In the opinion of the author the operation of choice for equalizing leg length in the majority of cases is that of shortening the longer leg by: (1) resection of a portion of the longer femur; (2) arrest of growth by fusing to the shaft one or more of the epiphyses of the longer limb.
When leg lengthening is definitely indicated the author recommends the use of a tibial onlay bone graft to bridge the zone of lengthening of either the femur or the tibia as a factor of safety in preventing delayed union, non-union, or late fracture.