Happy New Year

Wishing all of our patients a happy & healthy New Year!

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

Congratulations Northridge Hospital

Kemp.H-education

Congratulations to Northridge Hospital Medical Center for being designated a Blue Distinction Center for Knee and Hip Replacement by Anthem Blue Cross and Blue Shield of California. This national designation is given to medical facilities that have demonstrated expertise in delivering quality specialty care in comprehensive in patient knee and hip replacement services.

The reason I am excited about this award is that Blue Destination Centers have a proven track record for delivering better results including fewer complications and re-admissions than hospitals without these recognitions.

I have been on staff at Northridge Hospital for twenty five years and have performed over one thousand knee arthroplasties at this great hospital. I am proud of this distinction and invite you to discuss the advantages of having a partial or total knee arthroplasty at Northridge.

Keep Moving!
Dr. Sisto

Everything Old is New!

Everything Old is New Again!

Cole Porter 1930
You may have seen multiple advertisements telling you that you should have a robotic-assisted total knee arthroplasty (replacement) to improve your result. These ads were paid for by hospitals that are attempting to convince you that a robot or computer assisted surgery is an improvement and will maximize your result.
The TRUTH, however, is that mulitple studies have confirmed that patients who have had computer navigation have the same results as those who have the surgeon perform the essential aspects of the surgery. All of these studies have shown that there was no difference in clinical function, alignment, and survivorship of the components between the computer-navigated and conventional or traditional total knee arthroplasties.

The hospitals that are advertising the beneficial effects of computer or robotic navigation are tricking you into paying more money travelling a greater distance to have a total knee arthroplasty when there is ABSOLUTELY NO EVIDENCE that a computer or robotic surgery is better.

The Los Angeles Orthopaedic Institute performs more total knee arthroplasties than any other group in the San Fernando, Santa Clarita and Antelope Valleys. Our surgeons have over 25 years experience in mastering the surgical techniques as well as catering to every one of your concerns to maximize your result.

Trust us to take you through this difficult journey and we will get you back to a more youthful and athletic lifestyle to allow you to enjoy our NEW knee.

If you have knee pain and have been told you may need a knee surgery, please call us to discuss the best option for you to MAXIMIZE your results.

Keep Moving!!
Dr. Sisto

Sex and Joints

A study presented at the American Academy of Orthpaedic Surgeons recently linked total hip arthroplasty (THA) and total knee arthroplasty (TKA) to IMPROVED SEXUAL FUNCTION!!!
The researchers surveyed 147 patients younger than 75 years old regarding sexual function prior to surgery and one year following surgery. More than 70% reported physical problems prior to surgery.
After surgery 90% of patients reported improved sexual function.
42% reported an improvement in libido, 41% reported increased intercourse duration and 41% reported increased intercourse frequency. Patients also reported improvement in general well-being (84%) and in sexual self image (55%).
Patients with degenerative knee and hip arthritis have had their social, athletic and SEXUAL  lives improved after undergoing a knee or hip arthroplasty (replacement).
At The Los Angeles Orthopaedic Institute we perform more total knee arthroplasties than any other group in the San Fernando, Santa Clarita and Antelope Valleys!!
If you have knee pain and are limited in your athletic, social and sexual life, call us and we can formulate a plan to return you to a more active and romantic lifestyle.
Keep moving (and flirting)!!!

Dr. Sisto

Springtime

SPRINGTIME has arrived and the best aspect of April is the beginning of the new baseball season! Baseball diamonds are alive throughout the San Fernando, Santa Clarita and Antelope Valleys and high school and college athletes as well as weekend warriors are enjoying Americas Past-time!
The ecstacy of hitting the ball and running the bases and, possibly, sliding into home plate exceeds the enjoyment of any other sport. Hitting a home-run to end the game and jumping on home-plate is a DREAM COME TRUE which is possible no matter what level of baseball you play.
Unfortunately, injuries are a part of the game and the shoulder, elbow and knee are the most vulnerable areas to be effected.
 Fortunately,  however, the orthopaedic surgeons at The Los Angeles Orthopaedic Institute take care of the most elite baseball players in our area and will take care of the injured athlete and maximize their return to baseball.
We are the team orthopaedic surgeons for Cal-State Northridge University (CSUN) which means that we are the only doctors taking care of elite Division I scholarship baseball players in the San Fernando, Santa Clarita and Antelope Valleys. We are the only surgeons that CSUN would trust to operate on those scholarship athletes many who go on to play professional baseball!!
We also care for the baseball teams for Pierce College, Antelope Valley College and Mission College as well as many of the high schools in the Tri-Valley area! We are also the team physicians for the Lancaster Jethawks which is the minor league team for the professional Houston Astros organization.
If you love baseball as much as we do and are injured, please call the baseball orthopaedic specialists at The Los Angeles Orthopaedic Institute to be treated as well as our elite scholarship and professional baseball players!!

Keep Playing!

Dr. Sisto

“Breakthrough” – We’ve Been Doing for 5 Years

LA_knee_surgeryThere has been an explosion of radio, televsion and newspaper advertisements announcing a “breakthrough” in non-operative treatment of the knee. These centers claim that they are offering a “new, innovative treatment” for knee arthritis which is NOT available at other doctors offices.
This is obviously false advertising and the Knee Centers should be ashamed of themselves.
All they are offering is a routine treatment which we have been routinely performing at the LOS ANGELES ORTHOPAEDIC INSTITUTE for the past FIVE YEARS.
We have been injecting a high molecular weight Hyaluronan into the knee to “oil” the joint and replace the natural lubrication which is missing in patients with degenerative arthritis. We use either ORTHOVISC or SUPARTZ which are both FDA-approved, non-drug therapy made from ultra-pure hyaluronan. It restores the natural joint fluid (hyaluronan) that cushions, protects and lubricates your knee joint. With better cushioning, your knee can move and function better.
Hyaluronon injections are indicated for patients with mild, moderate and severe degenerative arthritis.
At the Los Angeles Orthopaedic Insititute we have injected thousands of knees with many repeat patients who have been able to return to most if not all of their prior activites WITHOUT SURGERY!
Please call us if you have been told that you have degenerative or osteoarthritis of the knee and have been told you may need surgery. We can determine the BEST treatment for you and, hopefully, begin a series of Hyaluronan injections and start you moving your knees as soon as possible.
Keep Moving!

Dr. Sist0