Tommy John Surgery

We have just performed another successful ulnar collateral ligament reconstruction of the elbow (Tommy John surgery). We are the team physicians for Cal-State Northridge (CSUN) and operate on all their scholarship athletes. We perform the second most Tommy John surgeries in Los Angeles and our results are outstanding! All injured athletes and weekend warriors should be treated at The Los Angeles Orthopaedic Institute and you will get the same excellent care that the elite athletes of CSUN receive.

Keep moving!
Dr. Sisto

Injections to Avoid Total Knee Arthroplasty

Degenerate arthritis of the knee is a painful, disabling condition. The surfaces of our knee bones (femoral tibia) are lined by smooth, glistening articular cartilage which allows the bones to painlessly glide  on each other. The cartilage or pad of the knee wears down as we age and the bones grind on one  another which causes pain and stiffness. The best analogy is that of a car tire losing its tread and the rim of the tire grinds on the road (ouch!!!).

The surgical solution for degenerative arthritis is a Total Knee Arthroplasty (Replacement) which has been a spectacular procedure to allow pain free motion. The knee surgeons at The Los Angeles Orthopaedic Institute are aggressive in this procedure and we have helped thousands of patients to regain mobility.

The surgery, however, is still a big step for most patients and we are constantly searching for non-operative solutions to avoid surgery but yet allow our patients to function without pain.

The newest non-surgical treatment which has been successful is PRP injections of the knee. PRP is platelet rich plasma which entails drawing the patients own blood and concentrating the growth factors and injecting the concentrate into the knee joint of the patient. The procedure is done in the office and is a minimal discomfort. PRP has shown an ability to grow cartilage, recruit stem cells and has anti-inflammatory activities to reduce pain and slow down the arthritis cycle.

The surgeons at The Los Angeles Orthopaedic Institute are specialists in PRP injections and we are excited to share the new technology with our patients in hopes of avoiding a total knee arthroplasty.

Please call our office and schedule an appointment to see if you are a good candidate for PRP injections.

Keep Moving!!!

Dr. Domenick Sisto

Super Doctor

I am pleased to announce that I have been selected by The Los Angeles Magazine to be recognized as a “Super Doctor” in Southern California. This is an important honor as only a select few are chosen and the selection committee is composed of other orthopaedic surgeons in Southern California. My peers have selected me as a “Super Doctor” for the past ten years and I am grateful and humbled by this distinction.
I am the founding member of The Los Angeles Orthopaedic Institute which is one of the largest private practice groups in Southern California. All of our doctors are board certified, fellowship trained specialists who deliver the highest level of up to date, innovative care. We also have 3 Physician Assistants who extend the care we deliver and compliment the six orthopaedic surgeons in our group.
We are excited by the “Super Doctor” recognition and all the doctors at The Los Angeles Othopaedic Institute look forward to helping our patients stay healthy and pain free.
Keep moving!!

Dr. Domenick Sisto

Congratulations Nasim Kalhor, DPM!

Congratulations to Dr. Nasim Kalhor of Los Angeles Orthopaedic Institute for receiving the Patient’s Choice Winner Award from OpenCare! Dr. Nasim Kalhor is a Board certified podiatric surgeon specializing in the medical and surgical treatment of the foot and ankle.

New Treatment for Degenerative Arthritis of the Knee

Exciting new developments have occurred that have expanded our ability to medically treat degenerative arthritis of the knee and, hopefully, avoid surgery.

As you all know degenerative arthritis (also known as osteoarthritis) occurs when the smooth, glistening articular cartilage on the surface of the bones wears down and the underlying bone is exposed. The best analogy is when a tire tread wears down on a car and the rim is exposed. Bone on bone contact causes pain, locking and swelling of the knee.

The new treatment is an injection of Platelet Rich Plasma into the knee. Platelet Rich Plasma (PRP) derives from our own blood which is drawn in the office. The blood is processed in the office to concentrate the platelets and growth factors to enhance cartilage repair. PRP acts to stimulate endogenous hyaluronan production which is the natural lubricate of the knee. PRP also decreases cartilage catabolism (breakdown). PRP also suppresses the inflammation of the knee.

This is an exciting new treatment option in patients with degenerative arthritis of the knee.

Please call us if you are having knee pain and we will keep your knees running!

Keep moving!

Dr. Domenick Sisto

Demand Your Own Ligament!

A tear of the anterior cruciate ligament (ACL) is a disabling athletic/work place injury which, untreated, could lead to knee instability, pain and degenerative arthritis.  The treatment of an ACL tear is surgical and requires “harvesting” another ligament in the knee to reconstruct the torn ACL.  The long term results are in the 95% success range but there can be anterior knee pain known as “harvest site morbidity.”

Surgeons have attempted to avoid this small, relatively insignificant complication by utilizing a “cadaver allograft” which is a ligament taken from a dead person, secondarily sterilized and inserted in the knee.

The advantages of allograft are that it avoids “harvest site morbidity” and it is a technically much easier surgery to perform. Harvesting a patient’s own patellar tendon or hamstring graft is a more delicate procedure and is performed only by “knee specialists” and those knee surgeons who have done a knee fellowship and perform at least 100 ACL reconstructions a year.

The PROBLEM is that allografts ABSOLUTELY DO NOT give the same results as an “autograft” or using the patient’s own tissue as a graft!!

A recent study in The American Journal of Sports Medicine confirmed that allografts had a MUCH HIGHER incidence of failure at 5 year follow-up.  This was one of a number of studies which have all shown A MUCH HIGHER RATE of failure with ALLOGRAFT.

I am the Team Physician for Cal State University Northridge (CSUN), Pierce, Mission and Antelope Valley colleges, The Lancaster Jet Hawks and Chaminade High School and I only utilize autografts in these high level athletes who cannot risk a recurrent injury!

If you or a friend have torn their ACL and your doctor has recommended an allograft, ABSOLUTLEY GET A SECOND OPINION and get the facts of autografts vs allografts!

Every risk level athlete who has recently torn their ACL (Adrian Peterson, Robert Griffin, Derrick Rose, Rajon Rondo) have all had autogenous patellar tendon graft ACL reconstructions.  This is the best option and the surgery that is RIGHT FOR YOU as well.

 

Keep Moving!
Dr. Sisto