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EDITORIAL
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 1

Limb lengthening and reconstruction: A new subspecialty of orthopedic surgery?


Paley Institute, 901 45th Street, Kimmel Building, West Palm Beach, Florida 33407, 561.844.5255, USA

Date of Web Publication5-Nov-2015

Correspondence Address:
Dror Paley
Paley Institute, 901 45th Street, Kimmel Building, West Palm Beach, Florida 33407, 561.844.5255
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2455-3719.168740

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How to cite this article:
Paley D. Limb lengthening and reconstruction: A new subspecialty of orthopedic surgery?. J Limb Lengthen Reconstr 2015;1:1

How to cite this URL:
Paley D. Limb lengthening and reconstruction: A new subspecialty of orthopedic surgery?. J Limb Lengthen Reconstr [serial online] 2015 [cited 2019 Jul 18];1:1. Available from: http://www.jlimblengthrecon.org/text.asp?2015/1/1/1/168740




I first heard about the Ilizarov method in 1983 when I was still a resident training to become an orthopedic surgeon. At that time, limb lengthening was a little used technique known to have an extremely high complication rate. It was mostly carried out by a handful of pediatric orthopedic surgeons. It was not considered a subspecialty of orthopedics and there was very limited interest in it by orthopedic surgeons and industry alike. In 1986, the year I chose to go to Europe to learn about the Ilizarov method, all of this changed.

Bone regeneration by limb lengthening became a central theme of many international conferences. Between 1987 and 1991, the Ilizarov concepts were introduced all around the world by a handful of disciples and sponsored by three main companies; Orthofix, Smith and Nephew and Stryker in Europe and North America; and by smaller local companies (e.g. Pitkar Orthotools, India) in developing markets. Limb lengthening societies were organized around the world following the example of the first ASAMI organization in Italy 1982, e.g. LLRS North America 1989. This was followed by an international organization ASAMI international in 1993 (founded by Professor Roberto Cattaneo of Italy).

While limb lengthening surgery was earning a place in orthopedics, fellowship training in this field was limited to only three locations where high volume limb lengthening practices existed (Kurgan, Lecco and Baltimore). It was the birth of these early limb lengthening centers that first defined limb lengthening as a separate field.

The editor of this new journal Milind Chaudhary was my very first fellow in 1988, 1 year after starting my limb lengthening practice in Baltimore. Over the ensuing 30 years since 1986 launched limb lengthening as a field apart, thousands of publications in the peer-reviewed literature as well as countless presentations on related topics at conferences around the world, have demonstrated the need for a journal dedicated to the subspecialty field of Limb Lengthening and Reconstruction.

I have spent my entire career helping define Limb Lengthening and Reconstruction as a separate subspecialty of orthopedic surgery through practice, presentations, publications, and organizations. The publication of this journal marks the culmination and realization that Limb Lengthening and Reconstruction is now officially its own subspecialty. It is my great honor to write this editorial for this inaugural issue.




 

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