Qilu University of Technology (Shandong Academy of Sciences), School of Mechanical and Automotive Engineering, Jinan 250353, China.
Crit Rev Biomed Eng. 2022;50(4):31-49. doi: 10.1615/CritRevBiomedEng.2022045860.
Bone resection is a common technique in modern surgery, which can be divided into contact (such as mechanical osteotomy and ultrasonic osteotomy) and non-contact (such as laser osteotomy). Irrespective of the excision method, it causes processing damage to natural bone material, thus affecting bone healing. To reduce the machining damage in bone resection, different machining variables (cutting fluid temperature, feed rate, rotational speed, and ultrasonic frequency) were considered to explore the selection of various cutting conditions. This paper reviews the excision of natural bone materials including mechanical osteotomy, laser osteotomy, and ultrasonic osteotomy, especially traditional drilling and ultrasonic cutting, which represent the traditional and prospective methods of bone excision technology, respectively. Finally, the differences between methods are emphasized and the future trends in osteotomy technology and condition control during osteotomy are analyzed.
骨切除是现代外科的一种常见技术，可分为接触式（如机械截骨术和超声截骨术）和非接触式（如激光截骨术）。无论采用哪种切除方法，都会对天然骨材料造成加工损伤，从而影响骨愈合。为了减少骨切除过程中的加工损伤，研究人员考虑了不同的加工变量（切削液温度、进给速度、转速和超声频率），以探索各种切削条件的选择。本文综述了包括机械截骨术、激光截骨术和超声截骨术在内的天然骨材料的切除，特别介绍了传统的钻孔和超声切割，它们分别代表了骨切除技术的传统和前瞻性方法。最后，强调了各种方法之间的差异，并分析了骨切除技术和骨切除过程中条件控制的未来趋势。
