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Progress in Excision Methods of Bone Materials
Dongxue Liu1, Yihua Feng1, Fei Wang1
1Qilu University of Technology (Shandong Academy of Sciences), School of Mechanical and Automotive Engineering, Jinan 250353, China.
Critical Reviews in Biomedical Engineering
|February 3, 2023
Summary
Bone resection methods like mechanical and ultrasonic osteotomy can damage bone, impacting healing. Optimizing cutting conditions and exploring advanced techniques like ultrasonic cutting are key to minimizing this damage for better bone regeneration.
Area of Science:
- Surgical techniques
- Biomaterials engineering
- Orthopedic surgery
Background:
- Bone resection is crucial in surgery but causes material damage, hindering bone healing.
- Current methods include contact (mechanical, ultrasonic) and non-contact (laser) osteotomy.
- Understanding machining damage is vital for improving surgical outcomes.
Approach:
- Reviewed bone excision techniques: mechanical, laser, and ultrasonic osteotomy.
- Focused on traditional drilling versus prospective ultrasonic cutting.
- Analyzed machining variables (temperature, feed rate, speed, frequency) for optimal cutting conditions.
Key Points:
- All bone excision methods cause processing damage, affecting natural bone healing.
- Optimizing machining variables is essential for reducing damage.
- Ultrasonic cutting presents a prospective alternative to traditional drilling.
Conclusions:
- Significant differences exist between bone excision methods.
- Future trends focus on advanced osteotomy technologies and precise condition control.
- Minimizing machining damage is critical for enhanced bone healing post-resection.

