An implement for increasing tissue vascularization includes a handle with a receiving post and a retainer movable between a first position and a second position, and a cutting wheel disposed on the receiving post. The cutting wheel includes at least one cutting element disposed on an outer periphery of the cutting wheel. In the first position, the handle permits the cutting wheel to be mounted on the receiving post. In the second position, the cutting wheel is held in place with respect to the receiving post yet freely rotatable with respect to the receiving post.