Khurshid Alam
ABSTRACT
Drilling in bone is a common surgical procedure routinely performed in orthopedics and dental surgeries for repair and fixation purposes. Measurement and control of bone temperature and drilling thrust force are critical to the outcome of the procedure. Excessive heat and large drilling force and torque produce in bone drilling process may cause physiological changes in the bone cells. The aim of this study was to evaluate the extent of biological damage in the immediate vicinity of the drilling region. Temperature in bone drilling process was measured by varying drill speed. The effect of bone temperature on the extent of cells damage surrounding the drilling area was evaluated. Necrotic depth was measured for the range of temperatures obtained from drilling experiments. Elevated temperature in bone was found to have negative impact on the health of the bone. Result showed that minimum cell damage can be achieved by using lower drill speed in bone drilling operation.
- Alam, K., Mitrofanov, A. V., and Silberschmidt, V. V. 2011. Experimental investigations of forces and torque in conventional and ultrasonically-assisted drilling of cortical bone. Med. Eng. Phys. 33(2), 234--239.Google Scholar
Cross Ref
- Lee, J., Ozdoganlar, O. B., and Rabin, Y. 2012. An experimental investigation on thermal exposure during bone drilling. Med. Eng. Phys. 34, 1510--1520.Google ScholarCross Ref
- Sezek, S., Aksakal, B., and Karaca, F. 2012. Influence of drill parameters on bone temperature and necrosis: A FEM modelling and in vitro experiments. Comput. Mater. Sci, 60, 13--18.Google ScholarCross Ref
- Alam, K., Kham, M., and Silberschmidt, V. V. 2014. 3D Finite Element modelling of drilling cortical bone: Temperature Analysis. J. Med. Biolog. Eng. 34(6), 618--623.Google Scholar
- Hillery, H. T., and Shuaib, I. 1999. Temperature effects in the drilling of human and bovine bone. J. Mater. Process. Technol. 92-93, 302--308.Google ScholarCross Ref
- Bachus, K. N., Rondina, M. T., and Hutchinson, D. T. 2000. The effects of drilling force on cortical temperatures and their duration: an in vitro study. Med. Eng. Phys. 22, 685--691.Google ScholarCross Ref
- Davidson, S.R.H., and James, D. F. 2003. Drilling in bone: modeling heat generation and temperature distribution. J. Biomech. Eng.-Trans. ASME. 125, 305--314.Google ScholarCross Ref
- Pandey, R. K., and Panda, S. S. 2013. Drilling of bone: A comprehensive review. J. Clin. Orthop. Trauma. 4, 15--30.Google ScholarCross Ref
- Augustin, G., Zigman, T., Davila, S., Udilljak, T., Staroveski, T., Brezak, D., and Babic, S. 2012. Cortical bone drilling and thermal osteonecrosis. Clin. Biomech. 27, 313--325.Google ScholarCross Ref
- Lee, J., Gozen, B. A., Ozdoganlar, O. B. 2012. Modeling and experimentation of bone drilling forces. J. Biomech. 45(6), 1076--1083.Google ScholarCross Ref
- Pallan, F. G. 1960. Histological change in bone after insertion of skeletal fixation pins. J. Oral. Surg. Anest. Hosp. Dent. Serv.18, 400--408.Google Scholar
- Eriksson R. A., Albrektsson T., and Magnusson, B. 1984. Assessment of bone viability after heat trauma. A histological, histochemical and vital microscopic study in the rabbit. Scand. J. Plast. Reconstr. Surg. 18, 261--268.Google ScholarCross Ref
- Lundskog J. 1972. Heat and bone tissue. Scand. J. Plast. Reconstr. Surg. Suppl. 9, 1--80.Google Scholar
- Berman, A. T., Reid, J. S, Yanicko, D. R Jr, Sih, G. C., and Zimmerman, M. R. 1984. Thermally induced bone necrosis in rabbits. Relation to implant failure in humans. Clin. Orthop. Relat. Res. Jun. 186, 284--92.Google ScholarCross Ref
- Franssen, B. B, Van Diest, P. J., Schuurman A. H., and Kon, M. 2008. Drilling K-wires, what about the osteocytes? An experimental study in rabbits. Arch. Orthop. Trauma. Surg. 2008. 128(1), 83--87.Google Scholar
- Chen, H., Sun, J., Hoemann, C. D., Lascau-Coman, V., Ouyang,W., McKee M. D., Shive, M. S., and Buschmann, M. D. 2009. Drilling and microfracture lead to different bone structure and necrosis during bone-marrow stimulation for cartilage repair. J. Orthop. Res. 27(11), 1432--1438.Google ScholarCross Ref
- Franssen, B. B., Van Diest, P. J., Schuurman, A. H., and Kon, M. 2008. Keeping osteocytes alive: a comparison of drilling and hammering K-wires into bone. J. Hand. Surg-Eur. 33(3), 363--368.Google ScholarCross Ref
- James, T. P., Chang, G., Micucci, S., Sagar, A., Smith, E. L., and Cassidy, C. 2014. Effect of applied force and blade speed on histopathology of bone during resection by sagittal saw. Med. Eng. Phys. 36(3), 364--370.Google ScholarCross Ref
- Hou, Y., Changhe, Li., Hongliang, Ma., Zhang, Y., Yang, M., and Zhang, X. 2015. An experimental research on bone drilling temperature in orthopaedic surgery. The. Open. Mat. Sci. 9, 178--188.Google ScholarCross Ref
- Thompson, H. C. 1958. Effect of drilling into bone. J. Oral. Surg. (Chic).16(1), 22--30.Google Scholar
- Vaughn, R. C., and Peyton, F. A. 1951. The influence of rotational speed on temperature rise during cavity preparation. J. Dent. Res. 30(5), 737--44.Google ScholarCross Ref
- Abouzgia, M. B., Symington, J. M. 1996. Effect of drill speed on bone temperature. Int. J. Oral Maxillof. Surg. 25(5), 394--399.Google ScholarCross Ref
- Matthews, L. S., and Hirsch, C. 1972. Temperatures measured in human cortical bone when drilling. J. Bone. Joint. Surg. Am. 54, 297--308.Google ScholarCross Ref
Index Terms
- Experimental Study on Bone Health in Drilling
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