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An Overview of Thermal Necrosis: Present and Future Publisher Pubmed



Mediouni M1 ; Kucklick T2 ; Poncet S3 ; Madiouni R4 ; Abouaomar A5 ; Madry H6 ; Cucchiarini M6 ; Chopko B7 ; Vaughan N8 ; Arora M9 ; Gokkus K10 ; Lozoya Lara M11 ; Paiva Cedeno L12 ; Volosnikov A13 Show All Authors
Authors
  1. Mediouni M1
  2. Kucklick T2
  3. Poncet S3
  4. Madiouni R4
  5. Abouaomar A5
  6. Madry H6
  7. Cucchiarini M6
  8. Chopko B7
  9. Vaughan N8
  10. Arora M9
  11. Gokkus K10
  12. Lozoya Lara M11
  13. Paiva Cedeno L12
  14. Volosnikov A13
  15. Hesmati M14
  16. Ho K15
Show Affiliations
Authors Affiliations
  1. 1. O3DC, Sherbrooke, QC, Canada
  2. 2. Cannuflow Inc., Campbell, CA, United States
  3. 3. Mechanical Engineering Department, Universite de Sherbrooke, Sherbrooke, QC, Canada
  4. 4. University of Paris-Est Creteil, Vitry sur Seine, France
  5. 5. Bureau 1, Imm Al Redouane, Kenitra, Morocco
  6. 6. Saarland University Medical Center, Homburg, Germany
  7. 7. Ohio Health Mansfield Hospital, Mansfield, OH, United States
  8. 8. Department of Computer Science, University of Chester, Chester, United Kingdom
  9. 9. Department of Orthopaedics and Sports Medicine, Fortis Hospital, Chandigarh, India
  10. 10. Department of orthopaedics, Memorial Antalya, Antalya, Turkey
  11. 11. Departement of orthopaedics, Hospital Santa Rita, Michoacan, Mexico
  12. 12. Departement of orthopaedics, Francisco de Miranda Experimental University, Falcon, Venezuela
  13. 13. Restorative Traumatology and Orthopaedics of Ministry of Healthcare Kurgan, Federal State Budgetary Institution Russian Ilizarov Scientific Center, Kurgan, Russian Federation
  14. 14. Departement of orthopaedics, Tehran University Medical of Sciences, Tehran, Iran
  15. 15. University of Western Australia, Perth, Australia

Source: Current Medical Research and Opinion Published:2019


Abstract

Introduction: Many orthopaedic procedures require drilling of bone, especially fracture repair cases. Bone drilling results in heat generation due to the friction between the bone and the drill bit. A high-level of heat generation kills bone cells. Bone cell death results in resorption of bone around bone screws. Methods: We searched in the literature for data on parameters that influence drilling bone and could lead to thermal necrosis. The points of view of many orthopaedists and neurosurgeons based upon on previous practices and clinical experience are presented. Results: Several potential complications that lead to thermal necrosis are discussed and highlighted. Discussion: Even in the face of growing evidence as to the negative effects of heat induction during drilling, simple and effective methods for monitoring and cooling in real-time are not in widespread usage today. For that purpose, we propose some suggestions for the future of bone drilling, taking note of recent advances in autonomous robotics, intelligent systems and computer simulation techniques. Conclusions: These advances in prevention of thermal necrosis during bone drilling surgery are expected to reduce the risk of patient injury and costs for the health service. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.