Abdulelah Abdulshakoor Saati, Omar Qurayti S Alanazi
In this review we discuss the diagnosis and classification methods of infected nonunion of tibia as well as the treatment approaches and advantages of some techniques over others. We conducted a narrative review of the literature using the online databases such; Medline and EMBASE. Studies involving the Infected nonunion of the tibia were targeted in our search. We included studies published up to December, 2019. Infected nonunion of tibia and femur prevail in clinical method. Some coexisting issues generally make complex the nonunion consisting of consistent infection, bone and soft tissue loss, limb-length inequalities, defect, and joint stiffness. Heretofore, there has actually still been a difficulty for orthopedic surgeons about the therapy of contaminated nonunion of tibia and femur. Several various surgical therapy options have been recommended, consisting of bone grafting, free tissue transfer, antibiotic cement, and Ilizarov techniques. There are some constraints in bone grafting, such as the size of bone defects, donor site morbidity, and prolonged graft consolidation time. Although free tissue transfer appropriates for the therapy of large bone and soft tissue loss, it is a technically requiring surgical procedure, and it is typically associated with stress fractures and nonunion.