皮质骨正交切割的有限元模拟热分析

K. Alam, A. Mitrofanov, V. Silberschmidt
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引用次数: 50

摘要

骨切割广泛应用于骨科、牙科和神经外科,是一项技术要求很高的外科手术。目前研究的主要问题之一是高速电动工具对骨组织造成的热损伤,当温度上升到一定阈值以上时,就会发生骨坏死。因此,优化切割参数是必要的,以避免热坏死和改善目前的骨科手术程序。在这项研究中,提出了一个骨切割的热力学有限元模型,该模型将皮质骨理想化为等效的均匀各向同性材料。骨中的最高温度是在靠近刀具刀柄(即刀具的正面)的骨样品与薄骨层(芯片)分离的区域发现的。用该模型计算了温度值,并比较了有冷却剂和没有冷却剂(灌溉)的切割条件。讨论了骨热性能对热坏死深度的影响。将模拟的切削温度与骨钻孔实验结果进行了比较。通过对切削过程的模拟,确定了影响骨切削热力学的关键变量和切削参数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thermal analysis of orthogonal cutting of cortical bone using finite element simulations
Bone cutting is widely used in orthopaedic, dental and neuro surgeries and is a technically demanding surgical procedure. One of the major concerns in current research is thermal damage of the bone tissue caused by high-speed power tools, which occurs when temperature rises above a certain threshold value for the tissue known as bone necrosis. Hence, optimisation of cutting parameters is necessary to avoid thermal necrosis and improve current orthopaedic surgical procedures. In this study a thermo-mechanical finite element model of bone cutting is presented that idealises cortical bone as an equivalent homogeneous isotropic material. The maximum temperature in the bone was found in the region where the thin bone layer (chip) was separated from the bone sample that was adjacent to the tool rake (i.e., front face of the tool). Temperature values were calculated with the model and compared for cutting conditions with and without a coolant (irrigation). The influence of bone's thermal properties on the depth of thermal necrosis is discussed. The simulated cutting temperatures were compared with experimental results obtained in bone drilling tests. Simulations of the cutting processes identified critical variables and cutting parameters affecting thermo-mechanics of bone cutting.
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