“…These include exchange nailing, dynamisation, bone grafting and plate augmentation [8][9][10][11][12] . Augmentation plating with open grafting has also been advocated by many authors 8,10,11,13 . In distal third fractures, exchange nailing may not be able to resist rotational movement, and hence many authors tried to improve the rotational stability by supplementary fixation with a sixor eight-holed plate and open bone grafting 8,10,11,14,15 .…”