A 3D model of a Joker Elevator. A Joker elevator is a specialized surgical instrument primarily used in orthopedic and spinal procedures to gently elevate, retract, or mobilize soft tissue and periosteum (the tissue covering bone) from the underlying bone surface. Its slender, curved design allows surgeons to access tight anatomical spaces with precision, often during procedures involving the spine, joints, or fracture fixation. The Joker elevator helps improve visibility and access to surgical sites while minimizing tissue trauma, making it an essential tool for delicate dissection and exposure in complex anatomical areas.