Procedural Category Category Subdivision Procedures Specific Use

Orthopedic Trauma Upper Extremity Fractures – Open Reduction + Internal

ORIF Clavicle • • Drilling of screw holes for plating (Conventional and/or Lock Plating)

ORIF Proximal Humerus • Provisional or Definitive Fixation using K-wires• Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws

ORIF Humeral Shaft Fractures • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)

ORIF Distal Humerus Fractures • Provisional or Definitive Fixation using K-wires• Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)

Steinman Pin Insertion, Olecranon • Percutaneous application of Steinman pin for use for skeletal traction

ORIF Proximal Ulna • Provisional or Definitive Fixation using K-wires• Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• • Application of Locking Screws

ORIF Radius – Ulna Shaft Fractures • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)

ORIF Distal Radius Fractures • fractures

• • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws

Upper Extremity Fractures – External Fixation - Adult

Elbow-spanning External Fixation • Drilling of Pin Holes• Application of External Fixator Pins

Wrist-spanning External Fixation • Drilling of Pin Holes• Application of External Fixator Pins

Humeral Shaft External Fixation • Drilling of Pin Holes• Application of External Fixator Pins

Lower Extremity Fractures – Open Reduction + Internal

ORIF Pelvic Ring • Drilling of screw holes for Lag Screw Fixation Techniques (Posterior Instability)• Drilling of screw holes for Plating Techniques (Symphysis Pubis)

ORIF Acetabulum • Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system• Drilling of screw holes for buttress plating technique (Recon Plating)• Drilling of screw holes for lag screw fixation technique (Posterior Wall Fractures)

ORIF Femoral Head • Drilling of screw holes for lag screw fixation technique• Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system

Orthopedic procedures with Arbutus HEX Drill

ORIF Femoral Neck (Multiple Screw Fixation) • Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system• Drilling of screw holes through provisionary k-wires using a cannulated system

ORIF Intertrochanteric Femur • Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system• Drilling of screw holes through provisionary k-wires using a cannulated system• Drilling of screw holes for screw-plate construct (Compression Hip Screw Side Plate)• Drilling of screw holes for locking plate construct (Proximal Femoral Lock Plate)• Application of locking screws in Lock Plate construct• Intramedullary reaming for Nail Fixation Systems (e.g. Proximal Femoral Nail)• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

ORIF Subtrochanteric Femur • Drilling of screw holes for locking plate construct (Proximal Femoral Lock Plate)• Application of locking screws in Lock Plate construct• Intramedullary reaming for Nail Fixation Systems (e.g. Proximal Femoral Nail)• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

ORIF Femoral Shaft • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)• Intramedullary reaming for Nail Fixation Systems (e.g. Proximal Femoral Nail)• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

ORIF Distal Femur Shaft • Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system• Drilling of screw holes through provisionary k-wires using a cannulated system• • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)• Intramedullary reaming for Nail Fixation Systems (e.g. Retrograde IM Nailing)• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

ORIF Patella • Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system• Drilling of screw holes through provisionary k-wires using a cannulated system• • Drilling of screw holes for Screw Fixation Techniques

ORIF Tibial Plateau • Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system• Drilling of screw holes through provisionary k-wires using a cannulated system

(Percutaneous screw fixation)• • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)

Steinman Pin Insertion, Distal Femur OR Proximal Tibia OR Distal Tibia OR Calcaneus

• Application of Steinman Pin through distal femur or proximal tibia in preparation for attachment to skeletal traction

ORIF Tibial & Fibular Shaft • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)

ORIF Distal Tibia Shaft • • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws

ORIF Trimalleolar / Bimalleolar Ankle • • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Drilling of screw holes for lag screw technique (Absolute Stability)

ORIF Calcaneus • • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws

ORIF Foot (Metatarsals, Phalanges) • • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws

Lower Extremity Fractures – External Fixation - Adult

Pelvic Ring External Fixator • Drilling of Pin Holes• Application of External Fixator Pins

Knee-Spanning External Fixator • Drilling of Pin Holes• Application of External Fixator Pins

Tibial External Fixator • Drilling of Pin Holes• Application of External Fixator Pins

Delta Denham External Fixator • Drilling of Pin Holes• Application of External Fixator Pins• Application of Denham Pin

Adult Orthopedics Amputation Above Elbow Amputation • Drill holes for myodesis

Below Elbow Amputation • Drill holes for myodesis

Above Knee Amputation • Drill holes for myodesis

Below Knee Amputation • Drill holes for myodesis

Sports and Reconstructive Surgeries

Arthroscopic Bankart Repair • Drill holes for application of suture anchors

AC Joint Reconstruction • Drill dog-bone tunnels for fiber-wire fixation• Drill screw holes for plating (Hook Plate Fixation)• Application of lock screws if using lock plate

Medial Patellofemoral Reconstruction • Drilling patellar tunnels for passage of MPFL tendon augmentation

Pediatric Orthopedics

Pediatric Trauma Closed Reduction + Percutaneous Pinning of Supracondylar Fractures

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Open Reduction + Pinning, Lateral Condyle Fracture

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Open Reduction + Pinning, Medial Condyle Fracture

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Open Reduction + Osteoclasis + Pinning of Neglected Supracondylar Fractures

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Closed Reduction + Percutaneous Pinning of Distal Radius Fractures

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Open Reduction + Osteoclasis + Pinning of Neglected Distal Radius Fractures

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Epiphyseal Separation, Distal Radius OR Distal Femur OR Distal Tibia

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Hand Hand Trauma (Adult) Closed Reduction + Percutaneous Pinning, phalanges

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Closed Reduction + Percutaneous Pinning, metacarpals

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Closed Reduction + Percutaneous Pinning, distal radius

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Wrist Arthrodesis • Drill screw holes for plate arthrodesis• Application of lock screws if using lock plates

ORIF Metacarpals • Drill screw holes for plate fixation• Drilling of screw holes for lag screw technique (Absolute Stability)

Spine Cervical Trauma Application of Crutchfield Tongs for Skeletal Traction

• Drilling of outer table using special drill point with shoulder