Details
Original language | English |
---|---|
Pages (from-to) | 1355-1361 |
Number of pages | 7 |
Journal | International orthopaedics |
Volume | 37 |
Issue number | 7 |
Early online date | 20 Mar 2013 |
Publication status | Published - Jul 2013 |
Abstract
Purpose: The purpose of this study was to evaluate the different temperature levels while drilling solid materials and to compare different cooling solutions for possible temperature control. An additional purpose was to develop an internal cooling device which can be connected to routinely used manual drilling devices in trauma surgery. Methods: Drilling was performed on a straight hip stem implanted in bovine femora without cooling, with externally applied cooling and with a newly developed internal cooling device. Temperature changes were measured by seven thermocouples arranged near the borehole. Additionally, thermographic scans were performed during drilling. Results: Drilling without cooling leads to an immediate increase in temperature to levels of thermal osteonecrosis (over 200 C). With externally applied cooling temperatures were decreased, but were still up to a tissue damaging 85 C. Internally applied cooling led to a temperature decrease to tissue-preserving levels during the drilling procedure (24.7 C). Conclusion: Internal cooling with HPC-drillers lowered the measured temperatures to non-tissue damaging temperatures and should avoid structural tissue damage.
ASJC Scopus subject areas
- Medicine(all)
- Surgery
- Medicine(all)
- Orthopedics and Sports Medicine
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In: International orthopaedics, Vol. 37, No. 7, 07.2013, p. 1355-1361.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Temperature control with internally applied cooling in solid material drilling
T2 - an experimental, biomechanical study
AU - Brand, Stephan
AU - Klotz, Johannes
AU - Petri, Maximilian
AU - Ettinger, Max
AU - Hassel, Thomas
AU - Krettek, Christian
AU - Goesling, Thomas
AU - Bach, Friedrich Wilhelm
PY - 2013/7
Y1 - 2013/7
N2 - Purpose: The purpose of this study was to evaluate the different temperature levels while drilling solid materials and to compare different cooling solutions for possible temperature control. An additional purpose was to develop an internal cooling device which can be connected to routinely used manual drilling devices in trauma surgery. Methods: Drilling was performed on a straight hip stem implanted in bovine femora without cooling, with externally applied cooling and with a newly developed internal cooling device. Temperature changes were measured by seven thermocouples arranged near the borehole. Additionally, thermographic scans were performed during drilling. Results: Drilling without cooling leads to an immediate increase in temperature to levels of thermal osteonecrosis (over 200 C). With externally applied cooling temperatures were decreased, but were still up to a tissue damaging 85 C. Internally applied cooling led to a temperature decrease to tissue-preserving levels during the drilling procedure (24.7 C). Conclusion: Internal cooling with HPC-drillers lowered the measured temperatures to non-tissue damaging temperatures and should avoid structural tissue damage.
AB - Purpose: The purpose of this study was to evaluate the different temperature levels while drilling solid materials and to compare different cooling solutions for possible temperature control. An additional purpose was to develop an internal cooling device which can be connected to routinely used manual drilling devices in trauma surgery. Methods: Drilling was performed on a straight hip stem implanted in bovine femora without cooling, with externally applied cooling and with a newly developed internal cooling device. Temperature changes were measured by seven thermocouples arranged near the borehole. Additionally, thermographic scans were performed during drilling. Results: Drilling without cooling leads to an immediate increase in temperature to levels of thermal osteonecrosis (over 200 C). With externally applied cooling temperatures were decreased, but were still up to a tissue damaging 85 C. Internally applied cooling led to a temperature decrease to tissue-preserving levels during the drilling procedure (24.7 C). Conclusion: Internal cooling with HPC-drillers lowered the measured temperatures to non-tissue damaging temperatures and should avoid structural tissue damage.
UR - http://www.scopus.com/inward/record.url?scp=84879410803&partnerID=8YFLogxK
U2 - 10.1007/s00264-013-1850-4
DO - 10.1007/s00264-013-1850-4
M3 - Article
C2 - 23512602
AN - SCOPUS:84879410803
VL - 37
SP - 1355
EP - 1361
JO - International orthopaedics
JF - International orthopaedics
SN - 0341-2695
IS - 7
ER -