Heat generation during bone cutting by sagittal saw may lead to temperature rise and possible incidence of thermal necrosis. The aim of the present research is to examine the effect of saw blade oscillation rate, blade feed rate, and irrigation by physiological saline solution on the bone temperature rise during sawing in order to determine the desired conditions for reducing the extent of thermal damage. For this purpose, empirical tests of bovine femur cutting were performed in 15 states, including five levels for the blade oscillation rate (10,000–18,000 cpm with 2000 cpm intervals) and three levels for the feed rate (10–30 mm.min−1 with 10 mm.min−1 intervals) for dry conditions; and five states, including five levels for the blade oscillation rate (10,000–18,000 cpm with 2000 cpm intervals) and one level in feed rate of 20 mm.min−1 for the irrigation conditions. The results indicated that the bone temperature rise had a direct relationship with the blade oscillation rate and an inverse relationship with its feed rate. In the state of no cooling, the minimum temperature rise (Δ T = 65.45°C) occurred at the blade speed of 10,000 cpm and feed rate of 30 mm.min−1, while in the state of sawing with irrigation, the temperature rise almost did not exceed the allowable range (Δ T ≤ 10°C). The results suggested that to lower the possibility of incidence of osteonecrosis in the bone resection by sagittal saw, cooling with physiological saline solution or application of the minimum blade oscillation rate and maximum feed rate is recommended.
One of the main challenges in skull base tumor removal is the thermal damages that occur in response to grinding the skull bone. During this process, temperature rise occurs at the site of bone grinding, and may cause irreversible thermal damage to the bone, nerves, and arteries. The aim of the present research is to study temperature changes during high-speed grinding of bone via infrared thermography to determine the threshold of high-speed cutting range (HSC-range) in order to achieve the minimum temperature rise and minimize the resulting thermal damages. Experimental tests have been performed in 75 states using the parameters of cutting speed (25 states) and feed rate (3 states) on bovine femur samples. The temperature changes of bone have been measured through infrared thermography. The results indicated that temperature rise had a direct relationship with the tool feed rate. Further, the cutting speed of 250 m.min− 1 at different feed rates was the HSC-range threshold, after which a descending trend of temperature rise emerged; each led to the minimum temperature rise and beyond HSC-range, the temperature rise found an ascending trend. Thus, in order to reduce the thermal damage in neurosurgical bone grinding, the following parameters are suggested as follows: cutting speed 350–425 m.min− 1 for the feed rate 20 mm.min− 1 (ΔT = 4.8–8.5°C ); cutting speed 500–550 m.min− 1 for the feed rate 30 mm.min− 1 (ΔT = 7.2–9.3°C), and cutting speed 650–675 m.min− 1 for the feed rate 40 mm.min− 1 (ΔT = 10-12.5°C).
One of the main challenges in skull base tumor removal is the thermal damages that occur in response to grinding the skull bone. During this process, temperature rise occurs at the site of bone grinding, and may cause irreversible thermal damage to the bone, nerves, and arteries. The aim of the present research is to study temperature changes during high-speed grinding of bone via infrared thermography to determine the threshold of high-speed cutting range (HSC-range) in order to achieve the minimum temperature rise and minimize the resulting thermal damages. Experimental tests have been performed in 75 states using the parameters of cutting speed (25 states) and feed rate (3 states) on bovine femur samples. The temperature changes of bone have been measured through infrared thermography. The results indicated that temperature rise had a direct relationship with the tool feed rate. Further, the cutting speed of 250 m.min-1 at different feed rates was the HSC-range threshold, after which a descending trend of temperature rise emerged; each led to the minimum temperature rise and beyond HSC-range, the temperature rise found an ascending trend. Thus, in order to reduce the thermal damage in neurosurgical bone grinding, the following parameters are suggested as follows: cutting speed 350-425 m.min-1 for the feed rate 20 mm.min-1 (ΔT= 4.8-8.5°C ); cutting speed 500-550 m.min-1 for the feed rate 30 mm.min-1 (ΔT= 7.2-9.3°C), and cutting speed 650-675 m.min-1 for the feed rate 40 mm.min-1 (ΔT= 10-12.5°C).
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