In post-traumatic bone loss, is a bone graft carried out or is application of the fixation device sufficient?

In cases of diaphyseal bone loss, the device is applied and the bone stumps are guided into contact with one another, then a surgical fracture is performed (osteotomy) in the “healthy” part of the bone. Function is permitted. The subsequent phase would be to apply distraction force until the necessary length has been achieved. This process must be slow and gentle for best results a too forceful or rapid distraction tension causes pain and will arrest the regenerative process.