Paul Muenzner, M.D., who practiced orthopedic surgery in Wisconsin, Ohio, and North Carolina, passed away on April 13, 2024, at the age of 83 in Fayetteville, North Carolina.
Beloved Fayetteville VA Orthopedic Surgeon Dies at 83

Dr. Muenzner specialized in treating osteoarthritis, internal derangement of knee, intervertebral disc degeneration, scoliosis, and bunions. Muenzner earned his medical degree from the University of Kentucky Medical School in 1973. He completed an internship at Akron General Medical Center from 1973 to 1974, and did his orthopedic residency there as well.
Once he finished his medical training, he established a private practice in Superior, Wisconsin. He was the only orthopedic surgeon in the area. Later, he moved his practice to Dayton, Ohio, and after closing that one he continued to serve patients at the Veteran Hospital in Fayetteville, North Carolina. He retired in 2016.
Muenzner was born in Salem, Massachusetts, to Harriett and Henry Muenzner. He spent most of his childhood in Ashland, Kentucky, graduating from high school there in 1959. He earned his undergraduate degree from Dartmouth College in Hanover, New Hampshire, but didn’t head straight to medical school.
Before deciding on a career in orthopedic surgery, he worked in the lab of Armco Steel in Ashland for five years. He is survived by his wife Elizabeth; his sister Elizabeth; his three sons, Chris, Pat, and Dave and his four grandchildren, Jamie, Zach, Patrick, and Erin.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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