Toews A R, Bailey J V, Townsend H G, Barber S M
Department of Veterinary Anesthesiology, Western College of Veterinary Medicine, Saskatoon, Saskatchewan, Canada.
Am J Vet Res. 1999 Aug;60(8):942-4.
To examine the amount of heat generated in equine cortical bone by a 6.2-mm drill, using low- and high-speed and controlled feed rate drilling.
10 metacarpal bones harvested from five 2-year-old draft-type horses.
Drilling on metacarpal bones was done using a machine shop mill with which the feed rate and drill speed could be precisely controlled. Bones were drilled, using 6 combinations of feed rate (1, 2, and 3 mm advance/s) and drill speed (317 and 1,242 revolutions/min [rpm], with maximal temperatures recorded by thermocouples placed 1, 1.5, and 2 mm from the drill. Maximal temperatures were evaluated for the effect of feed rate, drill speed, cortical thickness, and distance from the drill, using linear regression analysis.
Increasing feed rate from 1 to 2 and from 2 to 3 mm/s significantly decreased mean maximal temperature. Increasing drill speed from 317 to 1242 rpm significantly increased mean maximal temperature. Increasing cortical thickness significantly increased mean maximal temperature, and increasing the distance from the drill hole significantly decreased mean maximal temperatures.
On the basis of our results, we recommend using low drill speeds while applying sufficient axial force to advance the drill as rapidly as possible through the bone.
Results of using this in vitro model suggest that temperatures at the drill-bone interface may be sufficiently high to result in significant thermal necrosis when drilling equine cortical bone.
使用低速和高速以及控制进给速度钻孔,检测6.2毫米钻头在马皮质骨中产生的热量。
从5匹2岁役用型马身上采集的10根掌骨。
使用机械加工铣床在掌骨上钻孔,该铣床可精确控制进给速度和钻头转速。使用进给速度(1、2和3毫米/秒)和钻头转速(317和1242转/分钟[rpm])的6种组合对骨头进行钻孔,通过放置在距钻头1、1.5和2毫米处的热电偶记录最高温度。使用线性回归分析评估最高温度受进给速度、钻头转速、皮质厚度和距钻头距离的影响。
将进给速度从1毫米/秒提高到2毫米/秒以及从2毫米/秒提高到3毫米/秒,显著降低了平均最高温度。将钻头转速从317转/分钟提高到1242转/分钟,显著提高了平均最高温度。增加皮质厚度显著提高了平均最高温度,增加距钻孔的距离显著降低了平均最高温度。
根据我们的结果,我们建议使用低钻头转速,同时施加足够的轴向力以使钻头尽可能快地穿过骨头。
使用此体外模型的结果表明,在钻马皮质骨时,钻头与骨界面处的温度可能足够高,从而导致明显的热坏死。