LATE RESULTS IN AUTOGENOUS INTERNAL BONE SPLINTING

In the development of bone-grafting procedures during the last ten years, no standard method has been adopted. This is quite natural since each operator prefers the method which has given him the best results, and it cannot be asserted that any one technic has demonstrated its superiority in all cases. It is improbable, furthermore, that standardization ever will be effected, since aside from fundamental principles each case is a law unto itself. This is particularly true of the wounded soldier with pseudarthroses and more or less loss of bone substance. Many of these patients are veritable surgical derelicts having passed through prolonged infections in a number of hospitals. When they finally present themselves for definitive treatment, foreign bodies may be present, the muscles may be atrophic or replaced by cicatricial cords, the nerves may have suffered a concomitant injury, the normal skin covering is deficient, the scar tissue is always