“…It is associated with a high rate of complications, including wound problems, neurovascular injury, malalignment, and loss of correction 8,11,17,23,[36][37][38][39][40] . Distrac-I tion osteogenesis with a circular external fixator provides consistent correction of the tibial deformity and limb-length discrepancy associated with late-onset tibia vara, but it has the potential disadvantages of poor patient compliance, a high complication rate, and the need for a second anesthetic for device removal 29,41,42 .…”