Videos on the topic of limb lengthening with BETZBONE® at the BECKER BETZ INSTITUTE, Freiburg.
Here you can find out everything about cosmetic limb lengthening. Explained and presented by Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery.
Video 1
Introduction about the practice, presentation of the BECKER BETZ INSTITUTE at its location in Freiburg
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, introduces the specialist Freiburg clinic for cosmetic limb lengthening.
- Presentation of the BECKER BETZ INSTITUTE for cosmetic limb lengthening.
- This is what the facilities at the BECKER BETZ INSTITUTE in Freiburg look like.
- This is what the BETZBONE implant for cosmetic limb lengthening looks like.
- This is the operating team, made up of specialists in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery.
Video 2
Implants, cosmetic limb lengthening at the BECKER BETZ INSTITUTE in Freiburg
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, introduces the implants for cosmetic limb lengthening.
- What demands do the implants have to meet?
- What do the implants have to guarantee?
- Why is the BETZBONE implant unique?
- Material advantages of BETZBONE: We show you an implant prior to implantation and following the removal of the implant.
- Lengthening clicking, lengthening process: How does that work? How do I get the clicking control?
Video 3
A patient tells us about her limb lengthening operation at the BECKER BETZ INSTITUTE in Freiburg.
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, in conversation with a patient shortly after her limb lengthening operation. You can hear what a limb lengthening patient has to say here.
- What experience did the patient have?
- What was the limb lengthening operation like? How did she feel after the operation?
- How quickly was the patient mobile following the operation? At what point after the operation did the patient stand up?
- 13 days after the operation: What can the patient manage in everyday life? What is not yet possible?
- How much time do the clicking mechanism and stretching exercises take up?
- Is the patient able to provide any tips for other people who are interested in limb lengthening?
- At what point are patients discharged from the clinic following a limb lengthening operation?
Video 4
Here you will find out about experiences of a non-German speaking patient during a cosmetic limb lengthening operation at the Becker Betz Institute.
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, in conversation with a patient about language barriers, everyday life in the clinic, patient experiences, clicking routine and stretching after the operation.
- How are language barriers overcome?
- What languages can I use to communicate with doctors?
- Which languages are spoken at the BECKER BETZ INSTITUTE?
- How often should clicking take place every day? How does the patient in question do this? What do we recommend?
- What routine should be followed for stretching exercises and how does our patient manage this in everyday life?
- Returning home soon after the operation or extending the stay with us? Find out what our patient decided.
Video 5
Administration of medication during the cosmetic limb lengthening process
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, explains about the administration of medication before, during and after the limb lengthening process:
- What medication do I need for a limb lengthening operation?
- What do I have to take blood clotting medication for and how long do I need to take it?
- Why do I require medication for muscle relaxation? (Simplification of clicking mechanism)
- Are painkillers necessary for dealing with strains? How long do I have to take these for if they are necessary?
- Supplements like calcium, magnesium, vitamin D3, vitamins for supporting bone healing, bone formation, bone remodelling.
- Medication to protect the stomach.
Video 6
Scars after cosmetic limb lengthening
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, explains about the scars on the patient following a limb lengthening operation.
- Which scars will remain in the upper leg area following a cosmetic limb lengthening operation?
- How and when are the limb lengthening implants removed?
Video 7
Lengthening and consolidation phase during cosmetic limb lengthening
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, explains the lengthening phase, transition to the consolidation phase and the ending of the clicking process and provides answers to questions like:
- When is the lengthening phase after the limb lengthening operation complete?
- When does the consolidation phase begin (in other words the ossification process)?
- How long does the ossification process last?
- When and how do I end the clicking process/the clicking? When and how do I make the final click?
- How do "accidental" clicks occur and how do I deal with that?
- Once the desired final height is reached, what actual height is measured?
- How does one gradually reduce the medication which has been administered?
Video 8
What is the best way of preparing for a cosmetic limb lengthening procedure?
Topic of video:
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, provides answers to the question: “What is the best way of preparing for a cosmetic limb lengthening operation?”
- What can I do to make sure I am optimally prepared for a limb lengthening operation?
- Why is stretching BEFORE the limb lengthening operation so important?
- How long (days, weeks) should the preparation period be?
- Which muscles should be stretched/trained?
- What should I definitely not do before the limb lengthening operation?
Video 9
X-rays: X-ray images before, during and after the cosmetic limb lengthening procedure
Topic of video
Dr. Axel Becker, specialist in plastic, cosmetic and reconstructive surgery, specialist in orthopaedics and trauma surgery, provides answers to the question: Are X-ray images necessary for the cosmetic limb lengthening procedure?
- Are X-ray images necessary before the cosmetic limb lengthening procedure?
- Which X-ray images are necessary?
- What is X-rayed? What exactly will the X-ray images show?
- How often do I have to be X-rayed? How many X-ray images are taken in total?
Video 10
How does a limb lengthening procedure work? Which implants are used for a limb lengthening procedure?
Topic of video:
Dr. A. Becker and Prof. A. Betz explain the basic principles of callus distraction
- Which systems have brought advances in the cosmetic limb lengthening procedure? Which systems make sense? Which systems make less sense?
- Who discovered/developed the basic principle concerning limb lengthening? How does a limb lengthening procedure work? What exactly is callus distraction? What is the Ilizarov principle?
- Dr. Becker explains about an external fixator/ring fixator and the associated problems and risks.
- Dr. Becker explains about internal fixators for limb lengthening, using a model of a thigh bone.
- Dr. Becker explains and demonstrates the function of internal limb lengthening mechanisms. Mechanical extension nails such as Albizzia and BETZBONE® and the associated properties.
- Dr. Becker explains how electrical nails for limb lengthening such as Fitbone work.
- Dr. Becker explains how magnetic nails for limb lengthening such as Precice work.
- Dr. Becker explains the combination of external and internal limb lengthening variants (LON system).
Video 11
Dr. med. Axel Becker in a patient interview
Video topic
Dr. med. Axel Becker, specialist in plastic, aesthetic and reconstructive
surgery, specialist in orthopedics and trauma surgery in conversation with a patient who had surgery 14 weeks ago.
- You are 8.5 cm taller today. As our patient, how did you experience the leg lengthening process?
- What is your daily routine regarding the clicking process?
- How much time per day do you need for your clicking routine?
- And how much time do you spend each day stretching after clicking?
- How does stretching affect your muscles?
- What does your daily routine look like today, 14 weeks after the leg lengthening surgery? Do you need crutches to walk? At what point were you able to walk without crutches?
- Do you still need painkillers?
- How is your sleep? Do you sleep through the night?
- Would you like to say something to patients who are interested in leg lengthening?
Video 12
A patient shows us his daily clicking routine
Video topic
Dr. med. Axel Becker, specialist in plastic, aesthetic and reconstructive
surgery, specialist in orthopedics and trauma surgery and a patient show
how clicking works for leg lengthening.
- What does it look like when the patient performs the clicking mechanism?
- Can you hear the clicking?
- How many clicks per day do you have to make?
- How much time does clicking take each day?
Video 13
Knee pain during leg lengthening process
Video topic
Dr. med. Axel Becker, specialist in plastic, aesthetic and reconstructive
surgery, specialist in orthopedics and trauma surgery explains why
problems with the knees or knee pain can occur during the leg lengthening process and how they arise.
- What are the causes of possible knee pain during the leg lengthening process?
- How should knee pain be assessed?
- What happens to the knee when the leg is lengthened?
- Is the leg lengthening process always accompanied by knee pain?
- How to minimize/avoid knee pain during the leg lengthening process?
Video 14
Basic facts about leg lengthening speed, circulating myths and
misinformation
Video topic
Dr. med. Axel Becker, specialist in plastic, aesthetic and reconstructive
surgery, specialist in orthopedics and trauma surgery explains the basics
of leg lengthening and leg lengthening speed.
- What are the essential facts of leg lengthening?
- What are the dangers of distracting too fast or too slow?
- What daily distraction rate does Dr. Becker recommend?
- What does the BECKER BETZ INSTITUTE leg lengthening concept look like?
- What makes the BETZBONE implant so safe and unique and what benefits does the patient have?
Video 15
Recommendation of daily stretching routine
Video topic
Dr. med. Axel Becker, specialist in plastic, aesthetic and reconstructive
surgery, specialist in orthopedics and trauma surgery explains and
recommends the optimal daily stretching routine as part of leg lengthening.
- When in the day should the first stretching session be done?
- How much time does an entire stretching session take?
- Does it have to be stretched again immediately after clicking?
- What do the doctors recommend?
- What else can you do besides stretching sessions to mobilize your joints and warm up your muscles?
- What is suitable for daily gait training?
- When should the last stretching session be during the day?
- Is the stretching routine for leg lengthening procedure the same for the thigh and lower leg areas or is it different?
Video 16
Metal removal and follow-up treatment after leg lengthening
Video topic
Dr. Axel Becker, specialist in plastic, aesthetic and reconstructive surgery, specialist in orthopedics and trauma surgery, explains useful information about metal removal and follow-up treatment for leg lengthening patients.
- What do I as a patient have to consider after metal removal?
- What exercise, sport, etc. is allowed after metal removal and what is not?
- Do I need forearm crutches again after metal removal?
- What is forbidden for 4-6 weeks after metal removal?
Video 17
Gait pattern during leg extension – what you as a patient need to know
Video topic
Dr. Axel Becker, specialist in plastic, aesthetic and reconstructive surgery, specialist in orthopedics and trauma surgery explains interesting facts about the gait pattern during leg lengthening.
- What gait and mobility can I expect as a leg lengthening patient during the treatment?
- Is there a body weight limit for leg lengthening patients? How many kilograms of weight do we not operate on at the BECKER BETZ INSTITUTE?
- When will I be able to walk freely again as a leg lengthening patient – without forearm crutches?
- What does the body's center of gravity have to do with my gait?
- Why do I feel unsteady and unsteady when walking after leg lengthening?
- What is suitable for daily gait training?
- When does the “wobbly” feeling when walking go away?
- Training gait patterns, maintaining gait pattern – what does that mean and how does it work?
Video 18
Individual click speed when extending the leg – what makes sense and what doesn’t
Video topic
Dr. Axel Becker, specialist in plastic, aesthetic and reconstructive surgery, specialist in orthopedics and trauma surgery explains interesting facts about the click/extension speed during leg lengthening.
- Why individual lengthening speed is so important?
- Which factors influence the click or extension speed?
- How many millimeters are extended per click?
- How many clicks should I make daily as a patient?
- Why is slowness in leg lengthening important from a medical perspective?
- What happens when patients extend too quickly, click too often?
- What is the average clicking speed of our leg lengthening patients?
Video 19
This is how leg lengthening works from day 1 until the regeneration phase.
Video topic
Dr. Axel Becker, specialist in plastic, aesthetic and reconstructive surgery, specialist in orthopedics and trauma surgery explains the leg lengthening checkpoints from day 1 to regeneration.
- What happens on the day of surgery, day 1 after leg lengthening?
- How long does leg lengthening surgery in the thigh area take?
- How long does leg lengthening surgery in the lower leg area take?
- Day one to day 5 after leg lengthening, how do the first few days go?
Video 20
Pain during leg lengthening – basic aspects
Video topic
Dr. Axel Becker, specialist in plastic, aesthetic and reconstructive surgery, specialist in orthopedics and trauma surgery explains interesting facts about pain when lengthening the legs in the thigh and lower leg area.
- Is there pain when leg lengthening?
- How much pain does leg lengthening cause?
- Thigh, lower leg lengthening; Are there differences in terms of pain?
- When does leg extension pain occur?
- What medical support do patients receive when they are in pain?
- What can I as a patient do to relieve pain?
