Heat accumulation during sequential cortical bone drilling

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
Andrew C PalmisanoJames Holmes

Abstract

Significant research exists regarding heat production during single-hole bone drilling. No published data exist regarding repetitive sequential drilling. This study elucidates the phenomenon of heat accumulation for sequential drilling with both Kirschner wires (K wires) and standard two-flute twist drills. It was hypothesized that cumulative heat would result in a higher temperature with each subsequent drill pass. Nine holes in a 3 × 3 array were drilled sequentially on moistened cadaveric tibia bone kept at body temperature (about 37 °C). Four thermocouples were placed at the center of four adjacent holes and 2 mm below the surface. A battery-driven hand drill guided by a servo-controlled motion system was used. Six samples were drilled with each tool (2.0 mm K wire and 2.0 and 2.5 mm standard drills). K wire drilling increased temperature from 5 °C at the first hole to 20 °C at holes 6 through 9. A similar trend was found in standard drills with less significant increments. The maximum temperatures of both tools increased from <0.5 °C to nearly 13 °C. The difference between drill sizes was found to be insignificant (P > 0.05). In conclusion, heat accumulated during sequential drilling, with size difference being insignifica...Continue Reading

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Citations

May 18, 2017·Hand : Official Journal of the American Association for Hand Surgery·Scott Richard AndersonMontri D Wongworawat
Mar 30, 2019·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Yue ZhangJacky Chen
Mar 25, 2019·The Veterinary Record·Kinley Smith
Aug 30, 2020·Annals of Biomedical Engineering·Mohd Faizal Ali Akhbar, Akmal Wani Sulong
Jul 4, 2020·JBJS Case Connector·Yuet Peng Khor, Yuhan Chee
Sep 16, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takehito HiroseKen Nakata

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