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    • Tibial pilon fractures are devastating injuries requiring complexsurgical management resulting in a challenging postoperativecourse.
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    • A multidisciplinary approach is required to manage these injuries in addition to patients' medical comorbidities and concomitant injuries to achieve optimal outcomes.
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    • The case presented here demonstrates the importance of communication and teamwork between specialties in the management of a patient with a tibial pilon fracture that was medically optimized for surgery using a team-based approach.