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While hundreds of thousands of knee surgeries are performed across the nation, the surgical methods employed will vary from surgeon to surgeon. At Nanoknee, we have taken this vital, life-changing procedure to a new level of efficiency and results.

Our process has some significant differences that benefit our patients, including:

Orthopedic Surgeon Los Angeles

Step 1

Knee Before Surgery

Orthopedic Surgeon Los Angeles

Step 2

Knee After Resurfacing

Orthopedic Surgeon Los Angeles

Step 3

Knee With Oriented Implant

3D Surgical Planning

In planning your surgery, we use the most advanced technology as guidance. We use 3D modeling and virtual reality models to help us optimize the kinematic (related to the motion and flexibility of the knee) alignment of your customized knee implant. This is a critical difference in how we approach knee surgery; with the assistance of our team of biomechanical engineers, working with your CT or MRI scan, we create a virtual replica of your individual knee. This allows us to determine the ideal size for your implant, and how to orient the implant, based upon your unique physiology.

The combination of this 3D modeling, in conjunction with our minimally invasive surgical technique and our advanced pain management system is a groundbreaking development in knee surgery, leading to less pain, faster recovery, and a lower risk of complications.

Fast-Track Recovery

Our patients at Nanoknee have a far superior recovery experience; they are able to walk almost immediately after surgery, and in most cases, return home within two to three hours, rather than having a stressful hospital stay. You should be recovered and able to return to work within one to three weeks, depending upon the activities you perform at your job. Your rehab is performed in the comfort of your own home through an app that tracks your individual progress.

You also have 24/7 access to our staff through the app. Most of our patients do not need to go to physical therapist after knee surgery and recover beautifully through performing a custom set of easy exercises to help increase flexibility and range of motion.

Here is the range of options we offer:

Bone Marrow-Based Stem Cell Therapy

One of the most cutting-edge treatments for tendon injuries and osteoarthritis is Bone Marrow Concentrate (BMC) therapy. BMC can help speed healing of moderate to severe osteoarthritis or tendon injuries.

NanoKnee clinics in Los Angeles, Pismo Beach and Bakersfield are proud to be among the first to offer this promising new therapy to its patients.

What Makes BMC Treatment Different?

The unique properties of stem cells are at the heart of what BMC therapy has to offer. In many instances, stem cells function as an internal repair system. They can divide almost without limit as needed to replenish other cells. In addition, when a stem cell does divide, it can either remain a stem cell or become a different type of cell that has a more specialized function.

A type of cell found in bone marrow, known as stromal stem cells, has the potential to generate bone, cartilage and fat cells. As these cells replicate, they can support the formation of fibrous connective tissue.

How Does the Treatment Work?

BMC employs a concentration of stem cells that have been obtained from a patient’s own bone marrow to treat injuries. A small amount of marrow is removed and placed in a centrifuge to separate the bone marrow cells. Next, these cells are injected into the injured area of the body.

As straightforward as this sounds, it is only possible because of recent breakthroughs in medical technology. Today, NanoKnee is among those who are able to offer a therapy that was much more difficult and expensive to deliver in the past.

What Can BMC Treat?

BMC can be used to relieve a wide range of knee, hip, shoulder, elbow, wrist, ankle and spine conditions. These include:

  • Tendon and ligament injuries
  • Tennis and golf elbow
  • Rotator cuff injuries
  • Achilles tendinitis
  • Plantar fasciitis
  • Osteoarthritis (hip, knee, shoulder, elbow)
  • Sacroiliac joint dysfunction

This list is not comprehensive - a consultation with the staff at NanoKnee can give help you understand the potential for BMC to bring relief for your specific problems.

Does the Treatment Hurt?

In most cases, patients experience minimal pain. Local anesthetic and moderate sedation make this a painless procedure.

You may experience tenderness at the site of the BMC injection. If this does occur, it generally resolves within a few days. The use of anti-inflammatory drugs such as aspirin, ibuprofen and naproxen are not advised following treatment, as these medications could block the healing response the injection is designed to cause. At NanoKnee, we will advise on any restrictions in medications during the healing process.

What Kind of Results Can I Expect?

BMC treatment is intended to heal, not to prevent you from feeling or noticing an underlying problem that still exists. Often, a single treatment is all that is needed. You will experience some discomfort and swelling for a few days, but by the end of the first week, these symptoms should be resolving. Physical therapy can begin at this point, to help speed the healing process.

NanoKnee offers a digital rehab program that utilizes iPad-based software, a Fitbit and Skype sessions with a physical therapist. We can track your progress in detail and call you in for an in-person consultation whenever that is needed. The period of time required for you to feel the full benefits varies from person to person.

Are There People Who Should Not Receive BMC?

There are some medical conditions that would make you ineligible for this treatment. These include cancer derived from bone marrow (e.g. lymphoma) or other metastatic forms of cancer. You should not receive BMC if you have an active systemic infection. If you take blood-thinning medication, you would need to discontinue it prior to treatment.

Cartilage Transplant (OATS)

Athletes and other highly active people can have both personal and professional reasons for wanting to remain active. An injury to knee cartilage can present a real barrier for those who want to continue to pursue sports and other recreational activities.

At NanoKnee, we understand how important it is to you to stay active. We’re excited to be able to offer the OATs procedure to our clients.

What is the Purpose of OATS?

Osteochondral Autograft Transplantation Surgery (OATS) has been demonstrated to be an effective treatment option for knee cartilage injuries. The term “osteochondral” means “related to bone or cartilage,” while “autograft” means a graft of tissue from one part of your body to another. An alternate version of the OATS procedure that is “allograft,” which involves transplanting tissue from a donor.

Cartilage makes it possible for your joints to move without friction or grinding. Knee cartilage can be damaged in numerous ways, including:

  • Falling on the knee
  • Rapidly changing direction
  • Jumping down
  • Dislocation
  • Repetitive stress, such as running, can cause damage in some cases

Unlike other tissue in the body, cartilage cannot repair itself, and any injury is difficult to resolve. The OATS procedure makes it possible to restore the normal function of cartilage.

How Does It Work?

The OATS procedure is aimed at replacing “articular” cartilage. In the knee, this tissue can be found on end of the femur, the back of the knee cap and the top of the tibia. This tissue creates a surface that allows the bones to glide smoothly – a surface five times more smooth than ice on ice.

When this tissue is damaged, and bone is exposed, you can experience swelling, pain, loss of motion or weakness. In the OATS procedure, plugs of bone from a donor are transplanted in the injury areas. It is the only procedure that actually restores articular cartilage.

How is the Procedure Performed?

This outpatient surgery is done at our state of the art surgical center.

The goal is to take a plug of healthy cartilage from a non-weight-bearing portion of your knee and then graft it in the area where your cartilage is damaged. First, the surgeon will prepare the area where the graft will be placed, and then a plug of healthy cartilage is harvested and implanted in the damaged area.

What is Recovery from OATS Like?

When you have awakened following your surgery, the doctor will brief you on the specific damage found and the surgical corrections performed. You can expect some swelling, which can be addressed with ice packs and by elevating your knee. This can be done several times a day, for 20 minutes, until the swelling diminishes.

Most patients are able to go back to work after a few days depending on their job duties. Your doctor will instruct you on when to resume high impact activities.

Uni-Knee: Partial Knee Replacement

You may be suffering the effects of arthritis in your knee, with your quality of life affected so much that you’re considering surgery. It’s possible that you may not need a total knee replacement.

For a number of patients suffering from osteoarthritis, a unicompartmental (“Uni-Knee”) procedure can be a less-invasive and effective option.

Your Knee Has Three Compartments

Your knee joint is made up of three parts, or “compartments”:

  • The knee cap and the front part of the femur (thigh bone)
  • The inside of the knee, known as the “medial compartment”
  • The outside, the “lateral compartment”

The medial and lateral compartments are the area between the femur and the tibia (shin bone). Osteoarthritis is most common in the medial compartment. An X-ray can reveal which areas of your knee are affected by arthritis. If your disease is confined to one compartment, you could be a candidate for a unicompartmental knee procedure.

How is a Partial Knee Replacement Done?

The goal of a Uni Knee surgery is to create an artificial joint, just as in a total knee replacement. The difference is that the Uni Knee procedure only addresses the area where disease has been found.

Patients receive regional anesthesia, which numbs the lower portion of the body, and IV sedation to remain comfortable. Most patients are walking pain free 30-45 minutes after surgery.

The surgeon will first make an incision at the front of the knee. The damaged cartilage in the affected area is removed and a resurfacing component is attached to the femur and to the tibia. Knee ligaments and unaffected cartilage are left undisturbed.

Am I a Candidate for Uni Knee Surgery?

You’ll need an examination to determine if your problems are restricted to one compartment of your knee. Overall, anywhere from 10 to 15 percent of patients suffering from osteoarthritis of the knee will be eligible for Uni Knee surgery.

Certain patients would not be eligible for this procedure, for example:

  • Patients whose knee ligaments are not intact
  • Patients with rheumatoid arthritis
  • Patients who are morbidly obese

Other factors could also affect your eligibility. A consultation with your surgeon can clarify whether a partial knee patient is right for you.

Benefits for Those Who Qualify

As comparted to total knee replacement, Uni Knee surgery does offer benefits to those who are qualified to receive it, among them:

  • It is a less-invasive operation, with a smaller incision, less blood loss and a smaller amount of bone removed.
  • No hospital stay and a rapid recovery.
  • Your recovery will be quicker, and you will experience less pain the days following your surgery.
  • Because bone, ligaments and cartilage in the healthy parts of your knee have not been touched, your knee will feel more like a “natural” knee.
  • When you have healed, you should be able to be more active than if you had received a total knee replacement.

It is possible that as time passes, you could develop arthritis in other parts of your knee. If it becomes necessary in the future for any reason, you would still be able to receive a total knee replacement.

Arthrosurface Implants

Minimally invasive Bone Resurfacing

The loss of cartilage in the knee due to arthritis or injury results in bones rubbing together. This is not how your knee was designed to work, and it causes significant pain, affecting mobility.

You want to regain your ability to move, and to restore your ability to be active without pain and discomfort. Is a total knee replacement your only option?

NanoKnee, with clinics in Los Angeles, Pismo Beach, and Bakersfield, is one of the few surgical centers that offers a unique and innovative alternative to total knee replacement, a minimally invasive procedure that can help restore natural knee function.

Rubbing Things the Wrong Way

It’s possible that your pain is related to damage in just one part of your knee. Most arthritis pain is related to disease within the knee structure, between the femur (thigh bone) and the tibia (shin bone). Arthritis, or injury, can also cause damage to the outer portion of the knee structure knee, or between the kneecap and the femur.

What if you could reduce friction between the bones in the specific area that is affected? That would help you avoid the trauma of a total knee replacement and give you a better chance at resuming the active lifestyle that you enjoy.

How Resurfacing Works

The approach taken in this innovative surgery is as simple as it is powerful. Implants are placed in the injured areas, restoring smooth, friction-free motion in the joint. The implants are contoured to match the shape of the joint surfaces to which they are attached. The surgery can be done without affecting the healthy areas of your knee joint.

Advantages to the Patient

If you are a candidate for this procedure, you will experience a number of benefits:

  • This surgery can be performed as an outpatient procedure, saving you time and the expenses associated with a long stay in the hospital.
  • It is relatively non-invasive. Not as much bone or cartilage is removed as in a full knee replacement.
  • Your ligaments will remain intact. Overall, the joint is altered much less.
  • Your recovery time will be shorter than for a total knee replacement. You’ll be back at work and back to your normal routines sooner.
  • You will have fewer restrictions on your activity following the surgery – possibly none at all.

Am I a Candidate?

A primary factor in your eligibility is whether or not your problem is limited to a specific area in your joint. This can be determined by an X-ray. Even if this is the case, some patients would not be eligible for this procedure, including:

  • Patients who have a bone infection (osteomyelitis)
  • Patients who have a sensitivity or allergy to materials in bone cements or orthopedic prosthetics
  • Patients who have metabolic disorders that could affect the ability of bone to heal
  • Patients who have infections in other areas of their body that could spread to the implant site

This is not the full list of factors or conditions that could affect your eligibility. As with any other surgery, you will need to be in good general health. The fastest way to determine if you are a candidate for minimally invasive bone resurfacing is to schedule a consultation with our surgeon.

Advanced Treatments for Knee Pain at NanoKnee

If knee pain has forced you to cut back your activities and robbed you of the pleasure you gain from sports and recreational activities, the road out of these problems may be easier to travel than you think.

Don’t wait any longer to find out more about minimally invasive bone resurfacing, and how it can help you overcome your specific knee issues. Schedule a consultation with NanoKnee.

Minimally invasive Bone Resurfacing Knee Replacement

Some patients have worn out all the cartilage in their knee and may need a total knee replacement.

Nanoknee offers a new type of total knee replacement. Our proprietary 3D modeling allows us to offer the most minimally invasive and advanced knee replacement on the market.

Advantages include: Minimally invasive, smaller incision, extremely bone sparring, ligament sparring, more precise alignment using 3D models, perfectly balanced knees.

All patients are done at a surgery center and walking 30-45 minutes after surgery. All patients go home the same day and most go home after just 2 hours.

Get back to doing what you love

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Contact Us

Arroyo Grande /
San Luis Obispo

860 Oak Park Blvd. Suite 101 Arroyo Grande, CA 93420

Tel : (805) 669-9471 Fax : (805) 481-5245

Los Angeles

23365 Hawthorne Blvd Suite 102 Torrance, CA 90505

Tel : (323) 947-2737 Fax : (805) 481-5245 Contact.


2701 Chester Avenue Suite 102 Bakersfield, CA 93301

Tel : (805) 669-9471 Fax : (805) 481-5245

Minimally invasive total knee replacements in Los Angeles.

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