Induced Bone Tissue Temperature in Drilling Procedures: A Comparative Laboratory Study with and without Lubrication

In orthopedic surgery there are various situations in
which the surgeon needs to implement methods of cutting and
drilling the bone. With this type of procedure the generated friction
leads to a localized increase in temperature, which may lead to the
bone necrosis. Recognizing the importance of studying this
phenomenon, an experimental evaluation of the temperatures
developed during the procedure of drilling bone has been done.
Additionally the influence of the use of the procedure with / without
additional lubrication during drilling of bone has also been done. The
obtained results are presented and discussed and suggests an
advantage in using additional lubrication as a way to minimize the
appearance of bone tissue necrosis during bone drilling procedures.





References:
[1] S. Karmani, - “The thermal properties of bone and the effects of surgical
intervention”, Current Orthopaedics, Vol. 20: 52–58, 2006.
[2] A., Berman, J., Reid, J., Yanicko, G., Zimmerman, - “Thermally
Induced Bone Necrosis in Rabbits. Relation to Implant Failure in
Humans”, Clin. Orthop. Relat. Res., Vol. 186: 284-292, Jun 1984.
[3] J.,Lundskog, - “Heat and Bone Tissue”, Scand. Journal Plast. And
Reconstructive Surgery, Vol. 9: 1-80, 1972.
[4] R.,Eriksson, R., Adell – “Temperature during drilling for placement of
implants using osseointegration technique”, J. Oral Maxillofac Surg,
Vol. 44:4–7, 1986.
[5] R., Eriksson, T. Albrektsson, B. Albrektsson, - “Heat caused by cortical
one drilling. Temperatures measured in vivo in patients and animals”,
Acta Othop Scand, Vol.55: 629–31, 1984.
[6] V., Kalidindi, - Optimization of drill design and coolant systems during
dental implant surgery, PhD thesis, University of Kentucky, 2004.
[7] F., Incropera, D., DeWitt, - “Fundamentals of Heat and Mass Transfer”,
John Wiley & Sons, ISBN 0-471-30460-3, 1996.
[8] L., Stumme, T., Baldini, E., Jonassen, J., Bach. - “Emissivity of Bone”,
Summer Bioengineering Conference, 1013-1014, June 25-29, Sonesta
Beach Resort in Key Biscayne, Florida, USA, 2003.