Institute for Surgical Technology and Biomechanics, University of Bern, Switzerland.arne.feldmann@ istb.unibe.ch.
Eur Cell Mater. 2018 Jan 28;35:25-33. doi: 10.22203/eCM.v035a03.
Surgical interventions close to vulnerable structures, such as nerves, require precise handling of surgical instruments and tools. These tools not only pose the risk of mechanical damage to soft tissues, but they also generate heat, which can lead to thermal necrosis of bone or soft tissues. Researchers and engineers are trying to improve those tools through experimentation and simulations. To simulate temperature distributions in anatomical structures, reliable material constants are needed. Therefore, this study aimed at investigating the thermal conductivity of cortical and cancellous bone. Accordingly, a custom-made steady-state experimental setup was designed and validated. 6 bovine and 3 human cortical bone samples, as well as 32 bovine cancellous bone samples, with variable bone volume fraction were tested. The cancellous bone samples were scanned by micro-computed tomography (µCT) and micro-finite element (µFE) voxel models were created to calculate iteratively the thermal conductivity of the bone marrow. The experimental results provided 0.64 ± 0.04 W/mK for bovine cortical bone and 0.68 ± 0.01 W/mK for human cortical bone. A linear dependency of thermal conductivity on bone volume fraction was found for cancellous bone [R-square (R2) = 0.8096, standard error of the estimates (SEE) = 0.0355 W/mK]. The thermal conductivity of the bone marrow was estimated to be 0.42 ± 0.05 W/mK. These results will help to improve thermal finite element simulations of the human skeleton and aid the development of new surgical tools or procedures.
手术干预靠近脆弱结构,如神经,需要精确地处理手术器械和工具。这些工具不仅存在对软组织造成机械损伤的风险,而且还会产生热量,从而导致骨或软组织的热坏死。研究人员和工程师正在尝试通过实验和模拟来改进这些工具。为了模拟解剖结构中的温度分布,需要可靠的材料常数。因此,本研究旨在研究皮质骨和松质骨的导热系数。为此,设计并验证了定制的稳态实验装置。测试了 6 个牛和 3 个人的皮质骨样本,以及 32 个具有不同骨体积分数的牛松质骨样本。松质骨样本通过微计算机断层扫描(µCT)进行扫描,并创建微有限元(µFE)体素模型,以迭代计算骨髓的导热系数。实验结果提供了 0.64 ± 0.04 W/mK 的牛皮质骨和 0.68 ± 0.01 W/mK 的人皮质骨。发现松质骨的导热系数与骨体积分数呈线性关系 [R 平方(R2)= 0.8096,估计标准误差(SEE)= 0.0355 W/mK]。骨髓的导热系数估计为 0.42 ± 0.05 W/mK。这些结果将有助于改进人体骨骼的热有限元模拟,并有助于开发新的手术工具或程序。