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In certain embodiments, the alignment guide 874 may have an opening on both ends such that the shaft 878 can extend in a dorsal/cephalad direction and in a plantar/caudal away from the alignment guide 874, the lower extension of the shaft 878 can further assist a surgeon in checking alignment. Alternatively, or in addition, the alignment guide 874 can include one or more second openings that extend perpendicular to the opening(s) 876. These second openings are horizontal to the shaft 878 and may be configured to accept a second shaft that is perpendicular to the shaft 878. This second shaft may extend medially and laterally and may cross over the shaft 878. In one embodiment, the alignment guide 874 includes an opening that extends from an anterior surface to a posterior surface and is centered on where the shaft 878 crosses over the second shaft. In this manner, the alignment guide 874 may form a kind of sight, much like a gunsight. In one embodiment, a surgeon may use this site and medical imaging such as with a C-arm (e.g., fluoroscopy) to check or confirm a position of a resection guides 820 intraoperatively.

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