College of Engineering, Universiti Malaysia Pahang (UMP), 26300, Kuantan, Pahang, Malaysia.
Faculty of Civil Engineering Technology (FTKA), Universiti Malaysia Pahang (UMP), 26300, Kuantan, Pahang, Malaysia.
Ann Biomed Eng. 2021 Jan;49(1):29-56. doi: 10.1007/s10439-020-02600-2. Epub 2020 Aug 28.
As drilling generates substantial bone thermomechanical damage due to inappropriate cutting tool selection, researchers have proposed various approaches to mitigate this problem. Among these, improving the drill bit design is one of the most feasible and economical solutions. The theory and applications in drill design have been progressing, and research has been published in various fields. However, pieces of information on drill design are dispersed, and no comprehensive review paper focusing on this topic. Systemizing this information is crucial and, therefore, the impetus of this review. Here, we review not only the state-of-the-art in drill bit designs-advances in surgical drill bit design-but also the influences of each drill bit geometries on bone damage. Also, this work provides future directions for this topic and guidelines for designing an improved surgical drill bit. The information in this paper would be useful as a one-stop document for clinicians, engineers, and researchers who require information related to the tool design in bone drilling surgery.
由于不合适的刀具选择，钻孔会产生大量的骨热机械损伤，因此研究人员提出了各种方法来减轻这个问题。在这些方法中，改进钻头设计是最可行和经济的解决方案之一。钻头设计的理论和应用一直在发展，并且在各个领域都有研究发表。然而，关于钻头设计的信息是分散的，没有专门针对这个主题的综合评论文章。系统化这些信息至关重要，因此这就是本篇综述的动力所在。在这里，我们不仅回顾了钻头设计的最新进展——手术钻头设计的进展，还探讨了每个钻头几何形状对骨损伤的影响。此外，这项工作还为该主题的未来发展方向提供了指导，并为设计改进的手术钻头提供了指南。本文中的信息将作为一个一站式文档，对需要了解骨钻手术工具设计相关信息的临床医生、工程师和研究人员非常有用。
