Experimental and numerical investigations of bone drilling for the indication of bone quality during orthopaedic surgery (original) (raw)
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Drilling of bone: A comprehensive review
Journal of Clinical Orthopaedics and Trauma, 2013
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.
Drilling resistance: A method to investigate bone quality
Acta of bioengineering and biomechanics, 2017
Bone drilling is a major part of orthopaedic surgery performed during the internal fixation of fractured bones. At present, information related to drilling force, drilling torque, rate of drill-bit penetration and drill-bit rotational speed is not available to orthopaedic surgeons, clinicians and researchers as bone drilling is performed manually. This study demonstrates that bone drilling force data if recorded in-vivo, during the repair of bone fractures, can provide information about the quality of the bone. To understand the variability and anisotropic behaviour of cortical bone tissue, specimens cut from three anatomic positions of pig and bovine were investigated at the same drilling speed and feed rate. The experimental results showed that the drilling force does not only vary from one animal bone to another, but also vary within the same bone due to its changing microstructure. Drilling force does not give a direct indication of bone quality; therefore it has been correlated...
Quantitative Analysis of Force and Torque in Bone Drilling
The Journal of Engineering Research [TJER]
Bone drilling is an important and the most frequent operation in orthopaedics and other bone surgical procedures. Prediction and control of drilling force and torque are critical to safe and efficient surgeries. This paper studies the drilling force and torque arising from bone drilling process. Drilling parameters such as drilling speed, feed rate, drill size and drill condition (sharp and worn) were changed to measure the force and torque in the direction of the drill penetration. Experimental results demonstrated lower drilling force using a sharp drill compared to a worn drill for similar drilling conditions. Contrary to the drilling force, lower torque was measured using a worn drill compared to a sharp drill. The drilling force was found to decrease with increase in drill speed and increased with rise in the feed rate using both types of drills. A linear drop in drilling torque was measured with increase in drilling speed. This study provided scientific information to orthopae...
Comprehensive analysis on orthopedic drilling: A state-of-the-art review
Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 2020
Bone drilling is a well-known internal fixation procedure to drill a hole, fixing the bone fragments to reduce the susceptibility of permanent paralysis. The success of bone drilling is evaluated based on the extent of osteonecrosis in terms of heat generation, tissue damage, quality of hole, and drilling forces. The appropriate control of cutting conditions, drill geometric parameters, and bone-specific parameters offer bone drilling a viable solution through conventional and non-conventional drilling techniques. The majority of the published research work considers only limited parameters and tries to optimize the drilling parameters and performance measures. However, bone drilling involves numerous conventional and non-conventional drilling parameters and technologies. In order to develop a better understanding of all the studied parameters and performance measures, there is a dire need to develop a framework. The key objective of this review study is to establish a hierarchy of ...
Modeling and experimentation of bone drilling forces
Journal of Biomechanics, 2012
Prediction and control of bone drilling forces are critical to the success of many orthopaedic operations. Uncontrolled and large forces can cause drill-bit breakage, drill breakthrough, excessive heat generation, and mechanical damage to the bone. This paper presents a mechanistic model for prediction of thrust forces and torques experienced during bone drilling. The model incorporates the radially varying drill-bit geometry and cutting conditions analytically, while capturing the material and friction properties empirically through a specific energy formulation. The forces from the chisel edge are modeled by considering the indentation process that occurs in the vicinity of the drill-bit axis. A procedure is outlined to calibrate the specific energies, where only a small number of calibration experiments are required for a wide range of drilling conditions and drill-bit geometry. The calibration parameters for the cortical portions of bovine tibia are identified through drilling tests. Subsequently, a series of validation tests are conducted under different feed rates and spindle speeds. The thrust forces and torques were observed to vary considerably between bones from different animals. The forces from the model were seen to match well with those from the experimentation within the inherent variations from the bone characteristics. The model can be used to select favorable drilling conditions, to assist in robotic surgeries, and to design optimal orthopaedic drill bits.
Drilling in Bone: Limitations and Damage Control by Drill Specifications and Parameters
JOURNAL OF MECHANICS OF CONTINUA AND MATHEMATICAL SCIENCES, 2020
Drilling in bone is an inevitable operation performed to join damaged bone during accidents. Drilling facilitates use of screws and plates and in this immobilisation of bone is achieved which is a primary requirement for natural bone growth and re-joining. To study bone drilling, threshold temperature [VI] has to be the prime concern and accordingly drilling parameters and specifications are to be selected otherwise irreversible[III] bone damage can occur. In this study, drilling process is conducted on a sheep bone and optimization of drilling parameters is suggested using Taguchi and ANOVA method, so that the cell damage can be on lower side. To control thermal necrosis an intelligent drilling machine is also proposed.
Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 2000
Bone drilling is a major part of modern orthopaedic surgery which involves the internal fixation of fractured bones. The investigation of bone drilling described in this paper demonstrates the contribution of automation technology towards the study of bone strength. The aim of this preliminary investigation is to establish a relationship between bone drilling forces and measurements of bone mineral density (BMD) by dual energy X-ray absorptiometry (DXA). A linear relationship with a high coefficient of correlation has been found between average drilling forces and BMD measurements at both the greater trochanter and the femoral head of porcine femurs when drilling in the anterior-posterior (AP) direction (i.e. the direction of the DXA scan). It has also been found that in the normal drilling direction (i.e. in the cervical axis direction), which is orthogonal to the DXA scanning direction, there are similar trends between the drilling forces and BMD levels in regions where bone densi...
Effect of drill speed on the strain distribution during drilling of bovine and human bones
Journal of Mechanical Engineering and Biomechanics, 2018
Drilling is an operation commonly required in orthopaedic surgery for insertion of screws and internal fixation of bone fractures. Induced damage is one of the undesired effects of drilling mainly due to the use of inadequate drilling parameters. During the recent years, scientists have been trying to describe the relationship between drilling parameters and bone injury. However, no studies have examined the level of strain generated in the bone during the drilling process. This paper focuses on the analysis of different drill speeds during drilling of fresh bovine femora and human cadaveric tibiae. The main contribution of this work is to determine how differences in applied drill speeds affect the strain of cortical tissue near the drilling site and the drill bit temperature. Strains were measured in ex-vivo material during the osteotomy preparation with three drill speeds (520, 900 and 1370 r.p.m.). Additionally, a thermographic camera was used to measure the drill bit temperature. As the drilling operations are blind in nature with unknown depth, the osteotomies were performed using a drill press machine without control of the feed rate or depth. Drill bit geometry was kept constant with 4 mm of diameter, point angle 120⁰ and helix angle 30⁰. The tests were conducted at room temperature without applying cooling at the drilling zone. Bone strains near to the drilling sites were recorded with high accuracy using linear strain gages mounted around the diaphyseal cortex. It was noted that the bone strain and drill bit temperature increased with an increasing drill speed. Human and bovine bone samples presented significantly different levels of strain and temperature. Both strain and temperature were higher when drilling bovine femora than when drilling human cadaveric tibiae.
Finite element modeling and experimentation of bone drilling forces
Journal of Physics: Conference Series, 2013
Bone drilling is an essential part of many orthopaedic surgery procedures, including those for internal fixation and for attaching prosthetics. Estimation and control of bone drilling forces are critical to prevent drill breakthrough, excessive heat generation, and mechanical damage to the bone. This paper presents a 3D finite element (FE) model for prediction of thrust forces experienced during bone drilling. The model incorporates the dynamic characteristics involved in the process along with the accurate geometrical considerations. The average critical thrust forces and torques obtained using FE analysis, for set of machining parameters are found to be in good agreement with the experimental results.