To provide a surgical instrument for artificial knee joint replacement surgery in which a resection guide part can be prevented from rising out of a thighbone distal end in the bone resection of the thighbone distal end.SOLUTION: A surgical instrument 1 for artificial knee joint replacement surgery includes: a resection guide part 2 provided with slits 12, 13, 14a, 14b for guiding the resection direction of a resection blade for surgically removing the thighbone distal end 101; and a pressing part 3 capable of pressing the resection guide part 2 installed to the thighbone distal end 101 toward the thighbone distal end 101. The pressing part 3 comprises an abutment part 35 coming in abutment with the resection guide part 2 provided at one end side of a shaft part 31 of the pressing part 3. The resection guide part 2 is provided with an abutted part 18 with the abutment part 35 coming in abutment therewith while the resection guide part 2 is installed to the thighbone distal end 101.SELECTED DRAWING: Figure 7【課題】大腿骨遠位端の骨切除の際、切除ガイド部が大腿骨遠位端から浮き上がるのを防止できる、人工膝関節置換術用手術器具を提供する。【解決手段】大腿骨遠位端101を切除する切除刃の切除方向をガイドするスリット12,13,14a,14bが設けられた切除ガイド部2と、大腿骨遠位端101に設置された切除ガイド部2を大腿骨遠位端101に向かって押圧可能な押圧部3と、を備える人工膝関節置換術用手術器具1を対象とする。押圧部3は、押圧部3の軸部31の一方の端部側に設けられ切除ガイド部2に当接する当接部35、を含む。切除ガイド部2には、切除ガイド部2が大腿骨遠位端101に設置された状態において当接部35が当接する被当接部18、が設けられている。【選択図】図7