A skeletal positioning method and apparatus includes a splint having a main body coupled to a skeletal structure of a patient and a positioning guide having a skeletal footplate, a splint footplate, and an arm coupling the skeletal footplate and the splint footplate, the skeletal footplate including at least one aperture formed therein and the splint footplate including connectors for releasably coupling the positioning guide to the splint, wherein a relative position and orientation of the skeletal footplate and the splint footplate is pre-determined to align a portion of the skeletal footplate with a pre-defined portion of the skeletal structure of the patient.