In the use of devices and methods for measuring applied pressure on an article, such as a patella construct during a surgical procedure, differently sized and configured clamp bushing adapters can be interchangeably employed with, and removably secured to, a clamp stem to adapt to the relative sizes of objects being clamped. Embodiments of an installation cap can also be provided to assist with proper setup and operation by, for example, removably covering spike elements associated with a working surface of embodiments of the device.