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FIGS. 12A illustrates a stage of performing a surgical osteotomy procedure (e.g., tibia and/or talus osteotomy and/or ankle fusion) using the osteotomy system 800, according to one embodiment. The exemplary ankle fusion osteotomy system 800 can be used to perform osteotomies for a surgical procedure that includes one or more of a fusion of a joint (e.g., arthrodesis), joint replacement, such as a total ankle replacement, and/or correction of a deformity. A surgeon may elect to approach the osteotomies on the anterior side of the foot. FIG. 12A illustrates a left foot and shows a lateral perspective view and an anterior-posterior axis 888. FIG. 12A illustrates two resection guides 820 (e.g., tibial resection guide 822 and talus resection guide 824) one secured to the talus 222 and one secured to the tibia 226 by way of one or more bone attachment features 828 which may be implemented, at least in part, using fasteners 810 and/or one or more holes or openings in the tibial resection guide 822 and talus resection guide 824.

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