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Drilling of bone: A comprehensive review
Rupesh Kumar Pandey1, S S Panda2
1PhD Student, Indian Institute of Technology Patna, Department of Mechanical Engineering, Patna 800013, Bihar, India.
Journal of Clinical Orthopaedics and Trauma
|September 26, 2015
Summary
Improving bone drilling is crucial for fracture fixation. Research highlights key drilling parameters and drill specifications that require further investigation to optimize surgical outcomes and prevent thermal osteonecrosis.
Area of Science:
- Orthopaedic Surgery
- Biomedical Engineering
- Materials Science
Background:
- Bone fracture treatment requires immobilization, often achieved through surgical drilling for screw fixation.
- Orthopaedic drilling can elevate bone temperature and forces, potentially leading to osteonecrosis and compromising fixation stability.
Purpose of the Study:
- To systematically review existing research on bone drilling in orthopaedic surgery.
- To identify critical factors influencing bone drilling and areas for future improvement.
Main Methods:
- Comprehensive literature review of investigations on bone drilling.
- Comparison of experimental methods, results, and conclusions from various studies.
Main Results:
- Significant potential exists for enhancing bone drilling techniques.
- Key drilling parameters and drill specifications lack universal agreement or adequate evaluation.
- Advanced drilling methods and precise experimental setups are recommended.
Conclusions:
- Systematic organization of bone drilling research provides a foundation for future work.
- Further research is needed on thermal osteonecrosis thresholds, influencing parameters, and temperature measurement techniques.
- Development of automated bone drilling systems can minimize human error and improve precision.
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