Of Mice and Men

The big scientific news this week was the research done at Stanford and Harvard where older mice were injected with the blood of younger mice. The older mice significantly improved their mental functions and added significant amounts of muscle mass.

The airwaves have been rocking with this news as it heralds the possibility of delaying and, eventually, reversing the aging process. The Fountain of Youth may be in our not too distant future.

Of course, the study was preliminary and in mice and human trials have not been done BUT the researchers have identified the protein factor in the young blood that they believe is the active factor. It is a growth differentiation protein which stimulates stem cells to differentiate into new, fresh cells throughout the body. Stem cells are those that are pluripotential meaning that they can become many different types of cells depending on the environment they are placed in. There is exciting early work being done in the knee which may allow us to eventually replace meniscus and articular cartilage!

At the Los Angeles Orthopaedic Institute we are committed to restoring cartilage and making our patients’ knees as young as possible. We routinely perform Platelet Rich Plasma (PRP) injections, Hyalgan injections and perform mini invasive surgeries to keep the knees young and active. Please call us to discuss these exciting new treatments to keep everyone active and mobile!

After all, if mice can do it so can we!

Keep Moving!

Dr. Sisto

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Minimally Invasive Rotator Cuff Repair

The rotator cuff tendons of the shoulder function to raise our arm and allows us to perform activities as exciting as throwing baseballs and shooting baskets as well as merely combing our hair without pain or discomfort. Tendons are structures which connect muscle to bone and they are like pulleys which raise and rotate our shoulders. In normal, pain free shoulders the tendons glide under the bony roof of the scapula and allow us to perform over-the-shoulder activities pain free.
The tendons, however, can tear secondary to trauma such as a fall onto the shoulder or they can tear secondary to overuse and cause pain and weakness of our shoulder.
The treatment of a rotator cuff tear is surgical and we perform minimally-invasive arthroscopic techniques to repair the rotator cuff. These mini-incisions cause MUCH LESS discomfort and the recovery following surgery is much faster and more dependable.
Please contact us if you have shoulder pain and certainly contact us if another orthopaedic surgeon has recommended a rotator cuff repair to see if you are a candidate for a minimally invasive arthroscopic rotator cuff repair.

Dr. Sisto

How About A Partial Patellofemoral Joint Replacement?

An article title “Patellofemoral Arthroplasty in Arthritis Patients” was published in the most recent issue of Current Trends from the Department of Orthopaedic Surgery at Mayo Clinic. The authors presented their results of the minimally invasive, partial joint replacement surgery of the patellofemoral joint and they are excellent.  The Mayo Clinic is advocating patellofemoral arthroplasty for isolated arthritis of the patellofemoral joint (“knee-cap”).
I have recently submitted my ten year results of my patients who have undergone a “partial” joint replacement (arthroplasty) of the patellofemoral joint.   My results are fantastic and all of the patients are still satisfied 10 years later and none of them have had any additional surgery.  I will be presenting this paper at The American Academy of Orthopaedic Surgeons Meeting in Chicago March 2013.
Many surgeons will recommend a Total Knee Arthroplasty (replacement) to treat patients with arthritis of the knee.  This is an acceptable treatment but a full knee replacement does have increased complications, more post operative pain and requires a longer recovery time.  A PARTIAL Knee Arthroplasty utilizes a minimally invasive technique, usually a same-day discharge from the surgery center, significantly less post-operative discomfort, less complications and a quicker, more natural recovery.
At the Los Angeles Orthopaedic Institute we specialize in this minimally invasive technique and invite you to consult with us if you have significant knee pain and, especially, if another surgeon has recommended a Full Knee Replacement.  Hopefully, you will be able to undergo a partial replacement and enjoy a much easier recovery and enjoy your minimally invasive surgical experience!
Keep Moving!
Dr. Sisto

Who’s Who Recognition

I was just selected into Marquis Who’s Who in Medicine and Healthcare in 2011-2012.  This is the publisher of the Who’s Who in America since 1899.  This award distinguished me as one of the leading healthcare professionals from around the world.

I was told that I was selected because I have developed a minimally invasive surgical procedure to grow “new cartilage” in the knee to make the knee “young again”.

I am proud of this recognition and I encourage anyone who has knee pain and is disabled because of pain to be evaluated and we can recommend a minimally invasive surgical procedure to eliminate years off the knee and allow you to function at a higher level.

I am proud of this recognition by the Who’s Who of America and I look forward to treating all of your knees in the years to come.

Dr. Don