Quote from: 1team on November 07, 2022, 02:25:05 AMWhat is your sitting height and wingspan? I thought 16cm total was crazy but this is next level, did your doctor say this was safe?
Yeah, its sort of interesting how these clashing viewpoints on length limits will play out
With Paley saying that (4,4 rebreak 4,4) for 16cm total is the absolute maximum versus betz achieving 7-11 on femurs in one shot and sometimes 9+ on tibias in one shot
From a self interest perspective, it is good for us to have more datapoints on the forum of people doing like 10+cm on tibia or 10+cm on femurs and good for us not to dissuade them from doing this much (so the forum has more information/examples)
But it also sort of creates this tension where on one hand it can make a diary writer uncomfortable when readers comment on this very large length, but on the other hand it is hard for readers to not to talk about how long 10+cm on one segment is, like its quite hard to ignore
I appreciate the 11cm betz femur patient from another thread coming onto the forum and being open about the duckass but optimistic that it will go away with enough training
I also understand that rebreak is a pain in the ass and time consuming and why people wouldn't want to do it. But I do like the 'reset' or 'cheating' aspect of rebreak to do 4cm and then try to get to like a 'new baseline' by fully recovering after 4cm before doing more
LL with Dr. Becker (successor of Betz) - Instagram Documentary
Quote from: lessthanavg8300 on November 06, 2022, 09:33:13 PMLooks like you're making the most of things from what I see on IG. Thats awesome. LL is time in your life, you should enjoy it as much as you can like you are. How long do you think youll stay there through lengthening? Or not sure yet.
I’m leaving next week. Headed to NYC for a bit.
walking daily without crutches now. Limping but manageable!
Quote from: shortisnotfun on November 06, 2022, 09:39:53 PMRooting for you brother!
Thank you bro 🙏
Quote from: SpeedDialer on November 06, 2022, 11:44:31 PMThat's awesome, how did the sauna feel? I'm doing gnail femurs now. After I go back to the United States, I am thinking of going to the sauna and also walking in a pool (has some metal rails for handicaped people but water is not too deep)
Dude the sauna is awesome. I’m doing it as much as I can now… it helps so much, I think it’s one of the reasons how I’m able to walk without the crutches so soon. Sleep a lot better at night as well!
Quote from: 1team on November 07, 2022, 02:25:05 AMWhat is your sitting height and wingspan? I thought 16cm total was crazy but this is next level, did your doctor say this was safe?
Have no idea what my sitting height is and don’t care tbh. Long legs are sexy. I’m going to push as far as my body allows, and yes Dr Becker did say to stop at 10cm on tibias.
Hmm, not sure it’s necessary since the Betz nail already is able to go max 12cm. I think it depends on the maintenance of the patient and how often you stretch and train, etc. personally I’m religiously stretching, icing the legs, sauna, lots of sleep. Anything and everything I can do make it feasible!
Quote from: SpeedDialer on November 09, 2022, 04:21:15 AMHas Dr. Becker/Betz ever done a rebreak for someone for Betzbone tibias 2.0? Ex: if they are running into too much ballerina foot/afraid of non-union and want to buy some time by stopping, healing to normal function, then rebreak later
I know Paley allows 4cm on tibias then rebreak to do another 4cm on tibias so I wonder if 4+4 could be a good option for Betzbone 2.0 tibias also
Since its weight bearing I have to think that a rebreak would not be that disruptive to someone's life?
I believe its always worth to give it a try to go to the personal targeted length in the first place before thinking about rebreaking. There is no law that the limit is exactly at 8 cm for femurs or 5 cm in tibia. The only limited factor is your body and in particular your nerves! You need to find the perfect balance between daily lengthening and the maximum your muscles, tendons, IT Band and nerves can be stretched. Where muscles and tendons can be stretched very very much and nearly to every length (if they get the necessary time), nerves have their natural limit which is different at everybody and which you should not exceed as they than can get damaged! So as long as your nerves are playing the game together with you and there is enough sign for bone consolidation, I would go ahead with the lengthening. It is not an easy game as the muscles and tendons need much more time to get to the desired length than your lengthening period will be. That means you will have a long recovery period to get normal when you are lengthening amounts like 10cm or more.
I appreciate Paley expertise but I pesonally don´t like his rebreak approach before the patient has at least give it a try to go to 6 or 7 cm in tibia and 9 or 10 cm in femur in the first place. Every surgery of this type are risky and should not be done, if it is not really necessary. This length are recheabe in the first place but need a good monitoring of the lengthening period where you listen to your body and are in close touch with your surgeon and good physiotherapist. There are enough best practices (beside of mine 
) that such amounts are feaseable.
However, this are only my two cents.
Quote from: SpeedDialer on November 09, 2022, 04:30:23 AMYeah, its sort of interesting how these clashing viewpoints on length limits will play out
With Paley saying that (4,4 rebreak 4,4) for 16cm total is the absolute maximum versus betz achieving 7-11 on femurs in one shot and sometimes 9+ on tibias in one shot
From a self interest perspective, it is good for us to have more datapoints on the forum of people doing like 10+cm on tibia or 10+cm on femurs and good for us not to dissuade them from doing this much (so the forum has more information/examples)
But it also sort of creates this tension where on one hand it can make a diary writer uncomfortable when readers comment on this very large length, but on the other hand it is hard for readers to not to talk about how long 10+cm on one segment is, like its quite hard to ignore
I appreciate the 11cm betz femur patient from another thread coming onto the forum and being open about the duckass but optimistic that it will go away with enough training
I also understand that rebreak is a pain in the ass and time consuming and why people wouldn't want to do it. But I do like the 'reset' or 'cheating' aspect of rebreak to do 4cm and then try to get to like a 'new baseline' by fully recovering after 4cm before doing more
Quote from: maxheight35 on November 09, 2022, 06:58:15 AM
Dude the sauna is awesome. I’m doing it as much as I can now… it helps so much, I think it’s one of the reasons how I’m able to walk without the crutches so soon. Sleep a lot better at night as well!
You are doing it the right way! Sauna and ice are very good try to keep that on a regular basis when getting home. You will need it much more when the stiffness is becoming harder.
Quote from: maxheight35 on November 09, 2022, 06:58:15 AM
Dude the sauna is awesome. I’m doing it as much as I can now… it helps so much, I think it’s one of the reasons how I’m able to walk without the crutches so soon. Sleep a lot better at night as well!
after reading your comment about the sauna, a couple.of hours ago I went to the local gym, had a sesh of hydrotherapy and then went into the sauna.
Kid you not for the first time in more than 1 month the nerve pain I have on my right leg disappeared. I was so surprised.
It came back later but it's quite ok and manageable now. So yeah, saune is the way from now on.
Thanks for that tip
This was an amazing reply post. Well said 🤝
Quote from: Taller90 on November 09, 2022, 09:20:57 AMI believe its always worth to give it a try to go to the personal targeted length in the first place before thinking about rebreaking. There is no law that the limit is exactly at 8 cm for femurs or 5 cm in tibia. The only limited factor is your body and in particular your nerves! You need to find the perfect balance between daily lengthening and the maximum your muscles, tendons, IT Band and nerves can be stretched. Where muscles and tendons can be stretched very very much and nearly to every length (if they get the necessary time), nerves have their natural limit which is different at everybody and which you should not exceed as they than can get damaged! So as long as your nerves are playing the game together with you and there is enough sign for bone consolidation, I would go ahead with the lengthening. It is not an easy game as the muscles and tendons need much more time to get to the desired length than your lengthening period will be. That means you will have a long recovery period to get normal when you are lengthening amounts like 10cm or more.
I appreciate Paley expertise but I pesonally don´t like his rebreak approach before the patient has at least give it a try to go to 6 or 7 cm in tibia and 9 or 10 cm in femur in the first place. Every surgery of this type are risky and should not be done, if it is not really necessary. This length are recheabe in the first place but need a good monitoring of the lengthening period where you listen to your body and are in close touch with your surgeon and good physiotherapist. There are enough best practices (beside of mine ) that such amounts are feaseable.
However, this are only my two cents.
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