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For example, FIG. 11C illustrates an embodiment of a tendon trajectory guide 1120 that includes a bone engagement feature 1128. The bone engagement feature 1128 extends from a body of the tendon trajectory guide 1120 dorsally along a medial side of the navicular 218. In certain embodiments, the initial dimensions of the bone engagement feature 1128 may be set by a technician working with a model of the tendon trajectory guide 1120 and bone models of bones such as the navicular 218 of a patient. However, before the tendon trajectory guide 1120 a surgical procedure is performed using the tendon trajectory guide 1120 a surgeon reviews the design of the tendon trajectory guide 1120 and can revised or adjust the configuration of the bone engagement feature 1128. In this manner, the surgeon remains in control and makes the determination as to what the final design of the tendon trajectory guide 1120 should be. A surgeon can for example, request that the bone engagement feature 1128 extend less dorsally and/or extend more anteriorly, etc. The surgeon may have many reasons for making these adjustments. However, the benefit of the present disclosure is that the design of the tendon trajectory guide 1120 can be revised by the surgeon until the design matches the surgeon’s needs and/or preferences for the surgical procedure.

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