Due to the structural complexity of the bone, it is difficult to diagnose and make a treatment plan for injuries and diseases in bones. In this paper, we designed and implemented a telediagnosis system for orthopedic deformity analysis based on 3D medical imaging. In order to define the intersseous relationships in each bone and to evaluate a deformity without invasions, the system produces volumetric images by reconstructing the planar images spatially and provides deformity analysis by measuring distance, area, volume and angle among the bones. The reconstructed volumetric images are freely manipulated to simulate surgical operations such as translation, scaling, rotation and so on. Our system integrates three main components: server, clients and communication subsystem. It is also composed of three main functions including the information control manager for event and message process used between client and server, and surgical simulation manager for object visualization and manipulation in individual bones, and the medical database manager for patient information. The system also supports user-friendly graphical user interface and simultaneous use by multiple users.