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.

CME

中文翻译：

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强调

由于有限的软组织覆盖，较差的血管分布以及骨折与踝关节的靠近，胫骨远端骨折难以处理。在321名成年胫骨远端急性移位骨折成年患者的随机试验中，他们被随机分配到钉子固定或锁定板固定中，FixDT试验研究人员的Costa及其同事发现6个月时的残疾无差异。

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