Alignment guide apparatus, methods and systems

1. A bone plate alignment guide apparatus, comprising:

a body, the body comprising:

an arm with a first end and a second end;

an attachment portion at the first end, the attachment portion comprising:

a through hole; and

an alignment portion at the second end, the alignment portion comprising:

at least one through hole;

wherein the body is C-shaped with the attachment portion at a first end and the alignment portion at a second end;

a fixation insert configured to pass through the through hole of the attachment portion;

a guide pin configured to pass through the at least one through hole of the alignment portion; and

a screw;

wherein the at least one through hole of the alignment portion is positioned to align the guide pin in a first plane, wherein a second plane extends along a longitudinal axis of the through hole of the attachment portion, and wherein the first plane is substantially perpendicular relative to the second plane.

2. The alignment guide apparatus of claim 1 , wherein the screw is configured to engage the guide pin.

3. The alignment guide apparatus of claim 1 , further comprising a drill bit configured to engage the guide pin.

4. The alignment guide apparatus of claim 1 , wherein the at least one through hole of the alignment portion comprises a plurality of through holes.

5. The alignment guide apparatus of claim 4 , wherein the plurality of through holes may be at least one of straight and angled relative to the alignment portion.

6. The alignment guide apparatus of claim 4 , wherein the plurality of through holes comprises three holes, the three holes including a central hole and two holes positioned linearly with the central hole and defining a right hole and a left hole.

7. The alignment guide apparatus of claim 6 , wherein at least one of the right hole and left hole are angled towards the central hole.

8. The alignment guide apparatus of claim 6 , wherein the right hole and left hole are angled towards the central hole, wherein a central axis for each of the right hole and the left hole intersect a central axis of the central hole at a distance from the alignment portion.

9. The alignment guide apparatus of claim 1 , wherein the fixation insert comprises:

a knob portion; and

a shaft portion extending away from the knob portion.

10. The alignment guide apparatus of claim 9 , wherein the shaft portion comprises an alignment portion and a threaded section.

11. The alignment guide apparatus of claim 1 , wherein the guide pin comprises:

a first end and a second end:

a shaft portion having a handle portion connected to the first end;

a tip proximate to the second end; and

a hole extending from the first end to the second end.

12. The alignment guide apparatus of claim 1 , wherein the screw has a first end and a second end, the screw comprising:

a head portion at the first end;

a shaft portion extending away from the head portion to the second end, wherein the shaft portion comprises a smooth portion and a threaded portion; and

a through hole extending from the first end to the second end.

13. A bone plate alignment system, comprising:

a bone plate, comprising:

a plurality of through holes, wherein at least one of the plurality of through holes is a compression slot;

a bone plate alignment guide, comprising:

a body, comprising:

an arm with a first end and a second end;

an attachment portion at the first end; and

an alignment portion at the second end;

a fixation insert configured to pass through the attachment portion,

wherein the fixation insert couples with the bone plate; and

a guide wire configured to pass through the alignment portion;

a screw;

at least one first fastener for insertion through at least one of the plurality of through holes of the bone plate and into a first portion of bone; and

at least one second fastener for insertion through at least one of the plurality of through holes of the bone plate and into a second portion of bone; and

wherein the bone plate includes a front side and a bone contacting side, wherein the bone plate alignment guide couples to the front side of the bone plate, and wherein the bone contacting side faces a trajectory of the alignment portion.

14. The bone plate alignment system of claim 13 , wherein the screw is configured to engage the guide wire.

15. The bone plate alignment system of claim 13 , further comprising:

a drill configured to engage with the guide wire.

16. The bone plate alignment system of claim 13 , wherein the fixation insert couples with at least one of the plurality of through holes of the bone plate.

17. The bone plate alignment system of claim 13 , wherein the screw has a first end and a second end and comprises:

a through hole extending from the first end to the second end, the through hole configured to receive the guide wire.

18. The bone plate alignment system of claim 13 , wherein the bone plate further comprises:

a first end, a second end, and an intermediate portion connecting the first end and the second end of the bone plate, wherein each of the first and second ends comprise at least one of the plurality of through holes.

19. A method for moving a joint, comprising:

preparing the joint;

obtaining a bone plate alignment guide apparatus, comprising:

a body, the body comprising:

an arm with a first end and a second end;

an attachment portion at the first end; and

an alignment portion at the second end;

a fixation insert configured to engage the attachment portion;

a guide pin configured to pass through the alignment portion; and

a screw;

aligning a bone plate on the joint, wherein the bone plate comprises:

a plurality of through holes, wherein at least one of the plurality of through holes is a compression slot;

inserting at least one first temporary fixation pin to secure the bone plate to a first bone of the joint;

inserting at least one second temporary fixation pin to secure the bone plate to a second bone of the joint;

attaching the bone plate alignment guide apparatus to the bone plate in a desired position relative to the joint;

inserting the guide pin across the joint through the alignment portion of the body of the bone plate alignment guide apparatus;

inserting the screw;

securing the bone plate to the first bone and second bone of the joint;

removing the bone plate alignment guide apparatus; and

closing an incision of the patient.

20. The method for moving a joint of claim 19 , wherein the screw is configured to engage the guide pin.

21. The bone plate alignment system of claim 13 , wherein the trajectory of the alignment portion does not extend through the bone plate.

22. A bone plate alignment system, comprising:

a bone plate, comprising:

a plurality of through holes, wherein at least one of the plurality of through holes is a compression slot;

a bone plate alignment guide, comprising:

a body, comprising:

an arm with a first end and a second end;

an attachment portion at the first end; and

an alignment portion at the second end;

a fixation insert configured to pass through the attachment portion,

wherein the fixation insert couples with the bone plate; and

a guide wire configured to pass through the alignment portion;

a screw;

at least one first fastener for insertion through at least one of the plurality of through holes of the bone plate and into a first portion of bone; and

at least one second fastener for insertion through at least one of the plurality of through holes of the bone plate and into a second portion of bone; and

wherein the bone plate couples to the bone plate alignment guide such that a trajectory of the alignment portion is capable of passing inferior to a bone contacting surface of the bone plate and the trajectory does not cross the bone plate.