A reconfigurable bone adjustment device (1, 101, 201) includes a first member (10,110, 210, 1010) configured for attachment to a first bone fragment, a second member (20, 130, 230, 1030) configured for attachment to a second bone fragment and a reconfiguration assembly (2, 102, 401, 501, 601, 701, 801, 901, 1020) configured to move the second member relative to the first member. The reconfiguration assembly includes a drive mechanism (50, 150, 250, 440, 540, 640, 740, 840, 940, 1050) and a threaded rod (70, 170, 245, 470, 570, 670, 770, 870, 970, 1070, 1170) operatively coupled to the drive mechanism so that rotation of the drive mechanism rotates the threaded rod. The reconfiguration assembly operates to reduces stresses, forces, bending moments and/or eccentric moments on a junction and/or by configuring the junction in a manner whereby one of more of the forces, is isolated away from the junction.