Removes cortical bone and osteophytes from the lateral epicondyle and acromion during arthroscopic and open debridement procedures. The double-action hinge amplifies cutting force at the tip for efficient bone nibbling in subacromial decompression. Sports medicine surgeons use it to smooth the undersurface of the acromion before rotator cuff repair.

Used in open lumbar decompression to punch through the lamina and remove ligamentum flavum overlying the thecal sac at the L4–L5 level. The punch action delivers a clean bite of bone and soft tissue in the spinal canal during laminectomy for stenosis. Orthopedic spine surgeons employ it when performing medial facetectomy to decompress the exiting nerve root.

Employed to resect ragged bone edges and sequestra during revision joint surgery and excision of benign bone tumors in the metaphysis. The Stille-Leksell pattern provides a strong double-action bite for removing thick cortical bone in the iliac crest harvest site. Tumor surgeons use it to contour the resection margin after curettage of giant cell lesions.