Limb Reconstruction Fellowship

Applicant must have completed an orthopedic surgery residency in the United States or Canada and be eligible for a State of Florida Medical License

The Paley Orthopedic & Spine Institute offers a unique nationally and internationally renowned limb and spine reconstruction fellowship combining the full spectrum of pediatric orthopedics with the busiest and most cutting edge limb deformity reconstruction fellowship in the world. Fellows gain operative and clinical management experience in upper and lower limb reconstruction of congenital, developmental and post-traumatic bone and joint deformities as well as spinal deformity.

Fellows learn the newest techniques of osteotomy surgery, joint and soft tissue reconstruction  and preservation surgery. Gain extensive experience with limb lengthening  and deformity correction using circular and monolateral external fixation as well as the newest internal limb lengthening  and deformity correction methods.  Fellows gain extensive experience with surgical hip dislocation, pelvic osteotomies and the most cutting edge femoral osteotomies including femoral head reduction osteotomy. Fellows also become proficient in complex knee and ankle and foot reconstruction including specialized pediatric knee ligament reconstructive surgery, intra-articular osteotomies and many other simple and complex procedures. The fellowship includes ample exposure to congenital hand and neuromuscular surgery, spinal deformity treatment, benign tumors of bone and soft tissues, as well as adult sequelae of post traumatic and pediatric orthopedic problems:

  • Lower and upper limb deformities including the foot and hand
  • Limb length discrepancy
  • Deformity and short stature due to dysplasias and syndromes
  • Congenital deficiencies (e.g. CFD, FH, TH, RCH, UCH, congenital dislocation of patella, various syndromes)
  • Other congenital deformities (e.g. clubfoot, vertical talus, congenital pseudarthrosis, syndactyly, absent thumb, and other hand and foot anomalies)
  • Developmental pathology (e.g. Blount’s, growth arrest, neonatal sepsis sequellae, congenital pseudarthrosis, MHE, Olliers, fibrous dysplasia, etc.)
  • Post-traumatic disorders (e.g. nonunions, malunions, bone defects, osteomyelitis)
  • Hip disorders (e.g. DDH, Perthes, epiphyseal dysplasis, sepsissequellae, MHE, etc.)
  • Joint preservation surgery of the hip, knee and ankle
  • Musculoskeletal tumor surgery
  • Treatment of many difficult pediatric orthopedic problems (e.g. stump overgrowth)
  • Treatment of spinal deformities, including scoliosis, kyphosis, and spondylolisthesis

Fellows will learn many new surgical procedures including:

  • Limb lengthening for congenital, developmental and post-traumatic LLD
  • Limb lengthening for short stature for dysplasias and constitutional short stature
  • SUPERhip, SUPERknee, SUPERankle procedures
  • Ulnarization for radial club hand
  • Weber patellar arthroplasty as well as other new operations for tibial hemimelia
  • New method to treat stump overgrowth
  • Surgical Hip Dislocation for impingement, femoral head reshaping and reduction osteotomy, protrusion reduction surgery
  • Pelvic osteotomies in children and adults including Ganz pelvic osteotomy
  • Joint preservation procedures such as joint distraction, osteotomy, and dislocation
  • Bone transport for bone defects
  • Judet quadricepsplasty
  • Complex foot surgery with and without external fixation
  • Congenital hand surgery including pollicization and complex syndactyly releases and tendon transfers
  • New procedures for Charcot-Marie-Tooth
  • Fusionless spine surgery and advanced spinal fusion

 The clinical and operative experience in this fellowship is like no other. The breadth and severity of pathology from patients coming from all over the US and the world is second to none. As an added bonus, Fellows also go on our annual mission trip to operate in Haiti or Nicaragua. Fellows are also sponsored to attend one CME course and are required to do at least one clinical research profject. This fellowship is complimentary to prior fellowships in pediatric orthopediatrics, trauma, foot surgery, and arthroplasty.

There are few surgeons trained in advanced limb reconstruction surgery. Many practices and universities are looking for candidates with such specialized  training and skills. This fellowship makes the candidate very marketable.
Fellowship Director: Dr. Dror Paley

To apply, please send a cover letter, CV, and two reference letters to Caroline Eaton at ceaton@paleyinstitute.org

Scrubbed Observer and Research Fellow

The applicant must be a licensed orthopedic surgeon.

The Paley Institute welcomes international fellows for a period of two or more months for advanced training in limb deformities, limb length discrepancy, arthritic joints for joint preservation, non-unions, bone defects, osteomyelitis, and orthopedic oncology. International fellows participate in weekly case conferences and lectures by attending physicians, scrub in surgery, and complete one or more research projects.

Fellowship Director: Dr. Dror Paley

To apply, please email your CV to Caroline Eaton at ceaton@paleyinstitute.org

Foot & Ankle Deformity Fellowship

During this one-year position, the fellow will develop an in-depth understanding of the pathophysiologic, clinical, radiographic, and musculoskeletal evaluation of foot and ankle deformities. This fellow will learn the principles and techniques required for the management of musculoskeletal foot and ankle deformities, including nonoperative treatment, preoperative planning and assessment, surgical decision making, and postoperative management and rehabilitation.

Inpatient and outpatient responsibilities will be assigned. The fellow will master the surgical skills necessary to perform accurate foot and ankle deformity correction procedures. The procedures that the fellow will participate in include, but are not limited to, the following:

  • Application and removal of internal and external fixation
  • Osteotomies
  • Nerve decompressions
  • Malunion and nonunion repair
  • Bone lengthening
  • Fusion
  • Fracture repair
  • Bone and joint infection
  • Deformity correction
  • Revision surgery
  • Total ankle joint replacement

The fellow will be supervised directly by Dr. Lamm. The fellow's performance will be reviewed every two months, and goals will be set to improve the fellow's education.

The academic component of the fellowship emphasizes a scholarly approach to clinical problem solving, analysis of foot and ankle deformity correction, and research. The fellow will participate in research meetings at the Paley Institute, surgical teaching conferences, and journal club meetings. The fellow will also complete a research project and will submit this research to the American College of Foot and Ankle Surgeons (ACFAS) to be considered for presentation at the annual ACFAS meeting.

To apply, please send the following materials to:

Bradley M. Lamm, DPM, FACFAS
Foot & Ankle Center
Paley Institute
901 45th Street
Kimmel Building
West Palm Beach, FL 33407

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