This spreader is primarily used in foot and ankle surgeries, particularly during calcaneal osteotomies, fracture repairs, and hindfoot reconstructions where bone distraction is needed. Orthopedic surgeons also utilize it for tarsal bone procedures, calcaneal lengthening operations, and corrective surgeries addressing flatfoot deformities. The instrument's compact 3 3/4" size makes it ideal for accessing tight surgical spaces in foot and ankle anatomy.