[Septic diaphyseal pseudarthrosis. Practice during war and peace time. Apropos of 130 cases].

130 septic diaphyseal pseudoarthroses (SDP) were treated over a period of 10 years, 58 in the context of a war situation and 72 in civilian practice. The two etiologies differed in that the size of the initial associated cutaneous lesion was much greater in battle injuries. A staged treatment procedure was applied in 110 cases: treatment of the infection, followed by osteogenic grafts and depending on the case, stabilisation of the assembly or replacement of internal by external fixation materials. More recently, the use of muscular or musculocutaneous pedicle flaps has enabled, in a single procedure, the eradication of osteitis and the implantation of cortico-trabecular bone in 20 SDP producing 19 consolidations and 2 cases of residual osteitis.