Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: taffyboi on January 16, 2024, 12:07:36 AM

Title: Fat embolism - Paley statistics
Post by: taffyboi on January 16, 2024, 12:07:36 AM
In a recent interview (3 weeks ago) with cyborg4life, Paley said that in the year 2023 that he “hasn’t had a single fat embolism that year” (after some changes to his protocol). However, the CLL guidebook pdf emailed to me by Paley’s staff writes that their “incidence of symptomatic fat embolism requiring treatment is 5%”.

What is the truth of the matter?
Title: Re: Fat embolism - Paley statistics
Post by: taffyboi on January 16, 2024, 12:13:50 AM
To add to this, they frequently mention the rate of “some form of fat embolism” (allegedly usually not noticeable) is “around 4%”. So I’m just getting a load of different numbers
Title: Re: Fat embolism - Paley statistics
Post by: youyin12 on January 16, 2024, 05:34:51 AM
The conclusion of 4% or 5% is based on Paley's decades-long practice, but in 2023 he adopted new technology and protocols that reduced the occurrence probability of fat embolism to nearly zero.
Title: Re: Fat embolism - Paley statistics
Post by: Mike G on January 16, 2024, 07:20:19 AM
Interesting. Can you elaborate more on what was changed in the protocols ? (If you know, by any chance) ?
Title: Re: Fat embolism - Paley statistics
Post by: DanishViking on January 16, 2024, 01:14:19 PM
http://www.limblengtheningforum.com/index.php?topic=680.62 here is your answer. Drilling small holes before inserting nail.
Title: Re: Fat embolism - Paley statistics
Post by: Kintaeryos on January 19, 2024, 06:49:46 AM
The conclusion of 4% or 5% is based on Paley's decades-long practice, but in 2023 he adopted new technology and protocols that reduced the occurrence probability of fat embolism to nearly zero.
And has that claim been verified by a third party/is the data publicly available, or do we just have to take Paley's word on it?