2 cases of extensive open tibia fracture and 1 case of infecture of tibia were treated by Papineaus cancellous bone graft at department of orthopedic surgery, Inchon Christian Hospital from Dec. 1982 to Dec. 1984. 1. Bony stability was obtained by pin and resin method in 1 case, and the others were fixed by Hoffmanns external fixator. 2. Wound was healed spontaneously in case 1 and by skin graft in 2 cases. 3. Initial weight bearing started after evidence of radiological union about 12 weeks after bone graft with the supply of long leg brace in 2 cases and one was not supported.