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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Numerical evaluation of sequential bone drilling strategies based on thermal damage
TL;DR: The feasibility of using the proposed model to study clinical issues and find potential solutions prior to clinical trials is demonstrated, showing that the ideal solution would be using twist drills rather than Kirschner wires if the situation allows.
Journal ArticleDOI
Investigation, sensitivity analysis, and multi-objective optimization of effective parameters on temperature and force in robotic drilling cortical bone.
TL;DR: A mathematical second-order linear regression model as a function of tool drilling speed, feed rate, tool diameter, and their effective interactions is introduced to predict temperature and force during the bone drilling process, and for the first time, Sobol statistical sensitivity analysis is used to ascertain the effect of process input parameters on processTemperature and force.
Journal ArticleDOI
Simulation study on effect of cutting parameters and cooling mode on bone-drilling temperature field of superhard drill
TL;DR: In this paper, two medical drill designs with different geometrical shapes were designed by using superhard materials to overcome strong drilling force and significantly high temperature during orthopedic surgery.
Journal ArticleDOI
Analysis of fracture, force, and temperature in orthogonal elliptical vibration-assisted bone cutting.
Liming Shu,Naohiko Sugita +1 more
TL;DR: These findings prove that the EVA could allow for low-trauma bone cutting in orthopedic surgery and demonstrate that the elliptical vibration could effectively control the direction of crack propagation.
Journal ArticleDOI
A novel self-centring drill bit design for low-trauma bone drilling
TL;DR: The proposed design provides an effective tool to achieve low-trauma bone drilling in orthopaedic surgery and significantly reduced the drilling force, temperature, and damage and also improved the position accuracy of the holes compared to the conventional drill design.
References
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Book
Metal Cutting Theory and Practice
TL;DR: Turning Boring Drilling Reaming Milling Planing and Shaping Broaching Tapping and Threading Grinding and Related Abrasive Processes Roller Burnishing Deburring Examples Problems References MACHINE TOOLS Introduction Production Machine Tools CNC Machine Tools and Cellular Manufacturing Systems Machine Tool Structures Slides and Guideways Axis Drives Spindles Coolant Systems Tool Changing Systems.