IM pin & cerclage wire fixation is the most commonly used surgical fracture fixation in the primary care veterinary practice setting. Unfortunately, it is also the most commonly misused fixation system…but it does not have to be! The keys to effective use of IM pin & cerclage fixation are knowledge of the indications (and contra-indications) and proper application techniques for its use. Dr. Palmer will walk you through normograde vs. retrograde pinning of the femur (exactly where is that pesky sciatic nerve?), cross-pin fixation of distal femoral physeal fractures, tension band fixation of tibial tuberosity avulsion fractures, normograde pinning of the tibia, cancellous bone graft harvest from the proximal humerus and more! Think how much better you will sleep the night before AND after that next fracture repair because you’ve reviewed this Surgery Video!