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通过冲击切割法改善皮质骨中的材料去除情况。

Improvements of material removal in cortical bone via impact cutting method.

作者信息

Bai Wei, Shu Liming, Sun Ronglei, Xu Jianfeng, Silberschmidt Vadim V, Sugita Naohiko

机构信息

State Key Lab of Digital Manufacturing Equipment and Technology, Huazhong University of Science and Technology, Wuhan, 430074, China; Department of Mechanical Engineering, School of Engineering, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 1138656, Japan.

Department of Mechanical Engineering, School of Engineering, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 1138656, Japan.

出版信息

J Mech Behav Biomed Mater. 2020 Aug;108:103791. doi: 10.1016/j.jmbbm.2020.103791. Epub 2020 Apr 18.

Abstract

Bone cutting with high efficiency as well as low levels of forces and damage has a great significance for orthopaedic surgeries. Due to the brittleness and anisotropy of cortical bone, a conventional cutting process can cause irregular crack propagation and fractured bone chip, affecting the tissue removal process and postoperative recovery. In this paper, a high-frequency impact cutting method is investigated, and its effect on fracture propagation, chip formation and cutting forces is studied for orthogonal cutting. Experimental results show that cracks are deflected by cement lines in conventional cutting, forming fractured blocks or split chips. In impact cutting, the cutting-induced fractures expand along a main shear direction, generating small pieces of triangular segmented chips. Cutting forces are significantly reduced with vibration-induced impacts; especially, the main cutting force is nearly 70% lower than that in the conventional cutting. The main reason for this is much higher strain rates in high-frequency impact cutting than in a conventional process, and direct penetration of fractures across the osteonal matrix without deflections along the cement lines. This results in a straighter path along the main shear plane and totally different chip morphology; so, a lower consumption of cutting energy in the main shear direction reduces the macroscopic cutting force. The results of this study have an important theoretical and practical value for revealing the mechanism of impact cutting, improving the efficiency of osteotomy and supporting the innovation in bone surgical instruments.

摘要

高效且低力和低损伤的骨切割对骨科手术具有重要意义。由于皮质骨的脆性和各向异性,传统的切割过程会导致不规则的裂纹扩展和骨折骨碎片,影响组织切除过程和术后恢复。本文研究了一种高频冲击切割方法,并针对正交切割研究了其对骨折扩展、切屑形成和切削力的影响。实验结果表明,在传统切割中裂纹被黏骨线偏转,形成骨折块或裂片。在冲击切割中,切削引起的骨折沿主剪切方向扩展,产生小块三角形分段切屑。振动引起的冲击显著降低了切削力;特别是,主切削力比传统切割低近70%。其主要原因是高频冲击切割中的应变速率比传统加工高得多,并且骨折直接穿过骨单位基质而不会沿黏骨线偏转。这导致沿着主剪切平面的路径更直且切屑形态完全不同;因此,主剪切方向上较低的切削能量消耗降低了宏观切削力。本研究结果对于揭示冲击切割机理、提高截骨效率和支持骨外科器械创新具有重要的理论和实用价值。

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