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In a step 130, the manufactured cutting guide may be used in surgery to facilitate treatment of the condition.  Specifically, the bone apposition surface of the cutting guide may be placed against the corresponding contours of the first cuneiform and the first metatarsus.  The guide features (for example, slots) may then be positioned on either side of the joint between the first cuneiform and the first metatarsus to guide resection of the first metatarsus and the first cuneiform to remove the intervening joint.  The cutting guide may then be removed, and the remaining portions of the first cuneiform and the first metatarsus may be placed to abut each other.  The cutting guide may have been shaped such that the cuts made to the first cuneiform and the first metatarsus are properly oriented to bring the first metatarsus back into its proper orientation relative to the rest of the foot.  The first cuneiform and the first metatarsus may be secured together through the use of a bone plate or the like.  The surgical wound may be closed to allow the foot to heal, and to allow the first cuneiform and the first metatarsus to fuse together.

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