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An orthopedic counter sink with a T-handle, available in both solid and cannulated forms, is a specialized surgical instrument designed to prepare the cortex of the bone for screw insertion. The T-handle provides superior torque and manual control, ensuring the screw head sits flush with or below the bone surface, which reduces soft tissue irritation. These instruments are typically constructed from high-grade, sterilizable stainless steel and are used in trauma and reconstructive orthopedic procedures.