Drill bits comprising a shaft having a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end and a cutting head located at the distal end of the shaft, having a cutting diameter, and having at least one flute, which includes a cutting edge and an offset leading spur are disclosed. A portion of the shaft of the drill bits located adjacent and proximal to the cutting head has a reduced diameter relative to the remainder of the shaft. The drill bits have a tapered point along the longitudinal axis at the distal end of the cutting head for guiding the drill bit or are cannulated to receive a guide wire.