Cortical bone drilling and thermal osteonecrosis

Augustin, Goran and Zigman, Tomislav and Davila, Slavko and Udiljak, Toma and Staroveški, Tomislav and Brezak, Danko and Babić, Slaven (2012) Cortical bone drilling and thermal osteonecrosis. = Cortical bone drilling and thermal osteonecrosis. Clinical Biomechanics, 27 (4). pp. 313-325. ISSN 0268-0033. Vrsta rada: ["eprint_fieldopt_article_type_article" not defined]. Kvartili JCR: Q2 (2012). Točan broj autora: 7.

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Background: Bone drilling is a common step in operative fracture treatment and reconstructive surgery. During drilling elevated bone temperature is generated. Temperatures above 47 °C cause thermal osteonecrosis which contributes to screw loosening and subsequently implant failures and refractures. Methods: The current literature on bone drilling and thermal osteonecrosis is reviewed. The methodologies involved in the experimental and clinical studies are described and compared. Findings: Areas which require further investigation are highlighted and the potential use of more precise experimental setup and future technologies are addressed. Interpretation: Important drill and drilling parameters that could cause increase in bone temperature and hence thermal osteonecrosis are reviewed and discussed: drilling speed, drill feed rate, cooling, drill diameter, drill point angle, drill material and wearing, drilling depth, pre-drilling, drill geometry and bone cortical thickness. Experimental methods of temperature measurement during bone drilling are defined and thermal osteonecrosis is discussed with its pathophysiology, significance in bone surgery and methods for its minimization.

Item Type: Article (["eprint_fieldopt_article_type_article" not defined])
Keywords (Croatian): bone drilling; bone surgery; clinical study; cortical bone; cortical thickness; drill geometry; drill point; drilling parameters; drilling speed; experimental methods; experimental setup; feed-rates; fracture treatment; future technologies; implant failures; osteonecrosis; parameters; pathophysiology; reconstructive surgery; drilling; drills; temperature; temperature measurement; bone; bone necrosis; bone remodeling; cooling; cortical bone; drill; endoprosthesis loosening; geometry; human; measurement; pathophysiology; plastic surgery; priority journal; review; temperature; temperature dependence; thermal osteonecrosis; thickness; bone and bones; burns; humans; models; biological; osteonecrosis; osteotomy
Divisions: 1200 Department of Technology > 1230 Chair of Machine Tools
900 Department of Robotics and Production System Automation > 910 Chair of Engineering Automation
Indexed in Web of Science: Yes
Indexed in Current Contents: Yes
Quartiles: Q2 (2012)
Date Deposited: 27 Apr 2015 12:53
Last Modified: 15 Nov 2018 13:32

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