Resection shift guides and methods providing anterior, posterior, clockwise, or counterclockwise adjustment of a 4-in-1 cut guide along a planar resected surface of a femur are disclosed. A resection shift guide can include a base member and a block member. The base member can include first and second arms. The block member can include a first end, rotatably coupled with the first arm, a second end, rotatably coupled with the second arm, and at least three surfaces extending between the first and second ends. Each of the at least three surfaces can include two or more drill holes arranged differently than drill holes of the other surfaces. A method can include removing a 4-in-1 cut guide from two original femoral lumens, drilling two adjusted femoral lumens using a resection shift guide, removing the resection shift guides, and attaching the 4-in-1 cut guide to the two adjusted femoral lumens.
