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PURPOSE Cinematic rendering (CR), a recently launched, FDA-approved rendering technique converts CT image datasets into nearly photorealistic 3D reconstructions by using a unique lighting model. The purpose of this study was to compare CR to volume rendering technique (VRT) images in the preoperative visualization of multifragmentary intraarticular lower extremity fractures. METHOD In this retrospective study, CT datasets of 41 consecutive patients (female n = 13; male n = 28; mean age 52.3 ± 17.9y) with multifragmentary intraarticular