Subchondroplasty: Knee Repair not Knee Replacement

Subchondroplasty means surgical repair below the knee. Some patients suffer from chronic knee pain but are considered too young for a knee replacement. This procedure is a minimally invasive procedure that can delay or prevent the progression of knee osteoarthritis itself, the procedure does this by treating underlying causes of osteoarthritis knee pain and mobility limitations.


Read about this procedure on our page Subchondroplasty: Knee Repair not Knee Replacement

Subchondroplasty Animation

MLS Laser Therapy

When a physical condition or injury affects mobility or quality of life, there is one goal: A rapid return to everyday activites.Laser Therapy is the use of specific wavelengths of light to treat painful and debilitating conditions.  It is is a non-invasive, safe, and effective treatment modality where light is used to relieve pain, reduce inflammation, promote wound healing and soft tissue repair. Our laser is the only multi-wave locked system, dual wave (2 different wavelengths 909nm and 805nm), fully robotic laser therapy system on the market. This means deeper penetration with no heat produced allowing faster healing. It has been cleared by the FDA since 2009 with no known side effects.


Read about this procedure in detail on our page MLS Laser Therapy

Bio-Inductive Shoulder Patch

Rotator cuff injury is common, and many patients avoid surgery because they hear about painful, lengthy postoperative rehabilitation and time away from work. This minimally invasive approach is designed as a new option for people suffering from rotator cuff tendon tears in the shoulder joint, which affect more than 4 million people annually in the U.S. and are the most common source of shoulder pain and disability.  The Bio-inductive Implant, manufactured by Rotation Medical, is suitable for most rotator cuff disease, from small partial-thickness tears to massive full-thickness tears.

Rotator cufftears are most often caused by chronic wear and tear with degeneration of the tendon. Rotator cuff tears can also occur in people who repeatedly perform overhead motions in their jobs or sports. In fact, more than 50 percent of people over age 60 have symptoms. Because traditional treatments do not address the poor quality of the underlying tendon tissue, a significant number of these tendons often develop into larger, more painful and debilitating tears and/or re-tears due to continuing degeneration of the torn tendon. The Bio-inductive Patch allows surgeons to intervene early and potentially prevent disease progression by augmenting and healing the tendon before the injury worsens.

Read more about this on our page Bio-Inductive Shoulder Patch

Bio-Inductive Shoulder Patch animation

Platelet Rich Plasma Therapy

Recent medical advances have uncovered a promising natural, non-surgical treatment for pain and injury called Platelet Rich Plasma Therapy, or PRP.  PRP is the plasma portion of the blood that contains concentrated platelet cells. Platelets are specialized types of blood cells that initiate tissue healing. When platelets are injected directly into the injured tissue they trigger the body’s natural instincts to repair itself and can often accelerate the healing process.

Read more about this on our page Platelet Rich Plasma Therapy

Dr. Pietropaoli discussing PRP on News 10 Now

ACL Injuries & Treatment

A new innovative way to treat ACL Injuries

Dr. Pietropaoli is involved in the emerging field of regenerative medicine, continuing to introduce our patients to new biologic and regenerative treatments as options other than surgery or in addition to surgery to aid in faster recovery.  For the ACL reconstruction procedure he uses a graft from the patient called bone-patellar tendon-bone. The new ACL is made from a strip of the patient’s own knee cap tendon, called the patellar tendon, along with an attached piece of bone from the knee cap and an attached piece of bone from the shin bone (tibia).  Dr. Pietropaoli works with the several different methods of ACL reconstruction: most commonly bone-patellar tendon-bone, but also quadriceps tendon, hamstring tendons or even donated cadaver allograft tissue when necessary. His go-to is the bone-patellar tendon-bone, which he believes is by far the most commonly used graft for professional athletes. After harvesting the bone-patellar tendon-bone graft for the reconstruction during the surgery, Dr. Pietropaoli goes inside the knee using an arthroscope. He threads a small camera into the knee that projects magnified video to a large flat screen monitor in the operating suite.


Read more about this Procedure on our page ACL Injuries & Treatment

ACL Tear & Surgical Repair