A pin alignment guide may be placed on an end of a bone for guiding a pin along a central axis of the bone. The bone has a length extending away from the end of the bone. A body may be configured to overlie the end of the bone. The body may have a contact surface configured to contact the bone and a guide surface configured to guide a pin into the bone. A rod portion may be configured to extend along the length of the bone away from the end of the bone. An extension may be configured to attach to the body and extend away from the body, the extension further configured to couple to the rod portion, such that the rod portion may be aligned along the length of the bone thereby positioning the guide surface of the body to guide the pin.
