Course Summaries

Introduction to Tibial Plateau Leveling Osteotomy (TPLO)

TPLO has become a favorite technique of general and specialty veterinarians to treat CrCL tears in all sizes of dogs. TPLO stabilizes the stifle by eliminating cranial tibial thrust. TPLO is an excellent technique for treating partial and complete tears of the CrCL.

This 2-day interactive course includes lectures and laboratories to teach participants 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. 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 to the stifle and principles of bone plate application. Postoperative radiographs will be taken to assess the participant’s repair technique. Postoperative management will also be discussed.

TPLO 2 – The Next Level

Now that you have mastered TPLO in routine cases of CrCL injury in dogs, are you ready to tackle more difficult patients? This course will address CrCL repair using TPLO in dogs that have concomitant patellar luxation, limb deformity and excessive slope of the tibial plateau.

Treating special conditions such as these require accurate planning and modifications of the traditional TPLO technique. If properly performed, clinical function is excellent following simultaneous repair of these conditions. This course will also discuss the use of TPLO in toy breed dogs and cats and methods of revising a TPLO complicated by a postoperative fracture.

This course requires participants to have completed a previous TPLO course.

Principles of Fracture Repair: Essentials for Repair of the Radius, Tibia, Femur & Humerus

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 rate 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.

Advanced Fracture Repair – Articular & Complicated Fractures

This is an advanced level course designed for practitioners that have completed the “Priciples 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.

Articular fractures can be difficult due to the inability to clearly see the fracture components. In addition, it is essential to achieve perfect anatomic reduction of the articular surface and rigid stabilization. Inadequate reduction will lead to debilitating osteoarthritis and poor stability will lead to non-union. Participants will learn the important principles of articular fracture repair and apply them to comminuted articular fractures of the stifle and tarsus.

This course will also teach participants how to manage a comminuted ulna fracture in combination with a radial head luxation. These challenging fractures are occasionally seen in dogs and cats. Fractures of the metacarpal and metatarsal bones are common in dogs and cats. This course will teach the indications and techniques for surgical repair of these difficult but common fractures.

The challenges continue as participants will learn how to revise an infected non-union tibial fracture and a calcaneal fracture.

Advanced Fracture Repair – Difficult Humeral Fractures

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.

Humeral fractures are difficult to repair and have a high rate of complication. The high complication rate is due to poor planning and inability to successfully execute the surgical plan. Participants will learn a variety of surgical approaches to the humerus. The surgical approach must be performed correctly to get the needed exposure to repair the fracture effectively.

This course will teach participants how to manage unicondylar humeral fractures, comminuted fractures of the proximal and distal humeral shaft and the dreaded humeral Y-fracture. These challenging fractures are commonly seen in dogs and cats. Participants will learn how to diagnose and make important decisions for surgical treatment. Participants will learn how to plan and template their repair prior to executing their plan on cadaver specimens. The course will use locking plate implants for repair. Postoperative radiographs will be taken of all repairs and participants will receive important feedback as the faculty critiques the radiographs on Day 2.

Advanced Fracture Repair – Pelvic Fractures

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 pelvis are common in dogs and cats. Pelvic fractures are also commonly accompanied by sacroiliac luxation or hip dislocation. This course will discuss decision-making, surgical approach, reduction techniques and surgical repair of fractures of the ilium and acetabulum as well as repair of sacroiliac luxation and hip dislocation.

We will teach reliable techniques and give valuable practical tips useful in repairing challenging pelvic fractures, sacroiliac luxation and hip dislocation. 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 rate if the principles of fracture repair are followed.

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

Feline Pelvic Trauma

This course is aimed at surgeons with experience in small animal orthopaedics, who wish to improve their assessment and management of cats with pelvic trauma. The course will include pre-operative assessment, diagnostic imaging, surgical planning, and surgical techniques for the management of sacroiliac luxations, ilial fractures and acetabular fractures. Course content will be delivered through a combination of didactic presentations, case-based discussions, and dry-lab and wet-lab practicals.

Humeral Condyle Dry Lab

Delivered via a combination of didactic lectures, case-discussions and dry-lab practicals, this course provides theoretical and practical training in humeral condylar fissures and fractures in dogs.

Humeral Intracondylar Fissure (HIF) is most frequently seen in spaniel breeds, in which it is considered to be a form of stress fracture. It is also seen in this form in various other breeds, including Labradors and various large and giant breeds. It is also identified with some frequency in French Bulldogs. Some fissures might have a different aetiopathogenesis, and might be a disorder of endochondral ossification, as was earlier hypothesized. Various treatment options have been described for this condition, including stabilization with different implant types, and proximal ulnar osteotomy. Humeral condylar fractures are often secondary to HIF, or occur in juvenile dogs.

The lecture aspects of this course will review the literature and explore the various presentations of HIF and condylar fractures, and how signalment and presumed aetiopathogenesis influences treatment decisions. The practical elements will give delegates the opportunity to use 3D-printed, patient-specific drilling guides, and the humeral intracondylar repair system (HIRS) for the management of HIF; and how to apply breed-stratified anatomic bone plates to fractures of the lateral and medial parts of the humeral condyle.

Case-based discussions will afford delegates the opportunity to apply what they have learned to clinical decision-making based on real-life cases.

Patellar Luxation Master Course

Medial patellar luxation is a common orthopedic problem in dogs and cats. Successful treatment of these conditions requires accurate diagnosis and assessment. This course will provide up-to-date information on the etiology, pathogenesis, diagnosis and treatment of patellar luxation. Lectures and labs will emphasize techniques that can readily be performed in practice.

The course includes surgical treatment of MPL using trochleoplasty, patellar groove replacement, TTT, soft tissue balancing techniques and corrective osteotomy. Participants will also learn how to treat CrCL in patients having concomitant MPL using the Orthosta extracapsular ligament system. Following lecture and case review, participants will perform all techniques covered on cadavers and plastic bone models. Postoperative management and complications will also be discussed.

Small Animal Abdominal Surgery

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 and urinary surgeries.

This course includes 4 hours of lecture and 12 hours of lab using canine cadavers. During labs, basic gastrointestinal surgery (gastrotomy, gastrectomy, gastropexy, enterotomy, and enterectomy), cystotomy, partial cystectomy, urethrostomy and splenectomy will be demonstrated by instructors and then performed by participants. At the end of the course participants will be comfortable performing the techniques mentioned above.

Small Animal Head & Neck Surgery

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 4 hours of lecture and 12 hours of lab using canine cadavers. During the cadaver labs basic gastrointestinal surgery (gastrotomy, gastrectomy, gastropexy, enterotomy, enterectomy), cystotomy, partial cystectomy, urethrostomy and splenectomy will be demonstrated by the instructor and then performed by participants. At the end of this course participants will be comfortable performing the techniques mentioned above. A strong understanding of basic surgical principles related to gastrointestinal surgery, urinary surgery will be expected at the conclusion of this course.

Surgical Oncology for Skin Tumors & Reconstruction

Solid tumors of the skin are very common in small animals. General practitioners can add to practice profitability, as well as strengthen client and referral relationships by understanding the staging and surgical procedure every tumor needs. Dr. Bertran will teach the principles of surgical oncology and staging, as well as how to perform basic/intermediate tumor removals from an oncological standpoint.

Participants will perform biopsies and practice surgical methods for removal of cutaneous tumors in different locations of the patient’s body. Additionally, closure of the defect using different techniques of skin reconstruction will be taught. Participants should have a basic knowledge of anatomy and surgical techniques prior to attending this course.

Treatment of Complicated CrCL Injury: Advanced TPLO & CBLO

Now that you have mastered TPLO in dogs with CrCL injury, are you ready to tackle more difficult patients? Approximately 25% of large dogs and over 50% of small dogs have an excessive tibial plateau angle (eTPA). Traditional TPLO, TTA or extracapsular repair are not ideal in these patients due to many factors – including risk of increased osteoarthritis, meniscal tears and implant complications. 

This course will address CrCL repair in dogs having an excessive slope of the tibial plateau (eTPA). Techniques such as mCCWO, a modified TPLO or CBLO can provide excellent clinical function and a low risk of complication in these more complicated patients. In addition, the CBLO technique (cora-based leveling osteotomy) which can be used in all dogs with CCL injury including dogs with MPL, open growth plates, or needing additional intra-articular/extraarticular stabilization.