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health outcomes. PROSPERO International Prospective Register of Systematic Reviews (Registration Number CRD4201809726. PROSPERO International Prospective Register of Systematic Reviews (Registration Number CRD4201809726. The incidence of posterior pilon variant fractures has been underestimated. The purpose was to study the characteristics of posteromedial (PM) and posterolateral (PL) fragments in CT imaging of posterior pilon variant fractures, and to provide help for clinical diagnosis and treatment. CT imaging data of 109 cases of p