An alignment guide (1100, 1200, 1300, 1400, 1500, 1600, 1700, 1800, 1900, 2000, 2100, 2200) for correcting bone deformities in the ankle, comprising: a body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220) with a first surface (1106, 1206, 1306, 1406, 1506, 1606, 1706, 1806, 1906, 2006, 2106, 2206) and a second surface (1108, 1208, 1308, 1408, 1508, 1608, 1708, 1808, 1908, 2008, 2108, 2208), wherein the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220) further comprises: a medial protrusion (1122, 1222, 1322, 1422, 1522, 1622, 1722, 1822, 1922, 2022, 2122, 2222) extending away from a medial side (1110, 1210, 1310, 1410, 1510, 1610, 1710, 1810, 1910, 2010, 2110, 2210) of the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220), wherein the medial protrusion (1122, 1222, 1322, 1422, 1522, 1622, 1722, 1822, 1922, 2022, 2122, 2222) comprises: a first portion (1124, 1224, 1324, 1424, 1524, 1624, 1724, 1824, 1924, 2024, 2124, 2224) extending away from the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220) in a posterior-medial direction; a second portion (1126, 1226, 1326, 1426, 1526, 1626, 1726, 1826, 1926, 2026, 2126, 2226) extending away from a distal end of the first portion (1124, 1224, 1324, 1424, 1524, 1624, 1724, 1824, 1924, 2024, 2124, 2224), wherein the second portion (1126, 1226, 1326, 1426, 1526, 1626, 1726, 1826, 1926, 2026, 2126, 2226) extends in at least a lateral direction from the first portion (1124, 1224, 1324, 1424, 1524, 1624, 1724, 1824, 1924, 2024, 2124, 2224); and a third portion (1128, 1228, 1328, 1428, 1528, 1628, 1728, 1828, 1928, 2028, 2128, 2228) extending away from the second portion (1126, 1226, 1326, 1426, 1526, 1626, 1726, 1826, 1926, 2026, 2126, 2226) in at least a distal direction; and a lateral protrusion (1130, 1230, 1330, 1430, 1530, 1630, 1730, 1830, 1930, 2030, 2130, 2230) extending away from a lateral side (1112, 1212, 1312, 1412, 1512, 1612, 1712, 1812, 1912, 2012, 2112, 2212) of the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220); a base portion coupled to and extending away from the first surface (1106, 1206, 1306, 1406, 1506, 1606, 1706, 1806, 1906, 2006, 2106, 2206) of the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220); and a tower portion (1132, 2232) coupled to and extending away from a top surface of the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220), wherein tower portion (1132, 2232) further comprises: at least one pin tower forming at least one through hole extending through at least the tower portion (1132, 2232) from an anterior surface to a posterior surface of the tower portion (1132, 2232). a first portion (1124, 1224, 1324, 1424, 1524, 1624, 1724, 1824, 1924, 2024, 2124, 2224) extending away from the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220) in a posterior-medial direction; a second portion (1126, 1226, 1326, 1426, 1526, 1626, 1726, 1826, 1926, 2026, 2126, 2226) extending away from a distal end of the first portion (1124, 1224, 1324, 1424, 1524, 1624, 1724, 1824, 1924, 2024, 2124, 2224), wherein the second portion (1126, 1226, 1326, 1426, 1526, 1626, 1726, 1826, 1926, 2026, 2126, 2226) extends in at least a lateral direction from the first portion (1124, 1224, 1324, 1424, 1524, 1624, 1724, 1824, 1924, 2024, 2124, 2224); and a third portion (1128, 1228, 1328, 1428, 1528, 1628, 1728, 1828, 1928, 2028, 2128, 2228) extending away from the second portion (1126, 1226, 1326, 1426, 1526, 1626, 1726, 1826, 1926, 2026, 2126, 2226) in at least a distal direction; and a lateral protrusion (1130, 1230, 1330, 1430, 1530, 1630, 1730, 1830, 1930, 2030, 2130, 2230) extending away from a lateral side (1112, 1212, 1312, 1412, 1512, 1612, 1712, 1812, 1912, 2012, 2112, 2212) of the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220); a base portion coupled to and extending away from the first surface (1106, 1206, 1306, 1406, 1506, 1606, 1706, 1806, 1906, 2006, 2106, 2206) of the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220); and a tower portion (1132, 2232) coupled to and extending away from a top surface of the body (1120, 1220, 1320, 1420, 1520, 1620, 1720, 1820, 1920, 2020, 2120, 2220), wherein tower portion (1132, 2232) further comprises: at least one pin tower forming at least one through hole extending through at least the tower portion (1132, 2232) from an anterior surface to a posterior surface of the tower portion (1132, 2232).