June 11-12, 2009
Dr. Paley was honorary guest speaker in Ankara, Turkey.  At the Hip Preservation Techniques in Adolescents Course which will
take place at the Crowne Plaza Hotel. This Conference is being Hosted by the Turkish Society of Orthopedics and Traumatology.
Dr. Paley will be speaking on 1) Surgical Dislocation for MHE 2) Extreme Acetabular Coverage with the Ganz PAO and the
PA-Triple Osteotomy 3) Femoral Head Intra-articular Osteotomy for the Treatment of Coxa Magna and Coxa Plana Deformity 4)
Superhip 1 procedure for Deformities of Congenital Femoral Deficiency (Paley type 1) 5) Superhip 2 procedure for
Pseudarthrosis of the Femoral Neck in CFD Paley Type 2 6) Ligamentum Teres Reconstruction of the Hip for Recalcitrant and
Teratologic Dislocation.
This website including the announcement page are updated continuously, please check back from time to time.
Last updated October 3, 2012

Website Mission
Oct 29-Nov 1, 2009
For many years, reliable surgical treatment of the rare bone disease (MHE) Multiple Hereditary Exostoses has been challenging.
The Paley Advanced Limb Lengthening Institute/St Mary's is pleased to announce their efforts to help correct this & proud to be
a sponsor of the Third International MHE Research Conference, held in Boston. Dr. Paley chaired the orthopedic session during
this conference and present the latest surgical techniques in the correction of bones deformities that occur in MHE patients. Dr.
Paley is a long standing member of the
Scientific and Medical Advisory Board of the MHE Research Foundation, the organization
organizing this conference.
April 30-May 2, 2009
Dr. Dror Paley and Dr. John Birch et al’s research paper was awarded best Clinical Paper Award at the 25th Annual Pediatric
Orthopedic Society of North America meeting in Boston ().

This is a landmark article and is the first study to show that lengthening reconstruction surgery (using Dr. Paley’s superankle
procedure) achieves functional and psychologic results as good or better than amputation and comparable to normal.

Title: Limb Reconstruction or Amputation for Severe Fibular Deficiency: A Two-Center Comparison of Psychosocial Adjustment,
Quality of Life, Patient Satisfaction, and Physical Function

What was the question? What are the functional abilities, psychosocial status, quality of life (QOL) characteristics,
patient/parent satisfaction, and medical intervention requirements for children with severe fibular deficiency who undergo either
amputation or limb reconstruction?
August 25-27, 2009
Dr. Paley  Presidential Guest Speaker at the Swedish Orthopedic Society and a visiting Professor at the prestigious Karolinska
Institute in Stockholm August 23-24. He will lecture there on topics related to limb lengthening and deformity correction.
How did you answer the question? Twenty children who underwent amputation at one center were compared with 22
children who underwent limb reconstruction at a second center. Average evaluation age was 9 years (range, 5–15 years) and
included psychosocial, QOL, and satisfaction surveys and gait analysis with timed 25-yard dash. Number and nature of surgical
procedures were recorded.

What are the results? Families of children who underwent amputation had lower economic and educational levels and were
more ethnically diverse compared with the reconstruction group. Parents of males who underwent amputation perceived a lower
QOL for their child (p<0.05); socioeconomic and ethnic differences between the two groups might account for this finding. No
other statistically-significant differences between the two groups or between the groups and a healthy population were
observed in psychosocial and QOL surveys. All patients and parents reported satisfaction with treatment selected and would
select the same treatment again. While statistically significant differences in some parameters were identified between the
groups by gait analysis at self-selected walking speed, there were no significant differences in average performance or timed 25-
yard dash. Two of 20 patients with amputation also underwent three additional surgical procedures: two medial hemi-
epiphysiodeses for valgus and one anterior cruciate ligament reconstruction (average, 1.2 procedures per patient). Twenty-two
patients treated by reconstruction underwent an average 3.4 surgical procedures (range, 2–7), including 1.4 lengthenings
(range, 1–3). During the interval from amputation to survey, patients required an average 2.2 prosthetic repairs/adjustments
per year and 0.84 prostheses/year (private sector estimated average cost $8,863 per prosthesis). Mean surgical costs for
patients undergoing reconstruction were $24,800 (range, $15,000–$33,600) per reconstructive procedure and $3,300 (range,
$2,600–$4,600) for removal of lengthening devices.
What are your conclusions? Function, psychosocial adjustment, and QOL after primary amputation or limb reconstruction in
skeletally immature patients with severe fibular deficiency are comparable and within normal limits for a healthy population at this
interim stage of development and treatment. Both groups will require further surgical procedures during the remainder of skeletal
maturation. Parents and surgeons must weigh life-long prosthetic requirements against significantly increased surgical
intervention for limb reconstruction in selecting a treatment strategy for severe fibular deficiency.
Nov. 6-9, 2009
Dr. Paley will be lecturing in Medellin, Colombia teaching a Deformity Course (In Spanish) with Dr. Leon Mora.
Nov 30-Dec 3, 2009
Dr. Paley guest speaker at the Aregentine Association of Orthopedics and Traumatology and at the Argentine Pediatric
Orthopedic Society , in Salta, Argentina.
April 23, 2010
Dr. Paley  Keynote Speaker at the Comparative Orthopedic Day at the University of Missouri
June 25, 2010
Dr. Paley visiting professor at the Rush Graduation Thesis Day in Chicago Illinois
June 1, 2010
Dr. Paley was appointed as an adjunct Professor at the University of Toronto as well as part time faculty at the
Hospital for Sick Children as of June 1, 2010. He will teach and operate at the Hospital for Sick Children.
It has been 23 years since Dr. Paley left Canada and the Hospital for Sick Children. He is honored to be associated
with this world renowned University and Hospital again.
Limb Lengthening.us
Dror Paley, MD, FRCSC
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December 1-4, 2010
Speaker and Instructional Course Lecturer at the International Pediatric Orthopedic Symposium (the premier annual pediatric
orthopedic course co sponsored by the American Academy of Orthopedic Surgeons and by the Pediatric Orthopedic Society of
North America.)  This meeting is taught by the who’s-who of pediatric orthopedics. Dr. Paley is presenting five lectures, four
Instructional Course lectures and one workshop; all four physician assistants are attending.
Feb 1, 2012                                 
Limb Lengthening and Reconstruction Society Specialty Day, AAOS Annual meeting, Presentation External Fixation: Past,
Present and Future

Dec 7-10, 2011                              
Speaker and Instructional Course Lecturer at the International Pediatric Orthopedic Symposium (the premier annual pediatric
orthopedic course co sponsored by the American Academy of Orthopedic Surgeons and by the Pediatric Orthopedic Society of
North America.)

Oct 20-22, 2011                             
International Pediatric Orthopaedic Think Tank Meeting presentations Extensive Limb Lengthening for Achondroplasia: why  is
there a controversy? and  Safe Surgical Dislocation of the Hip for Patients with Multiple Hereditary Exostoses

July 22-23, 2011
Limb Lengthening and Reconstruction Society (LLRS) presentations Femoral Head Reduction Osteotomy for Femoral Head
Deformity and Coxa Magna as well as Pentagon Osteotomy: Intra–articular Osteotomy of the Tibial Plafond

March 11, 2011                              
American College of Foot and Ankle Surgeons (ACFAS) Annual meeting Presentations:
  • Challenging Rearfoot and Ankle Reconstruction
  • Salvage of the Mal-united Ankle Fracture and Surgical Biomechanics
  • Supra Malleolar Biomechanical Considerations in Limb Deformity
  • Surgical Biomechanics, Supra Malleolar Biomechanical Considerations in Limb Deformity

Feb 3, 2011                                     
Venezuelan Society of Orthopaedic Surgery First Symposium of the ASAMI, held in Chapter-Venezuela
  • History of Reconstructive Orthopaedic Surgery in the World
  • Congenital Pseudoarthrosis of Tibia. Surgical Treatment
  • Recent Tools of Reconstructive Orthopaedic Surgery
  • Reconstruction of Deformed Knee after Septic Arthritis

Feb 17-19, 2011
American Academy of Orthopaedic Surgeons Annual Meeting, presentation Limb Reconstruction or Amputation for Severe fiblar
deficiency: A Two-Center Comparison
Limb Lengthening and Reconstruction Society Specialty Day at AAOS meeting, Presentations Radial Aplasia and Wrist

January 26-28 2011                
Combined Meeting of British Limb Reconstruction Society & British Society for Children’s Orthopaedic Surgery held in Sheffield,
  • Adult cosmetic lengthening and the tibial experience
  • Evolving technologies and orthobiologics
  • An update on Hip and Knee reconstruction in Congenital femoral deficiency
  • Newer techniques in the treatment of Radial clubhand

October 27-29, 2010        
Portuguese Orthopedic National Convention held in Vilamoura/Algarve, Portugal. Presentation:  Femoral Head Reduction
Osteotomy for Perthes Disease

October 9-11, 2010
Invited Guest Speaker at the meeting of Fundacion ALPE Achondroplasia, Gijon, Asturias, Spain.  Dr. Paley is speaking about
his methods for lengthening for Achondroplasia. Fundación ALPE ‘s mission is to aid persons with achondroplasia and their
families in different fields: medical, educational, psychological, employment, and social.  In 2006 Fundación ALPE was awarded
with the Great Golden Cross of the Civil Order of Social Solidarity from the Ministry of Social Welfare of Spain.

October 13-15, 2010
Bertha Neuberg visiting Professorship to the University of Göteborg, Sweden and Presidential Guest Speaker at the Swedish
Paediatric Orthopaedic Society.

October 19, 2010
Jennifer Pinsky, PA-C will be helping to instruct at this one day course.   

October 20-22, 2010
Invited speaker and Instructional Course Lecturer at the ASAMI International and World Congress of External Fixation meeting
in Barcelona, Spain. Dr. Paley is giving six lectures including an instructional course lecture on Congenital Femoral Deficiency.

October 27-29, 2010
Presidential Guest Lecturer at the XXX Annual meeting of the Portuguese Society of Orthopaedics and Traumatology,
Vilamoura/Algarve-Portugal.  Dr. Paley will be giving a special lecture on the Advances in Perthes Disease in honor of the 100th
year anniversary of Perthes.

November 12, 2010
Visiting professor at University of Mississippi, Jackson.  Dr. Paley performed a pro bono surgery on a child with Congenital
Femoral Deficiency.
Dr. Paley’s lectures in the United States and abroad:

Sept 21-22 2012             
International Pediatric Orthopaedic Think Tank Meeting held in Cannes, France. Presentations Paley Type 1a
and 1b Congenital Femoral Deficiency: Reconstruction a Reliable Option as well as Madelung's Disease:
treatment by combined intra and extra-articular osteotomy combined with distal radio-ulnar joint
Sept 5, 2012                
2nd World Congress on External Fixation & Bone Reconstruction Societies 11th Brazillian Congress of
held in Bahia, Brazil  
Pre-Congress, Knee Course Presentations:                                                      
  • Correction of fixed deformities of knee flexion
Pre-Congress: Foot and Ankle Course Presentation
  • Retro Foot deformities: external fixation                                     
Pre-Congress, Pediatric Orthopaedics Course Presenation:
  • Clinical and radiological Planning
  • DEFORMITIES CORRECTION Lengthening Techniques in MMSS   
  • Obstacles and complications in Lengthening       
  • Proximal Femoral Focal Deficiency - technique Super Hip
  • Hemimelia fibular: when reconstructive surgery

Sept 6-8, 2012        
2nd World Congress on External Fixation & Bone Reconstruction Societies 11th Brazillian Congress of
ASAMI held in Bahia, Brazil
  • Lengthening with a new remote controlled implantable lengthening nail:
  • Retro Foot deformities: external fixation  
  • Reconstruction of the Foot and the Ankle and Lengthening for Fibular Hemimelia:  Reconstruction of
    the knee and ankle in Tibial Hemimelia
  • Reconstruction of the hip and lengthening for congenital femoral deficiency
Sept 2012 Dr. Paley Elected as the next President of the
World Congress on External Fixation & Bone Reconstruction Societies
May 18, 2012
Dr. Paley named Healthcare Professional of the Year by the Chamber of Commerce of the Palm Beaches
Paley Institute Limb Reconstruction Fellowship Program
This UNIQUE fellowship is designed for orthopedic surgeons
interested in developing an expertise in pediatric and adult limb
reconstruction surgery of the lower and upper extremities
For more information Click Here