Mohamed Mediouni1, Theodore Kucklick2, Sébastien Poncet3, Riadh Madiouni4, Amine Abouaomar5, Henning Madry6, Magali Cucchiarini6, Bohdan Chopko7, Neil Vaughan8, Manit Arora9, Kemal Gökkuş10, Mario Lozoya Lara11, Lorenlay Paiva Cedeño12, Alexander Volosnikov13, Mohamed Hesmati14, Kevin Ho15. 1. O3DC, Sherbrooke, Québec, Canada. 2. Cannuflow Inc., Campbell, CA, USA. 3. Mechanical Engineering Department, Université de Sherbrooke, Sherbrooke, QC, Canada. 4. University of Paris-Est Créteil, Vitry sur Seine, France. 5. Bureau 1, Imm Al Redouane, Kenitra, Morocco. 6. Saarland University Medical Center, Homburg, Germany. 7. Ohio Health Mansfield Hospital, Mansfield, OH, USA. 8. Department of Computer Science, University of Chester, Chester, UK. 9. Department of Orthopaedics and Sports Medicine, Fortis Hospital, Chandigarh, India. 10. Department of orthopaedics, Memorial Antalya, Antalya, Turkey. 11. Departement of orthopaedics, Hospital Santa Rita, Michoacán, Mexico. 12. Departement of orthopaedics, Francisco de Miranda Experimental University, Falcón, Venezuela. 13. Restorative Traumatology and Orthopaedics of Ministry of Healthcare Kurgan, Federal State Budgetary Institution Russian Ilizarov Scientific Center, Kurgan, Russia Region. 14. Departement of orthopaedics, Tehran University Medical of Sciences, Tehran, Iran. 15. University of Western Australia, Perth, Australia.
Abstract
Introduction: Many orthopaedic procedures require drilling of bone, especially fracture repair cases. Bone drilling results in heat generation due to the friction between the bone and the drill bit. A high-level of heat generation kills bone cells. Bone cell death results in resorption of bone around bone screws. Methods: We searched in the literature for data on parameters that influence drilling bone and could lead to thermal necrosis. The points of view of many orthopaedists and neurosurgeons based upon on previous practices and clinical experience are presented. Results: Several potential complications that lead to thermal necrosis are discussed and highlighted.Discussion: Even in the face of growing evidence as to the negative effects of heat induction during drilling, simple and effective methods for monitoring and cooling in real-time are not in widespread usage today. For that purpose, we propose some suggestions for the future of bone drilling, taking note of recent advances in autonomous robotics, intelligent systems and computer simulation techniques.Conclusions: These advances in prevention of thermal necrosis during bone drilling surgery are expected to reduce the risk of patient injury and costs for the health service.
Introduction: Many orthopaedic procedures require drilling of bone, especially fracture repair cases. Bone drilling results in heat generation due to the friction between the bone and the drill bit. A high-level of heat generation kills bone cells. Bone cell death results in resorption of bone around bone screws. Methods: We searched in the literature for data on parameters that influence drilling bone and could lead to thermal necrosis. The points of view of many orthopaedists and neurosurgeons based upon on previous practices and clinical experience are presented. Results: Several potential complications that lead to thermal necrosis are discussed and highlighted.Discussion: Even in the face of growing evidence as to the negative effects of heat induction during drilling, simple and effective methods for monitoring and cooling in real-time are not in widespread usage today. For that purpose, we propose some suggestions for the future of bone drilling, taking note of recent advances in autonomous robotics, intelligent systems and computer simulation techniques.Conclusions: These advances in prevention of thermal necrosis during bone drilling surgery are expected to reduce the risk of patientinjury and costs for the health service.
Entities:
Keywords:
Osteonecrosis; drilling; finite element analysis; machine learning; water jet
Authors: William F Sherman; Travis R Flick; Charles S Dranoff; Matthew J Weintraub; Nisha N Kale; Corinne Sommi; Fernando L Sanchez Journal: Arthroplast Today Date: 2021-01-11