When limb lenghtening, how exactly does bow legs correction work? There are many methods for it, but from what I've read they all involve an osteotomy (cutting and reshaping the bone) of either the tibia, the femur, or both (if >12 degrees).
So my question is, does it reduce the overall gain (or put any restrictions on the lenghtening amount) during limb lenghtening? If so, by how much?
In many cases, surgeons can correct misalignment of bone fragments by using a combination of nails and blocking screws.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360097/
If the misalignment is severe, the internal method is not suitable for correction and external fixation is used.
The surgeon will consider what surgical approach is best for you by taking X-ray images of the entire lower extremity in the standing position.
Without imaging studies, it would be impossible to know the best method for each patient.
But as I said before, a mild bow-leg can be corrected along with standard tibial lengthening.
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