Non-union occurs when bone healing ceases and does not continue without some type of intervention. Classification of non-union is
traditionally based on the amount of callus or bone healing at the fracture site. Successful treatment of non-union often depends on
appropriate reduction and realignment of the fracture, bone grafting if necessary, and stabilization. This may not be possible in some neglected
and complicated non-unions. Under these circumstances, modification of the standard techniques or a limited surgical interference, that
might not be anatomical, may succeed in improving function. We present four cases of non-anatomical salvage solutions for difficult long
bone non-unions with satisfactory functional outcome.