Brian Gilmer, MD

Brian Gilmer, MD Knee Care Refined
Dr. Gilmer is a sports medicine and orthopaedic specialist with expertise in minimally invasive knee, shoulder, and fracture surgery.

Dr. Gilmer's clinical interests include treating multi-season mountain sport athletes. He specializes in arthroscopic and open surgery of the knee, shoulder, and ankle including anterior cruciate ligament tears, meniscal tears, shoulder rotator cuff and labral tears, and peroneal tendon tears. He is particularly interested in knee preservation and non-arthroplasty (joint replacement) treatments for cartilage injury. His academic interests include publications on minimally invasive knee repairs which can preserve the patient’s own tissue and avoid the need for reconstructions using grafts. He is on the editorial board of Arthroscopy Journal and has presented research at a host of national meetings. Board Certification
American Academy of Orthopaedic Surgery

American Orthopaedic Society for Sports Medicine

Arthroscopy Association of North America

Education
Texas A&M University, College Station, Texas - B.A. English, Minor Spanish. University Honors, Magna Cum Laude

University of Texas, Galveston, Texas - M.D. Doctor of Medicine, Summa Cum Laude. Class Speaker. President, Alpha Omega Alpha Medical Honor Society. President, Theta Kappa Psi Medical Fraternity. Medical Training
University of Washington / Harborview Medical Center, Seattle, WA - Orthopedic Surgery Residency
Chief Orthopedic Resident Teaching Award

Taos Orthopaedic Institute, Taos, NM - Orthopedic Sports Medicine Fellowship

Biography
Dr. Gilmer was born and raised in the Houston Texas area. He spent much of his childhood and early years around the Texas Medical Center with his mother who was a nurse at the University of Houston Health Science Center and later a nurse anesthetist at the renowned Texas Orthopedic Hospital. There he was exposed to great mentors in the field of Orthopedics who fostered his interest in medicine and clinical research. His childhood was spent largely outdoors hunting and fishing. He held a series of jobs from welding shops, to ambulance services, to guiding wilderness backpacking and whitewater trips in Alaska. He moved to Seattle for residency training and found passion in the outdoors. During his residency in Taos, New Mexico where he specialized in ski and snowboard injuries he was recruited by the Mammoth Orthopedic team

Dr. Gilmer, his wife and young son moved to Mammoth Lakes to be in the mountains. When not chasing his family, he can be found trail running with his dogs, Nordic and alpine skiing, or playing guitar by the fire. Honors and Awards
Eagle Scout Award, Boy Scouts of America
Alpha Omega Alpha Honor Medical Society
William Todd Midget Award - For fraternity, scholarship, humility, and humanity
Global Health Scholars Award
Excellence in Student Teaching Award
John P. Mcgovern Award in Oslerian Medicine - For emulating the life and principles of Sir William Osler
Esther Whiting Award
Chief Resident Teaching Award

Professional Memberships
Dr. Gilmer is a diplomate of the American Board of Orthopaedic Surgery (ABOS). He is also an active member of the American Academy of Orthopedic Surgeons (AAOS), Arthroscopy Association of North America (AANA), and the American Orthopaedic Society for Sports Medicine (AOSSM). He has served on committees within both the AAOS and AANA. Teaching and Professional Positions

Dr. Gilmer is a team physician for the US Ski and Snowboard Teams (USSA), and works in particular with the athletes of the US Freeski team. He has provided team coverage for the Dew Tour, XGames, and Mammoth Grand Prix. He provides support to the Mammoth Ski and Snowboard teams, and is medical director for the Mammoth Hospital Department of Physical Therapy and Rehabilitation. He has performed medical mission work in Mexico, Nicaragua, Belize, and Indonesia and has taught English as a second language (ESL) classes to Spanish speakers. Dr. Gilmer takes an active role in teaching by holding a clinical faculty position through the University of Nevada, Reno and by teaching arthroscopy to orthopedic surgery residents. He co-founded the Mammoth Orthopedic Institute to expand clinical research on sports related injuries in the Eastern Sierra, and established the Mammoth Sports Course as a venue for local, regional, and national providers to discuss controversial topics in sports medicine. Personal Statement
In 1890 the United States census announced that the frontier was closed and Frederick Jackson Turner penned his thesis that the American spirit of ambition and ingenuity had been forged by the frontier experience. A hundred years later I sat on the edge of a levy in Southeast Texas watching houses sprout across the fields where I roamed as a child, and I wondered if it were true. I resolved that if the frontier was closed, then I must find a new one, and soon. I have always been drawn to stories, and I am privileged that medicine has allowed me access to the stories of my patients. In the Eastern Sierra, these are often stories of adventure told by the new pioneers. People who are pushing the boundaries of their bodies and their sports led by a passion to explore and experience the world around them. In practice, I am interested not just in the story of what happened, but what future story my patients hope to write. This means the conversation is not just about your injury but your goals for treatment and recovery. I provide an individualized approach and a range of treatment options. I feel strongly that understanding the injury and the treatment plan are critical to successful outcomes and use diagrams, videos, and thoughtful discussion to improve that understanding. I am proud to remain in contact with many of my patients long after they have fully recovered and take ownership in the story of their lives. As a lifelong learner I am committed to maintaining cutting edge knowledge, technical expertise, and compassionate care. Despite all of our technological advances in the field of sports medicine, our patients are the real pioneers. They expect not just relief from pain but return of optimal function. They pass this expectation to their surgeons,

03/02/2026

Here is a nice tip we use for hybrid ACL repairs. Suture the ACL as you have for a typical Bunnell-type repair and secure these with a knotless 4.75 anchor to the femoral footprint at the AM. bundle location. This restores the more isometric AM bundle in a 'higher' position on the femoral wall and is a nice place to put either Vicryl sutures to hold a BEAR implant or a tape for an Internal Brace, depending on your preferences and the clinical situation, as length change is less of an issue.

Increasing footprint compression and getting some fibers to the lower attachment of the PL bundle can be hard because the view is now obscured. By placing the knee in figure-4 and using a curved guide as for a shoulder Bankart, the ACL will move away from the wall a bit, and you can place a knotless anchor such as a knotless fiber tak in this 'lower' position. Then shuttle the repair suture around the ACL with a knee scorpion, then convert the anchor and slowly tension it until you achieve the desired effect. Shown in the video is this tensioning, and you can see how the fibers rotate and approximate the wall as the anchor is reduced.

I call this a hybrid anchor technique because it uses a 4.75 knotless anchor and a smaller all-suture knotless anchor below.

Registration is open for the 2026 Mountain Orthopedic RendezvousJune  11-13,  2026Formerly The Mammoth Sports Course. Re...
02/25/2026

Registration is open for the 2026 Mountain Orthopedic Rendezvous
June 11-13, 2026
Formerly The Mammoth Sports Course. Register now before prices increase on March 13th. This year's focus is on the knee, from arthroscopy to arthroplasty, revision surgery, and everything in between. Expect in-depth discussion of current controversies, surgical pearls, and case-based learning focused on one of the most complex and high-volume areas in orthopedics.
https://site.pheedloop.com/event/MORe2026/home

I had been recommending my Thrive Protocol for patients mostly out of my own ignorance and because patients are frequent...
02/13/2026

I had been recommending my Thrive Protocol for patients mostly out of my own ignorance and because patients are frequently asking me how to augment and improve their surgical readiness and healing postoperatively. I trusted that my colleague and their founder Pat Denard had done the research in building his protocol. Also he provided a discount code (b.gilmer) for my patients at the checkout on his site.

More recently I decided I needed to spend the time to gain some knowledge and experience for myself with these products if I was going to recommend them.

They sent me some samples and I have been consistently using the strength and recovery mix for the creatine supplement in the mornings for about 3 months. There is good literature to support creatine supplementation with resistance training (which I’m doing twice a week on average) and Ive improved my bench and deadlift for the first time in years. There is also literature supporting a neuroprotective role which I suspect in going to need eventually.

I’m doing the opticharge after my runs. 3-4 miles 2-3 days a week with a long run on the weekend 5-7 miles. It’s winter. So there is some Nordic skiing in this mix which for me feels like running while breathing through a red plastic Coffee straw.

Optifuel after the weight lifting sessions especially if I am between meals because of the reported literature regarding improved muscle mass and strength.

I’ve gained a couple pounds for the first time in many years, in a good way.

There are people who know much more about this than I do. But this system works and now I can vouch for it to my patients as well.

Come to surgery strong. Don’t just heal. Recover.

Join Lake Tahoe medical providers for a one-day CME at the Lake Tahoe Sports Medicine & Primary Care Symposium!
01/30/2026

Join Lake Tahoe medical providers for a one-day CME at the Lake Tahoe Sports Medicine & Primary Care Symposium!

Lake Tahoe medical providers—join us for a one-day CME at the Lake Tahoe Sports Medicine & Primary Care Symposium!

Hear from orthopedic, PM&R, and wound care experts while exploring practical topics tailored to our active mountain population.

Learn more or register today:
https://bartonhealthfoundation.salsalabs.org/laketahoesportsmedicinesymposium2026/index.html

This is a great infogrpahic from Arthroscopy journal December edition.  I found this to be a helpful infographic that ap...
01/30/2026

This is a great infogrpahic from Arthroscopy journal December edition. I found this to be a helpful infographic that applies to all forms of ligament reconstruction. Sometimes faster or slower based on severity of injury. But no matter how severe the injury, surgeons must have constructs solid enough to allow for these milestones and not overly restrict the therapists, who must in turn help patients understand these phases and where they are and where they need to be, and walk the fine tightrope of who and when to push and when to encourage a slower pace. This also carries over to athletic trainers and strength and conditioning coaches and trainers who help in the later phases knowing about sport specific activities that are safe but continue to build strength and endurance, and finally to patients who have to be engaged in the process and do the work on their own, fighting the mental and emotional swings that come with these long recoveries. It takes a village to get the best results.

The only other note I would have here is that I think we are learning that there is an initial period that merits rest. I like that about 3 days after surgery, the knee quiets, rests, and the swelling peaks and starts to subside, so we don't perpetuate a hyperinflammatory state. There are various opinions on this, but I'm coming to see rest as a valuable part of recovery. It's an idea that is a little unpopular in the go-go, what-can-I-do-next-and-now culture we live in.

I am looking forward to speaking at the upcoming   Bash Salt Lake City event!
01/24/2026

I am looking forward to speaking at the upcoming Bash Salt Lake City event!

01/20/2026

Recovery and Rehabilitation 3 of 3: When can I return to normal activities?
Understanding meniscus tears—their causes, symptoms, and treatment options—so they can make informed choices about recovery and protecting long-term knee health.

01/18/2026

Here is another unfortunate case where tibial tubercle osteotomy does not correct rotational problems.

Currently planning a revision of the right side. The patient had tubercle osteotomies on both sides (the hardware has been removed on the right side).

There are 35 degrees of combined femoral anteversion on both knees. It is notable that the right side shows more dysplasia than the left. The left side has baseline apprehension but has not dislocated again.

The key points here are:
1) Usually, the TT-TG is an artifact of dysplasia, a rotational problem, or both
2) These risk factors are independent of each other.

Screen for rotational problems in patellar instability with a hip exam and have a low threshold to get a CT scanogram if there is increased internal rotation. Also check for tibial torsion. I wish I had paid more attention in my peds rotation as a resident.

01/17/2026

Recovery and Rehabilitation 2 of 3: Will I need PT, and for how long?
Understanding meniscus tears—their causes, symptoms, and treatment options—so they can make informed choices about recovery and protecting long-term knee health.

01/12/2026

Here is a second look arthroscopy from an ACL repair and BEAR implant about 8 weeks after surgery. The amount of early healing is remarkable, The BEAR implant itself is now fully reabsorbed and the tissue has taken the contour of the native ACL as it has been shaped by the notch through flexion.

This patient had a concomitant MCL reconstruction and medial meniscal repair and had a second look for lysis of adhesions and manipulation.

The video is a couple of years old now, and the patient has is doing well at greater than 2 year follow up and has returned to skiing and mountain sports.

And of course, you always run out of water at the worst time in the middle of the case.

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Reno, NV
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