Abstract: A method of determining axial alignment of a lower limb includes determining a three-dimensional volume based on a scan of a lower limb of a patient, identifying a level of hip version by referring to a first axis of symmetry of a femoral neck and a second axis of symmetry of a distal portion of a femur, wherein hip version is defined by an angle between the first axis of symmetry and the second the second axis of symmetry, identifying a level of tibial torsion by referring to a third axis of symmetry of a proximal portion of a tibia and a fourth axis of symmetry of a distal portion of the tibia, wherein tibial torsion is defined by an angle between the third axis of symmetry and the fourth axis of symmetry, and providing the level of hip version and the level of tibial torsion to a user.