Objective:To investigate surgical treatment method and its effect on the tibial nonunion. Methods:15 cases were operated by superficial peroneal vascular fascia pedicel tibiofibular periosteal flap translocation combined with a little cancellous bone of distal tibial graft and interlocking intramedullary nailing fixation. Results:Patients were followed-up between 12 to 36 months with the average of 21 months. Paley fracture healing standard showed that 11 cases were excellent,3 cases were good,and 1 case was general,excellent and good cases accounted for 93.3%. In this research,all patients were cured (15/15). Conclusion:Superficial peroneal vascular tibiofibularfascia pedicel tibiofibular periosteal flap and interlocking intramedullary nailing cloud treat nonunion of tibia well with stable internal fixation and promotion of the healing of nonunion,and be worthy to be promoted and applied.