Waterjet drilling in porcine bone: The effect of the nozzle diameter and bone architecture on the hole dimensions

Dunnen, Steven den; Mulder, Lars; Kerkhoffs, Gino M. M. J.; Dankelman, Jenny; Tuijthof, Gabriëlle J. M.

doi:10.1016/j.jmbbm.2013.06.012

Cited by 38 publications

(31 citation statements)

References 44 publications

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“…An explanation for this trend can be that the BV/TV and the Tb.Th. determine to a large extend the mechanical properties of the bone (Day, 2005). A higher BV/TV or Tb.Th.…”

Section: Discussionmentioning

confidence: 99%

“…The linear phase is therefore limited to a specific range of t. The same holds for P and D in their respective ranges. For P , a minimal threshold needs to be met before bone material is removed, which lies between 30 and 45 MPa depending on the bone tissue and D (Honl et al, 2000a, b;den Dunnen et al, 2013a). The pressure range in which the pressure can be considered to have a linear influence is up to 120 MPa (Mohamed, 2004;Orbanic and Junkar, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…(0.5 mm) and Tb.Sp. (0.3 mm) found in porcine bone specimens (den Dunnen et al, 2013b). This resulted in the following nozzle diameters that were tested: 0.3, 0.4, 0.5 and 0.6 mm.…”

Section: Methodsmentioning

confidence: 99%

“…Water jet drilling of bony tissue was performed with a custom-made setup that used a MTS model 311.21 tensile tester (HTS, Eden Prairie, Minnesota, Unites States of America) to compress a water filled cylinder (Holmatro HAC30S15, Glen Burnie, Maryland, USA) with a force of 295 kN, resulting in a water pressure of 70 MPa at the nozzle (den Dunnen et al, 2013b). Via a hose the cylinder was connected to a holder that allowed nozzles with various diameters to be connected.…”

Section: Methodsmentioning

confidence: 99%

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The influence of water jet diameter and bone structural properties on the efficiency of pure water jet drilling in porcine bone

Dunnen

Tuijthof

2014

Mech. Sci.

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Abstract. Using water jets in orthopedic surgery to drill holes in bones can be beneficial due to the absence of thermal damage and the always sharp cut. To minimize operating time and the volume of water that is used, the efficiency (volume of removed bone per added volume of water) of the water jet should be maximized. The goal was to study the effect of the open trabecular bone structure on the efficiency for different water jet diameters. 86 holes were drilled in porcine tali and femora submerged in water with nozzles of 0.3, 0.4, 0.5 and 0.6 mm at 70 MPa during 5 s and a standoff distance of 8 mm. MicroCT scans were made to measure the removed bone volume and the bone structural properties Trabecular Spacing (Tb.Sp.), Trabecular Thickness (Tb.Sp.) and Bone Volume Fraction (BV/TV). Pearson's correlation tests (p < 0.05, 95 % confidence interval) were performed for each water jet diameter using the bone structural property as an independent factor and the efficiency as a dependent factor. No significant differences were found between the nozzle diameters in the material removal rates per added volume of water. The efficiency decreased for an increase in Tb.Th. and BV/TV for nozzles of 0.3, 0.4 and 0.5 mm. The 0.6 mm nozzle showed less influence of the Tb.Th. and BV/TV. The Tb.Sp. has no influence on the efficiency of a water jet.The total volume of added water combined with the Tb.Th. or BV/TV is a leading measure for the volume of bone material that is removed, which provides freedom in the development of water jet instruments as the nozzle diameter, pressure and jet time can be chosen in accordance to the maximum operating time requirements or dimensional limitations of a design.

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“…An explanation for this trend can be that the BV/TV and the Tb.Th. determine to a large extend the mechanical properties of the bone (Day, 2005). A higher BV/TV or Tb.Th.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…(0.5 mm) and Tb.Sp. (0.3 mm) found in porcine bone specimens (den Dunnen et al, 2013b). This resulted in the following nozzle diameters that were tested: 0.3, 0.4, 0.5 and 0.6 mm.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The influence of water jet diameter and bone structural properties on the efficiency of pure water jet drilling in porcine bone

Dunnen

Tuijthof

2014

Mech. Sci.

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“…A variety of cortical and cancellous bone types have been evaluated in surgical drilling studies, such as bovine and porcine. 4,12,15,16 However, it is difficult to define a good method in such circumstances as the bone is a complex anisotropic biological tissue, with organic and inorganic components. The interaction of different components accounts for its complex mechanical and thermal properties, which are difficult to study due to sensitivity, test conditions and preparation of the specimens.…”

Section: Introductionmentioning

confidence: 99%

THERMAL ANALYSIS IN DRILLING OF EX VIVO BOVINE BONES

Fernandes

Fonseca

Jorge

et al. 2017

J. Mech. Med. Biol.

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Bone drilling is a common procedure in Medicine, mainly in traumatology and orthopedic procedure for fractures fixation and in reconstructive surgery. The success of this surgical procedure is dependent on many factors, namely, on heat generation control during the bone drilling. The main concern in bone drilling is the mechanical and thermal damage of the bone induced by inappropriate parameters such as drill speed and feed-rate during the drilling. This study focuses on the temperature generated during drilling of cortical bone tissue (bovine origin) and solid rigid polyurethane foams with similar mechanical properties to the human bone tissue. Different parameters such as drill speed, feed-rate and hole depth were tested. All results showed that improvement of the drilling parameters and the drill temperatures can be estimated. It was concluded that when the drill speed and feed-rate were higher, the bone temperature increase was lower. The obtained results of temperature in the drilling process of polyurethane foam blocks or bovine bone were compared with a good agreement in between both.

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Robotic guided waterjet cutting technique for high tibial dome osteotomy: A pilot study

Suero

Westphal

Zaremba

et al. 2017

Robotics Computer Surgery

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Waterjet drilling in porcine bone: The effect of the nozzle diameter and bone architecture on the hole dimensions

Cited by 38 publications

References 44 publications

The influence of water jet diameter and bone structural properties on the efficiency of pure water jet drilling in porcine bone

The influence of water jet diameter and bone structural properties on the efficiency of pure water jet drilling in porcine bone

THERMAL ANALYSIS IN DRILLING OF EX VIVO BOVINE BONES

Robotic guided waterjet cutting technique for high tibial dome osteotomy: A pilot study

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