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Paley Institute to Host the 2025 USCIPP Annual Meeting
Latest News

Paley Institute to Host the 2025 USCIPP Annual Meeting

The Paley Orthopedic & Spine Institute is proud to partner with the U.S. Cooperative for International Patient Programs (USCIPP) to host the 2025 USCIPP Annual Meeting in West Palm Beach from December 3–5. This high-level gathering brings senior leaders from US hospitals and health systems who oversee international programs, global strategy, revenue cycle, clinical operations, and international patient services. Held at the Belgrove Resort & Spa, the three-day meeting offers an intimate setting for insight, connection, and collaboration among executives shaping the future of international patient care and global health engagement. With more than 200 attendees expected, the event serves as the premier annual forum for leaders driving international initiatives across major academic medical centers and health systems nationwide.

Florida Trend's Florida 500: Dr. Dror Paley Honored for 8th Consecutive Year
Latest News

Florida Trend’s Florida 500 | Dr. Dror Paley Honored for 8th Consecutive Year

Dr. Dror Paley, Founder, CEO, and Medical Director of the Paley Orthopedic & Spine Institute, has been named to Florida Trend’s prestigious Florida 500 list for the eighth year in a row, recognizing his enduring influence as a visionary leader in orthopedic innovation and business excellence. From pioneering 100+ surgical procedures to building a global medical tourism powerhouse serving patients from over 100 countries, Dr. Paley’s work continues to elevate West Palm Beach as a world leader in advanced orthopedic care. Read the Full Article

Haley Grudzinski Coming Full Circle: Physical Therapy Grad Trains at Institute That Saved Her Limb
Latest News

A Journey of Healing and Inspiration | Haley Grudzinski’s Return to the Paley Institute

We are honored to share the remarkable story of Haley Grudzinski, a former patient who overcame congenital femoral deficiency (CFD) through decades of innovative limb-lengthening surgeries led by Dr. Dror Paley. From her first procedure at age two to more than 20 surgeries, Haley’s resilience and determination allowed her to lead a full, active life. Her inspiring journey came full circle when she returned to our institute as a Doctor of Physical Therapy student, completing an eight-week clinical rotation. During her time here, Haley treated patients, including those with CFD, offering hope and support drawn from her own experiences. Her story exemplifies the life-changing impact of our work at the Paley Institute and underscores our commitment to empowering patients to thrive. Read the Full Article

Mosope
Patient Care, Proximal Focal Femoral Deficiency

Mosope

On 31st December 2010, we received our new year gift with the birth of Mosope, amid the celebration, there was a challenge, Mosope was born with Proximal focal femoral deficiency (PFFD), i got confused as i have never seen nor hear of this condition. We immediately met with our local doctor that referred us to an orthopaedic consultant, the Professor advised that it will be risky to get treatment for her in our home country (Nigeria) as we might not have the required expertise and facilities for super hip procedure that will be required, he told us Dr Paley will be our best option for this treatment. With the Professor’s report, we engaged Dr Paley, and he gave us the big relief that with a couple of surgeries (one super hip and couple of limb lengthening) in her lifetime, our beloved daughter will be able to walk, run and play like other children. In 2011, we got the cost of the super hip surgery estimated to be 119,267USD, this was massive cost due to the valuation of our local currency against the US dollars, this was about my six years gross annual income, i shared with Dr Paley how difficult it would be for us to raise the funding, he gave his word and i quote “I will make it happen” , few months later he reached out to me that he has been able to get a charity to support with the funding along with the little funds that we will able to raise, we became very excited as we believe this will start the treatment for our daughter but getting a US visa became a challenge despite the letters from Dr Paley to the embassy, after applying about three times over about 4 years, our hopes started dwindling. Over this period, we kept our communication lines open with the Dr Paley and he kept responding and giving us the reassurance that it will happen, this communication kept our hopes alive, for this we thank Dr Paley as he did not give up on us. In 2015, after several visa denials by the US embassy, I suggested that we could have the surgery done out of US as our daughter is growing by the day and the difference in the limbs kept on increasing, this Dr Paley equally agreed, we considered Isreal, this did not work out due to insecurity in the region. Still we kept our communications lines open to Dr Paley, On June 15th, 2023, i got an email from Dr Paley that he has some funding that can support the surgery of our daughter and he has a centre in Abu Dhabi where he usually visits at intervals where the surgery will take place, that was like the best news i have received in my lifetime, for this i thank Dr Paley and we will eternally be grateful. Then the visa challenge came up as issuance of visa to Nigerians was on hold by UAE, this seems like the best opportunity as our daughter who is 13 then was not getting any younger, we had to use all at our disposal to ensure that we get the visa. On 9th May we succeeded in getting the visa to catch up with the appointment with Dr Paley, scheduled visit of May 2025. We started gathering ourselves by raising funds for the trip from savings, family, friends and loans to take care of the flight, feeding and accommodation in Abu Dhabi, this is enormous due to the conversions rates of our local currency to USD and AED, we must appreciate again Dr Paley for giving our daughter hope of better livelihood for supporting with the surgery and hospital cost. We arrived in Dubai on 24th of May where we were received by a personnel of the hospital that drove us to the clinic in  Abu Dhabi, on arrival we were received warmly at the reception, i must confess, i have never seen any hospital as beautiful as Burjeel medical centre (BMC), every service is world class, friendly and prompt  pickup service from the hotel, excellent Dr Paley’s team, friendly Paley clinic staffs, very accommodating ICU personnel, nutritious food, good ward environment and nurses, physiotherapist is top notch, Advanced care team; willing to support, very beautiful overall ambience.  I thank God for the successful super hip surgery of my daughter and specially appreciate everyone and teams that has supported us in this medical journey of our daughter, we are looking forward to our return for the limb lengthening surgeries that are expected to come up in the future, it will be an opportunity to reconnect with these great people and wonderful teams. Thank you, Dr Paley and the entire team. Thank you, BMC and the entire team. Thank you, Advanced care and the entire team. We will eternally be grateful for this support.

Patient Care, Arthritis, Herniated Discs, Spinal Cord Compression

Larry

When a person is diagnosed with a serious medical condition that requires surgery, usually they seek a second opinion that hopefully informs them that things are not so dire. Imagine when the second physician tells the patient that not only is surgery required, but an additional procedure is needed as well. This is what happened to me. Upon a neurologist’s diagnosis of herniated discs, arthritis, and spinal cord compression and swelling in my 60-year-old neck, I was referred to an experienced and competent neurosurgeon. The surgeon informed me that an operation through the front of my neck, which would remove ruptured discs and hardened ligaments, was needed to relieve the severe compression of my spinal cord. Soon thereafter I sought a second opinion from Dr. Scott Raffa at the Paley Institute’s Cantor Spine Center. Dr. Raffa explained to me that indeed surgery was warranted, and that an additional procedure, through the back of my neck, should also be done for the best possible outcome. This procedure would provide additional decompression of my spinal cord, by enlarging the spinal column with inserted bone grafts, and relieve chronic neck and shoulder pain by removing arthritic bone spurs. To accomplish these treatment objectives, Dr. Raffa and his staff would utilize their extensive training and experience with the most modern, proven and effective tools and techniques. An example is the ultrasonic bone scalpel, which cuts through vibration, not sharpness, making it very safe and effective for use in surgeries adjacent to the spinal cord. Dr. Raffa told me that his intent was for this to be the first, and last, neck surgery I would ever need. After a short period of deliberation, and consultation with my daughter who is a registered nurse with experience caring for cervical spine patients, I decided to ask Dr. Raffa to perform the necessary surgeries. This was the best decision I could have made. Dr. Raffa and his staff of receptionists, administrators and assistants were all very competent, caring and kind, as were the members of the surgical team. The St. Mary’s hospital staff also provided me with excellent care. My surgery was a success, and I was home after a single night at the hospital. It has been six months since surgery, and my recovery and healing have gone very well. My neck and shoulders feel so much better, and I’m no longer at risk for paralysis. I am back to my normal activities, including work and exercise. I therefore wish to thank Dr. Scott Raffa, and all the staff at his office, for helping me in my time of need. You people are the Best!

The boy you see in the photo with Dr. Paley is my son Giovanni, who suffers from tibial pseudoarthrosis.
Patient Care, Congenital Pseudarthrosis of the Tibia, Neurofibromatosis Type 1 (NF1)

Giovanni

The man of miracles. Who is Dr. Paley? Dr. Paley (for the few who still don’t know) is a world-renowned orthopedic surgeon, often called “the bone wizard,” known for his pioneering work in limb lengthening and deformity correction. He has invented or perfected about 100 surgical procedures related to limb reconstruction and deformity correction, and his protocols are used and studied by orthopedic surgeons all over the world. When a case seems hopeless and there is no longer any hope, only one name remains: Paley, the last resort, the final hope. Children and young people unable to walk or affected by severe deformities regain function and mobility after his surgeries. Families from around the world go to his institutes to receive care and reclaim joy and hope. Despite the initial skepticism of some colleagues, Dr. Paley had the ability—typical of all geniuses—to see what others could not and still cannot see. Where others gave up and threw in the towel, he kept believing. He refused to let children and young people become permanently disabled without doing something. He developed innovative techniques for each patient and gave—and continues to give—his very best, gifting them a new life. Setting aside his extensive training (which would require three pages on its own), let us recall that Dr. Paley was a professor at the University of Maryland. He founded the Paley Orthopedic & Spine Institute in Florida, where he is still the CEO and Medical Director. He also founded the Paley European Institute in Poland and a clinic in Abu Dhabi. From 2017 to 2021, he served as orthopedic surgeon to the White House. He runs foundations supporting orthopedic missions around the world. He has published over 150 articles, 5 books (notably “Principles of Deformity Correction”), and over 60 book chapters. The “CORA method” for deformity analysis, presented in his textbook, is recognized as a gold standard in orthopedic deformity planning. He has received numerous awards and recognitions, including government citations, the Pauwel Medal in Clinical Biomechanics, the title of Healthcare Professional and Health Hero of the Year, and has been listed among the Florida 500 Top Business Leaders for multiple years. He was named a “Living Legend” by Palm Beach Illustrated and, again, served as the orthopedic surgeon for the White House from 2017 to 2021. He speaks six languages fluently, trains surgeons all over the world, and continues to innovate in reconstructive orthopedic surgery. This is Dr. Paley in a few lines, but I want to tell you the story of our encounter with him. The boy you see in the photo with Dr. Paley is my son Giovanni, who suffers from tibial pseudoarthrosis. Ever since he was born, we turned to the best orthopedic surgeons in Italy, but none of them ever offered a definitive solution. After a fracture, a surgery with the application of a fixator, and a subsequent fracture, what was proposed was another surgery with no guaranteed outcome—another two years with a fixator, and then, who knows, maybe… Seeing my son physically and emotionally destroyed, I decided to turn to Dr. Paley. I had known of him for a long time, but we didn’t have the financial means to approach him. Then, thanks to the generosity of many people, that opportunity became a reality. We traveled to Abu Dhabi, and there we met Dr. Paley for the first time. Given the stature of the man, many might expect to feel some intimidation—and indeed we did—but when he arrived with his smile, his American-accented Italian, and explained everything to us patiently, like you would to a child, the tension melted away. He made us feel completely at ease. When he answered all our questions (mostly mine) politely and calmly—even though he had just come out of surgery—he eliminated all our doubts. He made us understand that he knows we are entrusting him with the most important thing in the world. And that’s how he treats every patient: like they are the most important person in the world. He doesn’t abandon them, and he never stops until he has done everything possible for each of them. So surgeries that are supposed to last two hours last six. If during the operation he sees something unexpected (and he makes decisions right there on the spot), he informs you how he plans to proceed. In some cases, even when he adds extra devices, he doesn’t charge additional fees. In our case, since he couldn’t complete the Cross Union in the UAE, he waived his fee and significantly reduced the cost of the operation so we could go to Poland to finish the treatment. Because Paley will not settle for anything less than the absolute best for every single one of his patients. Then in Poland, it turned out Giovanni’s knee also needed correcting, and it would require another surgery. At that point, my daughter started telling me she would never allow her brother to go through that again—it was too painful. Giovanni said the same: he wouldn’t even consider it. I told them not to be hasty and to focus on the operation at hand. Meanwhile, Dr. Paley was consulting with Dr. Thomas (whom I call the “mechanical doctor”—but I’ll tell you about him next time). He turned to us with a smile and said, “I’ve talked with Dr. Thomas. We’ll try to do the knee too.” On the day of surgery, after five hours in the OR, he came out exhausted, holding a can of Coke in his hand, and in his Italian with an American accent, told us he had also taken care of the knee—without charging anything extra, because he knew we had needed to start a fundraiser to come to him. So, who is Paley? An inventor of innovative methods? A genius? A hero? A pioneer? The best orthopedic surgeon in the world? A beautiful person? A superhero without a cape? To each of us, Dr. Paley is all of these things rolled into one. For us

Aaron Trinh undergoes physical therapy with therapist Mike Thompson at the Paley Center for Rehabilitation & Physical Therapy in West Palm Beach, FL, on August 1, 2025. Trinh, recovering from limb lengthening surgery on his femurs, engages in exercises to maintain mobility and support new bone growth. (Mike Stocker/South Florida Sun Sentinel)
Latest News

South Florida Cosmetic Limb Lengthening Surgery | Paley Institute Experts

Discover how Aaron Trinh gained 3 inches in height through innovative cosmetic limb lengthening surgery at Paley Orthopedic & Spine Institute in West Palm Beach, FL. Led by world-renowned surgeons Dr. Dror Paley and Dr. Craig Robbins, our advanced procedures offer safe, life-changing results for cosmetic and medical needs. To learn more about Paley Institute’s cosmetic height surgery, visit The Paley Stature Center Website. Read the Full Article

Cosmetic Stature Lengthening Is on the Rise — Dr. Paley, Leading Expert, Weighs in on the $200K Trend Featured in Yahoo Entertainment
Latest News

Cosmetic Height Surgery Is on the Rise — Dr. Paley, Leading Expert, Weighs in on the $200K Trend Featured in Yahoo Entertainment

Inside the $200K Height Surgery Trend: Dr. Paley Shares Expertise in Yahoo News Feature on Cosmetic Stature Lengthening. As cosmetic height surgery gains global attention, more individuals are seeking limb lengthening procedures to boost their confidence, stature, and self-image. In this in-depth Yahoo Entertainment feature, Dr. Dror Paley—founder of the Paley Stature Center and world-renowned expert in cosmetic stature lengthening—offers professional insight into the motivations behind the $200,000 surgery, the medical science behind the procedure, and why demand is steadily rising among adults worldwide. Read the Full Article

Justin Faced Amputation After 6 Failed Surgeries — Dr. Dror Paley Saved His Leg
Patient Care, Congenital Pseudarthrosis of the Tibia, Neurofibromatosis Type 1 (NF1)

Justin

At just 11 years old, Justin had already endured six failed surgeries and lived with the constant fear of breaking his leg again. Born with congenital pseudarthrosis of the tibia (CPT), a rare and challenging bone condition often linked to neurofibromatosis type 1 (NF1), Justin faced a future of limitations—and the looming possibility of amputation. But everything changed when he traveled from Canada to the Paley Orthopedic & Spine Institute in Florida to meet world-renowned orthopedic surgeon Dr. Dror Paley. Watch as Justin undergoes a complex, limb-saving procedure with a 100% success rate at the Paley Institute—restoring strength, stability, and the freedom to be a kid again.  

General Pediatric Orthopedic Conditions
Physician Blog

General Pediatric Orthopedic Conditions: Fractures, Injuries, and Growth-Related Issues – A Comprehensive Guide for Parents

Children are naturally active and resilient, but they’re not just “small adults” when it comes to bones and joints. Growing bodies have unique patterns of injuries and orthopedic conditions. As a parent or caregiver, you might face anything from a toddler’s broken arm after a playground fall, to a grade-schooler’s limping from a twisted ankle, or concerns about your child’s walking pattern and leg alignment. In this comprehensive guide, we’ll walk you through common pediatric orthopedic conditions – including fractures, sports injuries, and developmental deformities – in a warm, educational tone. We’ll explain how children’s bones differ from adults’, what treatment options exist (often far more kids’ fractures can heal with simple casts than you’d expect!), and when it’s important to seek specialty care from a pediatric orthopedist. We’ll also cover growth-related issues like in-toeing, flat feet, and leg length differences, helping you understand what’s normal and what might need intervention. Throughout, we’ll optimize for search terms you might be using, such as pediatric trauma, broken bones in kids, pediatric orthopedic injuries, gait problems, and growth-related issues – so you can find the answers you need. Let’s dive in, with clear headings and an easy-to-read format, to demystify your child’s orthopedic health. Why Kids’ Bones Are Different: Understanding Pediatric Orthopedics Children’s bones are continually growing and changing. This growth provides some advantages and poses some challenges: Growth Plates: Kids have growth plates (physes) at the ends of long bones – these are areas of developing cartilage where new bone is made, allowing the bones to lengthen as the child grows. Growth plates are weaker than solid bone, so injuries in children often involve the growth plate. A twist or fall that might sprain an adult’s ankle could cause a growth plate fracture in a child’s ankle. The presence of growth plates also means kids have the remarkable ability to remodel mild angulations or deformities as they grow. For example, a child’s broken bone might heal slightly crooked but then straighten out over time as the bone lengthens. This is a big difference from adults – adult bones won’t correct themselves once healed, but kids’ often do to an extent. Periosteum: Children’s bones have a thick, strong periosteum (the outer layer of bone) which is more active in healing. This means kids’ fractures heal faster than adults. It also means kids often get incomplete fractures – instead of a clean break snapping the bone in two, the bone may crack on one side and bend on the other, like a green twig. These are called greenstick fractures or buckle (torus) fractures. They’re common in children’s wrists and forearms because of that flexibility. Ligaments vs Bones: In kids, ligaments (which connect bones at joints) are relatively stronger compared to bone than in adults. So a force that might cause a sprain (ligament stretch/tear) in an adult often causes a fracture in a child. It’s not always possible to tell a sprain from a fracture without an X-ray, so when in doubt, we evaluate for fracture. Healing Potential: Because of rich blood supply and growth factors, children’s injuries generally heal quickly and well. Broken bones can heal in a matter of weeks (4-6 weeks for many fractures), and even surgeries like fixing a fracture with pins or plates usually show rapid recovery. However, the downside is that if a growth plate is significantly damaged, it can lead to growth disturbances (like one leg ending up shorter if the growth plate closes too early). That’s why any injury involving a growth plate needs careful follow-up for up to 1-2 years. Understanding these differences underpins why pediatric orthopedic care is a specialty – treating children’s injuries and conditions requires knowledge of growth and development. As one pediatric ortho mantra goes: children are not just mini adults; they are still “under construction.” This is actually good news – it means they can often bounce back from injuries more easily, and sometimes less invasive treatments are needed because their bodies will take care of the rest. Common Fractures in Children and Their Treatment Fractures (broken bones) are among the most common injuries in kids. In fact, about 50% of boys and 40% of girls will have at least one fracture before age 16. Once kids start walking and especially when they become adventurous climbers, the risk of falls and injuries goes up. Most Common Fracture Sites: The wrist (distal radius) is the champion of childhood fractures. When kids fall onto an outstretched hand (FOOSH injury), it’s often the wrist that breaks. These can be buckle fractures or complete fractures. It’s so common that in an active practice we cast countless wrists every year. The elbow is another frequent site, especially a type of fracture called supracondylar fracture (just above the elbow) in younger kids who fall off monkey bars or furniture. The forearm (both radius and ulna) – kids often break both bones in the forearm. The clavicle (collarbone) – a very common break from falls or sports, and even in newborns sometimes from birth trauma. You’ll notice a bump on the collarbone as it heals (that’s a normal healing callus). The ankle – can be growth plate fractures around the distal tibia/fibula, often from sports or tripping. For toddlers, a unique one is the “toddler’s fracture” – a small spiral break in the tibia (shin bone) from a simple twist while stumbling; child might just limp without a big trauma. The femur (thigh bone) in younger kids, though strong, can break in high-energy falls or car accidents, or occasionally in a less severe fall if something else is going on (like bone cyst or osteogenesis imperfecta). Fingers are also commonly broken (like getting caught in a door). According to one source, aside from the wrist, other common fractures in kids include forearm, clavicle, and lower leg – which aligns with practical experience. Signs of a Fractures vs a Sprain It can be tricky to tell, and even doctors rely on X-rays to confirm. Some clues: