With this procedure, under general anaesthesia, an osteotomy is done while avoiding damage to the periosteum and its blood supply. The adjustable intramedullary nail-like device is then implanted into the intramedullary space. Its proximal and distal sections are fixed to the relevant section of the bone with sterile locking screws. It then exerts a force along the long axis of the bone, which stimulates new bone formation (distraction osteogenesis) in the gap, causing bone lengthening. Over days, weeks or months, sequential distractions are used to produce the target limb length.