In this new method of treatment of solid dressing which is not absorbed through blood and serum, is non adherent, does not directly compress damage area and does not cause more ischemia and prevent direct pressure over traumatic and infected part. Provide local antibiotic to the aff ected part. It is because of these reasons it is more effective type of treatment and can prevent infection in all high risk infection aft er surgery. Material and Methods: Study is carried out in the department of Orthopaedics, lady Reading Hosptial, KPK from January 2017 to December 2018. Result:We treated 30-total cases in which 6 were having exposed bone and diffi cult to reconstruct and needed amputation, but they refused amputation.10-diabetic foot, 4-crush injuries, 10-tibia open fractures which were treated with cement loaded antibiotic cover, without IV or oral antibiotic cover, without use of antiseptic, and we used one pack of cement 2 g of Vancomycin and 1.5 g of Amikacin, and we made them more flat to take form of the defect and cover the affected part of the tissues, before it become hot and warm we took it away from the affected part to not burn the aff ected area when it became cold then we fixed it over that part which was not reconstructable with muscle flap, local flap, or skin graft . We protected the wound from infection. Protected granulation, protected epithelialization in the edges of the wound, and to prevent accumulation of blood and serous fluid in the defect. We kept one cover of loaded cement up to two weeks and we used it up to full granulation of wound or epithelialization. Conclusion: Solid dressing as a simple and best method of infection control in tibia open fractures and non union in which skin closure is big problem and protection of hematoma in fractures ends aft er fixation are protected by this method and we noted healing in 10-complicated tibia fractures without bone graft in which we did skin graft also and we noted cross union between tibia and fibula which has similar result like stem cells implantations [ABSTRACT FROM AUTHOR]