Purpose: Non-union is a common complication following management of long bone fractures which requires detailed understanding of its varied presentation and available treatment options to achieve the desired outcome. Possible risk factors can be either patient related or surgeon related. The management is challenging and evolving depending on the type of non-union. The aim of this present study is to detail our experience in the management of long bone fractures highlighting (1) the treatment modalities currently being adopted in our centre (2) the importance of intra-operative compression and autologous bone graft and (3) the union rate following these different modalities.

Methods: Records of all cases of non-union managed in our centre over a 5yr period were retrieved and appropriate data for this present study were collected and entered into an excel spreadsheet while patients with more than three missing data were excluded from the study.

Summary table was generated and appropriate group comparisons were presented in charts and graphs.

Results: Records of 40 patients were found suitable for analysis. The result showed that atrophic non-union was the commonest types. Among the fixation methods currently available for treating non-union in our centre, plate and screws achieves the best outcome. The result further showed that achieving intra-operative compression coupled with autologous bone graft produces a higher union rate.