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The Stone Clinic
with Special Interest in Research
and Advanced Techniques
for Orthopaedic Joint Surgery
The Stone Clinic in San Francisco,
California concentrates on returning injured people to their
activities fitter, faster and stronger than they were before
they were injured. Our expertise is in knee, shoulder and
ankle injuries and the treatment of joint arthritis. We
have developed surgical and rehabilitation techniques focused
on cartilage and ligament repair, regeneration and replacement.
Our team includes health professionals organized around
a central theme:
Provide the best medical care possible without insurance
company restrictions or limitations
Be as efficient and convenient as possible for the
patient, with most patient needs met on-site
The Stone Clinic includes physician-surgeon Kevin R.
Stone MD, with on-site physical therapy and rehabilitation
team, dedicated extremity MRI, and advanced digital X-ray.
Olympians, professional athletes, amateur athletes, performing
artists and non athletes with injuries and arthritis come
to The Stone Clinic from around the world for accelerated
medical care.
Locally we provide care for The Smuin Ballet, ODC, Lines
Ballet, ICER Air free skiers, and multiple school athletes.
About the Stone Clinic
The professionals at The Stone Clinic share a common
philosophy: high quality care of our patients as a result
of our training, experience and perspective. Our team
is comprised of people who listen, and who understand.
Our definition of treatment is therapeutic interaction
with patients based on their lifestyle and activity goals.
We believe in preserving natural biology of the joint.
Our approach is biologic rather than bionic (artificial).
We encourage patients to be a part of our team - to take
responsibility in their own recovery - to ensure the highest
possible results. Learn more about the team below:
Following are highlights of current programs
at The Stone Clinic supported by the Stone Research
Foundation:
Articular Cartilage
Regeneration - Arthritis
Paste grafting is a surgical cartilage repair technique
for treatment of arthritic and traumatic lesions of
the articular cartilage. The technique was developed
by Dr. Stone in 1991 and has been under evaluation in
more than 200 patients. Arthroscopically, cartilage
is transplanted from an area in the knee where it is
not needed to the damaged area. The technique combines
grafted bone and cartilage to stimulate tissue regeneration.
This arthroscopic (minimally invasive) procedure is
performed on an outpatient basis.
Anterior Cruciate Ligament
(ACL) - Repair and Reconstruction
Newer surgical techniques can save the patient's torn
ligament strands and incorporate them into a primary
repair of the ligament or a reconstruction using a portion
of the patient's patellar tendon. Or an allograft donor
tendon. This arthroscopic (minimally invasive)
procedure is performed on an outpatient basis, and allows
patients to retain their own, normal ligament tissue.
Primary ligament repair can result in faster recovery
and fewer costs associated with surgery.
ACL Reconstruction: An FDA approved
clinical trial of a new Xenograft device for ACL reconstruction
is currently underway. This device, a bone patellar
tendon bone taken from a pig, is sterilized and stripped
of its antigens to prevent rejection. This device may
be used wherever an autograft or allograft might be
used. For more information on ACL repair, click
here.
ACL Reconstruction using Patellar Tendon or
Allograft: The best results are achieved
with a combination of superb technical placement of
the graft and enthusiastic participation in a defined
rehabilitation program
Meniscus Cartilage Replacement
- Allografts
For previously meniscectomized patients, replacing
the meniscus with a donor allograft is performed as
an arthroscopic (minimally invasive), outpatient procedure.
and is used to protect the articular cartilage and/or
to reduce pain.
The Stone Clinic installed an office-based MRI that
is used to image patients with cartilage and ligament
injuries. Recent publications of the foundation research
using the MRI can be found here.
The Foundation expects the technique will lead to a
non-invasive method of evaluating the size of soft-tissue
transplants and the effectiveness of the cartilage and
ligament replacement procedures.
The The Stone Clinic has welcomed top athletes including
ski racers, ballet dancers, rugby, football, soccer
and tennis players to train with leading strength and
conditioning coaches, athletic trainers, nutritionists,
Pilates instructors, massage therapists, and sports
psychologists.
BIOLOGIC SOLUTIONS FOR JOINT RECONSTRUCTION
We are in the midst of a revolution in orthopaedics. Tissue
engineering is supplanting a more mechanical approach
to joint repair—living biology is replacing dead
hardware. For a decade, Stone Research has been
at the forefront of this transformation. Combining a patient’s
own adult mesenchymal stem cells and growth factors with
tissue grafts and implants, we seek to harness natural
healing and regenerative capacities to reconstruct joints
damaged by arthritis and injury.
WHY BIOLOGIC SOLUTIONS?
The biologic solutions we are pursuing here at the Stone
Research Foundation are less invasive, less expensive,
and in many cases more effective than the present standard
of care.
RETURN ON INVESTMENT: HEALTHIER PATIENTS
In part because of work done here at Stone Research, we
are treating patients today with biologic repair solutions. We
project that we are less than a decade away from total
Biologic Joint Replacement treatments. In short,
regenerated tissue—your own human tissue—functioning
as much as possible like a young, healthy joint. This
means fewer joint replacements with metals and plastics—maximally
invasive, expensive surgical procedures that leave you
limited and often in pain.
The Stone Research Foundation is a non-profit 501 (c)
3 organization (Tax I.D. # 94-3228007). If you would
like more information, or wish to make a donation,
please contact Arthur Combs, executive director at: 415-921-1220
or agcombs@stoneresearch.org
The Stone Clinic
3727 Buchanan Street • San
Francisco CA 94123 • info@stoneclinic.com • (415)
563-3110
...
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Avoiding knee replacement for knee injury or arthritis
The Stone Foundation for Sports Medicine
and Arthritis Research was founded in 1995 to evaluate research at The
Stone Clinic in San Francisco. The Foundation conducts research
in advanced
surgical techniques for orthopaedic sports medicine. These efforts have
led to improvements in cartilage replacement and regeneration, cruciate
ligament repair and reconstruction, and techniques to prevent
osteoarthritic
degeneration.
Following are highlights of current programs supported
by The Stone Foundation:
Special Interest in Advanced Surgical
Techniques for Orthopedic
Medicine
Dr. Stone is an orthopaedic surgeon in San
FranciscoCalifornia
who specializes in sports medicine with a special interest in knee
injuries, knee knee surgery, shoulder injuries and shoulder
surgery.
Index
knee replacement, total knee replacement, knee
replacement
surgery, partial knee replacement, total knee replacement surgery, knee joint
replacement, alternative to knee replacement, open MRI, open-MRI in
San Francisco
Xenograft Ligament Replacement
Osteotomy Technique for Bow
Legs
Meniscus Cartilage Replacement using Allografts
Articular Cartilage
Transplantation using Paste Grafts
Anterior Cruciate Ligament Repair -
Reconstruction
Orthopaedic Instrumentation for Cartilage Grafting
Articular Cartilage Regeneration - Arthritis
The Foundation is currently supporting a clinical
trial designed to analyze a technique for paste grafting of arthritic
and traumatic lesions of the articular cartilage. The
technique was developed
by Dr. Stone in 1991 and has been under evaluation in more
than 180 patients.
Arthroscopically, cartilage is transplanted from an area in the knee
where it is not needed, to the damaged area. The technique
combines grafted
bone and cartilage to stimulate tissue regeneration. This procedure is
performed on an outpatient basis. The preliminary data was accepted by
the American Academy of Orthopaedic Surgeons for presentation at their
Annual Meeting in 1997, the Orthopaedic Research Society annual meeting
in 1998, the European Society of Knee Surgery and Arthroscopy in
1998, The International Society of Arthroscopy, Knee Surgery,
and Orthopaedic
Sports Medicine in 1999, and multiple presentations and publications
since..
The Foundation is conducting ongoing research
in the analysis
of a technique for a unique surgical repair of cruciate ligaments
that involves
suture repair rather than the current standard of total ligament
reconstruction.
This procedure is performed on an outpatient basis, and allows patients to
retain their own, normal ligament tissue. Primary ligament repair
can result
in faster recovery and fewer costs associated with surgery. The preliminary
results from the Foundation study document favorable results in
specifically
selected indications from more than 90 patients who have
undergone the procedure.
ACL Reconstruction surgery using Patellar Tendon or Allograft:
The Foundation
is studying the results of all ACL reconstruction surgery performed at The
Stone Clinic in San Francisco, California over the past 14 years. The best
results are achieved with a combination of superb technical
placement of the
graft and enthusiastic participation in a defined rehabilitation
program
New Osteotomy Technique for Bow Legs
If you are a patient, or a physician that
has a patient that has bone
on bone grinding in the knee with mal-alignment, we are using a technique
of opening wedge high tibial osteotomies that does not require plates or
external fixation. If you or your physician think that you are
a candidate,
please contact us at the following number (415) 563-3110 or e-mail us at
kstonemd@stoneclinic.com.
The Foundation evaluates the The Stone
Clinic's more than ten years of
experience with meniscus cartilage transplantation and
regeneration. Replacing
the meniscus is performed as an outpatient and is used to
protect the articular
cartilage and/or to reduce pain. A 50 patient study of meniscus cartilage
transplantation in knees with grade III and IV (severe)
arthritis is underway.
The Stone Clinic installed an office-based
MRI that is used to image
patients with cartilage and ligament injuries. Recent publication's of the
foundation research using the MRI can be found here. The Foundation expects
the technique will lead to a non-invasive method of evaluating the size of
soft-tissue transplants and the effectiveness of the cartilage and ligament
replacement procedures.
The staff at The Stone Clinic have welcomed
top athletes including ski
racers, ballet dancers, rugby, football, soccer and tennis
players to train
with leading strength and conditioning coaches, athletic
trainers, nutritionists,
Pilates instructors, massage therapists, and sports psychologists.
