scholarly journals Temperature Rise in Kirschner Wires Inserted Using Two Drilling Methods: Forward and Oscillation

Hand ◽  
2017 ◽  
Vol 13 (4) ◽  
pp. 423-427 ◽  
Author(s):  
Scott Richard Anderson ◽  
Serkan Inceoglu ◽  
Montri D. Wongworawat
Keyword(s):  
Cortical Bone ◽  
Temperature Rise ◽  
Orthopedic Surgery ◽  
Kirschner Wires ◽  
Thermal Necrosis ◽  
Temperature Changes ◽  
Average Temperature ◽  
Mode Oscillation ◽  
K Wires ◽  
Lower Temperature

Background: Kirschner wires (K-wires) are commonly used in orthopedic surgery. However, the loosening of the pins can lead to delayed or improper healing or infection. Wire loosening can occur by thermal necrosis that occurs due to heat produced during wire insertion. Although the parameters that affect temperature rise in cortical bone during wire insertion and drilling have been studied, the effect of drilling mode (oscillation versus forward) is unknown. The purpose of this study was to compare the temperature changes occurring in cortical bone during wire insertions by oscillating and forward drills. Our hypothesis is that oscillation drilling would produce less heat compared with forward drilling in K-wire insertion with 2 commonly used wire diameters. Methods: We drilled K-wires in a pig metacarpal model and measured the temperature rise between forward and oscillation drilling modes using diamond-tipped 0.062- and 0.045-inch-diameter K-wires. There were 20 holes drilled for each group (n = 20). Results: The average temperature rise using the 0.062-inch K-wire under forward and oscillation insertion was 14.0 ± 5.5°C and 8.8 ± 2.6°C, respectively. For the 0.045-inch K-wire, under forward and oscillation insertion, the average temperature rise was 11.4 ± 2.6°C and 7.1 ± 1.9°C, respectively. The effects of the drilling mode and wire diameter on temperature rise were significant ( P < .05). Conclusions: In conclusion, the oscillation of K-wires during insertion causes a lower temperature rise when compared with forward drilling.

scholarly journals Temperature Changes in Composite Materials during Photopolymerization

2021 ◽  
Vol 11 (2) ◽  
pp. 474
Author(s):  
Leszek Szalewski ◽  
Magdalena Szalewska ◽  
Paweł Jarosz ◽  
Michał Woś ◽  
Jolanta Szymańska
Keyword(s):  
Composite Materials ◽  
Flexural Strength ◽  
Temperature Rise ◽  
Testing Machine ◽  
Test Group ◽  
Base Layer ◽  
Temperature Changes ◽  
Average Temperature ◽  
Number Of Factors ◽  
Light Curing

During polymerization, composite materials cause a temperature rise which may lead to irreversible changes in the dental pulp. The mechanical properties of composite materials depend on a number of factors, such as the composition of the material, the type of polymerization unit, the polymerization mode, and the duration of polymerization. The objective of this study was to assess the temperature rise values and flexural strength of composite materials, as obtained using different modes and times of polymerization. A total of six composite materials were used in the study. Samples of each of the materials were cured using seven polymerization protocols. A CMP-401 digital meter (Sonel, Świdnica, Poland), complete with a type K thermocouple (NiCr-Ni), was used to record the temperature increases during the light curing of the resin composites. Temperature rises were recorded beneath the composite disc in an acrylic matrix. The specimens were tested for flexural strength using a Cometech QC-508M2 testing machine. The lowest results for the increased mean temperature were obtained for Fast-Cure 3 s (39.0 °C), while the highest results were obtained for Fast-Cure 20 s (45.8 °C). The highest average temperature values for all tested protocols were recorded for the Z550 Filtek material. Mean flexural strengths as measured in each test group were higher than the minimum value for composite materials as per the ISO:4049 standard. In the case of deep caries with a thin layer of dentin separating the filling from pulp, a base layer or a short polymerization duration mode is recommended to protect pulp from thermal injury.

scholarly journals May thermal imaging be useful in the assessment of dental anaesthesia? Preliminary study

2021 ◽  
Author(s):  
Natalia Kaszuba ◽  
Teresa Kasprzyk-Kucewicz ◽  
Karolina Bałamut ◽  
Tadeusz Morawiec ◽  
Agata Stanek ◽  
...  
Keyword(s):  
Temperature Rise ◽  
Thermal Imaging ◽  
Temperature Increase ◽  
Effect Of Temperature ◽  
Temperature Changes ◽  
Average Temperature ◽  
Preliminary Study

AbstractThe main goal of this study was to find out if thermal imaging may be useful in the evaluation of two types of anaesthetic injections—with and without a vasoconstrictor. There were 20 patients (13 women and 7 men) involved in the study. The group was divided into two subgroups. Patients from the first subgroup received infiltration anaesthesia (so-called: IA) of lidocaine (2 mL) and the second group included patients, who received infiltration anaesthesia (so-called: IAN) of lidocaine with 2% noradrenaline (2 mL). The obtained results showed a significant increase in the average temperature 10 min after the injection. In the IA group, the temperature increase was nearly 1.0 °C what was 0.3 °C higher than in the IAN group. Moreover, temperature changes showed a wide plateau between 10 and 25 min after anesthesia administration. The effect of temperature rise was also observed on the contralateral cheek where there was no intervention renders by a contralateral reflex.

Effect of K-wire Reuse and Drill Mode on Heat Generation in Bone

Hand ◽  
2021 ◽  
pp. 155894472110031
Author(s):  
Muturi G. Muriuki ◽  
Arun K. Reddy ◽  
Alex Tauchen ◽  
Robert M. Havey ◽  
Avinash G. Patwardhan ◽  
...  
Keyword(s):  
Cell Death ◽  
Cortical Bone ◽  
Heat Generation ◽  
Kirschner Wire ◽  
Heat Exposure ◽  
Critical Temperatures ◽  
Rotary Drilling ◽  
External Cooling ◽  
K Wires ◽  
Oscillating Mode

Background We examined the effect of Kirschner wire (K-wire) reuse and use of oscillating mode on heat generation within cortical bone. Methods Two trocar-tipped K-wires were drilled through the diaphysis of each of 30 human metacarpals and phalanges: one K-wire was inserted in rotary mode and another in oscillating mode. Each wire was reused once. Thermocouples placed within the dorsal and volar bone adjacent to the K-wire drill path measured temperatures throughout each test. Results Peak cortex temperatures were 25°C to 164°C. Rotary drilling achieves peak temperatures quicker (31 ± 78 seconds vs 44 ± 78 seconds, P = .19) than oscillating drilling, but insertion time is also less, resulting in lower overall heat exposure. This effect is also seen when the K-wire is reused (34 ± 70 seconds vs 41 ± 85 seconds, P = .4). The length of time that cortical bone was exposed to critical temperatures (47°C or more) was significantly higher when a wire was reused (36 ± 72 seconds vs 43 ± 82 seconds, P = .008). Peak temperatures greater than 70°C (a temperature associated with instantaneous cell death) were observed on many occasions. Conclusions Overall heat exposure may be higher if a K-wire is reused or inserted in oscillating mode. In the absence of external cooling, K-wire insertion into cortical bone can easily expose bone to temperatures that exceed 70°C and may increase the risk of osteonecrosis.

Minimally Invasive Reduction of Intraarticular Calcaneal Fractures With Percutaneous Fixation Using Cannulated Screws Versus Kirschner Wires: A Retrospective Comparative Study

2021 ◽  
pp. 193864002098775
Author(s):  
Ahmed Shams ◽  
Osama Gamal ◽  
Mohamed Kamal Mesregah
Keyword(s):  
Patient Satisfaction ◽  
Minimally Invasive ◽  
Comparative Study ◽  
Operative Time ◽  
Cannulated Screws ◽  
Kirschner Wires ◽  
Calcaneal Fractures ◽  
K Wires ◽  
Retrospective Comparative Study ◽  
Minimally Invasive Reduction

Background Several minimally invasive techniques were developed for management of intraarticular calcaneal fractures. This study aimed to compare the functional and radiological outcomes of 2 minimally invasive reduction and fixation techniques using cannulated screws or Kirschner wires (K-wires) for fixation. Methods This study was a retrospective comparative review of patients with displaced intraarticular calcaneal fractures, who were treated with cannulated screws or K-wires techniques. Clinical and radiological data were collected and compared between both groups. Functional outcomes and patient satisfaction using the Maryland Foot Score (MFS) and the visual analogue scale (VAS) of pain, in addition to the complications, were compared between both groups. Results In total, 70 patients were included in the study: 34 in the cannulated screws group, with a mean age of 35.2 ± 4 years, and 36 in the K-wires groups, with a mean age of 33.4 ± 3 years. The operative time was shorter in the K-wires group (40.5 ± 5.6 minutes) compared to the cannulated screw group (49.5 ± 4.5 minutes), P < .001. There were no statistically significant differences between both groups regarding the radiological parameters, including Bohler’s angle, angle of Gissane, calcaneal width, height, or length. The mean MFS, mean VAS, and complications were not different between the 2 groups. Conclusion Treatment of displaced intraarticular calcaneal fractures with minimally invasive reduction and fixation using either cannulated screws or K-wires can achieve similar excellent functional and radiological outcomes, with high patient satisfaction. The use of K-wires has the advantage of reduced operative time than cannulated screws. Levels of Evidence: Level III: Retrospective comparative study

Comparison of Composite Curing Parameters: Effects of Light Source and Curing Mode on Conversion, Temperature Rise and Polymerization Shrinkage

10.2341/05-15 ◽  
2006 ◽  
Vol 31 (2) ◽  
pp. 219-226 ◽  
Author(s):  
Z. Tarle ◽  
A. Knezevic ◽  
N. Demoli ◽  
A. Meniga ◽  
J. Sutalo ◽  
...  
Keyword(s):  
Light Source ◽  
Temperature Rise ◽  
Thermal Injury ◽  
Resin Composite ◽  
Marginal Adaptation ◽  
Low Intensity ◽  
Halogen Light ◽  
Lower Temperature ◽  
Final Degree ◽  
Conversion Temperature

Clinical Relevance The use of a low intensity light source for photopolymerization based on LED technology provides equivalent final degree conversion with possible flow of the resin composite, similar to when QTH technology is used. At the same time, the lower temperature rise in the sample and the more favorable development of shrinkage kinetics compared to the higher intensities of halogen light may aid in maintaining marginal adaptation while avoiding possible thermal injury.

EXPERIMENTAL STUDY ON THE EFFECT OF DRILL QUALITY ON BONE TEMPERATURE IN DRILLING

2018 ◽  
Vol 30 (02) ◽  
pp. 1850018 ◽  
Author(s):  
Khurshid Alam ◽  
Syed Husain Imran ◽  
Abdullah Al-Shabibi ◽  
Mojtaba Ghodsi ◽  
Vadim Silberschmidth
Keyword(s):  
Experimental Study ◽  
Bone Tissue ◽  
Femoral Shaft ◽  
Tissue Temperature ◽  
Bone Drilling ◽  
Thermal Necrosis ◽  
Bone Material ◽  
Rate Of Penetration ◽  
Lower Temperature ◽  
Drilling Conditions

Bone drilling is widely performed in orthopedics for fixation and reconstruction of bone. In bone drilling, a hard metallic drill penetrates into the bone tissue which may cause trauma. Shear deformation of the bone material and friction between the drill and bone may induce elevated temperature in bone tissue. Temperature above a certain level may seriously harm the tissue, leading to several postoperative complications. The purpose of the current study is to measure and compare temperature in bone drilling using sharp and worn drill. Drilling tests were performed on cortical bone obtained from femoral shaft of a cow. A parametric study was conducted to quantify bone temperature using a range of drilling speeds and feed rates using drills having sharp and worn cutting edges with and without cooling environment. The temperature was measured using thermocouples, and wear of the cutting edges of the drill was measured using a scanning profilometer. Experimental results demonstrated lower temperature in bone using a sharp drill compared with a worn drill for similar drilling conditions. The bone temperature was found to rise with drill rotational speed, rate of penetration and size of the drill with and without cooling. Blunt drills were found more crucial for inducing thermal necrosis in bone.

Bioresorbable  implants vs. Kirschner-wires in the treatment of severely displaced distal paediatric radius and forearm fractures – a retrospective multicentre study

2021 ◽  
Author(s):  
Marcell Varga
Keyword(s):  
Surgical Intervention ◽  
Complication Rates ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Kirschner Wires ◽  
Paediatric Patients ◽  
Fractures In Children ◽  
Significant Difference ◽  
K Wires ◽  
Wire Osteosynthesis

Abstract BackgroundDistal radius fractures are very common in paediatric patients. Severely displaced fractures may require surgical intervention. The gold standard surgical method is percutaneous K-wire osteosynthesis followed by immobilisation. Metal implants can be removed with a second intervention; however, these extra procedures can cause further complications. Several studies confirm the benefits of bioabsorbable implants for paediatric patients. The aim of this retrospective study was to compare the complication rates of displaced distal metaphyseal radius and forearm fractures in children operated on with K-wires versus a novel technique with bioresorbable implants.MethodsWe retrospectively reviewed 94 patients in three paediatric trauma centres who underwent operations due to severely displaced distal forearm or metaphyseal radial fractures between January 2019 and January 2020. The mean age was 8.23 (ranging from 5-12). 30 patients (bioresorbable group, BR-group) were treated with biodegradable PLGA implants (Bioretec®, ActivaPin®), 40 patients with one or two stainless steel Kirschner-wires (K-wires, Sanatmetal®) which were buried under the skin (KW I-group) and 30 children with K-wires left outside the skin. (KWII. Group). We examined the number of minor and major complications as well as the need for repeated interventions. Follow-up was at least one year.ResultsThere was no significant difference between the complication rates at the two KW groups (p = 0.241; Cramer’s V = 0.211), while the complication rate of the BR group was significantly lower. (p = 0.049; Cramer’s V = 0.293 and p = 0.002; Cramer’s V = 0.418 respectively). No later than half a year after the injury, no difference was observed between the functional outcomes of the patients in each group. One and a half years after the injury, no signs of growth disturbance were found in any of the children. No second surgical intervention was required in the BR group.ConclusionsSurgeries with bioresorbable intramedullary implants may have fewer complications than K- wire osteosynthesis in the treatment of severely displaced distal forearm fractures. The benefits are most pronounced in the first six weeks after surgery, reducing the number of outpatient visits and increasing the child's sense of comfort. As no second intervention is required, this can lead to significant cost savings. After half a year, there is no difference in the outcomes between the different surgical treatment strategies.

scholarly journals Milking-related changes of teat temperature caused by various milking machines

2008 ◽  
Vol 53 (No. 4) ◽  
pp. 121-125 ◽  
Author(s):  
J. Vegricht ◽  
A. Machálek ◽  
P. Ambrož ◽  
U. Brehme ◽  
S. Rose
Keyword(s):  
Surface Temperature ◽  
Temperature Rise ◽  
Temperature Fluctuation ◽  
Blood Circulation ◽  
Average Temperature ◽  
Before And After ◽  
Working Quality

The aim of the performed work was to verify the hypothesis that different milking equipments have different influence on the blood circulation in the milk gland during milking. This influence was investigated by measuring the surface temperature of the milk gland using thermography. The influence was monitored of 5 different milking units in total, out of them 2 AMS, on the teat temperature which was scanned and evaluated in the teat tip centre and on the teat base at the same time with the surface temperature of the udder, always at the instant closely preceding the cluster application and then after its removal. It was ascertained that the average temperature of the teat tip after milking was increased in comparison with the temperature before milking practically in all the milking units monitored. At the same time, the average temperature of the teat tip in the milking equipment in parlours increased by about 1.7°C–2.7°C (6.1%–9.0%) as compared to the temperature before milking. At milking in AMS, the temperature rise of the teat tip was smaller and reached only 0.9°C–1.7°C (2.9%–6.0%). At the same time, the temperature of other parts of the milk gland grew commensurately. It was also found that differences exist between different milking units with respect to their influence on the temperature fluctuation of the milk gland. From the monitoring performed up to now and from the results acquired it is possible to apprehend that the monitoring of the teat temperature before and after milking with the help of thermography can become an indicator of the working quality of the milking equipment and its influence on the milk gland. The confirmation of this hypothesis requires, however, further detailed and extensive measuring to be carried out.

scholarly journals Holocene temperature variations inferred from Antarctic ice cores

1994 ◽  
Vol 20 ◽  
pp. 427-436 ◽  
Author(s):  
P. Ciais ◽  
J. Jouzel ◽  
J. R. Petit ◽  
V. Lipenkov ◽  
J. W. C. White
Keyword(s):  
Late Holocene ◽  
Ice Core ◽  
Ice Cores ◽  
Temperature Fluctuations ◽  
Base Line ◽  
Temperature Changes ◽  
Average Temperature ◽  
The Past ◽  
Reconstructed Temperature ◽  
Line Temperature

We have reconstructed temperature changes over the past 15 000 years from ice-core data in Antarctica. We used measurements of the D/H isotope ratio in ice as a proxy of temperature for central sites (Vostok, Dome C and Komsomolskaya; as well as coastal sites (D47, D15 and D10). First, we examined the dating of each core and built up a common temporal framework for the ensemble of the data. Secondly, we addressed the problem of inferring small-amplitude temperature fluctuations from the isotope data, in the light of noise-generating mechanisms involved in snow deposition. Temperature was reconstructed so as to minimize distortion created by the sampling of ice cores in the field. The seven ice cores studied yield an average temperature curve which can be put in perspective with nearby paleoclimatic records. The early Holocene experienced climates warmer than today by 1-2°C. The late Holocene period shows more discernible, shorter-duration, temperature fluctuations, superimposed on a fairly stable "base-line" temperature.

Sign in / Sign up

Export Citation Format

Share Document