Dr. Alfred A. DeSimone graduated from the University of Miami and completed his residency at Boston University Medical Center.
He is Fellowship Trained in Sports Medicine specializing in Complex Knee and Shoulder Reconstructive surgery.
. Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction
. Meniscal Repair and Cartilage Resurfacing Techniques
. Arthroscopic Treatment of Shoulder Instability
. Treatment of Shoulder Impingement Syndrome
. Treatment of Shoulder Rotator Cuff Tears
There are many controversial choices when it comes to selecting a graft for ACL reconstructive surgery. Though there are other graft options including Hamstring tendons, Quadriceps tendon or Cadaveric tissue, "Autologous" Bone-Patella tendon-Bone is considered the gold standard for high level athletes that participate in twisting, pivoting and deceleration type sports.
In most instances, surgeons will choose a graft type irrespective of a patient’s level of activity. This is usually consistent with a technique learned during their fellowship training, ease of graft harvest (hamstrings) or their desire to use pre-formed cadaveric tissue graft . Having trained in all harvest techniques, I truly believe that autologous Bone-Patella tendon-Bone graft is the graft of choice.
Several studies by the American Journal of Sports Medicine, have confirmed that Hamstring tendon use in ACL reconstructive surgery has a higher incidence of failure, knee joint laxity, infection, arthritis, delayed healing time, graft slippage and hamstring weakness (most noted in deceleration type activities). Although hamstring graft may be considered on occasion in the skeletally immature athlete, it is often considered as a graft option for the low demand, non-contact athlete. The literature also supports that the use of cadaveric tissue in the young high demand athlete has an extremely high failure rate.
Upon review of surgeon's graft choices throughout the nation, more than 75% of surgeons utilize autologous Bone-Patella tendon-Bone grafts during ACL reconstructive procedures in professional and/or collegiate athletes. This graft has been described as having a lower incidence of failure, better fixation, quicker incorporation into bone and the highest rate of return to full pre-injury activities, including sports.
Over the last 20 years, I have used Bone-Patella tendon-Bone in the majority of my high level athletes. There has been no reported weakness subsequent to harvesting this graft type. Although prior literature describes that this technique may predispose a patient to occasional anterior knee pain and/or tendinitis, with careful graft harvest, bone grafting to the patella defect and repair of the patella tendon site, these postoperative symptoms have become negligible.
It is true that surgeon experience, state-of-the-art anatomic technique and proper fixation/ tensioning methods have a significant bearing on the results of this procedure; but there is also enough evidence supporting that proper graft choice significantly contributes to the athletes’ ability to return to sports at a competitive level with excellent long-term results.
Stem cells are the most potent healing and regenerative factors present in our body. Healing
subsequent to an injury or surgery involves a complex but specific sequence of events that requires
various cells, such as proteins and growth factors to promote ...
January 6, 2019
Dr. D is an AMAZING surgeon!!!!!. He is knowledgeable, caring, personable and an advocate for the best healthcare his patients can get. His, is not just a profession, but a vocation which he is passionate about. Dr. D is dedicated to use the least invasive methods to successfully treat his patients, while minimizing pain and recuperation time from surgical procedures. His office and hospital staff are caring and accommodating to the needs of his patients. My son had a ACL reconstructions surgery on his knee, I could not be more happy I selected him to preform my son's surgery. He now resumed to his normal lifestyle. I highly recommend Dr. D. Excellent!!
December 27, 2018
We knew we had to find a doctor who specialized in ACL surgery for young athletes. This team used patellar grafting rather than cadaver ACL. After reaching out to several people and doing a lot of research, we found Dr. DeSimone. Dr. DeSimone fixed our daughter's torn ACL and Meniscus and we had to travel over 2 hours to get to him. Eric Bronson, Paul Buchanan and Dr. DeSimone are an amazing team. Unfortunately, the front office did not want to accommodate us with our supplemental insurance. Was this helpful?
February 5, 2018
I was a soccer player and I got the ACL of my left knee broken. I picked Dr. Desimone according to the reviews and his history as a great specialist exactly in the knee and shoulder areas... and I wasn't wrong. Since the first appointment, I really met a person with great knowledge about his profession and very confident with each movement and diagnostic. I'm very happy to say that I had the best surgery and rehabilitation process that I could. I'm very thankful to Dr. D.
June 8, 2018
Dr. Desimone is not only an EXCELLENT surgeon but is as well an amazing person. He truly cares about his patients and takes the time to listen to their worries and concerns. I had ACL surgery done by Desimone. I was back to fully contact sports within 12 months and feeling as good as I did pre-injury,
May 22, 2016
Thank you for all the time we put in together into my recovery. From a [full] ACL tear, months of therapy and finally surgery. Thank you for your patience in working with me on alternative methods, before resorting to surgery. You and your team were great! Much love, and hope I DON’T see you again
Mars 7, 2016
Exceptional surgeon, with extensive experience, can’t recommend him highly enough! I came to Dr. DeSimone with a torn ACL in my right knee from playing sports. We discussed the different surgery options to repair it, depending on whether I wanted to return to high-intensity sports or not. Doc gave me all the time in the world to ask questions and helped me make the best decision possible on which type of ACL surgery to go with.
When it came time for surgery, I knew I was in great hands. Doc specializes in knees, shoulders, and elbows. He’s done over 1800 ACL reconstructions alone! I went with a patella tendon graft, and for those who are worried about the size of any post-surgery scars, Doc DeSimone makes shockingly small incisions for patella tendon grafts. I’ve met 4 other people that have also gotten patella tendon grafts from other surgeons, and they are in disbelief when they see my scar and learn that I also got the same procedure (because their scars are so much larger).
I’m now 10 months out of surgery and everything has healed great. As I said before, I can’t recommend Doc DeSimone highly enough; if my kids were to need any type of soft tissue reconstruction, I would go to Doc D first.