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FIG. 16A-16C illustrate views a method 1600 for performing an osteotomy using an example pivot resection guide that includes a pin positioner 1602 and one or more pivoting resection guides 1502a,b. First, a surgeon may make a pock hole or stab incision in the skin at a TMT joint. Next, a surgeon inserts a probe 1604 at a distal end of the pin positioner 1602. The probe 1604 may be configured to register with landmarks on, around, or in the TMT joint. In one embodiment, the probe 1604 includes patient-specific features and/or surfaces to facilitate positioning the probe 1604 within or on the TMT in a desired position. For example, the probe 1604 may include one or more surfaces that are contoured to engage inverse but corresponding surfaces of one or more bones or openings within a TMT joint. In certain embodiments, a surgeon moves the pin positioner 1602 until the probe 1604 seats in a desired position within the TMT. A surgeon may be able to feel when the pin positioner 1602 moves to the desired position and registers with the bone(s) and/or joint.

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