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Development of bone chip-vacuum system in orthopedic drilling process
Journal of the Brazilian Society of Mechanical Sciences and Engineering ( IF 2.2 ) Pub Date : 2021-03-29 , DOI: 10.1007/s40430-021-02959-w
Kadir Gok , Mehmet Erdem , Yasin Kisioglu , Arif Gok , Mert Tumsek

Overheating occurs during the bone drilling process using drill bits in orthopedic surgery. The temperatures frequently exceed 47 °C, usually accepted as critical value, since the bones and surrounding tissues burn and then cause the necrosis during the drilling process. To prevent this, orthopedic surgeons either spray coolants to the drilling zone or pause the drilling process until the bones and tissues cool down. Such heat damage in bones and soft tissues is undesirable event for surgeons. The bone chips, sometimes, are also complicating the bone fracture fixations. In this study, an investigation is described the effects of the processing parameters on bone chip formations, temperature levels and chip-vacuuming performances during drilling. The temperature levels are also measured using thermocouple devices. A bone chip collecting system is developed as a specific device to collect the chips or fragments using vacuuming technique. The collected bone chips are stored in a pot (reservoir) and delivered to a reparative site in case of necessary. Some design parameters for the developed vacuum system are identified considering the temperature rise during the drilling process. Analyzing the effects of these parameters on chip formation and developed vacuum system statistically and some results are presented. At the end of the study, the bone chip-vacuum device was developed and performed successfully to collect the whole fragments in the bone drilling experimental tests. The chip-collecting device was also useful to remove overheat from the drilling zone. The optimal level of the processing parameters was calculated as A1B3C1 for both vacuumed and non-vacuumed conditions. The fractured powder-type chips were formed as anticipated using the cortical structure of diaphyseal part of calf bone which is helpful for chip vacuuming device.



中文翻译:

骨科手术中骨屑-真空系统的开发

在整形外科手术中使用钻头在骨骼钻孔过程中会发生过热。温度经常超过47°C,通常被认为是临界值,因为骨骼和周围组织会燃烧,然后在钻孔过程中引起坏死。为了防止这种情况,整形外科医生要么将冷却剂喷洒到钻孔区域,要么暂停钻孔过程,直到骨骼和组织冷却下来。骨骼和软组织中的这种热损伤对于外科医生而言是不希望的事件。有时,碎骨片也使骨折固定复杂化。在这项研究中,调查描述了加工参数对钻削过程中骨屑形成,温度水平和切屑真空性能的影响。还使用热电偶设备测量温度水平。骨屑收集系统被开发为使用真空技术收集碎片或碎片的特定设备。收集的骨屑储存在盆(水库)中,并在必要时输送到修复部位。考虑到钻孔过程中的温度升高,确定了已开发的真空系统的一些设计参数。统计分析这些参数对切屑形成和开发的真空系统的影响,并给出了一些结果。在研究结束时,开发了骨碎片真空装置,并成功进行了收集,以在骨钻孔实验测试中收集整个碎片。切屑收集装置还可用于消除钻孔区域的过热。在真空和非真空条件下,加工参数的最佳水平均按A1B3C1计算。使用小腿骨干骨部分的皮质结构可以预期地形成破裂的粉末型切屑,这对切屑抽吸装置很有帮助。

更新日期:2021-03-30
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