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Dror Paley | |
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| Born | March 25, 1956 [1] |
| Alma mater | University of Toronto |
| Occupation | Orthopedic surgeon |
| Employer | Paley Institute |
| Title | M.D., FRCSC |
| Website | www |
Dror Paley (born March 25, 1956) is a Canadian-trained orthopedic surgeon, who specializes in limb lengthening and deformity correction procedures. [2] [3]
Paley has been licensed with the Province of Ontario, Canada, since 1980, [4] the Maryland Board of Physicians since 1986, [5] and with the Florida Department of Health since 2009. [6]
Paley trained in surgery at the Johns Hopkins Hospital and in orthopedic surgery at the University of Toronto Medical School. He worked at the University of Maryland as a professor of Orthopedics and chief of Pediatric Orthopedics. [3]
In 1991, Paley co-founded the Maryland Center for Limb Lengthening and Reconstruction at James Lawrence Kernan Hospital with Dr. John Herzenberg. In 2001, they formed the International Center for Limb Lengthening at Sinai Hospital. In 2002, he authored a book, Principles of Deformity Correction ( ISBN 3-540-41665-X), that was edited by Herzenberg. [3]
Paley was among the first orthopedic surgeons to use the PRECICE intramedullary nail for cosmetic leg lengthening [7] as well as its second version (PRECICE 2). [8]
In 2013, Smith & Nephew released a new Modular Rail System for external fixation and limb deformity correction, in collaboration with Paley. [9]
Paley had developed around 100 surgical procedures for limb reconstruction as of 2014. [10]
Paley specializes in limb-lengthening and limb-corrective surgeries (usually in the legs). He was trained in limb lengthening by Gavriil Ilizarov, who created the "Ilizarov method" of limb reconstruction, technically known as Distraction osteogenesis, where bone is separated from itself using an Ilizarov apparatus and regrows into the created gap over time. Paley is credited with bringing the Ilizarov method to the West and claims to have performed the first recorded Western attempt at it in April 1987. [11] [12]
Paley lives in West Palm Beach with his wife Jennifer and stepson. He has three adult children. He is fluent in six languages and practices cycling, skiing and rock climbing. [10] [13]
A podiatrist is a medical professional devoted to the treatment of disorders of the foot, ankle, and related structures of the leg. The term originated in North America but has now become the accepted term in the English-speaking world for all practitioners of podiatric medicine. The word chiropodist was previously used in the United States, but it is now regarded as antiquated.
Orthopedic surgery or orthopedics is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved. The Ilizarov apparatus corrects angular deformity in a leg, corrects differences in the lengths of the legs of the patient, and resolves osteopathic non-unions; further developments of the Ilizarov apparatus progressed to the development of the Taylor Spatial Frame.
Proximal femoral focal deficiency (PFFD), also known as Congenital Femoral Deficiency (CFD), is a rare, non-hereditary birth defect that affects the pelvis, particularly the hip bone, and the proximal femur. The disorder may affect one side or both, with the hip being deformed and the leg shortened.
Distraction osteogenesis (DO), also called callus distraction, callotasis and osteodistraction, is a process used in orthopedic surgery, podiatric surgery, and oral and maxillofacial surgery to repair skeletal deformities and in reconstructive surgery. The procedure involves cutting and slowly separating bone, allowing the bone healing process to fill in the gap.
Hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity including injury and infection. Hand surgery may be practiced by post graduates of orthopedic surgery and plastic surgery and MCh Hand surgery.
Gavriil Abramovich Ilizarov was a Soviet physician, known for inventing the Ilizarov apparatus for lengthening limb bones and for the method of surgery named after him, the Ilizarov surgery.
Ollier disease is a rare sporadic nonhereditary skeletal disorder in which typically benign cartilaginous tumors (enchondromas) develop near the growth plate cartilage. This is caused by cartilage rests that grow and reside within the metaphysis or diaphysis and eventually mineralize over time to form multiple enchondromas. Key signs of the disorder include asymmetry and shortening of the limb as well as an increased thickness of the bone margin. These symptoms are typically first visible during early childhood with the mean age of diagnosis being 13 years of age. Many patients with Ollier disease are prone to develop other malignancies including bone sarcomas that necessitate treatment and the removal of malignant bone neoplasm. Cases in patients with Ollier disease has shown a link to IDH1, IDH2, and PTH1R gene mutations. Currently, there are no forms of treatment for the underlying condition of Ollier disease but complications such as fractures, deformities, malignancies that arise from it can be treated through surgical procedures. The prevalence of this condition is estimated at around 1 in 100,000. It is unclear whether the men or women are more affected by this disorder due to conflicting case studies.
In medicine, a surgeon is a medical doctor who performs surgery. Even though there are different traditions in different times and places, a modern surgeon is a licensed physician and received the same medical training as physicians before specializing in surgery.
The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by Ignacio V. Ponseti of the University of Iowa Hospitals and Clinics, US, in the 1950s, and was repopularized in 2000 by John Herzenberg in the US and Europe and in Africa by NHS surgeon Steve Mannion. It is a standard treatment for clubfoot.
The Taylor Spatial Frame (TSF) is an external fixator used by podiatric and orthopaedic surgeons to treat complex fractures and bone deformities. The medical device shares a number of components and features of the Ilizarov apparatus. The Taylor Spatial Frame is a hexapod device based on a Stewart platform, and was invented by orthopaedic surgeon Charles Taylor. The device consists of two or more aluminum or carbon fibre rings connected by six struts. Each strut can be independently lengthened or shortened to achieve the desired result, e.g. compression at the fracture site, lengthening, etc. Connected to a bone by tensioned wires or half pins, the attached bone can be manipulated in three dimensions and 9 degrees of freedom. Angular, translational, rotational, and length deformities can all be corrected simultaneously with the TSF.
Fibular hemimelia or longitudinal fibular deficiency is "the congenital absence of the fibula and it is the most common congenital absence of long bone of the extremities." It is the shortening of the fibula at birth, or the complete lack thereof. Fibular hemimelia often causes severe knee instability due to deficiencies of the ligaments. Severe forms of fibula hemimelia can result in a malformed ankle with limited motion and stability. Fusion or absence of two or more toes are also common. In humans, the disorder can be noted by ultrasound in utero to prepare for amputation after birth or complex bone lengthening surgery. The amputation usually takes place at six months with removal of portions of the legs to prepare them for prosthetic use. The other treatments, which include repeated corrective osteotomies and leg-lengthening surgery, are costly and associated with residual deformity.
Unlike the flexible flat foot that is commonly encountered in young children, congenital vertical talus is characterized by presence of a very rigid foot deformity. The foot deformity in congenital vertical talus consists of various components, namely a prominent calcaneus caused by the ankle equines or plantar flexion, a convex and rounded sole of the foot caused by prominence of the head of the talus, and a dorsiflexion and abduction of the forefoot and midfoot on the hindfoot. It gets its name from the foot's resemblance to the bottom of a rocking chair. There are two subcategories of congenital vertical talus; namely idiopathic or isolated type, and non-idiopathic type, which may be seen in association with arthrogryposis multiplex congenital, genetic syndromes and other neuromuscular disorders.
Yasser Elbatrawy is an Egyptian orthopedist known for limb lengthening and reconstruction (LLR) surgery who operates in the International Centre for Limb Lengthening and Reconstruction (CICLLR) in Cairo.
Anthropometric cosmetology is the medical practice to correct or modify deformities in the upper and lower extremities of the body. This is done in order to attain an aesthetically pleasing appearance or to eliminate physical and psychological discomforts.
Liebe Sokol Diamond was an American pediatric orthopedic surgeon and an inductee of the Maryland Women's Hall of Fame.
The following outline is provided as an overview of and topical guide to trauma and orthopaedics:
Orthopedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal injuries, sports injuries, degenerative diseases, infections, bone tumours, and congenital limb deformities. Trauma surgery and traumatology is a sub-specialty dealing with the operative management of fractures, major trauma and the multiply-injured patient.
Congenital pseudarthrosis of the tibia (CPT) is a rare paediatric disease presenting with a bowing deformity of the tibia at birth or within the first decade of life. It is most commonly associated with Neurofibromatosis type 1 (NF-1). For children with CPT, pathological fracture of the tibia eventually occurs, resulting in persistent nonunion of the fracture site. If left untreated, leg deformities, joint stiffness, leg-length discrepancy and pain will persist. Diagnosis is done clinically and through X-ray imaging, with numerous classifications based on the severity of bowing and presence of fracture or intraosseous lesion.
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