(Face of Security)

                             Form of
       11 3/4% Series D SENIOR SECURED STEP-UP NOTE
                         DUE JULY 1, 2000

No.                                                           $______________

                WRIGHT MEDICAL TECHNOLOGY, INC.

promises to pay to



or registered assigns

the principal sum of __________________________________ Dollars on July 1, 2000.

Interest Payment Dates:  July 1, and January 1
commencing January 1, 1998

Record Dates:  June 15 and December 15


Authenticated:                              Dated:________________________



STATE STREET BANK and TRUST                 WRIGHT MEDICAL TECHNOLOGY,
COMPANY, as Trustee                         INC.


By:___________________________              By:_________________________________
      Authorized Officer                         Officer of the Company


                                            Attest:_____________________________
                                                 Officer of the Company

                                            (SEAL)



Cusip No. _______________





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                                  (Back of Security)
        
                                      -----------

                   11 3/4% Series D Senior Secured Step-Up Note due July 1, 2000

     [Unless and until it is  exchanged  in whole or in part for  Securities  in
definitive  form, this Security may not be transferred  except as a whole by the
Depository to a nominee of the  Depository or by a nominee of the  Depository to
the Depository or another  nominee of the Depository or by the Depository or any
such  nominee  to  a  successor  Depository  of  a  nominee  of  such  successor
Depository. Unless this certificate is presented by an authorized representative
of the Depository  Trust Company (55 Water Street,  New York, New York) ("DTC"),
to the issuer or its agent for  registration  of transfer,  exchange or payment,
and any certificate issued is registered in the name of Cede & Co. or such other
name as requested  by an  authorized  representative  of DTC (and any payment is
made to  Cede & Co.  of such  other  entity  as is  requested  by an  authorized
representative  of DTC).  ANY TRANSFER,  PLEDGE OR OTHER USE HEREOF FOR VALUE OR
OTHERWISE  BY OR TO ANY PERSON IS  WRONGFUL  inasmuch  as the  registered  owner
hereof, Cede & Co., has an interest herein.]1

     Capitalized  terms used herein shall have the meanings  ascribed to them in
the  Indenture  dated as of August 7, 1997,  between the Company and the Trustee
(the "Indenture"), unless otherwise indicated.

     1. Interest.  Wright Medical Technology,  Inc., a Delaware corporation (the
"Company"),  promises to pay  interest on the  principal  amount of this 11 3/4%
Series D Senior Secured  Step-Up Note (the "Series D Note") at 11 3/4% per annum
from the date of issuance until maturity provided that the interest rate will be
12 1/4% on August 7, 1998 if a Sale (as defined in the  Indenture),  including a
sale of all or  substantially  all of the assets of the Company or a transaction
whereby an unrelated person acquires a direct or an indirect  majority  interest
in the voting  power of the Company by way of merger,  consolidation  or similar
transaction,  has not occurred.  The Company will pay interest  semiannually  on
July 1, and January 1 of each year, or if any such day is not a Business Day, on
the next succeeding Business Day (each an "Interest Payment Date").

     Interest  on the Series D Notes will  accrue  from the most  recent date on
which interest has been paid or, if no interest has been paid,  from the date of
issuance;  provided  that if there is no  existing  Default  in the  payment  of
interest,  and if this  Series D Note is  authenticated  between  a record  date
referred to on the face hereof and the next  succeeding  Interest  Payment Date,
interest shall accrue from such next succeeding Interest Payment Date, provided,
further,  that the first  Interest  Payment  Date shall be January 1, 1998.  The
Company shall pay interest (including  post-petition  interest in any proceeding
under  Bankruptcy  Law) on overdue  principal and premium,  if any, from time to
time on demand at the same rate per annum on the  Series D notes then in


- --------
1       This paragraph is to be included only if the Security is in global form.





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effect;  it  shall  pay  interest  (including   post-petition  interest  in  any
proceeding  under Bankruptcy Law) on overdue  installments of interest  (without
regard to any applicable  grace periods) from time to time on demand at the same
rate to the extent  lawful.  Interest will be computed on the basis of a 360-day
year of twelve 30-day months.

     2. Method of Payment. The Company will pay interest on the Series B Notes
(except  defaulted  interest)  by check or wire  transfer  to the Person who are
registered Holders of Series D Notes at the close of business on the record date
next  preceding  the  Interest  Payment  Date,  even if such  Series B Notes are
cancelled  after such record date and on or before such  interest  Payment Date.
The Series D Notes will be payable  both as to  principal  and  interest  at the
office of the Paying Agent maintained for such purpose within the City and State
of New York.

     3. Paying Agent and Registrar.  Initially, the Trustee under the Indenture,
will act as Paying Agent and Registrar.  The Company may change any Paying Agent
or  Registrar  without  notice  to  any  Holder.  The  Company  or  any  of  its
subsidiaries may act in any such capacity.

     4. Indenture. The Company issued the Series D Notes under the Indenture.
The terms of the Series D Notes  include those stated in the Indenture and those
made part of the  Indenture by reference to the Trust  Indenture Act of 1939, as
amended (15 U.S.  Code ss.ss.  77aaa-77bbbb).  The Series D Notes are subject to
all such terms,  and Holders are  referred to the  Indenture  and such Act for a
statement  of such  terms.  The  Series D Notes are  limited  to $85  million in
aggregate principal amount, plus amounts, if any, sufficient to pay interest and
premium,  if any,  on  outstanding  Series D Notes as set forth in  Paragraph  2
hereof.

     5. Optional Redemption.

     The Company may redeem all or any of the  Securities,  in whole or in part,
at any  time on or  after  July 1,  1997,  at a  redemption  price  equal to the
percentages of the principal  amount  thereof set forth below,  plus accrued and
unpaid  interest to the  redemption  date if redeemed  during the twelve  months
commencing on or after July 1, in the years set forth below:


           Year                                         Percentage
           ----                                         ----------
           1997......................................      103%
           1998 and thereafter.......................      100%


Notwithstanding the foregoing,  prior to July 1, 1996, the Company may redeem up
to $21.25 million in aggregate  principal amount of Securities,  at a redemption
price of 110% of the principal  amount of the Securities plus accrued and unpaid
interest to the applicable  redemption  date,  with the net proceeds of a public
offering of common stock of the Company;  provided that (i) such public offering
of common  stock of the  Company  results in net  proceeds  to the Company of at
least $20 million  and (ii) such  redemption  shall occur  within 30 days of the
date of the closing of such public offering of common stock of the Company.

6.           Mandatory Offers to Repurchase.





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          (a)  Following the  occurrence  of any Change of Control,  the Company
will be  required  to offer (a  "Change  of  Control  Offer")  to  purchase  all
outstanding  Securities  at a  purchase  price  equal  to 101% of the  aggregate
principal amount of such Securities,  plus accrued and unpaid interest,  if any,
to the date of  purchase  (the  "Change  of Control  Payment"),  in each case in
accordance  with and to the  extent  provided  in the  Indenture.  The Change of
Control  Offer  shall  remain  open for a period of 20  Business  Days after its
commencement unless a longer offering period is required by law. No earlier than
30 days nor later than 40 days  after the notice of the Change of Control  Offer
has been mailed  (the  "Change of Control  Payment  Date"),  the  Company  shall
deposit,  to the extent  lawful,  with the Paying  Agent an amount  equal to the
change of  Control  Payment in respect of all  Securities  or  portions  thereof
tendered by Holders. The Paying Agent shall promptly mail or deliver payment for
all Securities tendered in the Change of Control Offer.

          A Holder of Series D Notes may tender or refrain from tendering all or
any  portion  of his Series D Notes at his  discretion  by  completing  the form
entitled  "OPTION OF HOLDER TO ELECT PURCHASE"  appearing below on this Series D
Note.  Any portion of Series D Notes  tendered must be in integral  multiples of
$1,000.

          (b) If the Company consummates any Asset Sale (as such term is defined
in the  Indenture),  the Company may be required to utilize a certain portion of
the Net Proceeds  received from such Asset Sale to offer to redeem Securities at
par.  Holders of Series D Notes which are the subject of an offer to redeem will
receive an offer to redeem  from the  Company  prior to any  related  redemption
date,  and may elect to have such Series D Notes redeemed by completing the form
entitled  "OPTION OF HOLDER TO ELECT PURCHASE"  appearing below on this Series D
Note.

     7. Notice of Redemption.  Subject to Section 3.09 of the Indenture relating
to  repurchases  in connection  with Asset Sales,  notice of redemption  will be
mailed at least 30 days but not more than 60 days before the redemption  date to
each Holder whose Series B Notes are to be redeemed at such Holder's  registered
address.  Series D Notes in denominations  larger than $1,000 may be redeemed in
part but only in whole  multiples  of  $1,000,  unless all of the Series D Notes
held by a Holder are to be redeemed.  On and after the redemption  date interest
ceases to accrue on Series D Notes or portions thereof called for redemption.

     8. Determinations, Transfer, Exchange. The Series D Notes are in registered
form  without  coupons in  denominations  of $1,000 and  integral  multiples  of
$1,000.  The transfer of Series D Notes may be registered and Series D Notes may
be exchanged as provided in the  Indenture.  The  Registrar  and the Trustee may
require a Holder,  among  other  things,  to furnish  appropriate  endorsements,
transfer  documents and opinions and the Company may require a Holder to pay any
taxes and fees required by law or permitted by the  Indenture.  The Company need
not  exchange  or  register  the  transfer  of any Series D Note or portion of a
Series D Note selected for redemption,  except for the unredeemed portion of any
Series D Note being redeemed in part. Also, it need not exchange or register the
transfer  of any Series D Notes for a period of 15 days  before a  selection  of
Series D Notes to be redeemed or during the period between a record date and the
corresponding Interest Payment Date.





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     9. Persons Deemed Owners.  The registered  Holder of a Series D note may be
treated as its owner for all purposes.

     10. Amendments and Waivers. Subject to certain exceptions, the Indenture or
the Securities may be amended or supplemented and any existing Default under, or
compliance  with any  provision of, the Indenture may be waived with the written
consent  of  the  Holders  of at  least  majority  in  principal  amount  of the
Securities then outstanding  (including  consents  obtained in connection with a
tender  offer or  exchange  offer for  Securities).  Without  the consent of any
Holder, the Company and the Trustee may amend or supplement the Indenture or the
Securities  to cure any  ambiguity,  defect or  inconsistency;  to  provide  for
uncertificated Securities in addition to or in place of certificated Securities;
to comply  with  Section  5.01 of the  Indenture;  to make any change that would
provide  any  additional  rights or  benefits  to the  Holders  or that does not
adversely affect the rights under the Indenture of any Holder; or to comply with
requirements of the SEC in order to effect or maintain the  qualification of the
Indenture under the TIA.

     11.  Defaults and Remedies.  An Event of Default is: default for 30 days in
payment of interest on the Securities;  default in payment of principal on them;
failure by the Company for 30 days after  notice to it to comply with any of its
other  agreements in the Indenture,  the  Securities,  the  Registration  Rights
Agreement or the Collateral Agreements or, in the case of failure of the Company
to maintain its corporate  existence or its consolidated net worth, or to comply
with the restrictions on restricted payments, incurrence of indebtedness,  asset
sales,  changes of control or on  consolidation,  merger or  transfer or sale of
substantially  all its assets,  without such notice or passage of time;  certain
defaults under and acceleration prior to maturity of other indebtedness; certain
final judgments which remain  undischarged;  and certain events of bankruptcy or
insolvency. If an Event of Default occurs and is continuing,  the Trustee or the
holders of at least 25% in principal amount of the then  outstanding  Securities
may declare all the Securities to be due and payable immediately, except that in
the case of an Event of Default  arising from certain  events of  bankruptcy  or
insolvency,  all  outstanding  Securities  become  due and  payable  immediately
without  further  action or notice.  Holders of  Securities  may not enforce the
Indenture or the Securities except as provided in the Indenture. The Trustee may
require  indemnity  satisfactory  to it before it enforces the  Indenture or the
Securities.  Subject to certain limitations,  Holders of a majority in principal
amount of the then outstanding Securities may direct the Trustee in its exercise
of any trust or power. The Trustee may withhold from  Securityholders  notice of
any continuing default (except a default in payment of principal or interest) if
it determines that withholding  notice is in their  interests.  The Company must
furnish an annual compliance certificate to the Trustee.

     12. Trustee  Dealings with Company.  The Trustee,  in its individual or any
other capacity,  may make loans to, accept  deposits from, and perform  services
for the Company or its  Affiliates,  and may otherwise  deal with the Company or
its Affiliates, as if it were not Trustee.

     13. No Recourse Against Others. A director, officer, employee, incorporator
or stockholder,  of the Company,  as such,  shall not have any liability for any
obligations  of the Company under the Series D Notes or the Indenture or for any
claim  based on, in  respect  of, or by reason  of,  such  obligations  or their
creation. Each Holder by accepting a Series D Note





   129






waives and releases all such  liability.  The waiver and release are part of the
consideration for the issuance of the Series D Notes.

     14.   Authentication.   This  Series  D  Note  shall  not  be  valid  until
authenticated by the manual signature of the Trustee or an authenticating agent.

     15. Collateral Agreements;  Etc. Each Holder of Series D Note, by accepting
a Series D Note,  agrees to be bound to all of the terms and  provisions  of the
Collateral  Agreements  (as  defined  in  the  Indenture),  as  such  Collateral
Agreements may be amended from time to time.

     16.  Abbreviations.  Customary  abbreviations  may be used in the name of a
Holder or an  assignee,  such as:  TEN COM (=  tenants  in  common),  TEN ENT (=
tenants by the  entireties),  JT TEN (= joint tenants with right of survivorship
and not as tenants in common), CUST (= Custodian),  and U/G/M/A (= Uniform Gifts
to Minors Act).

     The Company  will  furnish to any Holder upon  written  request and without
charge  a copy  of the  Indenture  and/or  the  Registration  Rights  Agreement.
Requests may be made to:

                           WRIGHT MEDICAL TECHNOLOGY, INC.
                           5677 Airline Road
                           Arlington, Tennessee  38002
                           Attn:  Treasurer






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                                 ASSIGNMENT FORM

         To  assign  this  Series D Note,  fill in the form  below:  (I) or (we)
         assign and transfer this Series D Note to

- ------------------------------------------------------------------------
                  (Insert assignee's soc. sec. or tax I.D. no.)

- ------------------------------------------------------------------------

- ------------------------------------------------------------------------

- ------------------------------------------------------------------------

- ------------------------------------------------------------------------
              (Print or type assignee's name, address and zip code)

and irrevocably appoint  ____________________________________________________ to
transfer  this  Series  D Note  on the  books  of the  Company.  The  agent  may
substitute another to act for him.

- ------------------------------------------------------------------------

Date: _________________________

Your Signature: ________________________________
(Sign exactly as your name appears on the face of this Series D Note)

Signature Guarantee.







   131



                       OPTION OF HOLDER TO ELECT PURCHASE

     If you want to elect to have this  Series D Note  purchased  by the Company
pursuant to Section 4.11 or 4.12 of the  Indenture,  check the  appropriate  box
below:

                     o        Section 4.11 (Asset Sales)

                     o        Section 4.12 (Change of Control)

     If you want to elect to have only part of the  Series D Note  purchased  by
the Company pursuant to Section 4.11 or 4.12 of the Indenture,  state the amount
you elect to have purchased: $_________


Date:__________________


Your Signature:___________________________
(Sign exactly as your name appears on the Series D Note.)



Tax Identification No.:______________

Signature Guarantee.






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                          SCHEDULE OF EXCHANGES OF DEFINITIVE SECURITIES2

                  The following exchanges of a part of this Global Series D Note
         for Definitive Securities have been made:


                                               Principal
            Amount of        Amount of         Amount of         Signature
            decrease         increase          this Global       of authorized
            in Principal     in Principal      Series D Note     officer of 
Date        Amount           Amount            following such    Trustee or
of          of this Global   of this Global    decrease          Securities
Exchange    Series D Note    Series D Note     (or increase)     Custodian
- --------    --------------   --------------    ---------------   ------------






- --------
2   This should be included only if the Security is issued in global form.