An adjustable reaming device can include a proximal reamer and a positionable element. The positionable element removably attaches to the proximal reamer at one of a plurality of discrete longitudinal locations along the proximal reamer. A distal end of the positionable element forms a stop, which can contact a proximal end of a distal reamer and thereby limit distal motion of the proximal reamer with respect to the distal reamer. When the distal reamer is in contact with the positionable element, the distal reamer and proximal reamer are longitudinally offset by a one of a plurality of specified offsets. In some examples, the specified offsets correspond to a plurality of specified, discrete lengths for which implantable femoral stems are available.