Fractures that cannot heal by wearing a cast will require a surgical approach. Fracture repairs can be very complex, and can involve using screws, pins, or plates to ensure that the bone heals appropriately. Pain control is priority any time a patient is seen for evaluation of a fractures. Diagnostic imaging is crucial for making an appropriate plan for repair. Many fractures can be properly evaluated through routine radiographs (x-rays), while some may require a CT scan so that a 3D image can be made and allow for appropriate surgical planning. Special consideration must be made any time a fracture in a young animal involves the growth plates.