The orthopedic procedures training simulator (100) is a mannequin (102) having an internal skeletal structure (104) for simulating orthopedic injuries. The interior skeletal structure (104) includes a plurality of skeletal structures, each movable between a first position simulating normal and healthy skeletal structure and a second position simulating an orthopedic injury. Motor tensionable cables joining larger joint structures allow for simulating muscular tension affecting the ability to reduce a dislocation of the joint. Force and positional sensors are disposed within the skeletal structures, and provide information to a computer system (700) to perform and monitor simulation. A computer program reads the sensors, and controls the motor tensionable cables to simulate orthopedic injuries and responses to applied corrective procedures and medications. The program generates pre-procedural x-ray images based on a desired simulation, and post-procedural x-ray images based on information obtained from the sensors both during and after the performance of a procedure.