Fractures of the distal tibia are difficult to manage because of limited soft tissue coverage, poor vascularity, and proximity of the fracture to the ankle joint. In a randomized trial of 321 adult patients with acute displaced fractures of the distal tibia who were randomized to nail fixation or locking plate fixation, Costa and colleagues for the FixDT trial investigators found no difference in disability at 6 months.
Highlights. JAMA. 2017;318(18):1731–1733. doi:10.1001/jama.2016.13388