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Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. To evaluate the outcomes of patients who underwent soft tissue flap coverage during treatment of a tibia fracture nonunion. Retrospective analysis on prospectively collected data. Academic medical center. 157 patients were treated for a fracture nonunion following a tibia fracture over a 15-year period. Sixty-six had sustained an open tib