Investigation of thermal damage in bone drilling: Hybrid processing method and pathological evaluation of existing methods

Author(s):  
Murat Can ◽  
Serdar Koluaçik ◽  
Erkan Bahçe ◽  
Hasan Gokce ◽  
F. Secil Tecellioglu
2019 ◽  
Vol 139 (11) ◽  
pp. 1599-1605 ◽  
Author(s):  
Haruhisa Kanaya ◽  
Makoto Enokida ◽  
Kazutake Uehara ◽  
Masaru Ueki ◽  
Hideki Nagashima

Author(s):  
Stefan M. Niehues ◽  
Sefer Elezkurtaj ◽  
Keno K. Bresssem ◽  
Bernd Hamm ◽  
Christoph Erxleben ◽  
...  

Abstract Background Minimally invasive, battery-powered drilling systems have become the preferred tool for obtaining representative samples from bone lesions. However, the heat generated during battery-powered bone drilling for bone biopsies has not yet been sufficiently investigated. Thermal necrosis can occur if the bone temperature exceeds a critical threshold for a certain period of time. Purpose To investigate heat production as a function of femur temperature during and after battery-powered percutaneous bone drilling in a porcine in vivo model. Methods We performed 16 femur drillings in 13 domestic pigs with an average age of 22 weeks and an average body temperature of 39.7 °C, using a battery-powered drilling system and an intraosseous temperature monitoring device. The standardized duration of the drilling procedure was 20 s. The bone core specimens obtained were embedded in 4% formalin, stained with haematoxylin and eosin (H&E) and sent for pathological analysis of tissue quality and signs of thermal damage. Results No significant changes in the pigs’ local temperature were observed after bone drilling with a battery-powered drill device. Across all measurements, the median change in temperature between the initial measurement and the temperature measured after drilling (at 20 s) was 0.1 °C. Histological examination of the bone core specimens revealed no signs of mechanical or thermal damage. Conclusion Overall, this preliminary study shows that battery-powered, drill-assisted harvesting of bone core specimens does not appear to cause mechanical or thermal damage.


Author(s):  
Yue Zhang ◽  
Linlin Xu ◽  
Chengyong Wang ◽  
Zhihua Chen ◽  
Shuai Han ◽  
...  

Recently, the failure rate of fracture fixation to fractured bone has increased. Mechanical and thermal damage to the bone, which influences the contact area and cell growth between the bone and the screw, is the primary reason for fixation failure. However, research has mainly focused on force and temperature in bone drilling. In this study, the characteristics of hole edges, microcracks, empty lacunae, and osteon necrosis were investigated as viewed in the transverse and longitudinal sections after drilling. Drilling force and temperature were also recorded for comparing the relationship with mechanical and thermal damage. Experiments were conducted in vivo using five different drill geometries under the same drilling parameters. Characteristics of the hole wall were detected using computed tomography. Microcracks and necrosis were analyzed using the pathological sectioning method. The maximum microcrack was approximately 3000 and 1400 μm in the transverse section and longitudinal section, respectively, which were much larger than those observed in previous studies. Empty lacuna and osteon necrosis, starting from the Haversian canal, were also found. The drill bit geometry, chisel edge, flute number, edges, and steps had a strong effect on bone damage, particularly the chisel edge. The standard and classic surgical drill caused the greatest surface damage and necrosis of the five drill bit geometries studied. The microstructural features including osteons and matrix played an important role in numbers and length of microcracks and necrosis. More microcracks were generated in the transverse direction, while a greater length of the empty lacuna was generated in the longitudinal direction under the same drilling parameters. Microcracks mainly propagated in a straight manner in and parallel to the interstitial bone matrix and cement line. Drilling forces were not directly correlated with bone damage; thus, hole performance should be considered to evaluate the superiority and inferiority of drill bits rather than the drill force alone.


2017 ◽  
Vol 45 ◽  
pp. 25-33 ◽  
Author(s):  
Yao Liu ◽  
Barry Belmont ◽  
Yiwen Wang ◽  
Bruce Tai ◽  
James Holmes ◽  
...  
Keyword(s):  

Author(s):  
JuEun Lee ◽  
Serena Y. Chu

Abstract Deep-hole bone drilling is critical in many surgical implantation procedures. Unlike most common bone-drilling processes, deep-hole bone drilling is performed using a high drilling depth to drill-bit diameter ratio, which can lead to undesirable mechanical and thermal damage during surgical procedures. The objective of this study was to investigate the thrust force and torque generated in deep-hole bone drilling. Drilling tests were performed on bovine cortical bones at a drilling hole depth of 36 mm using a 2.5 mm diameter twist drill bit with a spindle speed of 3000 rpm and feed rates of 0.05, 0.075, and 0.1 mm/rev. Bone chips were collected at different depths and examined using a fiber-optic microscope. Not only are drilling forces a good indicator to assess drilling performances but also chip formation and morphology are important aspects for understanding bone-drilling behaviors. The force signals revealed two distinct states, which were referred to as normal and abnormal states in this study. In the normal state, the force signals remained constant once the drill tip became fully engaged in bone cutting, whereas after a certain drilling depth, the forces considerably increased in the abnormal state. The results of this study indicate that the rapid increase in the force in the abnormal state is mainly attributed to chip clogging inside the flutes as the drilling depth increases. This study also demonstrated that the chip morphology varies with respect to drilling depth, where fragmented chips are produced at shallow drilling depths and powdery chips are produced at deeper drilling depths.


Author(s):  
JuEun Lee ◽  
O. Burak Ozdoganlar ◽  
Yoed Rabin

Bone drilling is widely used to mount screws for anchoring plates and attaching exoskeleton devices to assist healing of bone fractures. The heat generated during drilling can cause significant thermal damage to the bone tissue. Hence, prediction of the developing temperature field as a function of the drilling parameters is of an important clinical value.


2015 ◽  
Vol 37 (9) ◽  
pp. 855-861 ◽  
Author(s):  
Bruce L. Tai ◽  
Andrew C. Palmisano ◽  
Barry Belmont ◽  
Todd A Irwin ◽  
James Holmes ◽  
...  

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