[Complimentary surgical procedures following treatment of non-union by the Papineau method (author's transl)].

The authors have treated 82 non-unions by the Papineau method of bone grafting without skin closure. In 30 cases, a complimentary bone procedure had to be performed to reinforce bone union. This consisted of a new Papineau procedure in 18 cases and an iliac graft with skin closure in 12 cases. Infection recurred in several instances. In addition to these 30 cases, 3 secondary fractures were seen. In cases with persistently depressed scars, a fresh Papineau procedure may be needed. In cases with persistent skin ulceration, resection and skin suture should be tried before a cross-leg skin graft. The authors emphasize the frequency of vascular changes which should be looked for by arteriography.