A fixation system, comprising: an alignment guide system for forming an opening across a joint, the alignment guide system comprising: an alignment wire; a targeting guide with a first end and a second end, the targeting guide comprising: a body with a first end and a second end; a first opening positioned at the first end of the body; a pivot assembly with a first end and a second end, wherein the first end of the pivot assembly is configured to couple with a coupling region positioned at the second end of the body of the targeting guide, the pivot assembly comprising: a slot inset into the first end and configured to receive the coupling region of the body; a pivoting end positioned at the second end of the pivot assembly and configured to receive and rotatably engage the alignment wire; and a pivot slot positioned at the second end of the pivot assembly, wherein the pivot slot is configured to receive the alignment wire; a guide sleeve insert engaging the first opening in the first end of the body of the targeting guide; and a fixation guide device (200, 400) for inserting an intramedullary nail into the opening. an alignment guide system for forming an opening across a joint, the alignment guide system comprising: an alignment wire; a targeting guide with a first end and a second end, the targeting guide comprising: a body with a first end and a second end; a first opening positioned at the first end of the body; a pivot assembly with a first end and a second end, wherein the first end of the pivot assembly is configured to couple with a coupling region positioned at the second end of the body of the targeting guide, the pivot assembly comprising: a slot inset into the first end and configured to receive the coupling region of the body; a pivoting end positioned at the second end of the pivot assembly and configured to receive and rotatably engage the alignment wire; and a pivot slot positioned at the second end of the pivot assembly, wherein the pivot slot is configured to receive the alignment wire; a targeting guide with a first end and a second end, the targeting guide comprising: a body with a first end and a second end; a first opening positioned at the first end of the body; a pivot assembly with a first end and a second end, a body with a first end and a second end; a first opening positioned at the first end of the body; a pivot assembly with a first end and a second end, wherein the first end of the pivot assembly is configured to couple with a coupling region positioned at the second end of the body of the targeting guide, the pivot assembly comprising: a slot inset into the first end and configured to receive the coupling region of the body; a pivoting end positioned at the second end of the pivot assembly and configured to receive and rotatably engage the alignment wire; and a pivot slot positioned at the second end of the pivot assembly, wherein the pivot slot is configured to receive the alignment wire; a slot inset into the first end and configured to receive the coupling region of the body; a pivoting end positioned at the second end of the pivot assembly and configured to receive and rotatably engage the alignment wire; and a pivot slot positioned at the second end of the pivot assembly, wherein the pivot slot is configured to receive the alignment wire; a guide sleeve insert engaging the first opening in the first end of the body of the targeting guide; and a fixation guide device (200, 400) for inserting an intramedullary nail into the opening.