Fig. (4) A 15-year-old boy 15 months post a car accident with chronic osteomyelitis and tibia defect of 7cm, inadequate soft tissue coverage (anterior tibia covered with split skin graft) and multiple sinuses. First stage included radical debridement, spacer from hydroxyapatite, topical antibiotics (rifampicin and gentamycin) and soleus flap cover, immobilization with a long slab.