Abstract: A patella clamp has a first part including a reference surface engageable with the anterior surface of a patella. The first part includes a stop surface spaced from the reference surface. A second clamping part is provided which is moveable with respect to the first clamping part. A cutting element coupled to the first clamping part is moveable with respect to the first part. The cutting element includes a shaft with an adjustable collar mounted on the shaft for movement with respect to the longitudinal axis of the shaft and cutting element. The adjustable collar on the shaft is engageable with a stop surface on the first part for spacing the cutting element a desired distance from the reference surface. A pair of gages are provided for selectively setting the position of the adjustable collar with respect to either the amount of patella bone being removed or the amount of patella bone remaining.