An instrument for use in preparing a graft. The instrument includes at least one cutting portion configured to resect a graft section from the graft. The instrument also includes a drive portion operably coupled to the cutting portion and configured to receive a rotational force. At least one reaming portion is positioned proximally to the cutting portion, the reaming portion is configured to ream a surface of the graft. The reaming portion and the cutting portion are positioned with respect to each other such that when the instrument is positioned against the graft and the rotational force is applied to the drive portion, the cutting section rotationally forms the graft section from the graft and the reaming portion rotationally reams a proximal section of the graft.