This instrument works best in delicate orthopedic procedures like carpectomies, tarsal fusions, metatarsal corrections, and small joint arthrotomies where hands-free retraction is essential. Its self-retaining design keeps the surgical field open without an assistant holding it, which is a big advantage in tight anatomical spaces. Procedures involving the wrist, ankle, and midfoot especially benefit from the stable, consistent exposure it provides throughout the operation.