Document:

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                                                                   EXHIBIT 10.26

                                                               EXECUTION VERSION

                                 FIRST AMENDMENT

     FIRST AMENDMENT, dated as of December 10, 2001 (the "First Amendment"), to
the THREE YEAR COMPETITIVE ADVANCE AND REVOLVING CREDIT FACILITY AGREEMENT (the
"Credit Agreement"; unless otherwise defined herein, capitalized terms which are
defined in the Credit Agreement are used herein as defined therein) dated as of
July 31, 2001, among ZIMMER HOLDINGS, INC., a Delaware corporation (the
"Company"), ZIMMER, INC., a Delaware corporation ("Zimmer" and together with the
Company, the "U.S. Borrowers"), ZIMMER K.K., a company organized under the laws
of Japan (the "Japanese Borrower"), ZIMMER LTD., a company incorporated under
the laws of England and Wales (the "Euro Borrower"), the BORROWING SUBSIDIARIES
(as defined herein), the lenders parties thereto (the "Lenders"), JPMORGAN CHASE
BANK (formerly known as THE CHASE MANHATTAN BANK), a New York banking
corporation, as administrative agent for the Lenders (in such capacity, the
"General Administrative Agent"), JPMORGAN CHASE BANK, TOKYO BRANCH (formerly
known as THE CHASE MANHATTAN BANK, TOKYO BRANCH), as administrative agent for
the Japanese Lenders (in such capacity, the "Japanese Administrative Agent"),
CHASE MANHATTAN INTERNATIONAL LIMITED, as administrative agent for the Euro
Lenders (in such capacity, the "Euro Administrative Agent"), BANK OF AMERICA,
N.A., as syndication agent for the Lenders (in such capacity, the "Syndication
Agent"), JPMORGAN CHASE BANK (formerly known as THE CHASE MANHATTAN BANK), as
competitive advance facility agent (in such capacity, the "Advance Agent"), ABN
AMRO BANK N.V., as co-Documentation Agent, FLEET NATIONAL BANK, as
co-Documentation Agent and SUNTRUST BANK, as co-Documentation Agent.

                              W I T N E S S E T H :
                              - - - - - - - - - -

     WHEREAS, pursuant to the Credit Agreement, the Lenders have agreed to make,
and have made, certain loans and other extensions of credit to the Company; and

     WHEREAS, the Company has requested, and, upon this First Amendment becoming
effective, the Lenders have agreed, that certain provisions of the Credit
Agreement be amended in the manner provided for in this First Amendment;

     NOW, THEREFORE, for valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, and in consideration of the premises, the parties
hereto hereby agree as follows:

                                   ARTICLE I.
                                   AMENDMENTS

     SECTION 1.1. Amendment to Section 1.1 of the Credit Agreement. The
definition of "Interest Period" in Section 1.1 of the Credit Agreement is hereby
amended by (a) inserting the text "either (x) on the day that is two weeks
thereafter or (y)" immediately after the word "ending" in clause (a) thereof and
(b) inserting the text "in each case" immediately after the comma after the
words "months thereafter" in clause (a) thereof.

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     SECTION 1.2. Amendment to Section 12.4(a) of the Credit Agreement. Section
12.4(a) of the Credit Agreement is hereby amended by inserting the following new
text immediately prior to the period at the end thereof:

          "; provided, that for the purposes of determining the Consolidated
          Leverage Ratio (i) as at the last day of the fiscal quarter of the
          Company ending December 31, 2001, Consolidated EBITDA for such period
          shall be deemed to equal Consolidated EBITDA for the fiscal quarter of
          the Company ending on such date multiplied by four; (ii) as at the
          last day of the two consecutive fiscal quarter period of the Company
          ending March 31, 2002, Consolidated EBITDA for such period shall be
          deemed to equal Consolidated EBITDA for such two consecutive fiscal
          quarters of the Company ending on such date multiplied by two; and
          (iii) as at the last day of the three consecutive fiscal quarter
          period of the Company ending June 30, 2002, Consolidated EBITDA for
          such period shall be deemed to equal Consolidated EBITDA for such
          three consecutive fiscal quarters of the Company ending on such date
          multiplied by 4/3".

                                  ARTICLE II.
                                  MISCELLANEOUS

     SECTION 2.1. Conditions to Effectiveness of the First Amendment. This First
Amendment shall become effective as of the date first set forth above (the
"First Amendment Effective Date") at such time that the General Administrative
Agent shall have received counterparts of this First Amendment duly executed and
delivered by a duly authorized officer of each of the U.S. Borrowers, the Euro
Borrower, the Japanese Borrower, the Required Lenders and the Administrative
Agents.

     SECTION 2.2. Representations and Warranties. The Company represents and
warrants to each Lender that as of the First Amendment Effective Date: (a) this
First Amendment constitutes the legal, valid and binding obligation of the
Credit Parties, enforceable against each Credit Party in accordance with its
terms, except as such enforcement may be limited by bankruptcy, insolvency,
fraudulent conveyance, reorganization, moratorium or similar laws affecting
creditors' rights generally, by general equitable principles (whether
enforcement is sought by proceedings in equity or at law) and an implied
covenant of good faith and fair dealing; (b) the representations and warranties
made by each Credit Party in the Loan Documents are true and correct in all
material respects on and as of the date hereof (except to the extent that such
representations and warranties are expressly stated to relate to an earlier
date, in which case such representations and warranties shall have been true and
correct in all material respects on and as of such earlier date) and (c) no
Default or Event of Default shall have occurred and be continuing as of the date
hereof.

     SECTION 2.3. Counterparts. This First Amendment may be executed by one or
more of the parties to this First Amendment on any number of separate
counterparts (including by facsimile transmission), and all of said counterparts
taken together shall be deemed to constitute one and the same instrument. A set
of the copies of this First Amendment signed by all the parties shall be lodged
with the Company and the General Administrative Agent. The execution and
delivery of this First Amendment by any Lender shall be binding upon each of its

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successors and assigns and binding in respect of all of its commitments and
Loans, including any acquired subsequent to its execution and delivery hereof
and prior to the effectiveness hereof.

     SECTION 2.4. Continuing Effect; No Other Amendments. Except to the extent
the Credit Agreement is expressly amended hereby, all of the terms and
provisions of the Credit Agreement and the other Loan Documents are and shall
remain in full force and effect. This First Amendment shall constitute a Loan
Document.

     SECTION 2.5. Payment of Expenses. The Company agrees to pay and reimburse
the General Administrative Agent for all of its out-of-pocket costs and
reasonable expenses incurred to date in connection with this First Amendment and
the other Loan Documents, including, without limitation, the reasonable fees and
disbursements of legal counsel to the General Administrative Agent.

     SECTION 2.6. GOVERNING LAW. THIS FIRST AMENDMENT AND THE RIGHTS AND
OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY, AND CONSTRUED AND
INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK.

                     [Rest of page left intentionally blank]

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     IN WITNESS WHEREOF, the parties hereto have caused this First Amendment to
be duly executed and delivered by their proper and duly authorized officers as
of the day and year first above written.

                                     ZIMMER HOLDINGS, INC., as a Borrower and
                                     a Guarantor

                                     By:
                                        -------------------------------
                                        Name
                                        Title:

                                     ZIMMER, INC., as a Borrower and a Guarantor

                                     By:
                                        -------------------------------
                                        Name
                                        Title:

                                     ZIMMER K.K.

                                     By:
                                        -------------------------------
                                        Name
                                        Title:

                                     ZIMMER LTD.

                                     By:
                                        -------------------------------
                                        Name
                                        Title:

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                                     JPMORGAN CHASE BANK, individually and
                                     as General Administrative Agent

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     JPMORGAN CHASE BANK, TOKYO
                                     BRANCH, as Japanese Administrative Agent

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     CHASE MANHATTAN INTERNATIONAL
                                     LIMITED, as Euro Administrative Agent

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     BANK OF AMERICA, N.A., individually and as
                                     Syndication Agent

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>
                                     ABN AMRO BANK N.V., as Documentation
                                     Agent

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     FLEET NATIONAL BANK, as Documentation
                                     Agent

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     SUNTRUST BANK, as Documentation Agent

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     BNP PARIBAS

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     DEUTSCHE BANK AG, NEW YORK
                                     BRANCH AND/OR CAYMAN ISLANDS
                                     BRANCH

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     SUMITOMO MITSUI BANKING
                                     CORPORATION

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     THE FUJI BANK, LIMITED

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     BANK OF CHINA, NEW YORK BRANCH

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     BANCA NAZIONALE DEL LAVORO S.P.A.,
                                     NEW YORK BRANCH

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     THE BANK OF TOKYO-MITSUBISHI, LTD.,
                                     New York Branch

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     BAYERISCHE HYPO-UND VEREINSBANK
                                     AG, NEW YORK BRANCH

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     COMERICA BANK

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     CREDIT LYONNAIS, NEW YORK BRANCH

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     KEY BANK NATIONAL ASSOCIATION

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     NATIONAL CITY BANK OF INDIANA

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     PNC BANK, NATIONAL ASSOCIATION

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     THE BANK OF NEW YORK

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     THE NORINCHUKIN BANK, NEW YORK
                                     BRANCH

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     THE SANWA BANK, LIMITED, NEW YORK
                                     BRANCH

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     FIRSTAR BANK, N.A.

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     THE NORTHERN TRUST COMPANY

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

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                                     FIFTH THIRD BANK

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     UNICREDITO ITALIANO

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

<PAGE>

                                     BANK HAPOALIM B.M.

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:

                                     By:
                                        -------------------------------
                                        Name:
                                        Title:<PAGE>
                                                                  EXHIBIT 4.4(B)

                                    AMENDMENT

                                     TO THE

                         WALLACE COMPUTER SERVICES, INC.

                            1997 STOCK INCENTIVE PLAN

         WHEREAS,  Wallace Computer Services,  Inc. (the "Corporation")
heretofore has adopted and maintains a stock incentive plan for the benefit of
certain of its officers, other key employees and directors designated the
"Wallace Computer Services, Inc. 1997 Stock Incentive Plan" (the "Plan");

         WHEREAS, the Board of Directors of the Corporation (the "Board") may
amend the Plan at any time, subject to any stockholder approval required by
applicable law;

         WHEREAS, the Compensation Committee (the "Committee") of the Board has
recommended that the Board amend the Plan in certain respects;

         WHEREAS, the Board has determined that it is in the best interests of
the Corporation to amend the Plan in such respects and that stockholder approval
is not required with respect to such amendment.

         NOW, THEREFORE, the Board hereby amends the Plan, effective as of
September 12, 2001, as follows:

         RESOLVED, that Section 3.1 of the Plan hereby is amended to add the
following sentence at the end thereof:

          Notwithstanding any other provision of this Article III, if the
          Wallace Computer Services, Inc. 2001 Stock Incentive Plan is approved
          by the stockholders of the Corporation at the 2001 Annual Meeting of
          Stockholders of the Corporation, no Non-Employee Director shall be
          granted, on or after the date of such approval, options under this
          Plan to purchase shares of Common Stock pursuant to Section 3.2 of
          this Article III.

<PAGE>

         IN WITNESS WHEREOF, this Amendment has been adopted by resolution of
the Board at its meeting on September 12, 2001.

                                  By: /s/ Robert J. Kelderhouse
                                      ------------------------------------------
                                      Robert J. Kelderhouse, Assistant Secretary

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