A kind of full-scale three-dimensional fixed surgery preplanning system of bone block bone plate of multimedia, is suitable for carrying out preoperative planning to the operation that a bone block carries out to using a bone plate. The system includes that a bone block image establishes mould group, a bone plate image establishes mould group and an assessment simulation mould group. The bone block image establishes mould group with an image acquisition unit and an image conversion unit. The image acquisition unit is scanned for the bone block, to capture a scan-image, then by the image conversion unit scan-image is converted into a bone block stereopsis. The bone plate image establishes mould group to establish one of bone plate bone plate stereopsis. Mould group is simulated in the assessment, is used to carry out a simulation process operation to the bone block stereopsis and the bone plate stereopsis.一種多媒體全尺寸立體骨塊骨板固定手術術前規劃系統,適用於對利用一骨板對一骨塊所進行之手術進行術前規劃。該系統包含一骨塊影像建立模組、一骨板影像建立模組及一評估模擬模組。該骨塊影像建立模組具有一影像擷取單元及一影像轉換單元。該影像擷取單元針對該骨塊進行掃描,以擷取出一掃描影像,再藉由該影像轉換單元將該掃描影像轉換成一骨塊立體影像。該骨板影像建立模組用以建立該骨板之一骨板立體影像。該評估模擬模組,用來對該骨塊立體影像以及該骨板立體影像進行一模擬處理作業。