Orthopaedic bone drills - Can they be improved? Temperature changes near the drilling face

被引:117
作者
Natali, C [1 ]
Ingle, P [1 ]
Dowell, J [1 ]
机构
[1] BROOMFIELD HOSP,BROOMFIELD CM1 5ET,ESSEX,ENGLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1996年 / 78B卷 / 03期
关键词
D O I
10.1302/0301-620X.78B3.0780357
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We studied the various drill bits available for engineering purposes, and compared them with standard orthopaedic drill bits, using continuous temperature recording at 0.5 mm, 1.0 mm and 1.5 mm from the edge of a 2.5 mm hole as it was drilled in fresh cadaver human tibia, We found that some commercially available drill bits performed better than their orthopaedic equivalents, producing significantly less thermal injury to the surrounding bone and halving the force required for cortical penetration, Our work suggests that the optimal bit for orthopaedic purposes should have a split point and a quick helix, Theoretical knowledge of cutting technology predicts that the addition of a parabolic flute will further reduce thermal damage, Further work is being done on other drill sizes used in orthopaedic practice and on new custom-designed bits.
引用
收藏
页码:357 / 362
页数:6
相关论文
共 8 条
[1]  
ANDRIANNE Y, 1987, ORTHOPEDICS, V10, P1507
[2]   ULTRASONIC ENERGY AND SURGICALLY PRODUCED DEFECTS IN BONE [J].
ARDAN, NI ;
JANES, JM ;
HERRICK, JF .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1957, 39 (02) :394-402
[3]  
BONFIELD W, 1968, Journal of Biomechanics, V1, P323, DOI 10.1016/0021-9290(68)90026-2
[4]   OPTIMIZATION OF DRILL FOR USE IN MEDICINE [J].
FUCHSBERGER, A .
ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE, 1987, 125 (03) :290-297
[5]   THE THERMAL EFFECTS OF SKELETAL FIXATION-PIN INSERTION IN BONE [J].
MATTHEWS, LS ;
GREEN, CA ;
GOLDSTEIN, SA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1984, 66A (07) :1077-1083
[6]   TEMPERATURES MEASURED IN HUMAN CORTICAL BONE WHEN DRILLING [J].
MATTHEWS, LS ;
HIRSCH, C .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1972, A 54 (02) :297-&
[7]   SURGICAL DRILLING - DESIGN AND PERFORMANCE OF AN IMPROVED DRILL [J].
SAHA, S ;
PAL, S ;
ALBRIGHT, JA .
JOURNAL OF BIOMECHANICAL ENGINEERING-TRANSACTIONS OF THE ASME, 1982, 104 (03) :245-252