Methods, instruments and implants for scapho-lunate reconstruction

A method for bone reconstruction to correct a rotational deformity and enhance anatomical joint stability, comprising:

• driving a first guidewire into a first bone;
• driving a second guidewire into a second bone;
• wherein the first bone is adjacent to the second bone, the bones forming an anatomical joint;
• aligning the first bone with the second bone using the respective guidewires to correct the rotational deformity and enhance stability of the first and second bones;
• positioning a first module of a targeting guide in proximity to the first bone;
• engaging a tip of the first module with the first bone;
• positioning a second module of the targeting apparatus in proximity to the second bone;
• engaging a tip of the second module with the second bone;
• securing alignment of the first module and the second module;
• verifying alignment using a third guidewire, wherein the third guidewire wire is inserted through a passage extending through the second module without being inserted into the first or second bone;
• determining a length between the first bone and the second bone using a depth gauge;
• and
• selecting an implant based on the determined length for delivery along the passage extending through the second module.