Weight bearing cone beam CT overcomes numerous measurement errors encountered by standard posterior weight bearing radiographs.

Currently no method is available to determine hindfoot alignment using every structural component of the hindfoot.

We introduce a hindfoot alignment angle on weightbearing CT which is both clinical relevant and reproducible.

The talar translation, on which the angle is based, can help the surgeon in determining how much translation is necessary to obtain a neutral alignment during a calcaneal osteotomy.