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TraumaCad's optimization of joint replacement procedures is for complex reconstructions and osteotomies as well as for standard primary replacements. Surgeons evaluate the post-operative anatomical alignment of various surgical scenarios (cutting, displacing, implanting) to create an optimal surgical plan. Incorporated into the patient file, TraumaCad offers an accessible database of implants, including template libraries for total ankle, total knee, total hip, and total shoulder replacement. Designed to meet the needs of the trauma environment, TraumaCad can define fracture fragments, move, rotate and copy fragments on DICOM images and between images to reconstruct and accurately restore the anatomy on multi-view images prior to templating. TraumaCad helps pediatric orthopedic surgeons to take anatomical measurements, compare them to normative standards and simulate corrective procedures. Wizards help surgeons produce a range of anatomical measurements