Orthopaedic trauma surgery is a complex surgical speciality in which anatomy, physiology and physics are mixed. Proper diagnosing and based on that planning and performing surgery is of crucial matter. This article presents usefulness of 3D reconstruction in diagnostics and surgical planning. It focuses on utility of computed tomography reconstruction in trauma surgery. Moreover, two cases in which this technique was used is described. Complex 3D reconstruction proved its usefulness and in future it may become a modality of choice for planning complex trauma procedures in which standard implants and approaches are insufficient.