An orthopaedic tool cluster clamp includes a pair of jaws held together and defining a distance therebetween, the jaws being movable relative to one another to adjust the distance; a connector holding the jaws together, with actuation of the connector adjusting the distance between the jaws; a cam base including a ramped portion statically associated with one of the jaws; and a cam lever pivotally connected to the connector about an axis of rotation and held against the cam base. The cam lever defines a profile such that rotating the cam lever along the ramped portion and pivoting the cam lever about the axis of rotation both cause actuation of the connector.

An actuator comprising a drive, at least one rotatable threaded element and at least one output element driven in translation thereby is described, characterized in that the threaded element has at least two regions of differing pitch and a rotational axis of the threaded element is inclined relative to a translational axis of the output element.