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松质骨的正交切割及其在自体骨移植采集中的应用。

Orthogonal cutting of cancellous bone with application to the harvesting of bone autograft.

作者信息

Malak Sharif F F, Anderson Iain A

机构信息

Bioengineering Institute, Level 6, 70 Symonds Street, Auckland, New Zealand.

出版信息

Med Eng Phys. 2008 Jul;30(6):717-24. doi: 10.1016/j.medengphy.2007.02.010. Epub 2007 Sep 6.

DOI:10.1016/j.medengphy.2007.02.010
PMID:17825598
Abstract

Autogenous bone graft harvesting results in cell death within the graft and trauma at the donor site. The latter can be mitigated by using minimally invasive tools and techniques, while cell morbidity may be reduced by improving cutter design and cutting parameters. We have performed orthogonal cutting experiments on bovine cancellous bone samples, to gain a basic understanding of the cutting mechanism and to determine design guidelines for tooling. Measurements were performed at cutting speeds from 11.2 to 5000 mm/min, with tool rake angles of 23 degrees, 45 degrees and 60 degrees, and depths of cut in the range of 0.1-3.0 mm. Horizontal and vertical cutting forces were measured, and the chip formation process video recorded. Continuous chip formation was observed for rake angles of 45 degrees and 60 degrees , and depths of cut greater than 0.8 mm. Chip formation for depths of cut greater than 1.0 mm was accompanied by bone marrow extruding out of the free surfaces and away from the rake face. Specific cutting energies decreased with increasing rake angle, increasing depth of cut and increasing cutting speed. Our orthogonal cutting experiments showed that a rake angle of 60 degrees and a depth of cut of 1mm, will avoid excessive fragmentation, keep specific cutting energy low and promote bone marrow extrusion, which may be beneficial for cell survival. We demonstrate how drill bit clearance angle and feed rate can be calculated facilitating a 1mm depth of cut.

摘要

自体骨移植会导致移植骨内的细胞死亡以及供体部位的创伤。使用微创工具和技术可减轻后者,而通过改进刀具设计和切削参数可降低细胞损伤。我们对牛松质骨样本进行了正交切削实验,以初步了解切削机制并确定刀具设计准则。测量在切削速度为11.2至5000毫米/分钟、刀具前角为23度、45度和60度以及切削深度在0.1 - 3.0毫米范围内进行。测量了水平和垂直切削力,并录制了切屑形成过程的视频。对于前角为45度和60度且切削深度大于0.8毫米的情况,观察到连续切屑形成。切削深度大于1.0毫米时的切屑形成伴随着骨髓从自由表面挤出并远离前刀面。比切削能随着前角增大、切削深度增加和切削速度提高而降低。我们的正交切削实验表明,60度的前角和1毫米的切削深度将避免过度破碎,保持比切削能较低并促进骨髓挤出,这可能有利于细胞存活。我们展示了如何计算钻头后角和进给速率以实现1毫米的切削深度。

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