In Episode 51 of KIMEcast, Tony Mikla, DPT, and Nikos Contos, DPT, welcome special guest Dr. Brian Gilmer, a leading orthopedic surgeon based in Reno, NV and Mammoth, CA. This insightful conversation dives deep into ACL reconstruction techniques, surgical decision-making, and modern rehabilitation strategies. Dr. Gilmer shares candid thoughts on meniscal root tears, the evolution of ACL repair protocols, and his experience with the Bridge-Enhanced ACL Repair (BEAR) technique.

The episode challenges conventional post-op care models, advocating for earlier mobilization and individualized protocols. The trio also discusses patient psychology, biologic augmentations, and how surgical innovation and rehabilitation need to evolve together. With analogies like “Porsche vs. Camry” and “wine barrel hoops,” Dr. Gilmer brings both humor and clarity to complex concepts in sports medicine.

🎧 Key Topics:

• Surgical strategies for ACL reconstruction vs. BEAR

• Meniscus root tears and rehab challenges

• Advances in biologics and graft selection (e.g., quad allografts)

• The power of accelerated protocols and patient engagement

• Building trust through shared decision-making and rehab collaboration