Multiple Hereditary Exostoses is a rare bone disease that is characterized by growths of multiple osteochondromas - benign cartilage-capped bone tumors that grow outward from the growth plates of long bones. Osteochondromas bud off the growth plates. For this reason, osteochondromas can be found throughout the body, particularly in the:
- Radius / Ulna
Osteochondromas lead to progressive bone deformities that worsen over time and can result in pain and disability, joint dislocation, restricted range of motion, and nerve entrapment.
Due to the comprehensive nature of the disease, most individuals with MHE require multiple surgeries to address their difficulties. For instance, if an individual has osteochondromas in the spine and the knee they will need a spinal surgery and a separate knee surgery to address their deformities. For this reason, many patients with MHE require multiple specialists to fully treat the disorder. This typically entails traveling to multiple facilities.
At the Paley Institute, we are proud to offer a dedicated, all-in-one treatment center for MHE. We currently have five orthopedic surgeons on staff, all of whom are familiar with MHE and its treatment, and who each specialize in different aspects of orthopedics. Come to the Paley Institute for comprehensive treatment strategies for MHE. Our specialists will be able to address any and all problematic osteochondromas with state-of-the-art surgical procedures. A physician is on staff in the clinic at all times.
In addition to our team of specialized surgeons, we also have an on-site Rehabilitation Department, just down the hall from our clinic. All of our therapists have been specially trained in the therapy and rehabilitation of a variety of complex bone and soft tissue deformities.
Our Specialist Team
Dror Paley, MD, FRCSC
Dr. Paley is the founder and director of the Paley Institute. He is internationally recognized for his expertise in limb lengthening and reconstruction. In 1986 he introduced the Ilizarov Method to the United States and Canada after training under the guidance of Professor Ilizarov himself.
Dr. Paley has been treating MHE for nearly 30 years. He has developed a number of surgical procedures for excising osteochondromas and repairing joint deformities in the hip, knee, ankle, and arms.
David Feldman, MD
Dr. Feldman is the director of the Spine Institute at the Paley Institute. He also leads our hip deformity center. Dr. Feldman was previously Chief of Pediatric Orthopedic Surgery at NYU Langone Medical Center / NYU Hospital for Joint Diseases.
Dr. Feldman has extensive experience in treating children and adults with scoliosis and other spinal deformities, as well as severe limb and hip deformities. Dr. Feldman specializes in treating MHE patients with spine and hip osteochondromas.
Craig Robbins, MD
Dr. Robbins joined the Paley Institute in June 2014. He completed his orthopedic surgery residency at Tulane University. Dr. Robbins specializes in treating children and adults with congenital and acquired limb abnormalities.
Dr. Robbins has extensive experience in treating MHE. He specializes in the treatment of angular and axial limb deformities, such as genu varum and genu valgus.
Bradley Lamm, DPM, FACFAS
Dr. Lamm is the Director of the Foot & Ankle Deformity Correction Center at the Paley Institute. He previously served as the head of Foot & Ankle Surgery at the International Center for Limb Lengthening (ICLL) at the Rubin Institute for Advanced Orthopedics in Baltimore.
Dr. Lamm is an expert in treating a variety of foot deformities and ankle disorders. Throughout his career, he has been awarded numerous grants, published medical research in national and international journals on foot and ankle research (he has over 75 book chapters and peer review research articles), and has participated as in invited lecturer at dozens of medical conferences, meetings, and symposia.
Jason Weisstein, MD, MPH, FACS
Dr. Weisstein is the Director of Joint Replacement at the Paley Institute. Prior to his arrival at the Paley Institute, Dr. Weisstein directed one of the highest volume joint replacement programs in California, at the Eisenhower Medical Center.
Dr. Weisstein specializes in both the conservative and surgical management of hip and knee deformities. He is also a fellowship-trained musculoskeletal tumor surgeon. He performs hip and knee replacement using the latest techniques, including direct anterior hip replacement and minimally invasive, patient-customized knee surgery.
Christina Schilero, DPM, AAFAS
Dr. Schilero joined the Paley Institute in 2016 after completing her residency in foot and reconstructive rearfoot and ankle surgery at West Houston Medical Center. She has completed a fellowship with Dr. Paley and performs specialized treatments for a variety of foot and ankle conditions. She also specializes in an innovative approach to complex wounds.
The Paley Institute is located at St. Mary's Medical Center in West Palm Beach, Florida, United States. Our amazing location in West Palm Beach offers patients a resort atmosphere year-round.
Our location offers our patients the following amenities:
- Recently renovated surgical care units
- Advanced imaging and radiology suites
- On-site physical therapy
- Convenient aquatic therapy
- Wound healing and hyperbaric medicine center
- A dedicated children’s hospital
The Paley Institute is conveniently located ten minutes from the Palm Beach International Airport. We are also accessible via the Ft. Lauderdale-Hollywood International Airport, and the Miami International Airport. For more information, see Travel Information.