Effect of drill speed on bone temperature

Abouzgia, Mustafa B.; Symington, J.M.

doi:10.1016/s0901-5027(06)80040-8

Cited by 122 publications

(68 citation statements)

References 9 publications

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“…Drill-bits are also used in the preparation of bony tunnels, such as in anterior cruciate ligament reconstruction. Drilling is associated with the conversion of mechanical work energy into thermal energy causing a transient rise in temperature of adjacent bone and soft tissues to above normal physiological levels (Matthews and Hirsch 1972;Lavelle and Wedgwood 1980;Eriksson and Albrektsson 1984;Eriksson, Albrektsson et al 1984b;Abouzgia and Symington 1996;Natali, Ingle et al 1996;Toews, Bailey et al 1999;Bachus, Rondina et al 2000;Davidson and James 2003;Augustin, Davila et al 2008;Franssen, van Diest et al 2008;Bertollo, Milne et al 2010). Primary sources of this thermal energy are plastic deformation and shear failure of bone and friction at the machining face.…”

Section: Introductionmentioning

confidence: 99%

Drilling of Bone: Practicality, Limitations and Complications Associated with Surgical Drill-Bits

Bertollo¹,

Walsh²

2011

Biomechanics in Applications

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Section: Introductionmentioning

confidence: 99%

Drilling of Bone: Practicality, Limitations and Complications Associated with Surgical Drill-Bits

Bertollo¹,

Walsh²

2011

Biomechanics in Applications

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“…Augustin et al reported in their review of cortical drilling a threshold level for bone survival during implant site preparation of 47°C with a drilling time below one minute [8]. Externally applied cooling with saline solution, an increase in applied feed-rate and increased rotational speed of the drill led to a smaller increase in temperature at the bone surface [15][16][17][18]. Stability of osteosynthesis was reduced with thermally damaged bone tissue possibly due to reabsorption phenomena around the screws [19].…”

Section: Introductionmentioning

confidence: 99%

Different thermal conductivity in drilling of cemented compared with cementless hip prostheses in the treatment of periprosthetic fractures of the proximal femur—an experimental biomechanical analysis

Brand

Klotz²,

Hassel³

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to evaluate the different temperature levels whilst drilling cemented and cementless hip prostheses implanted in bovine femora, and to evaluate the insulating function of the cement layer. Methods Standard hip prostheses were implanted in bovine donor diaphyses, with or without a cement layer. Drilling was then performed using high-performance-cutting drills with a reinforced core, a drilling diameter of 5.5 mm and cooling channels through the tip of the drill for constantly applied internal cooling solution. An open type cooling model was used in this setup. Temperature was continuously measured by seven thermocouples placed around the borehole. Thermographic scans were also performed during drilling. Results At the cemented implant surface, the temperature never surpassed 24.7°C when constantly applied internal cooling was used. Without the insulating cement layer (i.e. during drilling of the cementless bone-prosthesis construct), the temperature increased to 47°C. Conclusion Constantly applied internal cooling can avoid structural bone and soft tissue damage during drilling procedures. With a cement layer, the temperatures only increased to non-damaging levels. The results could be useful in the treatment of periprosthetic fractures with intraprosthetic implant fixation.

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“…Another study indicated an increase in drilling temperature when using a blunt drill. Matthews et al demonstrated a reduction of drilling temperature by increasing feed forces as the most important factor for heat development during drilling [18][19][20][21]. With a gain of the feed forces by 20 N to 120 N, they achieved a temperature reduction from 80°C to 50°C and a reduction of drilling time.…”

Section: Discussionmentioning

confidence: 99%

Temperature control with internally applied cooling in solid material drilling: an experimental, biomechanical study

Brand

Klotz²,

Petri

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to evaluate the different temperature levels while drilling solid materials and to compare different cooling solutions for possible temperature control. An additional purpose was to develop an internal cooling device which can be connected to routinely used manual drilling devices in trauma surgery. Methods Drilling was performed on a straight hip stem implanted in bovine femora without cooling, with externally applied cooling and with a newly developed internal cooling device. Temperature changes were measured by seven thermocouples arranged near the borehole. Additionally, thermographic scans were performed during drilling.

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Effect of drill speed on bone temperature

Cited by 122 publications

References 9 publications

Drilling of Bone: Practicality, Limitations and Complications Associated with Surgical Drill-Bits

Drilling of Bone: Practicality, Limitations and Complications Associated with Surgical Drill-Bits

Different thermal conductivity in drilling of cemented compared with cementless hip prostheses in the treatment of periprosthetic fractures of the proximal femur—an experimental biomechanical analysis

Temperature control with internally applied cooling in solid material drilling: an experimental, biomechanical study

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