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.

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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