Abstract: A method for repairing a soft tissue or bone defect can include selecting one of a plurality of sizing guides having a base perimeter size corresponding to a size of the defect, where each base has a different perimeter size and a plurality of apertures spaced apart a predetermined distance from each other, with the predetermined distance being the same for each of the sizing guides. The selected sizing guide base can be positioned against a distal end of the femur relative to the defect. A plurality of guide wires can be positioned through the plurality of apertures in the sizing guide base and the guide wires can be fixed to the femur such that the guide wires are parallel to each other. A first guide can be positioned over the guide wires and against the distal end of the femur to guide a first cutting member relative to the femur.

Abstract: A system for repairing a soft tissue or bone defect can include a plurality of sizing guides each having a base with a different perimeter size and a plurality of apertures aligned with a plurality of cannulated guide shafts extending therefrom. A plurality of perimeter cutting devices can each have a base with a perimeter size corresponding to the different perimeter size of each sizing guide base, a cutting edge on a perimeter thereof, and a plurality of apertures corresponding in location to the plurality of apertures in each sizing guide base. A cutting member guide can have at least one aperture configured to receive a portion of a cutting member therein. The plurality of implants can have a perimeter size and shape corresponding to each base of the plurality of perimeter cutting devices.

Abstract: An osteotomy method includes attaching a patient-specific osteotomy guide to a corresponding surface of a tibia of a patient and making an osteotomy at a patient-specific orientation through a resection slot of the osteotomy guide. The osteotomy guide is removed and first and second faces of the osteotomy are opened to form an implant insertion angle. The first and second faces of the osteotomy are secured at the implant insertion angle and an osteotomy implant having a patient-specific wedge angle that is smaller than the implant insertion angle is implanted. The first and second faces of the osteotomy are brought to the patient-specific wedge angle and in contact with the osteotomy implant.