A customized patient-specific patella resectioning guide is disclosed. The customized patient-specific patella resectioning guide includes a body and a cutting guide coupled to the body. The body includes a customized patient-specific negative contour configured to receive a portion of the posterior side of a patient�s patella. The cutting guide may be a captured or non-captured cutting guide. A method for fabricating and using such orthopaedic guides is also disclosed.