#$%^&*AU2015202865A120150618.pdf#####ABSTRACT Systems and methods for implant optimization using intraoperative scanning are set forth. According to one embodiment, a method comprising 5 intraoperatively scanning a joint surface, processing the scan Intraoperatively and creating a three-dimensional computer model, performing simulations with the three-dimensional computer model, determining an optimal implant attribute from analysis of the simulations, selecting an optimal implant, determining an ideal positioning and orientation of the selected implant relative to scanned anatomical 10 features, rapidly creating a patient-matched guide to facilitate bone surface preparation in order to achieve ideal positioning and orientation of the selected implant, preparing the surface using the patient matched guide, and implanting the optimal implant is set forth.WO 2012/027574 PCT/US2011/049153 2 6 200 Intraoperatively Scan knee joint 202 Process scan and create 3D computer 204 model Perform simulations with 3D computer 206 model Determine optimal implant attributes 208 from analysis of simulations Select optimal implant 210 Determine ideal positioning and orientation of selected implant relative 212 to scanned anatomical features Rapidly create patient-matched guide to facilitate anatomical surface 214 preparation to achieve ideal positioning and orientation of selected implant Prepare surface using patient-matched 216 guide and implant optimal implant F IG. 2