Certain post-traumatic defects of the lower extremity present difficult
problems in therapy and current methods of management do not offer
satisfactory solutions. One such defect is an ulcerative lesion of the
lower limb eroding the tibia and forming a chronic, rigid-walled cavity. We
describe an operation in which the bone cavity is filled by viable tissue
which acts as a bed for a skin graft. In chronic stasis ulcers it has been
established that the tendo calcaneus will accept a skin graft, provided the
paratenon is left undisturbred.