Journal of pediatric orthopedics
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Nonunions after diaphyseal fractures of long bones in children are rare. Thirty diaphyseal nonunions in 30 children are reported. The sites of nonunion were tibia (15), femur (5), ulna (4), humerus (3), radius (2), and fibula (1). ⋯ Treatment of the nonunion must be individualized, but usually requires excision of the nonunion fibrous tissue, bone grafting, and internal fixation. Electrical stimulation was not used. The average time from fracture to union was 14.7 months, and multiple surgical procedures were required.