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A 34-year-old man sustained a left pilon fracture with ipsilateral distal fibular fracture. The distal tibial and fibular fractures that were treated with plate fixation achieved adequate reduction. a Preoperative anteroposterior view shows the Ruedi type II pilon fracture with displaced distal fibular fracture. b Immediately postoperative X-ray shows excellent reduction of the pilon fracture and good reduction of the fibular fracture
