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FIGs 11A-11H, illustrate an embodiment of an osteotomy system 1000 that includes both a first bone attachment feature 1006 and a second bone attachment feature 1008 with a cutter guide 1010 between them. However, certain embodiments of an osteotomy system may have substantially the same constructs, components, and aspects as those described with respect to embodiments in FIGs 11A-11H with the exception that these embodiments may include either the first bone attachment feature 1006 or the second bone attachment feature 1008. Thus, the present disclosure supports embodiments of a pivoting resection guide that includes one of the first bone attachment feature 1006 or the second bone attachment feature 1008 but not both. Such an embodiment can also include a first bone engagement surface 1022 or second bone engagement surface 1024 depending on which bone attachment feature is included. The first bone engagement surface 1022 or second bone engagement surface 1024 may be determined at least in part based on a model of a bone of a patient’s foot. In certain embodiments, the bone is the bone that the first bone attachment feature 1006 or the second bone attachment feature 1008 will contact during the surgical procedure.

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