Drilling of bone: A comprehensive review.
Rupesh Kumar Pandey,S.S. Panda +1 more
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TLDR
This review suggests that the further improvement in the area of bone drilling is possible and several consequential factors affecting bone drilling on which there no general agreement among investigators or are not adequately evaluated are identified.Abstract:
Background Bone fracture treatment usually involves restoring of the fractured parts to their initial position and immobilizing them until the healing takes place. Drilling of bone is common to produce hole for screw insertion to fix the fractured parts for immobilization. Orthopaedic drilling during surgical process causes increase in the bone temperature and forces which can cause osteonecrosis reducing the stability and strength of the fixation. Methods A comprehensive review of all the relevant investigations carried on bone drilling is conducted. The experimental method used, results obtained and the conclusions made by the various researchers are described and compared. Result Review suggests that the further improvement in the area of bone drilling is possible. The systematic review identified several consequential factors (drilling parameters and drill specifications) affecting bone drilling on which there no general agreement among investigators or are not adequately evaluated. These factors are highlighted and use of more advanced methods of drilling is accentuated. The use of more precise experimental set up which resembles the actual situation and the development of automated bone drilling system to minimize human error is addressed. Conclusion In this review, an attempt has been made to systematically organize the research investigations conducted on bone drilling. Methods of treatment of bone fracture, studies on the determination of the threshold for thermal osteonecrosis, studies on the parameters influencing bone drilling and methods of the temperature measurement used are reviewed and the future work for the further improvement of bone drilling process is highlighted.read more
Citations
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Surface Modification of AISI 440B Stainless Steel and its Influence on Surgical Drill Bits Performance
M. Łępicka,M. Grądzka-Dahlke +1 more
Journal ArticleDOI
Thermal Changes of Bone Induced during Drilling for Dental Implants Placement: An In Vitro Study
Alexandru Andrei Iliescu,Cristian Marian Petcu,Răzvan MercuŢ,Mihaela Georgiana Iliescu,Ileana Cristiana Petcu,Irina Maria Gheorghiu,Tiberiu Ţârcă,Paula Perlea +7 more
TL;DR: The Infrared Thermography Proved to be a high Accurate, Fast, and Efficient Non-Invasive Method of Bone Temperature Measurement Generated during Drilling for Placement of Dental Implants.
Journal ArticleDOI
Assessment of Coolant Delivery Techniques for Irrigation During Bone Drilling: A Cadaveric Observation.
TL;DR: It is reported that temperature above 47C for one minute is the critical threshold for bone necrosis, and modification of drill bits designs, drilling techniques, and use of coolant has been recommended to lower this risk.
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Influence of drilling parameters on bone drilling force and temperature by FE simulation and parameters optimization based Taguchi method
TL;DR: In this article , a finite element (FE) simulation of bone drilling for cortical and cancellous bone, analyzing the influence of drilling parameters on bone drilling force and temperature, was presented, and the Taguchi method was applied to conduct bone drilling simulation experiments based on the FE simulation model.
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Evaluation of the Temperature Values in the Use of Different Types of Burs
TL;DR: In this paper , the authors measured the amount of released head by recording it with a thermal camera during the osteotomies made utilizing round, fissure and lindemann burs to the synthetic bone blocks to simulate the mandible ramus region.
References
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Metal Cutting Theory and Practice
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