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In some cases, surgical exploration is essential for diagnosis. Proper radiographic documentation of implant alignment is needed to analyse malrotation and malpositioning. We examined whether intraoperative fluoroscopic images can achieve more accurate image quality than postoperative radiographic X-ray images. We prospectively analysed 30 consecutive patients after total knee arthroplasty (TKA). We compared intraoperative fluoroscopic images with postoperative radiographic X-ray images. Radiation exposure was documented. Fluoroscopic ant