William M Weiss, MD MSc FRCSC FAANA FAAOS

08/25/2025

How does prescription affect ACL injuries?
Brinkman et al finds that patients prescribed at least 3 months of had higher incidence of injuries in a 2 year period

08/19/2025

08/16/2025

08/16/2025

How strong is the evidence for QT grafts in ACL reconstruction?Most RCTs are statistically fragile — just 1 patient could flip the results.Caution needed in interpretation.

Reach here: https://doi.org/10.1002/ksa.12535

08/11/2025

08/11/2025

A thorough discussion of expectations is important when counseling patients on return to play parameters. Check out this recent ASMR article that investigated return performance in NHL players after hip arthroscopy.


https://ow.ly/w2f150WCslH

08/04/2025

On call this weekend… remembering.
With those who answered the call that day… University Medical Center of El Paso Texas Tech Health El Paso WBAMC Orthopaedic Program El Paso Children's Hospital

Today, we remember. Six years ago, our community experienced an unimaginable tragedy that claimed 23 lives and left an indelible mark on El Paso. As we reflect on August 3, 2019, we honor the resilience, compassion and unity that continue to define our Borderplex.

We are grateful for the first responders, health care professionals and community members who acted selflessly in the face of adversity. Your strength is a testament to the spirit of El Paso.

This evening at 6:30 p.m., El Paso County and United Way of El Paso County will host the Day of Resilience Ceremony at Ascarate Park, 6900 Delta Drive. The event includes a performance by El Paso Pro Musica, a prayer and a reading of the names at the Healing Garden.

For a full schedule of remembrance events including yoga sessions, library activities and museum memorials, visit epstrong.org.

07/23/2025

We need to stop thinking of osteoarthritis (OA) as just a “wear-and-tear” disease. The science now tells a more nuanced story—one where metabolic dysfunction plays a central role. Not the only role. But an important one.

Yes, obesity increases joint load, particularly in weight-bearing joints such as the knees. In fact, for every 5-point increase in BMI, the risk of knee OA rises by 35%. But the connection doesn’t stop there.

Hand osteoarthritis is also significantly more common in individuals with obesity. The hands don’t bear weight—so clearly, something more than load is at play.

That “something” is a constellation of metabolic abnormalities:

-Chronic hyperglycemia
-Insulin resistance
-Dyslipidemia
-Hypertension
-Systemic inflammation

These factors fuel joint degeneration from within. Elevated glucose levels stimulate the production of proinflammatory cytokines and matrix metalloproteinases (MMPs), which damage cartilage and degrade joint tissue. Insulin resistance and visceral fat contribute to chronic, low-grade inflammation, which in turn alters joint biology.

The same metabolic dysfunction that damages blood vessels, nerves, and organs also erodes joint integrity.

So no, osteoarthritis is not just a mechanical disease. It’s a metabolic one too.

The implications?
Managing OA means addressing load and biology. That includes: – Reducing visceral adiposity – Improving insulin sensitivity – Controlling inflammation – Engaging in strength training and aerobic movement – Prioritizing sleep and stress management.

OA is not always inevitable. It’s often modifiable. However, only if we understand what is driving it.

07/23/2025

Why do many athletes stop playing after ACL reconstruction?
At 2 years post-op:▪️ Only 60% returned to pivoting sports▪️ Women returned less often than men▪️ Meniscal repair made no difference▪️ Top reasons for not returning: lack of time, loss of interest, fear of reinjury

Reach here: https://doi.org/10.1002/ksa.12588

07/22/2025

⚠️ What is the impact of resistance training on cardiometabolic health-related indices in patients with type 2 diabetes and overweight/obesity? 🤔

Find out in this NEW

✅ Most frequent RT protocol incorporated:

🗓 3x45 min sessions per week
📈 60-70% 1RM
💪 3 sets x 8-12 reps with 60s rest
🏋️‍♂️ Free weights, stationary machines or both

Blog ➡️ https://bit.ly/4k3PEvv