MMT Community

Make Me Taller - General Leg Lengthening => Dr. Betz Diaries => Topic started by: 6ix Side on May 03, 2016, 07:01:15 PM



Title: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 03, 2016, 07:01:15 PM
Hello strangers!  It's been a while I know.. between work, my personal life and many other factors, I haven't really had time to check in.  But you'll be glad to know things are moving forward with my 2nd LL chapter.

I'm currently in Neunkirchen, Saarland in the new and ultra modern medical wing of Neunkirchen Krankenhaus.  The Komfortstation on the top floor of this medical facility is a far cry from the rooms at Caritas Krankenhaus.  Some of you know that was the previous outfit where Prof. Betz used to practice, this is quite an upgrade!

So moving right along and without wasting any time, my procedure is scheduled for tmrw @8:00am.  This will be to remove titanium nails from my femur lengthening back in 2009 and a single Betzbone tibia implant (right side), the 2nd implant will be inserted next week Wednesday.  The reason behind breaking up the procedures is to reduce strain/trauma on the legs and also not to overwork Prof. Betz.  And a quick note here, waiting over 6 years to remove titanium is a very bad idea for both your body and the surgeon due to the extreme bond it makes with new and existing bone; titanium is known to integrate seamlessly into the skeletal structure so 2-3 years (tops) post lengthening for removal is best.. I hope Betz can get them out without straining too much.

Now, I'm not going into potential risks for tibia lengthening or proportion discussions at all in this diary.  You can take the time to research these factors and make your own educated decision if LL is something for you.  I've seen things change a lot in this forum world since 2009, lot's of energy being wasted in the wrong directions, flames started and even a new site put up with the exact same format.  I'm all for debate, but when your goal is to inspire negativity and even discouragement without the proper education and knowledge, you're bringing down our entire movement here.  I was even debating writing a diary at all, but then I realized that was being selfish.. I'm here to provide insight, guidance and inspiration to potential LLers.  And I've also found it helpful for myself during the lengthening process and beyond, words of encouragement from this community went a long way during some dark times.

That being said, I'll remind everyone of my measurements:

Starting height: 159cm
Current height: 170cm or 5'7"
Wingspan: 176.5cm or 5'9.5"
Weight: 77kg or 170lbs

Goal: 180cm or 5'11"

I originally thought I was over 171cm and had posted to that effect a few years ago.  But now that I confirmed my starting measurements, that would have been impossible being that I started just shy of 159cm.  So i'll revise my caption going forward, but hey, that will only be temporary as well 8)

So what else, let's see here.. I'll be in Neunkirchen for roughly 2 more weeks during the initial recovery phase and then moving over to Park Hotel in Weiskirchen for the bulk of my lengthening period.  I plan to fly back 6ix side in mid-late July where i'll finish clicking and make plans for locked titanium tibia implants post lengthening.  I'm shooting for early-mid September to get those swapped out.  Full weight-bearing is possible within a few days and i'm off living my 5'11" life.

Seems simple enough eh?  In theory my friends, only in theory..  I was recently reminded by a close friend of mine the extreme psychological and physiological anguish LL can subject you to.  It's not an easy task by any means, but the end does justify the means.  Hell yes it does!  At 5'7" i'm considered average-low height for my ethnicity and geographical region.  But at 5'11" things will certainly change in my world, drastically!

I'll spend more time in other posts discussing post LL flexibility, psychology and even self-love.  These things need to be cultivated even before the lengthening process ends or for that matter, begins.  Because when all is said and done, when you've reached your goals and the voice inside your head asks "Are you finally happy with yourself now?"  The answer should be an emphatic "YES!" without hesitation.  I'm working on this myself, not quite there yet.

Wish me luck folks, tmrw is a huge day for me!
Warm regards to you all once again.

Prost,
6ix side formally known as t.dot..
 


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: SysOp on May 03, 2016, 10:39:36 PM
Nice. Another dual lengthener telling their tale. Would you mind if I break this post out into a new diary? Do you want me to actually change your name? Cheers. :)


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 04, 2016, 05:03:22 AM
Nice. Another dual lengthener telling their tale. Would you mind if I break this post out into a new diary? Do you want me to actually change your name? Cheers. :)

Hey Sys long time bud, just about to get my legs shaved lol.  Good idea, let's start another thread with a new title.. "6ix side's quest for the holy grail with Dr. Betz in Deutschland.. (formerly known as t.dot)"

I actually would like to change my alias for 2 reasons, the first is Toronto is no longer being called "t.dot" that's an old moniker from the mid-late 2000s.  Now due to Drake's rise in the hip-hop ranks, he's popularized Toronto as "the 6ix".  And since i'm born and raised Torontonian, it seems only fitting to keep up with the times.  And secondly, i'll be damn close to achieving 6 feet.. so hells ya let's switch it up!

Wish me luck guys, about to get this party started!
I'll update once i'm out of surgery.

Prost!
6ix side



Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Tall on May 04, 2016, 05:38:46 AM
Hey Sys long time bud, just about to get my legs shaved lol.  Good idea, let's start another thread with a new title.. "6ix side's quest for the holy grail with Dr. Betz in Deutschland.. (formerly known as t.dot)"

I actually would like to change my alias for 2 reasons, the first is Toronto is no longer being called "t.dot" that's an old moniker from the mid-late 2000s.  Now due to Drake's rise in the hip-hop ranks, he's popularized Toronto as "the 6ix".  And since i'm born and raised Torontonian, it seems only fitting to keep up with the times.  And secondly, i'll be damn close to achieving 6 feet.. so hells ya let's switch it up!

Wish me luck guys, about to get this party started!
I'll update once i'm out of surgery.

Prost!
6ix side



Yes, yes, another dual lengthened in our club! God bless Bro! Can't wait to read your diary, welcome to the club. Give Dr. Betz my best!

Tall


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 06, 2016, 12:40:25 PM
So I got out of surgery Wednesday afternoon and it's been quite challenging being stuck in bed and relying on the nursing staff who barely speak any English.  The view from my room makes up for this somewhat, take a peek:

(http://i1144.photobucket.com/albums/o481/techstyling/view.jpg_zps3y3ronvy.jpg) (http://s1144.photobucket.com/user/techstyling/media/view.jpg_zps3y3ronvy.jpg.html)

Good news, Betz managed to remove all the titanium from the femur region but he really had to chisel and work the screws out which were completely intertwined with the bone.  This has left longer and noticeable scars as a result, and a very sore area where the rods were removed.  Also, he managed to implant the tibia Betzbone nail on the right side as well, so i'm 75% complete in terms of this procedure.  Next week the left side goes in and then i'm ready to lengthen!

It's funny the left side seems more shaky and painful and only the titanium was removed, the physio lady seems to think there's a hematoma trapped between the quads and the bone which is causing pressure and pain when I walk, but the good thing is it's improving already.  I have full flexion on the right side and the drain should be coming off today, I even managed to walk around for a bit in a walker but that was really tough and I doubt I would have been able to this if both tibs were done.  

So what else folks?  Any questions for me? I know i've been off the boards for a while now and haven't been around to discuss my post lengthening life because i've been living it!  Can't blame me for that :P  Anyhoo, i'm around now and willing to share my story in depth so feel free to ask away.

Yes, yes, another dual lengthened in our club! God bless Bro! Can't wait to read your diary, welcome to the club. Give Dr. Betz my best!

Tall

Good to be back Tall, always appreciated the blessings and support throughout my times.. you da man!

6ix side aka t.dot


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Joe2000 on May 06, 2016, 09:52:49 PM
Im glad to see you doing well. Anyway I just notice how ridiculous you arm-span is compare to you initial height. Quite unusual I must say. Just out of curiosity, what is your sitting height? I know its not the most important of LL journey and Im far from being a proportion nazi but I would love to know it :) Thanks.


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Apotheosis on May 07, 2016, 05:14:41 AM
Hey man. It's great to see you back and I applaud you taking your second journey. It won't be easy, but in life rewards come with risks, and that is definitely the story when it comes to LL.

Switching to titanium rods after you finishing lengthening your tibias is a good idea. I wish I had done though, but I thought I was superman and the speed at which femurs consolidate makes us all think that our tibias can't be far behind. Which they will be. LOL. They consolidate sooooo slowly compared to femurs, but with fixed titanium rods in your tibias you won't have to worry about that. :)

Lengthening 10 CM in my tibias was a lot easier than lengthening 10 CM in my femurs as far as pain was concerned, but it took longer to lengthen because I proceeded very slowly to help prevent equinus contracture. It's so easy to look back now and know what I should have done differently, but you are a lot wiser than I was so you should be fine. Congrats on taking the plunge.

Apotheosis


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 07, 2016, 07:45:28 AM
Im glad to see you doing well. Anyway I just notice how ridiculous you arm-span is compare to you initial height. Quite unusual I must say. Just out of curiosity, what is your sitting height? I know its not the most important of LL journey and Im far from being a proportion nazi but I would love to know it :) Thanks.

Hey Slawek,

I actually haven't measured my sitting height but it's not very tall I can say for sure, I always notice while sitting on stools in bars i'm approx. the avg. women's sitting height.  But I do have a friend that's close to 185cm and his sitting height is only a couple cms taller than mine, but it could be his posture as well.  So when my procedure is done, i'll definitely be bottom heavy to say the least.. I'll try my best to work my gluteus region once i'm recovered to increase sitting height similar to Apo but it won't be easy.  Worst case I can do an ass implant lol!  Just kidding, i'll survive at 5'11" and make sure i'm standing mostly when harassing the ladies  ;D

I will double check that for my own knowledge though, would be good to know.  I'll update you once I have that measurement.

6ix side



Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Jessie-Believer on May 07, 2016, 12:38:47 PM
Hey 6ix :)

Great to hear your operation went fine! Hope the next one will too. 

I actually have a question maybe at SisOp. . . I did LL too and want to share my experiences.  Can I also make a new topic?

Looking forward to your next posts!

Greetz

JB


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: SysOp on May 08, 2016, 05:00:56 PM
Hey 6ix :)

Great to hear your operation went fine! Hope the next one will too. 

I actually have a question maybe at SisOp. . . I did LL too and want to share my experiences.  Can I also make a new topic?

Looking forward to your next posts!

Greetz

JB

Sure. I can start a diary for you. Which doctor did you choose, which bone are you lengthening, and when did you start? Cheers.


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Jessie-Believer on May 10, 2016, 09:07:59 AM
Hey! Did with dr Betz both femurs and did 8 cm.  already wrote a text, but didn't know where to post ;)


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Jessie-Believer on May 10, 2016, 09:31:33 AM
Quote from: Jessie-Believer link=topic=8006. msg107979#msg107979 date=1462871279
Hey! Did with dr Betz both femurs and did 8 cm.   already wrote a text, but didn't know where to post ;)


Sorry, started in Jan 2016


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 10, 2016, 12:11:51 PM
Hey man. It's great to see you back and I applaud you taking your second journey. It won't be easy, but in life rewards come with risks, and that is definitely the story when it comes to LL.

Switching to titanium rods after you finishing lengthening your tibias is a good idea. I wish I had done though, but I thought I was superman and the speed at which femurs consolidate makes us all think that our tibias can't be far behind. Which they will be. LOL. They consolidate sooooo slowly compared to femurs, but with fixed titanium rods in your tibias you won't have to worry about that. :)

Lengthening 10 CM in my tibias was a lot easier than lengthening 10 CM in my femurs as far as pain was concerned, but it took longer to lengthen because I proceeded very slowly to help prevent equinus contracture. It's so easy to look back now and know what I should have done differently, but you are a lot wiser than I was so you should be fine. Congrats on taking the plunge.

Apotheosis

Apo my man!  I tell you honestly, you're my inspiration for taking the plunge with the tibs.  You sacrificed a lot with kids at home and doing your uppers and lowers in sequence, you're an amazing human being and I can't thank you enough for sharing your experiences in such detail.  I've been hearing from a few folks that have done tibias successfully that it's a lot easier after the 1st couple weeks of initial healing and the clicking is a breeze compared to femurs (less musculature to fight against).  So i'm keeping my fingers crossed and hoping that's the case!  Any input you can offer, things you could have done differently, etc. would be more than welcome. 

I'm going for broke brother!  180-181cm or bust, thanks for holding the torch for us  :D

6ix side formerly known as t.dot


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 13, 2016, 04:10:02 PM
Update 5.13.2016

Way overdue for an update folks, my apologies for the delay.  I've had a couple of really rough nights since the 2nd tibia Betzbone went in on Wednesday, crazy pain the likes that took me back to the worst of my femur lengthening days.  Still fighting some knee and shin pain with the new implant but it's improved considerably and I can actually post.

I was also having trouble exporting pics from my phone but I finally resolved that today updating my firmware.  So here are a few shots after the titanium was removed last week and the first tibia implant went in on my right side:

(http://i1144.photobucket.com/albums/o481/techstyling/5931_zps195miq3k.jpg) (http://s1144.photobucket.com/user/techstyling/media/5931_zps195miq3k.jpg.html)

(http://i1144.photobucket.com/albums/o481/techstyling/5933_zps3c57oxud.jpg) (http://s1144.photobucket.com/user/techstyling/media/5933_zps3c57oxud.jpg.html)

(http://i1144.photobucket.com/albums/o481/techstyling/5932_zpseq4uduk7.jpg) (http://s1144.photobucket.com/user/techstyling/media/5932_zpseq4uduk7.jpg.html)

The scars left from the titanium are going to be bad, but again that was my mistake waiting so long to come back and get the rods removed.  As some of you know, I was running a foot clinic and my time off was scarce to say the least, so a surgery vacation was low on the priority list.  When I thought of vacation, I was thinking a beach and some beauties!  But we'll see how bad the scars heal long term, if anyone has any suggestions of a good scar removal cream or treatment, please let me know.

So it looks like i'm through the worst of it for now, pain levels are medium still but bearable.  I have a few more days at the Komfortclinic and then i'm off to the Park Hotel in Weiskirchen, which i'm really looking forward to.

And last but not least, I did my first clicks for my right side yesterday and today.  I started off with an initial distraction of 3mm on my right leg and Prof Betz did 13 clicks on my right side to start me off + 16 more myself in the last 2 days.  So I'm taller guys!!  Almost half a .5cm on my right and I got a little extra on my left 4mm during surgery so I'm not too far off left to right.

So the lengthening journey now begins.. clicking, stretching, physio, eat, sleep, clicking, stretching, physio, eat, sleep, and so on.

I haven't had any questions recently from anyone, feel free my friends.  There's been much less documented tibia lengthening stories in comparison with femurs so don't be shy, ask away.

6ix side aka t.dot




Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Jessie-Believer on May 17, 2016, 06:00:12 AM
Hey 6ix!

Congrats again! I can def.  suggest a scar creme called "Contractubex".  It worked perfectly for me.  I could literally feel the scar disappearing.  But let your new scars heal for some time and then start using it. 

I'm in my recovery from both femurs now.  How long did you need to recover until you could walk without crutches? Was your gait normal at some time or could you notice a difference? And last: Do you have any special exercise for my IT-Band/Duck ass? This is actually the only real thing that holds me back from a good gait.

Thanks so much and good luck for your onstanding journey :)

JB


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 10plus on May 21, 2016, 01:38:18 AM
Hello 6ix,

Congratulations on making it this far.  It has been some time since you posted last  so I wanted to ask how everything is as you said you had a few rough nights?

I too contemplated tibia surgery with Prof.  Betz, and at that time he mentioned he would be implementing a new technique where he would cut the fascia wall from below the knee to just above the ankle to greatly reduce the risk of Compartment Syndrome, and the onset of nerve damage and foot drop, a symptom quite common in tibia patients yet seldom discussed on these forums.

There are other  doctors that will cut the fascia wall and perform a nerve release on both legs as precautionary measures these days. 

Do you know if your fascia was cut and did you have a nerve release on either of your legs since having the nails fitted in each tibia?

Please  keep the updates coming as there is little information out there recently for tibia internal ratchet type nails.

Keep it real  8)











Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 21, 2016, 12:25:42 PM
Hey 6ix!

Congrats again! I can def.  suggest a scar creme called "Contractubex".  It worked perfectly for me.  I could literally feel the scar disappearing.  But let your new scars heal for some time and then start using it.  

I'm in my recovery from both femurs now.  How long did you need to recover until you could walk without crutches? Was your gait normal at some time or could you notice a difference? And last: Do you have any special exercise for my IT-Band/Duck ass? This is actually the only real thing that holds me back from a good gait.

Thanks so much and good luck for your onstanding journey :)

JB


Hey JB,

Sorry for the late response, it`s been a difficult time recently for me.. I`ll go into that in my next update which will be later today.  In terms of recovery for femur lengthening, you have to continue physio and rehab for minimum 3-6 months after lengthening is complete to ensure the duckass and mechanical gait decreases.  My journey was a little different because I pretty much went straight into titaniums after lengthening and could walk without crutches.  My duckass luckily was minimal so all I had to do was work on my gait becoming more fluid and natural.  Initially, you`ll be walking like senior citizen who had both hips replaced with a nasty side-to-side waddle which you have to mentally defeat.  Start activating the quadriceps to lift the leg and plant the heel, forward motion rather than side-to-side.  It`s really tricky to get past the waddling within the first few weeks, that`s where getting physio and someone experienced on strengthening and stretching the hip flexors, IT bands, quadriceps, hamstrings, and even the calves comes in.  The iliopsoas muscles or hip flexors really play a big part in duckass posture, so if you`re having a hard time finding a good physio while recovering, then try to google or youtube iliopsoas stretches to target this small muscle group and hopefully you can tackle that stubborn ass  ;D

In terms of athleticism and flexibility, it`s an uphill battle once your gait is relatively normal or passable.  Don`t expect everything to just become flexible on it`s own, that won`t happen.  You have to continue to work on your strength and endurance nonstop to even consider playing competitive sports or martial arts, etc.  I attempted to start up kung fu again 6 months after recovering completely and it was way too much for me, I was dying after the first session - it felt like my leg muscles were going to tear with the amount of movement that was required.  You need to commit yourself entirely like Apo to get athletic prowess back within a decent timeframe.  I was working pretty long hours so I could only workout 2-3x week with a trainer, so it took me much longer to get strong enough to consider running, biking or any high-impact activity.  

I hope I answered your question and thanks for the scar cream suggestion, will take a look if I can order back home in the 6ix.

6ix side


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on May 21, 2016, 12:47:45 PM
Hello 6ix,

Congratulations on making it this far.  It has been some time since you posted last  so I wanted to ask how everything is as you said you had a few rough nights?

I too contemplated tibia surgery with Prof.  Betz, and at that time he mentioned he would be implementing a new technique where he would cut the fascia wall from below the knee to just above the ankle to greatly reduce the risk of Compartment Syndrome, and the onset of nerve damage and foot drop, a symptom quite common in tibia patients yet seldom discussed on these forums.

There are other  doctors that will cut the fascia wall and perform a nerve release on both legs as precautionary measures these days.  

Do you know if your fascia was cut and did you have a nerve release on either of your legs since having the nails fitted in each tibia?

Please  keep the updates coming as there is little information out there recently for tibia internal ratchet type nails.

Keep it real  8)


Hey 10plus,

Compartment syndrome is a serious risk when considering tibia surgery.  What Prof. Betz is doing now is anterior fasciotomy that releases pressure from the anterior tibialis muscle and the smaller nerve stems across the anterior compartment.  I had both fascias cut in order to reduce this risk and i`m out of the hotzone in terms of compartment syndrome.  Within the first 48 hours they monitor foot dorsiflexion 2-3x daily to see if the nerves are functioning adequately and of course keeping an eye on the drainage of plasma and serum (you wake up with 2 hoses on each leg attached to the tibia region for drainage and swelling control).  Once you`re past the 48 hour mark and the drains are removed, the risk of compartment syndrome is pretty much down to nil.

Some other juicy tidbits for tibia lengthening to note are the following which you may or may not know already.. In order to implant the lengthening nails, the patella tendon has be cut vertically to gain access to the proximal end of the tibia.  A total of 7 screws are installed on each implant to secure positioning and function.. 3 proximally, roughly 10cm under the tibial head and 3 distally above the malleoli, the last one secures the tibia to the fibula which guides the boney growth of the fibula which is not fixated at all otherwise.

Prof. Betz in my opinion is the best surgeon for internal leg lengthening.  The combination of his experience and good nature makes him the best choice for femur or tibia internals, he is patient and understands the LL process extremely well.  The costs may be higher in Germany to live and for surgery fees, etc. but you`re paying for his experience and ability to fix problems on the fly which other surgeons may not be able to do.

I`ve learned the hard way that cutting costs when it comes to your health or body will always come back to haunt you, if you`re going to take the plunge and put your body at risk then I`m of the contention that you should mitigate that risk by getting the best possible surgeon to do the job, it`s only logical.

I hope that gives you some food for thought.  I got interesting update coming about my current situation, so stay tuned...

6ix side


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Jessie-Believer on May 21, 2016, 12:54:51 PM
Hey 6ix,

thaks for the long reply and your helpful suggestions. I'm really intor stretching at leat 2-3 times a day since operation now. Bought me a bike right after coming home and started cycling appr. 30 minutes per day. So I hope this helps me to recover from my atrophy + drinking protein shakes every day. Let's see how long I will take, but I can see the improvements every week. Don't need to be strong at all, but need to walk normal for work hopefully until the next 4 months.

So recover well and I'm happy to read your posts again.

JB


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 10plus on May 29, 2016, 12:08:02 PM
Hello 6ix side,

Thank you for your response and insightful information.  We both lengthened similar amounts on our femurs with Prof.  Betz. 

If possible could we skype or could I email you directly as I am contemplating internal tibia LLing.

Thanks




Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on June 03, 2016, 09:26:04 PM
Update 6.3.2016

Hi guys, been a while since I checked in.. Was planning on updating you earlier regarding my current situation but I wasn't in the mood to write, was kind of upset about the whole scenario.  So I mentioned earlier about the risks of late stage titanium removal that Dr. Betz warned me about, I thought I was in the clear after all the hardware was removed from my femurs but I was sorrily mistaken.. Due to the extreme stress it took to remove the rods from the bone, breaking all the existing osteophytes and boney bridges created, my femurs both split from the posterior aspect sometime post surgery.  This was revealed by xray the day before I was due to check-out of the hospital and into the Park Hotel, which left me with a crucial decision to make.. take a chance to let the femurs heal on their own or re-implant 11mm titanium rods back into the femurs for fixation until healing is complete and beyond.  

This was a big shock for me to say the least, I was ready to begin my tibia journey but the femurs were pulling me back for one last headache!  Prof. Betz advised that I shouldn't do anything because the bone was still tact from the anterior and there was no risk of losing any length.  The main risk is a fracture which could happen at any time (if I have a misstep or what not) and in that case, I would have to put the rods back in.  Being extra cautious and careful while clicking and stretching my lower legs was recommended by Prof. and to just let the femurs heal on their own without fixation.  So technically, at the moment I have 6 broken bones in my legs!  Woah, a lot to process :-[

This sent me for a tailspin and I was getting very disheartened about the whole situation sitting alone in my room at the Park.  There was only one Betz patient staying there from Japan and he was due to leave within a few days of me arriving.  So after about a week or so, I decided to move into Haus St. Liborius with the lovely Elke and another LL patient to keep me company and motivated to get thru this next chapter.

It's been over 4 weeks now since the titanium was removed and I have another 4-6 weeks of healing in my femurs before I'm out of the danger zone there.  I was lengthening the tibias a bit cautiously initially due to these circumstances, but as of late (about 5 days or so) I've been clicking the recommended 13 clicks (.676mm daily), so I can meet my 10cm goal by early October of this year.

I have about 7 weeks remaining in Germany until I head home to Toronto (the 6ix!) and I plan to finish clicking in more familiar surroundings.  I just hope I don't drive my family nuts for the 10 weeks or so I'm clicking and torturing myself at home!  Then hopefully by mid-late October I can fly back and have titaniums implanted in the tibia region so I can be rid of my crutches much sooner than later (i'll save over 2 years of crutch time going to titaniums).

So that's quite an update folks!  Lot's has happened since I checked in last, but I'm feeling much more hopeful and motivated to get to my goals surrounding myself with like minded people at Haus St. Liborius, it's truly a blessing I decided to make my way over here.  I'm currently 1.5cm taller and loving it!  15% of my goal attained, getting there slowly but surely! 8)

Hello 6ix side,

Thank you for your response and insightful information.  We both lengthened similar amounts on our femurs with Prof.  Betz.  

If possible could we skype or could I email you directly as I am contemplating internal tibia LLing.

Thanks


Send me a private message on the forum and we'll exchange emails 10plus, would be happy to discuss tibia LLing with you.

Over & out,
6ix side


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Jessie-Believer on June 04, 2016, 08:29:41 AM
6ix!!

I'm so really sorry to hear that! As you know I just finished clicking 5-6 weeks ago and I'm still able to click, which makes me think about going to titanium as well. But your report and also asking other doctors who didn't recomment me to because titanium is known to grow into the bone somehow and not supposed to be removed, thats what they said, don't know if its true.

I know its a hard time for you now with this news, but I wish you al the best and due to walking in crutches anyway at the moment you fractures might heal better than expected. Good luck!

Greetz

JB


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 10plus on June 04, 2016, 01:13:08 PM

Hello 6ix side,

I feel you are in the best hands with Elke, and her home made cakes will help those fractures heal fast.

Please could you send me a short email to betzland10plus@gmail. com and I will respond with my Skype and contact information.


Looking forward to catching up with you soon!

10plus


Send me a private message on the forum and we'll exchange emails 10plus, would be happy to discuss tibia LLing with you.

Over & out,
6ix side

[/quote]


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on June 26, 2016, 10:27:37 PM
Update 6.26.2016

Not much of a diary folks, sorry to say.   Been off the boards recently, spending my time watching the EuroCup and enjoying the mild weather at Elke's haus with my fellow lengthener from Kuwait.

Good news though, officially 3cm today!!  Definitely beginning to feel the height increase now, slowly inching my way towards Mr. Peter Woll, my awesome physiotherapist (he's 180cm).   He always corrects his posture when I say that to keep me in check.. Still have a lot more work to do to get there  ;D

So I have some tips and tricks for potential tibia lengtheners based on my experience with these internal nails.  Clicking left vs right legs can really vary based on the flexibility of the knee joint out of surgery which is quite limited for the first few weeks.   Be patient with yourself especially with the left side which is considerably more strenuous to click due to initial stiffness in the mechanism during the first few cms.   Sit upright in your bed with legs extended fully, use a heating pad to warm up the hamstring and calf areas for a few mins prior to clicking.   Also before forcing the first click (especially on the left side), warm up the nail by rotating back and forth a few times and rotate the nail forward to the limit and take a break for a moment before you put all your strength into getting that first nasty 'CLICK', subsequent ones will be easier.

Getting the big or loud click on the left side is extremely difficult and even frightening for the first 200-300 clicks due the initial jolt of pain and muscle tightness.  Don't rush yourself and make sure to break clicks up into three sets to give your muscles time to acclimate.   You can still do them all in one sitting, just give your body a rest after every few.   My routine is 5-4-4 for a total of 13 clicks, I heat and stretch in between each set and complete one leg fully before doing the other.

I also use a stationary bike for 10 minutes 2-3x per day, once after breakfast, once after lunch and after clicking as well.   Walking outside after biking helps keep the muscles limber and is also a nice dose of vitamin D, I usually walk a few laps around the cobble stones and garden in Elke's immaculate backyard, which is really nice during the summer months.

One other thing to note, which I already overcame during the last few weeks was a severe pain in my left leg, while walking and even during massage sessions.   It turned out to be a combination of issues, the first being a nerve compression on the lateral aspect of my left leg where the fibula incision and osteotomy was done during surgery.   Professor Betz suspected either the superior or inferior gap segment of the fibula was shifting around and hitting a nerve just beneath the skin.   He suggested I go on gabapentin or Neurontin which I did a few weeks prior and it did in fact resolve this initial pain.  After another week or so, I noticed another viscious digging and grinding pain on my lower left shin which I couldn't figure out for quite a while.   Finally, during a massage Achim (my heavy metal loving massage therapist) realized there was still fluid and swelling above the tibia bone and tibialis anterior left over from surgery, so I decided to strap on the 30-40 mmhg compression stockings (not thrombosis, was wearing those already) which I had worn for a couple of weeks post surgery.   It appeared as though I may have removed them too soon and fluid was still trapped, which was causing this horrible pain.  Might be a good idea to keep these stockings on for 3 weeks post surgery to avoid fluid retention.

So now that I've been wearing compression stockings for the last week or so, things have been moving along swimmingly!  Clicking has become easier, pain is manageable and my routine is pretty much laid out for Toronto.  

30% done as of today peeps!!  Amazing, a solid 5'8" already and I'm just getting started.. Can't wait for the next
3 inches, proportions are still looking workable for my proposed gain as well.

That's all for now folks, will check in next week again hopefully with some pics to show.

6ix side


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: stillyoung on June 26, 2016, 11:01:30 PM
6ix Side - great updates! So excited to read your tibia journey.

Also, thanks for the reminder to go and get my titanium rods out!!! I'm nearing the 3 year mark post lengthening and need to be rid of them :D

sy


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: around7 on August 19, 2016, 01:14:54 PM
6ix Side - great updates! So excited to read your tibia journey.

Also, thanks for the reminder to go and get my titanium rods out!!! I'm nearing the 3 year mark post lengthening and need to be rid of them :D

sy
I used titanium for 2 years in femur. No problem.


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on August 29, 2016, 05:49:41 AM
Update: 8.29.2016

Really late update guys, my apologies to those interested in reading a thorough account of my experiences.  I've been giving you a Cole's Notes summary of my journey so far, but at least I have some more tips and tricks to share during this post. This way you'll be armed with practical knowledge if you decide to pursue tibia LL.  

So I just hit 6.6cm as of yesterday!  Massive gain so far and I've managed to stave off ballerina foot on both sides with my daily stretching routine as well as regular physio and massage treatments.  The gadget I've been using which I truly believe has allowed me to get so far with minimal muscle contraction is called DorsiRamp.  It's actually a kid's dorsiflexion platform that has a recessed heel area in various degrees (10, 15 & 20).  I'm only using the 10 degree platform with my athletic shoes which have a slight incline so that gets the actual angle of the ramp at roughly 5 degrees (which is perfect for what I'm trying to maintain - 0 degrees or more in the ankle joint).

This tool has allowed me to keep hamstring, calf and achilles flexibility (6-9x DorsiRamp stretching daily) along with 2x daily walking (6 blocks each time), 3x biking (12-14 mins each time) and heat/stretching while clicking.  In addition to this routine, I've also found a great physiotherapist in Toronto whom I visit 4x week and also a massage therapist 2x week.  I also use a muscle cream Elke suggested called Retterspitz, this stuff is gold for loosening up muscles and releasing knots before heading to sleep (I just wish I bought more, almost out!).  Another diamond tip would be taking a day off from clicking every week which i've been doing religiously.  Of course, this is adding to the total clicking time to get to my goal and the fact tibia lengthening itself is slower, i'm in for a long journey.  But I know i'm helping myself in the long run by lengthening slowly and really watching out for muscle contraction, my recovery will be much easier not having a difficult ballerina foot to combat after the clicking phase is over.

When I got back home to Toronto roughly 5 weeks back, I had an unfortunate realization.  I wasn't able to drive my SUV due to muscle tightness in my calf and achilles (no pedal/foot control).  I was really depressed about this and I decided to do some research about what could be done in terms of modifying my vehicle for hand control.  The 'legal' or money sucking process would have cost somewhere in the vicinity of $2200 to get medical referrals, mobility assessment, training and permanent installation of this apparatus.  Because this is only a temporary situation, I didn't want to waste the time or money on this setup.  Just when I thought all hope was lost of being independent again, I searched hand controls on eBay.  Lo and behold, there are plenty of vendors selling portable hand controls that can be installed and removed on any vehicle very easily.  I picked up a unit called 'Freedom Staff' which has worked beautifully on my Range Rover.  I've been driving myself all around Toronto without using my legs at all, what a feeling to be independent again!  This is definitely not legal where I live but again, because it's only temporary and I'm being extremely cautious on the road, I decided to f@&k it all and go for it!

So what else, I'll be hitting 177cm by Friday of this week.  That's 70% of my total goal and my proportions are still looking perfectly normal considering the amount I've lengthened on my femurs back in 2009 (11cm).  My femur diary is under my previous username 't.dot' which is more detailed than this one.  Looking at the grand scheme of things, by Friday i'll have lengthened 18cm between upper and lower legs.  What an amazing number!  It's mind blowing to consider that jump in height, I was basically 5'2.5" or 159cm and i'm now flirting with 5'10" or 177.5cm which is right around the corner!  It's been quite the ride to say the least, between the pain, financial commitment, time, strain on family/friends and sheer insanity of breaking one's legs not once, but twice to satisfy this dark desire of being tall... but would I do it again??  In a heartbeat.  When all is said and done, and I'm standing proud and tall at 180cm or 5'11" I'll be on cloud nine and my dream will have finally been realized.

That's all for now folks!  Feeling damn good about my progress thus far.. feel free to send kudos, comments or questions my way.

Over & out.
6ix side





Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Tall on August 30, 2016, 03:21:45 AM
Hey TDot,

Long time no talk.  :) How do your this X-rays look? Can you post them? Curious to see the callus formation with Betz-Bone used in the tibiae.

God Bless,

Tall


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on August 31, 2016, 11:06:45 PM
Hey TDot,

Long time no talk.  :) How do your this X-rays look? Can you post them? Curious to see the callus formation with Betz-Bone used in the tibiae.

God Bless,

Tall

Hey Tall, it has been a long time my friend.. good to see you're still active on the boards after all these years, showing these kiddos what real LL is all about!  I'm due for my next set of X-rays around 7.5cm which should be within 10 days or so.  I'll make sure to post them, your input is always welcome.  I would imagine the callus formation will be minimal compared to femurs, for whatever reason it takes 3x longer to consolidate tibiae and that's why titanium is the only option if you're planning to lengthen more than 5cm with Betzbone.

Just hit 6.8, on my way to 7cm this weekend.. starting to really feel it now!

6ix side


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Jessie-Believer on September 02, 2016, 11:10:39 AM
Hey 6ix!

Cant believe you're so far! Amazing which height you gained, considering your starting hight! I guess thats a dream of everyone.

I "just" did 8 cm couple of month ago and I read all your old posts from years ago. There you were talking about ome supplements to increase muscle growth etc. Do you remeber which ones you took?

Thanks a lot

JB


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on September 10, 2016, 06:24:13 PM
Hey 6ix!

Cant believe you're so far! Amazing which height you gained, considering your starting hight! I guess thats a dream of everyone.

I "just" did 8 cm couple of month ago and I read all your old posts from years ago. There you were talking about ome supplements to increase muscle growth etc. Do you remeber which ones you took?

Thanks a lot

JB

Hey JB,

Sorry to get back to you so late.. as soon as I hit 7cm, ballerina foot started to kick in.. it's been a tough battle trying to keep the muscles from clawing up.  I've changed my clicking routine to 3 days on and 1 day off.  That way I can get 2mm each time and break, and i'm also splitting up the clicks themselves throughout the day, 5 clicks around midday and the remaining 9 clicks around 7pm.  It's a bit better, but I'm really pushing the limits of my anterior/posterior lower leg muscles.. I hope I can go the distance to at least 9.5cm which is my minimum target.

Back to your question, back in '09 we were using a simple whey protein isolate powder with a bit of weight gainer, nothing too special.  It wasn't any 'magic powder' looking back now, it was simply helping to repair muscles and provide extra energy which any supplement with that profile will do (w/vitamins, protein, carbs, etc.)  I'm sure you can find something local to your region that serves the purpose well.

On my way to 7.4cm tmrw!  Getting there slowly but surely.. this last stretch will separate the man from the boy, literally and metaphorically if you get my drift ;)

6ix


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: mixxed on September 20, 2016, 07:35:02 PM
Hello, you are doing a good job, can you show your scars? How they look now?


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Alex von Buetow on September 21, 2016, 05:41:12 AM
Hey 6ix!

Great Job! I'm also coming to Betzland end of this week.
Hope, you're doing well!  :D

All the best
Alex


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on October 17, 2016, 01:50:50 AM
Update: 10.16.2016

Drumroll please......I'm at 8.6cm everyone!! It's truly amazing to see the world from this vantage point, what a change in altitude from a measly 159cm.  Some of my close friends and colleagues that I considered 'tall' being in the high 170s are at eye level now!  What an amazing feeling, I can't describe how thrilled and happy I am with the progress of this 2nd LL chapter.  My dream has finally become a reality, it feels so surreal approaching 179cm any day now.

Big picture, I'm still on track to hit 9.5-10cm as my final goal within the next 3 weeks or so.  These last few cms haven't been easy though and i'm sure the remaining will be equally challenging.  I've slowed down my clicking routine to 55-60 clicks weekly, taking 2 days off to let my muscles rest and recuperate.  As I mentioned in my last update, around 7cm things started tightening up significantly around the achilles and lateral ankle, and now my right foot is supinating or inverting aggressively which I was told by Peter could happen late in the clicking game.  I'm just coming off a 4 day break that's allowed my body to get some much needed rest before I begin the last batch of clicks.  I'm roughly 250 clicks away from my final goal, I just past 1600 clicks so far on the nail (what a number!).

I've increased my physio regimen to 5 days/week and maintained 2 days massage.  I also changed my clicking format around 7.5cm to keep mobile and functional, I do 8 clicks during my physio session so I get the immediate benefit of assisted stretching and I do another 4 clicks in the early evening for a total of 12 daily.  I found this very helpful recently since the achilles and peroneal tendons tightened up so much.  And now to the juicy stuff.. PICTURES!!!  

(http://i1144.photobucket.com/albums/o481/techstyling/20161004_003132_zpsijmcqrpu.jpg) (http://s1144.photobucket.com/user/techstyling/media/20161004_003132_zpsijmcqrpu.jpg.html)

(http://i1144.photobucket.com/albums/o481/techstyling/20161004_003112_zpst2jprzpf.jpg) (http://s1144.photobucket.com/user/techstyling/media/20161004_003112_zpst2jprzpf.jpg.html)

Mixxed had asked about the scarring on my legs, pictures are worth a thousand words my friends.  As you can see, the only scars that really show are the on the patella, that was the longest incision to gain access to the proximal head of the tibia to implant the nail.  All in all, the scarring is camouflaged nicely because of my leg hair and my skin colour, I would imagine a paler or darker tone may contrast the redness of the scarring more.  I guess i'm lucky in that regard.

My good friend Tall, you asked for these a while back.. better late than never!

(http://i1144.photobucket.com/albums/o481/techstyling/TibiaX2_zpsg9uqk5dj.jpg) (http://s1144.photobucket.com/user/techstyling/media/TibiaX2_zpsg9uqk5dj.jpg.html)

(http://i1144.photobucket.com/albums/o481/techstyling/TibiaX1_zpsowo5izdr.jpg) (http://s1144.photobucket.com/user/techstyling/media/TibiaX1_zpsowo5izdr.jpg.html)

As I was told by Prof. Betz, the callus formation is minimal as you can see.  The lateral portion of the gap is obscured by the fibula behind it, so it's best to focus on the medial aspect to get a good idea of callusing so far (which is next to nothing).  Tibia bone regeneration is remarkably slower than femur for some odd reason and that's why titanium is the only option when lengthening past 5 cms to avoid excessive time on crutches.  That being said, I'm scheduled for late November to have my nails switched out to locked, solid titaniums.  That will put an end to this lengthening chapter and hopefully to the crutches as well, Prof. Betz mentioned it would only be a week or so before I could drop the crutches altogether after the titaniums are in.

So that's it for now folks, wish me luck on my last stage of this LL journey..  Another 1.4cm to go!

Cheers!
6ix side



Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: wavecrasher89 on October 25, 2016, 03:58:54 AM
Thanks for sharing the pics 6ix Side! Your x-rays look great and congrats on your new height man!!

You've truly been an inspiration to me.  You have defied all odds to challenge your physical stature and undergo all the physical & psychological pain (not once, but twice) to get to where you want to be.  I don't think a lot of people have what it takes to do what you have done.  Being 5"6 myself, I can definitely understand the struggles of being short.  I came across your journal a few years ago and I found your comments to be incredibly insightful (also it was a pleasant surprise to find a fellow Torontonian in this forum).  Not only that, I found myself relating to a lot of your experiences.  For example, when I was in university, I was constantly trying to juggle between two personalities; someone who is inherently shy due to my physical stature and someone who is loud and crazy, just so I feel like people would accept me more & they wouldn't mess with me.  I was also in a pretty serious relationship at the time (we were living together) and she found out about my plans.  Let's just say we didn't end up staying together.

Anyways, I just wanted to send you some words of encouragement! I know the lengthening process has been slow with the tibia, but hang in there man.  Once you are done with the recovery, you will be a beast.  YOU WILL TURN THE SIX UPSIDE DOWN BECAUSE IT'S A NINE NOW!

Waves - another brudda from the six


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: wavecrasher89 on October 25, 2016, 04:26:05 AM
I have been trying to save money for the femur surgery over the past few years, so I haven't really checked the forums too much.  Looks like a lot has changed; there is another website with an identical format.  There is a lot Dr.  Betz bashing in that forum; the overall consensus over there is that Dr.  Betz is not a credible doctor because there is a higher probability of nail/screw breaking or developing complications if you go with Dr.  Betz.  I always thought Dr.  Betz was the best in the industry given his extensive experience in this field and his demeanor towards his patients.  I am not overly concerned about the nail breakage, but I feel like what happened to MasterHY was pretty disheartening.  Not sure if you know what happened/it was already covered somewhere else, but if you could shed some insight on this, that would be great! Feel free to PM or email me if you think it is more appropriate.

Also, I was wondering why you would choose to switch to the titanium nails right after lengthening? Is it per Dr.  Betz's request or do you just want to walk without crutches right away? Do you recommend this for everyone?

Waves


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on November 12, 2016, 06:14:07 AM
Thanks for sharing the pics 6ix Side! Your x-rays look great and congrats on your new height man!!

You've truly been an inspiration to me.  You have defied all odds to challenge your physical stature and undergo all the physical & psychological pain (not once, but twice) to get to where you want to be.  I don't think a lot of people have what it takes to do what you have done.  Being 5"6 myself, I can definitely understand the struggles of being short.  I came across your journal a few years ago and I found your comments to be incredibly insightful (also it was a pleasant surprise to find a fellow Torontonian in this forum).  Not only that, I found myself relating to a lot of your experiences.  For example, when I was in university, I was constantly trying to juggle between two personalities; someone who is inherently shy due to my physical stature and someone who is loud and crazy, just so I feel like people would accept me more & they wouldn't mess with me.  I was also in a pretty serious relationship at the time (we were living together) and she found out about my plans.  Let's just say we didn't end up staying together.

Anyways, I just wanted to send you some words of encouragement! I know the lengthening process has been slow with the tibia, but hang in there man.  Once you are done with the recovery, you will be a beast.  YOU WILL TURN THE SIX UPSIDE DOWN BECAUSE IT'S A NINE NOW!

Waves - another brudda from the six


Ma brudda from anotha motha lol!  Thanks for your words of encouragement my friend.. it's been a long haul this time around due to minimal clicking with the tibs.  I've just finished my 6th month of lengthening and I'm happy to say it's finally coming to an end very soon.  Will be updating shortly with the deets!  And it's great to hear that we shared similar experiences while in school, juggling personas trying to 'fit in'.. As you know hovering around 5'3" was a nightmare for me, being stuck in a child's body I just couldn't and wouldn't accept.  That was a long time ago, in a galaxy far far away!

I have been trying to save money for the femur surgery over the past few years, so I haven't really checked the forums too much.  Looks like a lot has changed; there is another website with an identical format.  There is a lot Dr.  Betz bashing in that forum; the overall consensus over there is that Dr.  Betz is not a credible doctor because there is a higher probability of nail/screw breaking or developing complications if you go with Dr.  Betz.  I always thought Dr.  Betz was the best in the industry given his extensive experience in this field and his demeanor towards his patients.  I am not overly concerned about the nail breakage, but I feel like what happened to MasterHY was pretty disheartening.  Not sure if you know what happened/it was already covered somewhere else, but if you could shed some insight on this, that would be great! Feel free to PM or email me if you think it is more appropriate.

Also, I was wondering why you would choose to switch to the titanium nails right after lengthening? Is it per Dr.  Betz's request or do you just want to walk without crutches right away? Do you recommend this for everyone?


I just got a chance to go thru MasterHY's diary so I could properly respond to you.. and let me just say to start off I was very sad to read about his severe and costly complications.  I hope and pray he's living his dream happy and healthy right now.  About his experience, I truly believe his was a unique situation that occurred due to the initial infection which was improperly cared for at the hospital.  I come from a medical background and I take no chances when it comes to infection or disinfecting surgical wounds appropriately.  If this problem had been addressed correctly from the outset, his experience would have been very different in my opinion.  Another possible reason for the non union and poor bone regeneration he experienced was due to lack of activity, but that was completely out of his control due to his pain levels.  

In my femur journey, I found the pain levels manageable after the initial 3-4 weeks post surgery, but of course the game changed when the nerve pain set in close to 6cm, that was fun!  Pain is an individual experience, some can handle more, some can handle less.  But I digress, moving on from MasterHY and his terrible experience.. all in all, LL is a risky surgery period.  You're taking an otherwise healthy body, breaking bones and implanting moving hardware.  I've been extremely blessed this time around to have no issues at all.  After reading all the Betzbone bashing on this forum and the other, I feel the exact opposite to what people have said.  I feel Betzbone is far superior to Albizzia having had both nails used on me.  If you remember from my first diary, both of my Albizzia nails failed.. one at roughly 6cm and the other at 9cm.  This could have been due to many different variables, but nevertheless they failed.  This time around I've had a few missteps and the mechanism held up perfectly.  They're both 11mm Betzbone nails and I weigh 165-170 lbs (last time I checked which was a couple months back).

I've had a great experience with Betz altogether.  Yes he's a busy guy and has a lot of demands on his time, but I do feel he's the best option out there for internals in terms of cost, surgical expertise and experience.  My main advice to you regardless of whom you decide to go with is preparation by stretching your lower legs religiously for at least 6 months-1 year prior to surgery.  This will benefit you by allowing minimal muscle contraction while lengthening.  Unfortunately, this is an area where Betz doesn't emphasize enough in my opinion.  There was a patient from Kuwait who was staying at Elke's with me who prepared in excess of 2 years prior to surgery and his lengthening period was a breeze.  Don't get me wrong he still did plenty of physio, massage and his own stretching regiment while lengthening, but the impressive part was his function at the end (he did 9cm+) with no duckass, knee bend or wide legs which is unheard of.  Stretching is your best friend right now.

Anyways my brudda from da 6ix, if you need anything else feel free to drop me a line here or PM me.  I wouldn't be opposed to a meet and greet considering we're in the same city if you have any burning questions you'd like to ask in person.

cheers,
6ix


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: sunflower1 on November 13, 2016, 12:06:02 AM
Hi 6ix Side, I am contemplating surgery with Dr Betz however I am very worried about having read many journals in which nail breakages occurred.  How many Dr Betz patients have you come across and how many have suffered a complication you know of?

Also do you ever weight bear without the use of crutches? I was told at my consultation this was possible for short distances in the home.  Are you aware of any patients that have done this without suffering breakages?

Dr Guichets nail appears to allow full weight bearing after ending lengthening if the patient feels stable enough without.  I wonder if this is because he inserts a 13mm  nail into all patients or whether the nail is of stronger material/ design.

I had come across a nail being developed by a company called synoste which claims will be full weight bearing.  Their website states this is due to release in 2017 however when I contacted the company they mentioned 2019.  Now when I contact them to clarify if this indeed the case I get no reply.

I wondered if any one else had information regarding this nail? If there is a commercially available nail like precice however allows full weight bearing I would consider waiting for this if it arrives in the near future. 

Thanks for your response.

Sunflower


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: 6ix Side on November 15, 2016, 01:22:52 AM
Update: 11.14.2016

I did it, it's finally over.  I hit 9.5cm this past Saturday and I've decided to stop clicking.. I did 1770 clicks at 0.052mm + 3mm inital distraction which has gotten me to 95.04mm.  My final height is a bit sketchy because I can't get my heels completely on the ground, but i'm sure in 10 days or so i'll be able to get a solid measurement once the muscles give.  I may sneak out another 5mm based on valgum or 'X' correction in my knees which Professor Betz has helped me with.  He was able to do this by implanting the tibia nails on a slight angle to straighten out my knee alignment.  So I'll update my final numbers after the titanium is implanted which is on November 30, just over 2 weeks from now.  

I failed to mention in my last reply to Wavecrasher the reasoning behind jumping into titaniums so soon after lengthening.  I'm doing this due to poor tibial osteo regeneration compared to femurs.  I was told by Prof. Betz it takes 80 days per centimeter of length gained (tibs only), for full consolidation.  That would be in excess of 2.5 years crutch time post lengthening.. HELL f$(@!ing NO!  I would go absolutely bonkers on these sticks for that long.  Anyway, I hope to be fairly mobile within a week or two after the titanium goes in, I won't be running a marathon, but at the very least I may drop down to a single walking stick for stability which is much less of a spectacle that these horrible things!  But hey, I'm super happy with the outcome of this last LL chapter, no more feeling inferior.. ever.

You know it's so surreal typing this post.. Flashing back in time to when I was 16, visiting an endocrinologist and getting the bad news that my growth plates were fused and I was 'stuck' at 159cm or just shy of 5'3".  It felt like I was kicked in the stomach, I couldn't breathe.  I thought to myself, how could God forsake me like this??  On one hand I was healthy and intelligent, but on the other, I would never truly feel accepted in social, business or cultural surroundings.  Over the years I wrestled with depression, self hate, drug abuse and even suicidal thoughts being so terribly below average.  

Just when I thought all hope was lost, I stumbled upon the concept of LL.  And lo and behold I had a new purpose in life.. to become financially successful enough to pay for this procedure.  And then I was off to the races, out of sheer will I created this windfall of abundance to cover the expenses involved in this ground breaking procedure.  I did it (twice!), I just jumped and haven't looked back ever since!

I am now proudly standing just under 180cm and it's mind boggling I made it this far!  I'm now considered average-tall in any country on the planet, inFreakingCredible folks!!  For all those who are interested (including all proportion trolls out there lol), I decided to stop clicking because of my leg length.  I've really pushed the limits of my proportions at this point.  I probably would have looked a bit better (top to bottom) if I stopped at 178cm or thereabouts.  It just means I have to work hard at building my upper body to offset my long legs (which don't look that bad).  My sitting height is my biggest concern at the moment because whatever ass I had built up after my femur procedure has now stretched the f out!  Little to no ass at all folks, but it's a small price to pay for the height increase.  I'll have to really work on building back my muscle mass altogether, particularly in the calves, quads and gluteal regions.

So what else?  My pain levels have been minimal compared to femurs, just some stretching pain mainly in the feet and ankles towards the last 2-3 cms.  I'm now phasing out all meds based on Prof. Betz's recommendations and for the sake of my poor liver.  My function has also been remarkable compared to others that have tried to attain this kind of length.. but I truly believe that 'DorsiRamp' apparatus I mentioned earlier was my savior.  I staved off ballerina foot almost entirely because of this gadget, just amazing.  Now to this ongoing nail issue..

Hi 6ix Side, I am contemplating surgery with Dr Betz however I am very worried about having read many journals in which nail breakages occurred.  How many Dr Betz patients have you come across and how many have suffered a complication you know of?

Also do you ever weight bear without the use of crutches? I was told at my consultation this was possible for short distances in the home.  Are you aware of any patients that have done this without suffering breakages?


I truly feel these small percentage of nail breakages are few and far between compared to the many success stories out there of Betz patients.  It's unfortunate such a small sample of patients actually take the time to write diaries, I guess it's human nature to focus on negatives.. our wiring in this media age.  I personally watched 2 patients closely thru the lengthening process with 11mm Betzbone nails gain over 9cm without any malfunctions or breakages to note.  They were both smaller skeletal statures compared to myself i.e. 120-130 lbs or 55-60 kg each.  Specifically, the Kuwaiti patient staying with me at Elke's was the most impressive because of his stretching prep, he was able to walk around Elke's house without crutches for short distances throughout his entire lengthening until 9cm+!!!  That's a stable nail I would venture to say.  He was also able to walk without any crutches outdoors after only 5 weeks post clicking (this was not recommended by Betz, but he did it!).

So I think we need to take all this Betzbone bashing with a grain of salt, ladies and germs.  Some responsibility has to be taken by the patient, in terms of following proper protocol with plenty of physio, massage and walking, to maintain mobility and minimal lateral stresses on the nail.  I mentioned this in my first diary when both of my Albizzia nails failed.. I didn't automatically say that Albizzia is shite.  I went back in time and tried to determine if I was to blame by not being safe and cautious enough with such a delicate mechanism.. perhaps I took things for granted.  And yes, I was careless.. I was even crazy enough to have sex while lengthening, with my lady friend on top (vigorous bouncing is not recommended people!).  This among other things could have played a strong part in the mechanism malfunctioning, I was lucky they didn't snap altogether.

The moral of the story is all doctors have some percentage of horror stories based on either poor patient protocol, defective nails, surgical errors or any combination of the above.  There are risks involved people!!  If this was an easy task, we wouldn't have 2 forums arguing on who's method is best.. we'd just have tall people spending their time doing better things than reading these shitty 1990 forums (sorry Sys, it's true though).  Ultimately, it's up to you to discern what's acceptable risk for you to achieve your dream.  

The facts that I considered carefully before taking the plunge were the following.. Prof. Betz has been in the field for a long time now, he uses internal lengthening technology, is priced competitively, developed his own nail, has a good demeanor and practices in Germany (super modern).  These facts closed the deal for me.  And now, after all is said and done after 2 chapters of LL with Betz and 20cms+ of lengthening, I'm just ecstatic.

I hope this helps Sunflower, good luck on your journey wherever it takes you.

________________________________________________________________________________________________

Now then ladies and germs make way for the big guy!!!  

over & out,
6ix side






Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: Joe2000 on November 15, 2016, 02:52:42 AM
Update: 11.14.2016

I did it, it's finally over.  I hit 9.5cm this past Saturday and I've decided to stop clicking.. I did 1770 clicks at 0.052mm + 3mm inital distraction which has gotten me to 95.04mm.  My final height is a bit sketchy because I can't get my heels completely on the ground, but i'm sure in 10 days or so i'll be able to get a solid measurement once the muscles give.  I may sneak out another 5mm based on valgum or 'X' correction in my knees which Professor Betz has helped me with.  He was able to do this by implanting the tibia nails on a slight angle to straighten out my knee alignment.  So I'll update my final numbers after the titanium is implanted which is on November 30, just over 2 weeks from now.  

I failed to mention in my last reply to Wavecrasher the reasoning behind jumping into titaniums so soon after lengthening.  I'm doing this due to poor tibial osteo regeneration compared to femurs.  I was told by Prof. Betz it takes 80 days per centimeter of length gained (tibs only), for full consolidation.  That would be in excess of 2.5 years crutch time post lengthening.. HELL f$(@!ing NO!  I would go absolutely bonkers on these sticks for that long.  Anyway, I hope to be fairly mobile within a week or two after the titanium goes in, I won't be running a marathon, but at the very least I may drop down to a single walking stick for stability which is much less of a spectacle that these horrible things!  But hey, I'm super happy with the outcome of this last LL chapter, no more feeling inferior.. ever.

You know it's so surreal typing this post.. Flashing back in time to when I was 16, visiting an endocrinologist and getting the bad news that my growth plates were fused and I was 'stuck' at 159cm or just shy of 5'3".  It felt like I was kicked in the stomach, I couldn't breathe.  I thought to myself, how could God forsake me like this??  On one hand I was healthy and intelligent, but on the other, I would never truly feel accepted in social, business or cultural surroundings.  Over the years I wrestled with depression, self hate, drug abuse and even suicidal thoughts being so terribly below average.  

Just when I thought all hope was lost, I stumbled upon the concept of LL.  And lo and behold I had a new purpose in life.. to become financially successful enough to pay for this procedure.  And then I was off to the races, out of sheer will I created this windfall of abundance to cover the expenses involved in this ground breaking procedure.  I did it (twice!), I just jumped and haven't looked back ever since!

I am now proudly standing just under 180cm and it's mind boggling I made it this far!  I'm now considered average-tall in any country on the planet, inFreakingCredible folks!!  For all those who are interested (including all proportion trolls out there lol), I decided to stop clicking because of my leg length.  I've really pushed the limits of my proportions at this point.  I probably would have looked a bit better (top to bottom) if I stopped at 178cm or thereabouts.  It just means I have to work hard at building my upper body to offset my long legs (which don't look that bad).  My sitting height is my biggest concern at the moment because whatever ass I had built up after my femur procedure has now stretched the f out!  Little to no ass at all folks, but it's a small price to pay for the height increase.  I'll have to really work on building back my muscle mass altogether, particularly in the calves, quads and gluteal regions.

So what else?  My pain levels have been minimal compared to femurs, just some stretching pain mainly in the feet and ankles towards the last 2-3 cms.  I'm now phasing out all meds based on Prof. Betz's recommendations and for the sake of my poor liver.  My function has also been remarkable compared to others that have tried to attain this kind of length.. but I truly believe that 'DorsiRamp' apparatus I mentioned earlier was my savior.  I staved off ballerina foot almost entirely because of this gadget, just amazing.  Now to this ongoing nail issue..

I truly feel these small percentage of nail breakages are few and far between compared to the many success stories out there of Betz patients.  It's unfortunate such a small sample of patients actually take the time to write diaries, I guess it's human nature to focus on negatives.. our wiring in this media age.  I personally watched 2 patients closely thru the lengthening process with 11mm Betzbone nails gain over 9cm without any malfunctions or breakages to note.  They were both smaller skeletal statures compared to myself i.e. 120-130 lbs or 55-60 kg each.  Specifically, the Kuwaiti patient staying with me at Elke's was the most impressive because of his stretching prep, he was able to walk around Elke's house without crutches for short distances throughout his entire lengthening until 9cm+!!!  That's a stable nail I would venture to say.  He was also able to walk without any crutches outdoors after only 5 weeks post clicking (this was not recommended by Betz, but he did it!).

So I think we need to take all this Betzbone bashing with a grain of salt, ladies and germs.  Some responsibility has to be taken by the patient, in terms of following proper protocol with plenty of physio, massage and walking, to maintain mobility and minimal lateral stresses on the nail.  I mentioned this in my first diary when both of my Albizzia nails failed.. I didn't automatically say that Albizzia is shite.  I went back in time and tried to determine if I was to blame by not being safe and cautious enough with such a delicate mechanism.. perhaps I took things for granted.  And yes, I was careless.. I was even crazy enough to have sex while lengthening, with my lady friend on top (vigorous bouncing is not recommended people!).  This among other things could have played a strong part in the mechanism malfunctioning, I was lucky they didn't snap altogether.

The moral of the story is all doctors have some percentage of horror stories based on either poor patient protocol, defective nails, surgical errors or any combination of the above.  There are risks involved people!!  If this was an easy task, we wouldn't have 2 forums arguing on who's method is best.. we'd just have tall people spending their time doing better things than reading these shitty 1990 forums (sorry Sys, it's true though).  Ultimately, it's up to you to discern what's acceptable risk for you to achieve your dream.  

The facts that I considered carefully before taking the plunge were the following.. Prof. Betz has been in the field for a long time now, he uses internal lengthening technology, is priced competitively, developed his own nail, has a good demeanor and practices in Germany (super modern).  These facts closed the deal for me.  And now, after all is said and done after 2 chapters of LL with Betz and 20cms+ of lengthening, I'm just ecstatic.

I hope this helps Sunflower, good luck on your journey wherever it takes you.

________________________________________________________________________________________________

Now then ladies and germs make way for the big guy!!!  

over & out,
6ix side






Absolutely great update! Im glad that everything went smooth! Regarding sitting height, will you be able to actually measure it? Im really curious because i just finished 4.5 cm on my tibia and im considering 5 cm on my femurs to reach 175 cm. Im still a bit worried since my sitting height is only 86cm. If you could provides yours with some posture photos it would be awesome! Thanks :)


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: wavecrasher89 on December 02, 2016, 12:07:03 AM
As always, appreciate your insight on this 6ix side! Glad to hear that you are done with lengthening and consolidation has FINALLY begun! I know it must feel like forever; but man you are a WARRIOR...when this is all done, you will be better & happier...all the girls in the 6 better watch out  ;D

Happy to set up a meet since we are both from the same city. I can't seem to send you a PM for some reason; I guess you are not allowed to send PMs unless you have been posting here for a while. Can you send me your email address (via PM/email) and we can go from there.

All the best man,
Waves


Title: Re: 6ix Side - Internal Tibias - 2016 - Dr. Betz - Quest for the Holy Grail!
Post by: wavecrasher89 on January 10, 2017, 08:00:42 PM
Hey 6ix,

Not sure if you have been on here for the past little while. I had a few questions I wanted to ask you in private, but haven't been able to connect with you (because you can't send private messages here). Again, I want to thank you for taking the time to keep a journal and posting your experiences on the forums. I know it can be frustrating to have to defend yourself against people who are extremely biased/don't know what they are talking about. Nevertheless, you have helped many of us (including myself) by giving us an inside look on the whole LL process and giving us the knowledge to make better decisions.

I am seriously contemplating on the femur surgery with Dr. Betz for the femur surgery and one of my biggest concerns with internal LL or any type of LL is the long-term complications. I am not talking about things like infections, broken nails & screws, non-union, nerve & blood vessel damage, pre-mature consolidation. I understand there is a risk with any type of procedure, but with an experienced surgeon like Dr. Betz, these risks can be minimized. What I am concerned is about are long term effects on your body once you are fully recovered. I am referring to things like tightness in your muscles (flexion contracture), back pains, arthritis and etc. I would think that because you are stretching your nerves, blood vessels, and muscles/tendons by such a large extent, you would run into these problems.

Have you had any problems since consolidation & recovery (with your femurs)? Given your medical background and previous experiences as a patient, it would be great if you could share your knowledge and thoughts on this. I know this is something I should discuss with the doctor, but it would be great to get a third-personís (past patientís) thoughts on this matter as well.

Thanks so much & Happy new year!