Stem Cells are Ready for Prime Time

Stem cells are pluripotential cells which means that they are immature cells which can differentiate in the body to form many different types of cells depending on which part of the body they are introduced or injected into. Stem cell therapy is gathering so much publicity now and there are a number of reasons to justify the excitement.  The primary reason is that we are finally getting peer-reviewed, high level publications from research teams that prove stem cell is working.

The primary indications for stem cell therapy in the musculoskeletal system are for degenerative arthritis and chronic soft tissue injury. A number of research articles have been recently published which clearly show that stem cell therapy will alleviate pain and slow down the progression of arthritis in the knee and shoulder.

At the Los Angeles Orthopaedic Institute we are enrolling patients now in our own studies to quantitate the benefits of stem cell therapy to treat our patients with degenerative arthritis. Our early results are encouraging, and we are currently recommending stem cell therapy to our patients prior to undergoing total knee, hip or shoulder arthroplasty.

Please call us if you have been recommended to undergo a joint replacement surgery and see if stem cell therapy is a good option for you.

Keep Moving!

Dr. Sisto

 

 

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Biologics is the New Buzz Word

Biologics is the new term for the treatment of musculoskeletal injuries utilizing PRP injections or stem cell injections. PRP is “platelet rich plasma” which allows us to draw blood from a patient, spin it down to concentrate the growth factors and inject those factors into an injured knee/shoulder/ankle or elbow joint.
Stem cells are pluripotent cells which means that these are immature cells which can develop into another type of cell if they are introduced into that new cells environment. Stem cells are either harvested from a patient’s bone marrow or fat (autogenous stem cells) or from the umbilical cord of a donor mother who has just given birth (allograft stem cells).
Stem cells have been shown recently to decrease soft tissue inflammation and promote healing of common soft tissue injuries including tendon, muscle and ligament tears. Stem cells have also been shown to decrease the inflammation of degenerative arthritis of the shoulder and knee and give prolonged symptomatic relief. There is no evidence, unfortunately as of yet, that stem cells grow new articular cartilage or reverse the degenerative changes of a joint. Hopefully, the future will be brighter in this battle to reverse the aging of damaged, arthritic joints.
The doctors at The Los Angeles Orthopaedic Institute have been using PRP and stem cells for the past 3 years and are experts at deciding which treatments would benefit specific patients.
Please contact and visit us to discuss if you are a candidate for these new biologics which are keeping patients mobile and living life to the fullest.

Keep Moving!
Dr. Sisto

Welcome Dr. Saadat

The Los Angeles Orthopaedic Institute is proud to announce that Dr. Saadat has joined our group. Dr. Ehsan Saadat is a spine specialist and is the best trained spine surgeon in the Valley.
Dr. Saadat attended the University of California Berkeley as an undergraduate, the University of California San Francisco Medical School and did his Orthopaedic residency at Harvard which is one of the top programs in the world. Dr. Saadat did a one year Fellowship at Emory University in Atlanta which is one of the top spine programs in the country.
Dr. Saadat will be concentrating on non-operative and operative treatment of all aspects of spinal disorders including deformity. His passion is patient care and he has already impressed all of the doctors he has worked with so far with his surgical skills and his compassionate care.
The Los Angeles Orthopaedic Institute is one of the oldest and most prestigious orthopaedic group practices in Southern California and we are grateful and humbled that Dr. Saadat has chosen to join our group practice.
The highest level of spinal care is now available in Sherman Oaks and at our satellite office in Palmdale!! Dr. Saadat is looking forward to helping his patients to lead pain-free and energetic lives.

Keep Moving!!!
Dr. Sisto

Stem Cells: Are they right for you?

Biologic factors to enhance healing and treat degenerative arthritis are commonly being performed and our patients are constantly asking the doctors at Los Angeles Orthopaedic Institute if Stem Cells or Platelet Rich Plasma (PRP) are correct for them.

Platelet Rich Plasma (PRP) is performed by taking a blood sample from the patient, spinning the blood down to isolate the growth factors and injecting these cells into the injured joint. The success rate varies depending on the diagnosis and chronicity of the disease. In general, soft tissue injuries including lateral epicondylitis of the elbow (“tennis elbow”), patellar tendonitis of the knee (“jumper’s knee”), iliotibial band tendonitis of the knee (“runner’s knee) and Achilles tendonitis respond best to PRP. Degenerative arthritis of either the shoulder, knee and hip can be significantly helped but the results can vary.

Stem cells are the  New buzz word and there is evolving evidence that they play a role in the treatment of musculoskeletal disease. Adult stem cells have the most promise for use right now and there are two types that are utilized. Both of the types are taken from the patient’s own body. A third type are amniotic cells taken from a donor.

There are advantages and disadvantages of each type but the best information a patient can get is discussing the possibilities with their doctor at Los Angeles Orthopaedic Institute. All of our doctors are experts in Stem Cells and PRP and we will discuss whether these new and exciting treatment modalities will alleviate your pain and increase your mobility.

 

 

Practice Makes Perfect

The lead article in the October issue of The Journal of Bone and Joint Surgery concluded that patients undergoing a total knee arthroplasty (replacement) with high volume physicians and hospital achieve better outcomes.  The Los Angeles Orthopaedic Institute including Drs. Sisto and Sobeck are very high volume total knee arthroplasty surgeons (greater than 145 per year) and we agree with the recert of this study “Practice does make perfect” and our high volume confirms this.  We strive to have the best outcomes with the lowest complication rates in Los Angeles.  Please visit us to learn more about our success at maximizing your surgical result following a knee surgery.

Keep moving!!!

Dr. Sisto

Practice Makes Perfect

The newest edition of the Journal of Bone and Joint Surgery contains an article titled “Effect of Surgical Caseload and Revision Rate Following Total and Unicompartmental Knee Replacement”. The aeticle is based on the results of 500,000 patient records from England and clearly shows that high volume surgeons attain the best results following partial knee replacements (uni) and total knee replacements.
In other words, the SINGLE most importatnt determining factor to maximize the result of the surgery is to select a knee surgeon who does the most procedures. Dr. Sobeck and myself perform more total knee arthroplasties than any other surgical group in our valleys, PERIOD.
If you have knee pain and have been told that you require a joint replacmeent surgery, the best thing you can do is get a second opinion with us at the Los Angeles Orthopaedic Institute.
We are looking forward to maximizing your result and having you return to an active, pain free life.
Keep Moving!!
Dr. Sisto

Patello-Femoral Replacement (PFR)

Do you have severe pain under or around your kneecap?
Have you been told by your doctor that you may need knee replacement surgery?
Are you interested in learning about a less-invasive partial knee replacement that is custom made just for you?

What are your options?
If you have severe pain under and around your kneecap, your doctor may first recommend conservative treatment involving rest, physical therapy and analgesics. If your pain is not manageable with these measures, you may be a candidate for surgery.

Types of surgery for arthritis around the kneecap

There are several types of surgery intended to treat severe arthritis around the kneecap. These options include soft tissue procedures (such as a lateral release), cartilage replacement, chondroplasty, microfracture, bone and tendon realignment procedures, and replacement of the painful portion of the knee (partial and total knee replacement).
 Replacement of the entire knee joint (total knee replacement) has been used to treat arthritis that is isolated to the kneecap portion of the knee. With total knee replacement, however, all portions of the knee are replaced, even if they are healthy!
Many experts believe that total knee replacement is too aggressive for someone who suffers from arthritis in just one portion of the knee. These experts believe that your knee will function better if you are able to keep the healthy portions in your knee and only replace the area that is damaged. Another consideration is that total knee replacement requires removal of bone from your entire knee and, if the implant does not last you for the rest of your life, the challenges of subsequent repair are increased because there is simply less bone to work with for implantation of the revision knee components.

Read more about PRF at the Los Angeles Orthopaedic Institute…