Parameters affecting mechanical and thermal responses in bone drilling: A review

Area of Science:

• Biomedical Engineering
• Orthopedic Surgery
• Materials Science

Background:

• Surgical bone drilling is crucial for orthopedic procedures, including fracture repair, prosthetic implantation, and therapeutic interventions.
• A key challenge is creating bone defects and receiving holes without causing mechanical or thermal damage to surrounding bone tissue.

Purpose of the Study:

• To comprehensively review experimental and theoretical studies on bone drilling.
• To investigate parameters influencing mechanical and thermal effects during bone drilling.
• To identify optimal parameter ranges for minimizing complications.

Main Methods:

• Literature review of experimental and theoretical studies on bone drilling.
• Analysis of bone structure, drill-bit geometry, operating conditions, and material evacuation.
• Evaluation of mechanical and thermal effects and their impact on drilling performance.

Main Results:

• Identified critical parameters affecting bone drilling outcomes.
• Analyzed the interplay between mechanical forces and thermal generation.
• Determined favorable ranges for key parameters to mitigate adverse effects.

Conclusions:

• A thorough understanding of mechanical and thermal aspects is essential for safe and effective bone drilling.
• Optimizing drilling parameters can significantly reduce iatrogenic bone damage.
• This review provides a foundation for developing improved bone drilling techniques and protocols.