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During use of the positioning guide 2300, a surgeon may slide the slot 2324 over the posterior pin 2220 and the anterior pin 2222 over the hole 2332. As the positioning guide 2300 slides down the pins (e.g., posterior pin 2220 and anterior pin 2222) the distance between the slot 2324 and the hole 2332 longitudinally may reduce the osteotomy and bring the two bone fragments into contact with each other. Initially, the posterior pin 2220 may be near the dorsal end 2326. A surgeon can then move the posterior pin 2220 toward the plantar end 2328 to rotate the bone fragment engaged by the posterior pin 2220 about its longitudinal axis. The surgeon determines whether the posterior pin 2220 should be moved to near the plantar end 2328, remain near the dorsal end 2326, or some position in between. With the bone fragments connected to the posterior pin 2220 and/or the anterior pin 2222 translated, reduced, and/or rotated, surgeon can then connect the two bone fragments using temporary or permanent fixation hardware and/or techniques. In such an example, a surgeon can predefine (e.g., the length 2330 and/or the slot 2324) how much rotation is desired and/or adjust the amount of rotation intraoperatively to achieve a desired orientation during the surgery.

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