Instruments and surgical methods for bunion procedures

An instrument system, comprising:

• a cut guide;
• and
• an actuation instrument, comprising:
• an upper portion comprising a handle and a first cannulation;
• a lower portion releasably couplable with the upper portion and comprising:
• a shaft;
• a second cannulation, wherein the second cannulation is coaxial and in fluid communication with the first cannulation;
• and
• a paddle configured to abut a resected surface of a first bone;
• and
• a compression mechanism releasably couplable with the lower portion, the coupling portion couplable with the first bone and a second bone and comprising:
• a biasing element configured to bias at least one of the first bone and the second bone toward each other.

A method of using an instrument system to perform a least a portion of a bunion repair procedure, comprising:

• making an incision adjacent to a first bone and a second bone;
• coupling a first cut guide with the first bone and performing a resection cut;
• coupling the first cut guide with the first bone via a k-wire and making a resection cut with a bone saw to create a flat surface;
• decoupling the first cut guide from the first bone;
• coupling an actuation instrument system including an actuation instrument with the first bone;
• repositioning the first bone by manipulating the actuation instrument to correct any deformity of the first bone;
• coupling the actuation instrument system with the second bone coupling a second cut guide with the actuation instrument system and making a bone cut through the second bone;
• decoupling the actuation instrument from the actuation instrument system;
• applying fixation across the space between the first and the second bone and inserting a fastener so as to reposition the resected surfaces of the first bone and the second bone adjacent to one another;
• and
• closing the incision.