Bone drilling is a well-known internal fixation procedure to drill a hole, fixing the bone fragments to reduce the susceptibility of permanent paralysis. The success of bone drilling is evaluated based on the extent of osteonecrosis in terms of heat generation, tissue damage, quality of hole, and drilling forces. The appropriate control of cutting conditions, drill geometric parameters, and bone-specific parameters offer bone drilling a viable solution through conventional and non-conventional drilling techniques. The majority of the published research work considers only limited parameters and tries to optimize the drilling parameters and performance measures. However, bone drilling involves numerous conventional and non-conventional drilling parameters and technologies. In order to develop a better understanding of all the studied parameters and performance measures, there is a dire need to develop a framework. The key objective of this review study is to establish a hierarchy of the framework by collecting almost all the parameters studied until now and addressed the relationship between parameters and performance measures to diminish the controversies in the published literature. Therefore, this framework is novel in nature, organizing all the parameters, performance measures, logical comparisons, and limitations of studies. This holistic review can help medical surgeons and design engineers to understand the complicated relationship among parameters and performance measures associated with this state-of-art technologies. Also, modeling, simulations, and optimization techniques are included to explore the application of such techniques in recent advancements in orthopedic drilling.

中文翻译：

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骨科钻削的综合分析：最新技术评论。

骨钻孔是众所周知的内部钻孔程序，用于钻孔，固定骨骼碎片以降低永久性麻痹的敏感性。根据发热，组织损伤，孔的质量和钻孔力等方面的骨坏死程度评估骨钻孔的成功与否。适当控制切削条件，钻头几何参数和特定于骨骼的参数，可以通过常规和非常规的钻孔技术为骨骼钻孔提供可行的解决方案。大多数已发表的研究工作仅考虑有限的参数，并试图优化钻井参数和性能指标。但是，骨钻孔涉及许多常规和非常规钻孔参数和技术。为了更好地理解所有研究的参数和性能指标，迫切需要开发一个框架。这篇综述性研究的关键目标是通过收集迄今为止所研究的几乎所有参数来建立框架的层次结构，并解决参数和性能指标之间的关系以减少已发表文献中的争议。因此，该框架本质上是新颖的，可以组织所有参数，性能指标，逻辑比较和研究限制。这项全面的回顾可以帮助医学外科医生和设计工程师了解与此最新技术相关的参数和性能指标之间的复杂关系。此外，建模，模拟，