Dr paley's option 5 seems to be the safest way to get the complete 8cm on tibia using internal nails

Do 4cm >>> consolidate >>> rebreak at osteotomy site after 1 year >>> 4cm more

This keeps the distraction per surgery below the safe limit for tibias(5cm) , and gives enough time for the ATL and nerves to stretch out naturally.

In theory it sounds fantastic , but has it worked out for anyone yet irl ?