The power handpiece for orthopedic drilling and sawing according to the present application at least includes a handle housing, a clamping assembly for clamping a cutting tool assembly, a power motor for outputting power and driving the cutting tool assembly to perform drilling and sawing operations, and a switch assembly for controlling power output of the power motor, wherein the power motor is connected to an external power source. The power machine utilizes an external power source which can be a large-scale accumulator or city electricity, thereby avoiding the situation of power failure or low power which is prone to occur in the operation, and ensuring the smooth performance of the operation, reduce the quantity of heat of the handle, reduce the overall weight of the device, make the device portable and easy to operate, and improve the efficiency of the operation.