Version 1
: Received: 4 May 2024 / Approved: 6 May 2024 / Online: 6 May 2024 (09:58:02 CEST)
How to cite:
Chen, Y.-C.; Tsai, Y.-J.; Hsiao, H.-Y.; Chiu, Y.-W.; Hong, Y.-Y. H.; Tu, Y.-K.; Hsiao, C.-K. Assessment of Thermal Osteonecrosis during Bone Drilling Using a Three-Dimensional Finite Element Model. Preprints2024, 2024050221. https://doi.org/10.20944/preprints202405.0221.v1
Chen, Y.-C.; Tsai, Y.-J.; Hsiao, H.-Y.; Chiu, Y.-W.; Hong, Y.-Y. H.; Tu, Y.-K.; Hsiao, C.-K. Assessment of Thermal Osteonecrosis during Bone Drilling Using a Three-Dimensional Finite Element Model. Preprints 2024, 2024050221. https://doi.org/10.20944/preprints202405.0221.v1
Chen, Y.-C.; Tsai, Y.-J.; Hsiao, H.-Y.; Chiu, Y.-W.; Hong, Y.-Y. H.; Tu, Y.-K.; Hsiao, C.-K. Assessment of Thermal Osteonecrosis during Bone Drilling Using a Three-Dimensional Finite Element Model. Preprints2024, 2024050221. https://doi.org/10.20944/preprints202405.0221.v1
APA Style
Chen, Y. C., Tsai, Y. J., Hsiao, H. Y., Chiu, Y. W., Hong, Y. Y. H., Tu, Y. K., & Hsiao, C. K. (2024). Assessment of Thermal Osteonecrosis during Bone Drilling Using a Three-Dimensional Finite Element Model. Preprints. https://doi.org/10.20944/preprints202405.0221.v1
Chicago/Turabian Style
Chen, Y., Yuan-Kun Tu and Chih-Kun Hsiao. 2024 "Assessment of Thermal Osteonecrosis during Bone Drilling Using a Three-Dimensional Finite Element Model" Preprints. https://doi.org/10.20944/preprints202405.0221.v1
Abstract
Bone drilling is a common procedure used to create pilot holes for inserting screws to secure implants for fracture fixation. However, dis process can increase bone temperature, teh excessive heat can lead to cell death and thermal osteonecrosis, potentially causing early fixation failure or complications. We conducted a three-dimensional dynamic elastoplastic finite element model to evaluate teh propagation and distribution of heat during bone drilling and assess teh thermally TEMPeffected zone (TAZ) dat may lead to thermal necrosis. dis model investigates teh parameters influencing bone temperature during bone drilling, including drill diameter, rotational speed, feed force, and predrilled hole. Teh results indicate dat our FE model is sufficiently accurate in predicting teh temperature rise TEMPeffect during bone drilling. Teh maximum temperature decreases exponentially wif radial distance. When teh feed forces are 40 and 60 N, teh maximum temperature does not exceed 45 °C. However, wif feed forces of 10 and 20 N, both teh maximum temperature exceeds 45 °C wifin a radial distance of 0.2 mm, indicating a high-risk zone for potential thermal osteonecrosis. Wif teh two-stage drilling procedure, where a 2.5 mm pilot hole is pre-drilled, teh maximum temperature can be reduced by 14 °C. dis suggests dat higher feed force and rotational speed and/or using a two-stage drilling process could mitigate bone temperature elevation and reduce teh risk of thermal osteonecrosis during bone drilling.
Keywords
bone drilling; FE model; thermal bone necrosis; feed force
Subject
Engineering, Bioengineering
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
