Surgical cutting instrument with dual surface

A hand-held surgical cutting instrument (102) for cutting bone material with a surgical micro-saw blade (104) which has a plurality of opening (198) formed therein. The surgical cutting instrument includes a hand-graspable body (106) for manipulating the cutting instrument and a blade coupling mechanism (116) attached to the body and being configured to attach to the surgical micro-saw blade. The blade coupling mechanism includes a first coupling member (120) including a first blade-contacting surface (130). The first blade-contacting surface has at least one first protrusion (134) extending there from and is configured to engage a first opening in the surgical saw blade. The blade coupling mechanism including a second coupling member (138) including a second blade-contacting surface (144) facing the first blade-contacting surface of the first coupling member. The second blade-contacting surface having at least one second protrusion (154) extending there from and configured to engage a second opening in the surgical saw blade.