Single-use, sterile orthopedic implant kits provide full carriages of kits comprising first individual sterile packages for a first surgical procedure at a first location, first individual sterile packages comprise one surgical component selected from sterile implant, sterile fasteners and disposable sterile surgical tool. The methods remove a portion of the first individual sterile packages from the full carriage to produce a used carriage, contents of the removed portion of the first individual sterile packages are usable to perform the first surgical. The methods return the used carriage to a provider at a second location for re-filling, to provide a refilled carriage of the kit by replacing the removed portion of the first individual sterile packages with second individual sterile packages having the same or contents of the removed portion of the first individual sterile packages, contents of the re-filled carriage are configured to be utilized during a second surgical procedure.
