An orthopedic device includes a first patient-specific element having a first patient-specific surface preoperatively configured to mate and conform to a first anatomic portion of a specific patient based on medical scans of the patient. The orthopedic device includes a second patient-specific element having a second patient-specific surface preoperatively configured to mate and conform to a second anatomic portion of a specific patient based on medical scans of the patient. An arcuate bridge couples the first and second patient-specific portions. The arcuate bridge is configured to provide clearance the patient's anatomy between the first and second anatomic portions.