Orthopedic surgery or orthopedics (alternatively spelled orthopaedic surgery and orthopaedics) is the branch of surgery concerned with conditions including the musculoskeletal framework. Orthopedic specialists utilize both surgical and nonsurgical means to treat musculoskeletal injury, spine diseases, sports injuries, degenerative diseases, infections, tumors, and inherent clutters. Orthopaedic or bone surgery instruments are utilized by surgeons, who performs surgery on bones and joints to put or replace implants with the assistance of particular instruments such as awl, hammer, screwdriver, drill, cutter, chisel, gouge, osteotome, elevators and forceps.