骨科钻削参数对牛胫骨温度和组织病理学的影响:一项体外研究。
Influence of orthopaedic drilling parameters on temperature and histopathology of bovine tibia: an in vitro study.
机构信息
Firat University, Faculty of Technical Edu, Department of Mechanical Education, Elazig, Turkey.
出版信息
Med Eng Phys. 2011 Dec;33(10):1221-7. doi: 10.1016/j.medengphy.2011.05.013. Epub 2011 Jun 23.
Orthopaedic drilling operations without optimum operating parameters by surgeons may cause bone defects such as bone fracture, cracks, osteolysis and tissue loss around the drilling zone. For the sake of optimum drilling parameters, an in vitro study was performed by considering the bone mineral density, bone sex, drill tip angle, drill speed, drill force and feed-rate. The specimens were taken from the drilled sites of fresh male and female calf tibias. The temperature changes at the drill site were investigated throughout the statistical and histopathological analysis. It was observed that the temperature increased with an increasing drill speed and decreased with high feed-rates and applied drill forces. The drilling temperatures of the female bovine tibias were found to be higher than that of the male tibias and the drill speed was found to be a significant parameter on the maximum temperature. Moreover, the maximum temperature increased with an increasing drill tip angle and bone mineral density. Therefore the bone quality around the drill site was found to be worse than the bone samples exposed to low temperatures.
外科医生在进行骨科钻孔手术时,如果操作参数不理想,可能会导致钻孔区域周围出现骨缺损,如骨折、裂缝、骨溶解和组织丢失。为了获得最佳的钻孔参数,进行了一项体外研究,考虑了骨密度、性别、钻头角度、钻速、钻削力和进给速度。标本取自新鲜雄性和雌性小牛胫骨的钻孔部位。在整个统计和组织病理学分析过程中,研究了钻头部位的温度变化。结果表明,随着钻速的增加,温度升高,随着进给速度和施加的钻削力的增加,温度降低。发现雌性牛胫骨的钻孔温度高于雄性胫骨,并且钻速是最大温度的一个重要参数。此外,最大温度随钻头角度和骨矿物质密度的增加而升高。因此,钻头部位周围的骨质量比暴露于低温下的骨样本差。