Authors
Mediouni, MohamedKucklick, Theodore
Poncet, Sébastien
Madiouni, Riadh
Abouaomar, Amine
Madry, Henning
Cucchiarini, Magali
Chopko, Bohdan
Vaughan, Neil
Manit, Arora
Gökkuş, Kemal
Lozoya Lara, Mario
Paiva Cedeño, L.
Volosnikov, Alexander
Hesmati, Mohamed
Ho, Kevin
Affiliation
O3DC; Cannuflow Inc; Université de Sherbrooke; University of Paris-Est Créteil; Bureau 1, Imm Al Redouane; Saarland University Medical Center; Ohio Health Mansfield Hospital; University of Chester; Fortis Hospital; Memorial Antalya; Hospital Santa Rita; Francisco de Miranda Experimental University; Federal State Budgetary Institution Russian Ilizarov Scientific Center; Tehran University Medical of Sciences; University of Western AustraliaPublication Date
2019-05-10
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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. Materials and 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 are discussed and highlighted that lead to thermal necrosis. 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.Citation
Mediouni, M., Kucklick, T., Poncet, S., Madiouni, R., Abouaomar, A., Madry, H., Cucchiarini, M., Chopko, B., Vaughan, N., Arora, M., Gökkuş, K., Lozoya lara, M., Paiva Cedeño, L., Volosnikov, A., Hesmati, M. & Ho, K, (2019). An overview of thermal necrosis: present and future, Current Medical Research & Opinion, 35(9), 1555-1562.Publisher
Taylor & FrancisAdditional Links
https://www.tandfonline.com/doi/full/10.1080/03007995.2019.1603671Type
ArticleLanguage
enDescription
This is an Accepted Manuscript of an article published by Taylor & Francis in Current Medical Research & Opinion on 10-05-2019, available online: https://doi.org/10.1080/03007995.2019.1603671ISSN
0300-7995EISSN
1473-4877ae974a485f413a2113503eed53cd6c53
10.1080/03007995.2019.1603671
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Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc-nd/4.0/