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

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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

ACL Tears – Autografts vs. Allografts

Tears of the anterior cruciate ligament of the knee are devastating injuries and, unfortunately, are on the rise in incidence. There are many factors to explain this but the increase is primarily among female athletes.
The treatment of a torn ACL is surgical in young patients and in older athletes who do not want to stop competing and enjoying sports.
Two recent events have occurred which verifies that the surgical procedures done by the surgeons at The Los Angeles Orthopaedic Institute are the BEST to reconstruct the ACL.
Two long term studies have just verified that allografts are inferior compared to autografts to reconstruct a torn ACL. Allografts are tissue from a cadaver (dead body) and an autograft is from the patients’ own body. The advantages of an allograft are smaller incisions and less pain in the first week post-operatively. The disadvantage, however, is a higher FAILURE rate which is unacceptable.
We have always known that autografts are superior and we have ALWAYS recommended autografts to our athletes!
The choice of autografts is either the patients’ patellar tendon or the hamstrings. We have always preferred the patellar tendon for THREE main reasons.
#1 – The patellar tendon has bone on either side and we get bone to bone healing which is the quickest and strongest graft!
#2 –  The patellar tendon is the strongest graft!
#3 –  We do not want to sacrifice the hamstring tendons as this leads to knee weakness and stress on the reconstructed knee.
Adrian Peterson, the elite running back for the Minnesota Vikings just returned from ACL surgery and had his best running year ever. Of course he had a patellar tendon autograft which is what we have been performing in our patients over the past twenty years.
The Los Angeles Orthopaedic Institute surgeons are the orthopaedic surgeons for Calstate Northridge (CSUN) which are the only Level I Scholarship Athletes in all of the San Fernando, Santa Clarita and Antelope Valleys. The most elite athletes, coaches and trainers have selected us to perform these surgeries on their athletes for over 15 years!
We hope you maintain healthy knees but if you or a friend tears the ACL we should be your FIRST CHOICE!

Stay Healthy,
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

What Is “PRP”?

Kobe Bryant has just traveled to Germany to have a “PRP” injection and everyone wants to know what this is about. PRP stands for Platelet Rich Plasma which is a new injectible, non-surgical technique to stimulate healing of chronic soft-tissue injuries of the knee, shoulder, elbow and ankle joints. The technique is perfomed in thw office and a small amount of blood is taken from the patient and this is placed in a special machine which concentrates the “healing portion” of the blood into a concentrated healing “super fluid.” It is than injected into the patient’s joint under ultrasonic visualization.
  The early results for lateral epicondylitis (Tennis elobw), patellar tendonitis (Jumping knee) and rotator cuff tendonitis have been great. We are the team physicians for Cal-State Northridge (CSUN) and have performed PRP successfully for these problems. The role of PRP in the treatment of degenerative arthritis (Kobe’s diagnosis) is very controversial and is unknown at this time.
  Schedule an appointment if you have a chronic soft-tissue injury or degenerative arthritis and we can discuss whether PRP is an option for you.

Stay young!
Dr. Sisto