Drilling of bone: A comprehensive review.

BACKGROUND Bone fracture treatment usually involves restoring of the fractured parts to their initial position and immobilizing them until the healing takes place. Drilling of bone is common to produce hole for screw insertion to fix the fractured parts for immobilization. Orthopaedic drilling during surgical process causes increase in the bone temperature and forces which can cause osteonecrosis reducing the stability and strength of the fixation. METHODS A comprehensive review of all the relevant investigations carried on bone drilling is conducted. The experimental method used, results obtained and the conclusions made by the various researchers are described and compared. RESULT Review suggests that the further improvement in the area of bone drilling is possible. The systematic review identified several consequential factors (drilling parameters and drill specifications) affecting bone drilling on which there no general agreement among investigators or are not adequately evaluated. These factors are highlighted and use of more advanced methods of drilling is accentuated. The use of more precise experimental set up which resembles the actual situation and the development of automated bone drilling system to minimize human error is addressed. CONCLUSION In this review, an attempt has been made to systematically organize the research investigations conducted on bone drilling. Methods of treatment of bone fracture, studies on the determination of the threshold for thermal osteonecrosis, studies on the parameters influencing bone drilling and methods of the temperature measurement used are reviewed and the future work for the further improvement of bone drilling process is highlighted.

[1]  M. A. Andersen,et al.  Heme Oxygenase 1 (ho-1) Regulates Osteoclastogenesis and Bone Resorption , 2022 .

[2]  L. S. Matthews,et al.  Temperatures measured in human cortical bone when drilling. , 1972, The Journal of bone and joint surgery. American volume.

[3]  William Robert Walsh,et al.  Drilling of Bone: Practicality, Limitations and Complications Associated with Surgical Drill-Bits , 2011 .

[4]  Toma Udiljak,et al.  Determination of spatial distribution of increase in bone temperature during drilling by infrared thermography: preliminary report , 2008, Archives of Orthopaedic and Trauma Surgery.

[5]  S. Chandrashekhar,et al.  An investigation into the influence of helix angle on the torque-thrust coupling effect in twist drills , 1987 .

[6]  K G Heiple,et al.  Bone strength. The effect of screw holes. , 1972, The Journal of bone and joint surgery. American volume.

[7]  R M Jochum,et al.  Influence of multiple use of Timedur-titanium cannon drills: thermal response and scanning electron microscopic findings. , 2000, Clinical oral implants research.

[8]  John S. Agapiou,et al.  Metal Cutting Theory and Practice , 1996 .

[9]  P. Haghighi,et al.  Structure, function and adaptation of compact bone , 1989, Skeletal Radiology.

[10]  Yuan-Kun Tu,et al.  Finite element modeling of kirschner pin and bone thermal contact during drilling , 2009 .

[11]  G. Augustin,et al.  Cortical bone drilling and thermal osteonecrosis. , 2012, Clinical biomechanics.

[12]  Jonathan B. Cohen.  Metals and Engineering in Bone and Joint Surgery. Charles Orville Bechtol, M.D., Albert Barnett Ferguson, Jr., M.D., and Patrick Gowans Laing, M.B., B.S., F.R.C.S. Baltimore, The Williams and Wilkins Company, 1959. $8.00 , 1959 .

[13]  D. F. James,et al.  Temperature rise during drilling through bone. , 1997, The International journal of oral & maxillofacial implants.

[14]  Thermal osteonecrosis complicating Steinmann pin insertion in plastic surgery. , 1983, Plastic and reconstructive surgery.

[15]  Vadim V. Silberschmidt,et al.  Measurements of Surface Roughness in Conventional and Ultrasonically Assisted Bone Drilling , 2009 .

[16]  Tomas Albrektsson,et al.  Thermal injury to bone , 1982 .

[17]  Edwin A McGlumphy,et al.  Heat production by 3 implant drill systems after repeated drilling and sterilization. , 2006, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[18]  C. Lavelle,et al.  Effect of internal irrigation on frictional heat generated from bone drilling. , 1980, Journal of oral surgery.

[19]  F A PEYTON,et al.  The Influence of Rotational Speed on Temperature Rise During Cavity Preparation , 1951, Journal of dental research.

[20]  G Watzek,et al.  Effects of drill cooling and bone structure on IMZ implant fixation. , 1993, The International journal of oral & maxillofacial implants.

[21]  Babur Ozcelik,et al.  Effects of different cooling conditions on twist drill temperature , 2007 .

[22]  Z Majzoub,et al.  Heat generation during implant site preparation: an in vitro study. , 1997, The International journal of oral & maxillofacial implants.

[23]  P. Lamey,et al.  Thermal changes observed at implant sites during internal and external irrigation. , 2002, Clinical oral implants research.

[24]  S. Iyer,et al.  Effects of drill speed on heat production and the rate and quality of bone formation in dental implant osteotomies. Part I: Relationship between drill speed and heat production. , 1997, The International journal of prosthodontics.

[25]  S. Iyer,et al.  Effects of drill speed on heat production and the rate and quality of bone formation in dental implant osteotomies. Part II: Relationship between drill speed and healing. , 1997, The International journal of prosthodontics.

[26]  Man Yong Choi,et al.  Monitoring of Bone Temperature during Osseous Preparation for Orthodontic Micro-Screw Implants: Effect of Motor Speed and Ressure , 2006 .

[27]  P. Boyne.  Histologic Response of Bone to Sectioning by High-Speed Rotary Instruments , 1966, Journal of dental research.

[28]  W. Bonfield,et al.  The temperature dependence of the deformation of bone. , 1968, Journal of biomechanics.

[29]  R. Adell,et al.  Temperatures during drilling for the placement of implants using the osseointegration technique. , 1986, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[30]  F G PALLAN,et al.  Histological changes in bone after insertdon of skeletal fixation pins. , 1960, Journal of oral surgery, anesthesia, and hospital dental service.

[31]  D. King.  METALS AND ENGINEERING IN BONE AND JOINT SURGERY , 1959 .

[32]  Toshiaki Hara,et al.  Design Optimization of Surgical Drills Using the Taguchi Method , 2010 .

[33]  M H Pope,et al.  A study of the bone machining process-orthogonal cutting. , 1974, Journal of biomechanics.

[34]  Toma Udiljak,et al.  INVESTIGATION INTO BONE DRILLING AND THERMAL BONE NECROSIS , 2007 .

[35]  S. Karmani,et al.  The design and function of surgical drills and K-wires , 2004 .

[36]  Moshe Kon,et al.  Drilling k-wires, what about the osteocytes? An experimental study in rabbits , 2007, Archives of Orthopaedic and Trauma Surgery.

[37]  William R Walsh,et al.  A comparison of the thermal properties of 2- and 3-fluted drills and the effects on bone cell viability and screw pull-out strength in an ovine model. , 2010, Clinical biomechanics.

[38]  Y. Tu,et al.  Thermal Contact Simulation of Drill Bit and Bone during Drilling , 2010, 2010 4th International Conference on Bioinformatics and Biomedical Engineering.

[39]  C H Jacob,et al.  A study of the bone machining process--drilling. , 1976, Journal of biomechanics.

[40]  Mustafa B. Abouzgia,et al.  Measurements of shaft speed while drilling through bone , 1995 .

[41]  T Albrektsson,et al.  The effect of heat on bone regeneration: an experimental study in the rabbit using the bone growth chamber. , 1984, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[42]  M T Rondina,et al.  The effects of drilling force on cortical temperatures and their duration: an in vitro study. , 2000, Medical engineering & physics.

[43]  Abdulhameed Al–Dabag,et al.  Effect of Cooling an Irrigation Solution During Preparation of Implant Site on Heat Generation Using Elite System for implant.(Experimental Study) , 2010 .

[44]  M. Merchán.  Mechanics of the Metal Cutting Process I , 1945 .

[45]  T. Albrektsson,et al.  Thermally induced bone necrosis in rabbits: relation to implant failure in humans. , 1985, Clinical orthopaedics and related research.

[46]  Carl E Misch,et al.  Heat generation during implant drilling: the significance of motor speed. , 2002, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[47]  M. Yenísey,et al.  Effect of surgical drill guide on heat generated from implant drilling. , 2009, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[48]  R. S. Sneath,et al.  THE DETERMINATION OF OPTIMUM TWIST DRILL SHAPE FOR BONE , 1965 .

[49]  H. C. Thompson,et al.  Effect of drilling into bone. , 1958, Journal of oral surgery.

[50]  B. Aksakal,et al.  Influence of orthopaedic drilling parameters on temperature and histopathology of bovine tibia: an in vitro study. , 2011, Medical engineering & physics.

[51]  Yeh-Liang Hsu,et al.  A MODULAR MECHATRONIC SYSTEM FOR AUTOMATIC BONE DRILLING , 2001 .

[52]  R. Moss,et al.  HISTOPATHOLOGIC REACTION OF BONE TO SURGICAL CUTTING. , 1964, Oral surgery, oral medicine, and oral pathology.

[53]  Reid Js,et al.  Thermally induced bone necrosis in rabbits. Relation to implant failure in humans. , 1984 .

[54]  E. Keleşoğlu,et al.  Effects of irrigation temperature on heat control in vitro at different drilling depths. , 2009, Clinical oral implants research.

[55]  E D Williams,et al.  Effects of repeated drill use on temperature of bone during preparation for osteosynthesis self-tapping screws. , 2005, The British journal of oral & maxillofacial surgery.

[56]  Amit Gefen,et al.  Microwave drilling of bones , 2006, IEEE Transactions on Biomedical Engineering.

[57]  Toma Udiljak,et al.  Thermal osteonecrosis and bone drilling parameters revisited , 2007, Archives of Orthopaedic and Trauma Surgery.

[58]  L. S. Matthews,et al.  The thermal effects of skeletal fixation-pin insertion in bone. , 1984, The Journal of bone and joint surgery. American volume.

[59]  Federico Hernández-Alfaro,et al.  Thermal changes and drill wear in bovine bone during implant site preparation. A comparative in vitro study: twisted stainless steel and ceramic drills. , 2012, Clinical oral implants research.

[60]  J. Dowell,et al.  Orthopaedic bone drills-can they be improved? Temperature changes near the drilling face. , 1996, The Journal of bone and joint surgery. British volume.

[61]  S. Szmukler‐Moncler,et al.  Influence of different parameters on bone heating and drilling time in implantology. , 1997, Clinical oral implants research.

[62]  D. F. James,et al.  Measurement of thermal conductivity of bovine cortical bone. , 2000, Medical engineering & physics.

[63]  T Albrektsson,et al.  Assessment of bone viability after heat trauma. A histological, histochemical and vital microscopic study in the rabbit. , 1984, Scandinavian journal of plastic and reconstructive surgery.

[64]  M. E. Merchant.  Mechanics of the Metal Cutting Process. I. Orthogonal Cutting and a Type 2 Chip , 1945 .

[65]  M. T. Hillerya,et al.  Temperature effects in the drilling of human and bovine bone , 1999 .

[66]  T Albrektsson,et al.  Heat caused by drilling cortical bone. Temperature measured in vivo in patients and animals. , 1984, Acta orthopaedica Scandinavica.

[67]  A. Fuchsberger.  Die schädigende temperatur bei der spanendem knochenbearbeitung , 1988, Unfallchirurgie.

[68]  P. Branemark.  Osseointegration and its experimental background. , 1983, The Journal of prosthetic dentistry.

[69]  R. Wootton,et al.  The clinical measurement of skeletal blood flow. , 1976, Clinical science and molecular medicine.

[70]  Jan Lundskog,et al.  Oxygen consumption by granulation tissue in bipedicle tube flaps. , 1975 .

[71]  S H Tehemar,et al.  Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations. , 1999, The International journal of oral & maxillofacial implants.

[72]  Brisman Dl,et al.  The effect of speed, pressure, and time on bone temperature during the drilling of implant sites. , 1996 .

[73]  Tomas Albrektsson,et al.  Measurements of shaft speed while drilling through bone , 1995 .

[74]  Yoed Rabin,et al.  A new thermal model for bone drilling with applications to orthopaedic surgery. , 2011, Medical engineering & physics.

[75]  M. T. Hillery,et al.  Temperature effects in the drilling of human and bovine bone , 1999 .

[76]  G. H. Farnworth,et al.  Optimization of Drill Geometry for Orthopaedic Surgery , 1975 .

[77]  K L Wiggins,et al.  Drilling of bone. , 1976, Journal of biomechanics.

[78]  M Richter,et al.  Accuracy Study of Computer-Assisted Drilling: The Effect of Bone Density, Drill Bit Characteristics, and Use of a Mechanical Guide , 2005, Journal of orthopaedic trauma.

[79]  T Albrektsson,et al.  Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. , 1983, The Journal of prosthetic dentistry.

[80]  Han-Joo Lee,et al.  The influence of drill wear on cutting efficiency and heat production during osteotomy preparation for dental implants: a study of drill durability. , 2004, The International journal of oral & maxillofacial implants.

[81]  Varahalaraju Kalidindi,et al.  OPTIMIZATION OF DRILL DESIGN AND COOLANT SYSTEMS DURING DENTAL IMPLANT SURGERY , 2004 .

[82]  Yoed Rabin,et al.  An experimental investigation on thermal exposure during bone drilling. , 2012, Medical engineering & physics.

[83]  A. Moritz,et al.  Studies of Thermal Injury: II. The Relative Importance of Time and Surface Temperature in the Causation of Cutaneous Burns. , 1947, The American journal of pathology.

[84]  W R Walsh,et al.  3-Fluted orthopaedic drills exhibit superior bending stiffness to their 2-fluted rivals: clinical implications for targeting ability and the incidence of drill-bit failure. , 2008, Injury.

[85]  Danko Brezak,et al.  Temperature changes during cortical bone drilling with a newly designed step drill and an internally cooled drill , 2012, International Orthopaedics.

[86]  H. Kirschner,et al.  [Development of an internal cooling mechanism for surgical drills]. , 1975, Deutsche zahnarztliche Zeitschrift.

[87]  J A Albright,et al.  Surgical drilling: design and performance of an improved drill. , 1982, Journal of biomechanical engineering.

[88]  Pallan Fg,et al.  Histological changes in bone after insertdon of skeletal fixation pins. , 1960 .

[89]  B. Noble,et al.  Bone microdamage and cell apoptosis. , 2003, European cells & materials.

[90]  S. Spatz.  EARLY REACTION IN BONE FOLLOWING THE USE OF BURS ROTATING AT CONVENTIONAL AND ULTRA SPEEDS; A COMPARISON STUDY. , 1965, Oral surgery, oral medicine, and oral pathology.