pm | Laboratory 11: Repair of distal tibial shaft fracture (Cadaver both legs) – Double-Plate (straight and T-plate) |
| 3:15pm | Tibial Tuberosity Fractures |
| 3:30pm | Laboratory 12: Demo of Direct Reduction of Tibial Tuberosity Fracture (Cadaver) – Pin and Tension Band |
| 3:45pm | Laboratory 13: Direct Reduction of Tibial Tuberosity Fracture (Cadaver both legs) – Pin and Tension Band |
| 4:45pm | Wrap up discussion |
| 5:00pm | Conclusion of Course |
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.
The Baltimore Nexus CE Center is located in the historic “Brewer’s Hill” area within the Canton neighborhood of Baltimore. Positioned in the shadow of the iconic Natty Boh Tower, and watched over by the Natty Boh Man, the facility is also home to a 45,000 sq ft multi-specialty facility which brings state-of-the-art veterinary services to the East Coast.
Included in Your Experience
When participating in a course at Nexus Baltimore, you can expect the following amenities to be included.
- One Technician Registration included with Veterinarian Registration
- Complimentary lunch
- All general/specialty instrumentation used in each course
- Instructor’s course notes
Visit Us: 3700 O’Donnell St, Ste 100, Baltimore, MD 21224
Call Us: (435) 200-2161
Email Us: ce@nexus.vet