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Bone cutter

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A bone cutter
Hacksaw-type surgeon's saw used by Dr. David Jones at the Battle of Bunker Hill
A costotome in the open position

A bone cutter is a surgical instrument used to cut or remove bones.[1][2] In addition to surgery, they are also used in forensics and dismemberment.

Types of medical bone cutters include:

  • Unpowered – Unpowered bone cutting implements include varieties of hacksaw. In many applications, the saw is used in specialised jigs to provide accurate, measurable cuts, e.g. in knee surgery. Specialized saws such as the Gigli saw, a cable made of sharp strands of wire, are also used in some procedures.
  • Reciprocating – Usually a powered rotary oscillation is applied to a specialised cutting implement to provide smooth controllable cuts into bone, for applications, from skull cutting to rib cutting. A sternal saw is a reciprocating bone cutter.[3]
  • Sonic (or sound cutting) – The sonic cutter is still experimental, but its primary focus is to use high frequency, high amplitude sound to remove material (in this case bone), providing the ability to cut. Some tissue sonic cutters are being produced.
  • Costotome – A costotome is a specialised rib cutter used to gain access to the thoracic cavity. It has two levers; the first one to be operated grasps the rib, and the second one cuts the rib.[4][5]

See also

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References

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  1. ^ Bone cutters and rongeurs Archived 23 July 2020 at the Wayback Machine at WPI Surgical Instruments
  2. ^ Neelima Anil Malik. Textbook of Oral and Maxillofacial Surgery. (2012) - 1044 pag. ISBN 9350259389, ISBN 9789350259382
  3. ^ Surgery. 1963 12 01 Sternal saw--new instrument for splitting the sternum. DIETHRICH EB, MORRIS JD. Surgery. PMID 14027806
  4. ^ "Rib Cutter: Costotome". Retrieved 16 March 2023.
  5. ^ Kapur, MM (1 January 2008). Introduction to Surgical Instruments and Procedures. Elsevier India. pp. 15–16. ISBN 9788131216064.