Procedural Category Category Subdivision Procedures Specific Use

Adult Orthopedics Total Joint Arthroplasty Total Hip Arthroplasty • Performing osteotomy of femoral neck to facilitate femoral head removal• Performing trochanteric osteotomy for difficult dysplastic hip cases

Revision Total Hip Arthroplasty • Performing Trochanteric Osteotomy• Shaping femoral head allografts

Total Knee Arthroplasty • Creation of femoral and tibial bone cuts• Patellar resurfacing

Sports & Reconstruction Surgery

ACL Reconstruction • Harvest of BPB ACL graft

High Tibial Osteotomy • Creating osteotomy cuts prior to correction of knee varus alignment with plate fixation

Amputation Above Elbow Amputation Creating bone cut

Below Elbow Amputation Creating bone cut

Above Knee Amputation Creating bone cut

Below Knee Amputation Creating bone cut

Foot and Ankle Surgeries Corrective Osteotomies, 1st Metatarsal Creating osteotomies to recreate anatomical alignment of 1st metatarsal

Calcaneal Resection of Haglund Lesion Resection of pathologic Haglund lesion on calcaneus

Tumor Surgeries Tumor Resection Surgery Creation of bone cuts to create a radical excision of bone tumors

Van Nes Rotationplasty Creation of bone cute on the femur and tibia to facilitate fixation for rotationplasty

Pediatric Orthopedics

Corrective Osteotomies Lateral Closing Wedge Osteotomy + Pinning for Cubitus Varus Elbow Deformity

Creation of osteotomy for correction of elbow carrying angle alignment

Opening Wedge Osteotomy for Cubitus Varus Elbow Deformity

Creation of osteotomy for correction of elbow carrying angle alignment

Lateral Opening Wedge Corrective Osteotomy for Genu Valgum Deformity

Creation of osteotomy for correction of knee alignment prior to plating / fixation

Developmental Dysplasia of the Hip

Salter Osteotomy + Valgus Derotation Osteotomy Creation of osteotomy for correction of dysplastic hip malalignment

Hand Corrective Osteotomies Corrective Opening Wedge Osteotomies (various upper extremity neglected fractures)

Creation of opening wedge osteotomies to correct bony alignment in neglected trauma cases

Arthrodesis techniques Sauve-Kapandji Arthrodesis Creation of bone cuts for excision of a portion of the distal ulna

Trauma Distal Humerus Fractures Chevron Osteotomy Creation of Chevron osteotomy over proximal ulna to facilitate visualization of distal humerus surgical field for fixation

Orthopedic procedures with Arbutus HEX DrillProcedural 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)• Intramedullary Reaming (using Inline Chuck Adapter)• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

ORIF Distal Humerus Fractures • 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)• Provisional fixation using K-wires to facilitate lag screw fixation with a cannulated system

Steinman Pin Insertion, Olecranon • Percutaneous application of Steinman pin for use for skeletal traction (Cannulated Adapter)

ORIF Proximal Ulna • 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

• 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

DRUJ Injuries • Application of trans-ulnoradial pin through the DRUJ joint in confirmed DRUJ instability in related traumatic injuries

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

Orthopedic procedures with Arbutus PRO Drill

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

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)• Intramedullary reaming for Nail Fixation Systems (e.g. Tibia IM Nailing)• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

ORIF Distal Tibia Shaft • • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Application of Locking Screws• Intramedullary reaming for Nail Fixation Systems (e.g. Tibia IM Nailing)• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

ORIF Trimalleolar / Bimalleolar Ankle • 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)•

malleolus)

ORIF Talus • 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 Calcaneus • 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

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

Arthroplasty Total Hip Arthroplasty • Drilling of screw holes for acetabular cup screw placement• Intramedullary reaming during femoral canal preparation

Partial Hip Arthroplasty / Hemiarthroplasty • Intramedullary reaming during femoral canal preparation

Total Knee Arthroplasty • Intramedullary reaming for femoral and tibial preparation using a long-stem construct• Drilling of tibial surface in preparation for cement fixation• Drilling of screw holes for tibial surface for application of screws in preparation for

cement fixation

Total Shoulder Arthroplasty • Intramedullary reaming for humeral shaft preparation

Lower Extremity Arthrodesis Hip Arthrodesis • Drilling of screw holes for plating (Conventional Plating)

Knee Arthrodesis • Drilling of screw holes for plating (Conventional Plating and/or Lock Plating)• Intramedullary reaming for Nail Arthrodesis systems• Drilling of screw holes for application of static/dynamic screws to secure IM Nail

Sports and Reconstructive Surgeries

Arthroscopic Bankart Repair • Application of provisionary pin to determine correct placement of suture anchors• 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

Arthroscopic ACL and/or PCL Reconstruction • Placement of provisionary pins to determine femoral and tibial tunnel trajectories• Drilling of femoral and tibial tunnels over provisionary pins

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

Foot and Ankle Surgeries Tibiotalocalcaneal arthrodesis • Intramedullary reaming in preparation for nailing to achieve arthrodesis• Drilling of screw holes to secure nail with static screws

Tibiotalar arthrodesis • 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

Midfoot arthrodesis • 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

Infections Debridement, Intramedullary infections • Intramedullary reaming of infected femur or tibia

Debridement + Application of Intramedullary Antiobiotic Nail

• Intramedullary reaming of infected femur or tibia• Intramedullary reaming preparation for placement of intramedullary antibiotic nail

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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Pediatric Deformities Epiphysiodesis Surgery • Drilling of screw holes for application of epiphysiodesis plate

Application of Ilizarov External Fixator • Drilling and application of K-wires to secure Ilizarov Fixators

Osgood-Schlatter Disease (Tibial Tubercle) • 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

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

•

OR Screw Fixation, Scaphoid • 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

Finger Joint Arthrodesis • Definitive fixation using K-wires• Arthrodesis using plate or screw constructs

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

Darrach Procedure • Drilling of holes through ulna for ECU Tenodesis

Suave-Kapandji Procedure • Drilling of holes through ulna for ECU Tenodesis

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