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PER-12 Figure 41E is a dorsal/superior side view of one example embodiment of a positioning guide 3810a that can be used in the osteotomy system 3800. In the illustrated embodiment, the plantar side view (e.g., plantar side 4120) may be the same, substantially the same, and/or similar to the dorsal/superior side view of Figure 41E. 519 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figures 42A-42E illustrate views of a positioning guide 3810b of an osteotomy system, according to one embodiment. In the illustrated embodiment, the positioning guide 3810 includes a body 4202, an anterior alignment feature 4204, a posterior alignment feature 4206, an offset feature 4208, optionally a bone engagement surface 4210, one or more handles 4212. 520 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 The body 4202 includes a lateral side 4214, a medial side 4216, a dorsal side 4218, a plantar side 4220, an anterior side 4222, and a posterior side 4224. 521 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In the illustrated embodiment, the alignment features of the positioning guide 3810b may extend from a lateral side 4214 to a medial side 4216 at an angle other than perpendicular each of the sides. Advantageously, the angle used for one or more of the alignment features may be predetermined and/or may be patient-specific. Those of skill in the art will appreciate that other aspects of the alignment features may be predetermined and/or patient-specific. For example, the position of the alignment features may be patient-specific. 522 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In the illustrated embodiment, the positioning guide 3810b may include an offset feature 4208 in which the offset is nonzero. Alternatively, or in addition, the positioning guide 3810a may not include an offset feature 4108. Where a positioning guide 3810b has an offset feature 4208 that is nonzero, the bone engagement surface 4210 may include more than one section, such as a bone engagement surface 4210a and a bone engagement surface 4210b. 523 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Advantageously, whether or not the positioning guide 3810a includes an offset feature 4208 and/or a size (offset distance 4226) for an offset feature 4208 may be a patient-specific aspect. The offset distance 4226 may determine how much translation is provided between two bone fragments. In one embodiment, the offset distance 4226 can range from about 0 millimeters (i.e., no translation) to about 10 millimeters. Advantageously, the magnitude of the offset distance 4226 can be set using a model of one or more bones of the patient and/or a model of the positioning guide 3810b. In this manner, the offset feature 4208 and/or the offset distance 4226 can be a patient-specific feature that can be defined based, at least in part, on a model of a bone of a patient. A surgeon, or other user, can define the offset distance 4226 based on a desired about of translation. 524 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 42A is a perspective view of one example embodiment of a positioning guide 3810b that can be used in the osteotomy system 3800. 525 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 42B is a front/lateral view of one example embodiment of a positioning guide 3810b that can be used in the osteotomy system 3800. 526 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 42C is a rear/medial view of one example embodiment of a positioning guide 3810b that can be used in the osteotomy system 3800. Figure 42C illustrates a bone engagement surface 4210 that may be patient-specific and can be used to register the positioning guide 3810b to a bone of a patient. Advantageously, the bone engagement surface 4210 can be generated based at least in part on a bone model of a bone of a patient. 527 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 42D is a posterior/right side view of one example embodiment of a positioning guide 3810b that can be used in the osteotomy system 3800. Figure 42E is an anterior/left side view (e.g., anterior side 4122) of one example embodiment of a positioning guide 3810b that can be used in the osteotomy system 3800. 528 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 42F is a dorsal/superior side view of one example embodiment of a positioning guide 3810b that can be used in the osteotomy system 3800. Figure 42G is a plantar/inferior side view of one example embodiment of a positioning guide 3810b that can be used in the osteotomy system 3800. 529 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 42H is a perspective view of one example embodiment of a positioning guide 3810. 530 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figures 43A-43B illustrate views of a fixation guide 3890 of an osteotomy system, according to another embodiment. A cooperating positioning guide 3810 is omitted. The fixation guide 3890 includes an arm 3892 and one or more sleeves 3894 that are configured to receive guide pins 3896. 531 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 43A illustrates one embodiment of a fixation guide 3890. A first fastener 2010a and a second fastener 2010b are illustrated, with the patient bone omitted for clarity. The arm 3892 and one or more sleeves 3894 and receive guide pins 3896 are illustrated. 532 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 A pin guide 4440 may include an arm 4406 configured to engage at least one of a first resection feature 4422a and a second resection feature 4422b. The arm 4406 may be connected to a bone engagement feature 4408 configured to receive a fastener such as a reduction fastener 4442, a pin, and/or a K-wire. Similarly, any of the features and/or aspects of the pin guide 4440 (e.g., arm 4406, bone engagement feature 4408, etc.) may be patient-specific as described herein and may be based, at least in part, on bone models of one or more bones or portions of bones of a patient. 553 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 47B illustrates a dorsal perspective view of the pin guide 4440. In one embodiment, the pin guide 4440 include a passage slot 4444. The resection features 4422 may be configured to accept and pass an end of a fastener such as first fastener 4410a, second fastener 4410b, and/or third fastener 4410c. Referring to Figure 45C, the passage slot 4444 allows the pin guide 4440 to slide over the third fastener 4410c to take its desired position for deployment of the passage slot 4444 557 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In the illustrated embodiment, the coupler 4412 may be implemented as a fin 4418 that includes the opening 4420. The fin 4418 may slide down into one or more openings of a resection feature 4422 and secure the orientation and/or position of the pin guide 4400. The fin 4418 may be similar to fin 2218 and may be planar. 556 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 In one embodiment, the resection guide 4420 may be part of a coupler 4412. The coupler 4412 may be similar to coupler 2212 described herein. The coupler 4412 enables the pin guide 4440 to be connected and/or disconnected from a complementary component 1930. The complementary component 1930 may serve as a reference or guide for the placement, positioning, and/or orientation of fasteners (e.g., reduction fastener 4442) into bone and/or bone fragments during a surgical procedure. Those of skill in the art will appreciate that the coupler 4412 may be implemented using a variety of configurations. 555 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 47A illustrates a plantar perspective view of the pin guide 4440. The arm 4406 may include an opening 4420 sized and/or configured to receive a bridge (e.g., posterior bridge and/or anterior bridge) of a resection feature 4422. In certain embodiments, the arm 4406 may engage the resection feature 4422 by sliding the opening 4420 over the bridge. Alternatively, or in addition, another part of the arm 4406 may slide down into one or more openings of a resection feature 4422. In one embodiment, the resection guide 4420 may be similar to the resection guide 2220 described herein. 554 Added by DJM Jan 2024 1/6/24, 10:03 PM
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PER-12 Figure 46D illustrates a right/posterior view (showing the posterior side) of the resection guide 4420. Figure 46E illustrates a left/anterior view (showing the anterior side) of the resection guide 4420. Figure 46F illustrates a dorsal view (showing the dorsal side) of the resection guide 4420. Figure 46G illustrates a plantar view (showing the plantar side) of the resection guide 4420. 551 Added by DJM Jan 2024 1/6/24, 10:03 PM

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