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These user instructions 604 may have initiated the design and/or fabrication of the talus resection guide 824. For example, a surgeon may have desired to have increased surface area on the posterior side 854 and medial side of the talus resection guide 824 as possible while still keeping the overall size of the talus resection guide 824 as small as practicable. Accordingly, in the illustrated embodiment, a surgeon may have indicated that one bone engagement feature 830 that includes bone engagement surface 832 is to be positioned and sized as indicated on the medial side between the resection feature 826a and the resection feature 826b. In this manner, a surgeon may selectively include surface area on the posterior side 854 of the talus resection guide 824 that contacts a talus 222 to facilitate initial positioning intraoperatively to match or substantially match a position planned using a model of the talus resection guide 824 and a model of the talus 222. In certain embodiments, a surgeon may, at their discretion, include in the user instructions 604, instructions to add another body section that includes a bone engagement surface 832 to a lateral side 858, a medial side 856, superior side 860, and/or inferior side 862 of the talus resection guide 824.

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