An apparatus and method for reaming a bone, facilitating pre-implantation alignment of a 
prosthesis using trial components, and preparing a bone site for anti-rotational implantation of the 
prosthesis is provided. The apparatus includes a boring end, a 
mating end disposed opposite the boring end, and a 
keying aid disposed between the boring end and 
mating end. The 
keying aid facilitates preparation of the bone canal for anti-rotational placement of a 
prosthesis having an anti-
rotational component, or key. The method includes attaching a 
power tool to the 
mating end of the apparatus, reaming a bone canal with the boring end of the apparatus, detaching the 
power tool, attaching a trial component, conducting alignment trials, maintaining the apparatus in the desired position, detaching the trial component, 
cutting at least one keyway in the bone canal using a 
cutting device and the 
keying aid of the apparatus, removing the 
cutting device, removing the apparatus from the reamed bone canal, and inserting the prosthesis into anti-rotational engagement with the reamed bone by aligning the key on the prosthesis with the keyway in the bone canal.