Proc edur al Cat egor y Cat egor y Subdivision Proc edur es Spec ific 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
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Brand Image FileAdult 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 Drill 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) • 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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•
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
•
•
•
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)