Nexus Veterinary CE
Ligament Repair and Joint Stabilization (May 2025)
Includes a Live In-Person Event on 05/31/2025 at 8:00 AM (MDT)
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Register
- Veterinarian - $2,550
Course Description
Joint instability commonly occurs due to ligament or tendon injury leading to pain and lameness. Ligament injury commonly occurs secondary to trauma or chronic overloading of the joint. Traumatic ligament tears can be treated by:
- Primary Repair
- Ligament Reconstruction
- Osteotomy Techniques
- Bracing Techniques
- Arthrodesis
Primary repair of ligaments is performed using appropriate suture materials and patterns. Ligament reconstruction is performed using biological grafts or prosthetic materials. Osteotomy techniques may be used to balance forces and stabilize the joint. Arthrodesis may be indicated if ligament reconstruction is unlikely to adequately stabilize the joint or cases of severe osteoarthritis.
Tendon injuries also occur secondary to acute trauma or chronic repetitive stress. Mild tendon injuries may be treated by coaptation or regenerative medicine. Coaptation includes bandages, commercial braces and custom orthotic braces. Regenerative medicine may be promote and speed healing using modalities such as Platelet Rich Plasma (PRP), stem cells, shock wave or LASER. Tendon repair is performed using special tension-relieving suture patterns to give strength and discourage gap formation. Tendon reconstruction is also possible using biologic grafts. Severe tendon tears may also require arthrodesis to adequately support the adjacent joint.
This course will discuss diagnosis and treatment of injuries of the shoulder, carpus, tarsus, hip, stifle and common calcaneal tendon. Participants will have the opportunity to use state of the art implants to treat a variety of ligament and tendon injuries.
Learning Objectives
- Learn primary repair techniques for ligament and tendon injuries
- Learn methods of ligament reconstruction using prosthetic materials
- Learn how to use an osteotomy to shift load on a joint to treat instability
- Learn techniques of regenerative medicine to treat musculotendinous injury
- Learn techniques of immobilization to treat joint instability
Day 1
8:00 Welcome & Introductions
8:05 Collateral Ligament Injury and Repair
8:35 Concept of Balancing Osteotomy
9:00 Break
9:15 Laboratory 1 Tibiotarsal MCL Repair
10:30 Laboratory 2 Balancing Osteotomy Tarsus
12:00 Lunch
12:45 Multiple ligament Injuries of the Stifle
1:30 Laboratory 3 Repair of CCL, CdCL and MCL of Stifle
3:45 Break
4:00 Orthotic braces for joint instability
4:30 Laboratory 4 Cast mold for orthotic bracing
5:30 End of Day 1
Day 2
8:00 Tendon Injury and Repair
8:20 Regenerative medicine – Shock wave, LASER, PRP and stem cells
8:40 Biologic Grafts for ligament and tendon reconstruction
9:00 Injury to the Common Calcaneal Tendon
9:30 Break
9:45 Laboratory 6 Calcaneal Tendon Primary Repair
10:45 Laboratory 7 Calcaneotibial Plate to Stabilize Tarsus
12:15 Lunch
1:00 Laboratory 8 Calcaneal tendon allograft
2:30 Break
2:45 Biceps Tendon Injury - Diagnosis and Treatment
3:30 Laboratory 9 Biceps tendon release and reattachment
4:30 End 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.
Location: Park City, Utah
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. 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