A method of bone grafting has been used successfully in nine of ten difficult cases of ununited fractures, in eight of which infection was present.
Multiple autogenous cancellous iliac-bone grafts are advocated for this procedure, because they are rapidly revascularized and are readily incorporated into the host bone. They do not tend to sequestrate in the presence of infection.
Adequate treatment of associated soft-tissue wounds and infection is most important.
Our procedure has been: (1) to attempt to control the infection; (2) to replace devitalized scar with adequate skin; (3) to proceed with bone-grafting.