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Referring to FIGs. 13, 14A, and 14B, the tendon trajectory guide 1320 may be a custom patient-specific soft tissue rearrangement guide made for a particular patient and/or for a particular surgical procedure. Various aspects of the tendon trajectory guide 1320 may be patient-specific, including, but not limited to, an angle and/or orientation for a trajectory port 1324 of the tendon trajectory guide 1320, a position of the trajectory port 1324, a depth of the trajectory port 1324, a size and/or geometric configuration of the trajectory port 1324, a size of the tendon trajectory guide 1320, a configuration, design, and/or composition of a bone contacting structure such as a bone engagement feature 1328 (e.g., 1328a, 1328b, 1328c) of the tendon trajectory guide 1320, a number of bone engagement features 1328, a position of the tendon trajectory guide 1320 relative to one or more bones of a patient, a position, orientation, configuration and/or existence of an optional handle, and the like.

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