Tibias Simultaneous Lengthening Double Cut

Lengthening from two zones may be suggested to patients who have limited time. This approach can decrease the duration of the entire procedure up to 40%. Disadvantages of this method are that there is relatively greater stress on soft tissues, and greater difficulty in physical therapy because lengthening proceeds at 2 mm per day. The double cut method requires even more extensive physical therapy in the process of lengthening, fixation and rehabilitation.