Exchange nailing, for atrophic non-union of the tibia, after implant breakage, post a non-traumatic event

Background: The most feared complication of fracture management is non-union. Non-union can be the following types, hypertrophic, oligotrophic, atrophic, and septic. In view a non-union, exchange nailing preferred so routinely performed for non-unions fractures tibia. Case Presentation: Here, we present case an implant failure from atraumatic event in atrophic non-union tibia, which was treated by bone grafting. A 22-year-old male, with history left closed tibia fibula diaphysis 1 year ago, underwent grating after having breakage. Conclusion: Implant are caused due to wide variety factors. Appropriate selection type, reaming, site compression, good reduction, adequate early mobilization important factors satisfactory union prevention secondary surgeries.