Leg Lengthening Podcast Episode 9: Interview with Dr. Dror Paley - a podcast by Victor Egonu

from 2020-06-14T19:19:53

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In this special interview with Dr. Dror Paley of the Paley Orthopedic and Spine Institute in West Palm Beach, FL we focus our discussion on fundamentals of Stature Limb Lengthening Surgery as Dr. Paley also stresses the crucial importance of having an experienced LL surgeon.

Contact information for Dr. Paley: Ask questions or setup consultation... 1. https://paleyinstitute.org/

2:00 – Dr. Paley’s Start in Limb Lengthening (LL) 4:30 – Amount of lengthening procedures he does 6:00 – LL is a 4-Dimensional Surgery 8:30 – Fundamentals of LL 9:40 – Limiting factor of LL & compliance of soft tissues 13:45 – How muscle excursion comes into play regarding lengthening 17:15 – Amount of time needed per day for PT 18:00 – Putting in nails is the easy part…knowing how to adapt and improvise is key 19:45 – Physiotherapy at Paley Ortho & Spine Institute are vigilant for problems 24/7 21:45 – Potential Complications & knowing how to prevent them 23:45 – Trade-offs: Losing function over pushing for extra CM in height IS NOT acceptable! 24:35 – Dr. Paley’s Lengthening Ultimatum 25:15 – How long to get back to fitness level (running marathon) 25:45 – Surgical interventions to fix complications 26:55 – Patients coming to him from other LL centers to “fix” complications 27:50 – Fibula fixation is super crucial among many other experienced-based techniques 29:00 – Various Prophylactic measures that should be taken to avoid problems 30:00 – Prospective Patients…Beware! – Surgeon EXPERIENCE IS KEY! 32:30 – How to pick a surgeon properly

34:40 – Potential Long-Term Complications 37:55 – Dr. Paley’s frustration w/ the LL industry becoming a “Mercenary-Business” 40:00 – Dr. Paley’s Warning Message to LL Candidates 42:50 – LL is a Team Sport: Having the right infrastructure of clinicians is important for success 45:30 – Proportions – how LL affects it and what really matters in the overall scheme of things