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dc.contributor.authorMediouni, M.*
dc.contributor.authorKucklick, T.*
dc.contributor.authorPoncet, S.*
dc.contributor.authorMadiouni, R.*
dc.contributor.authorAbouaomar, A.*
dc.contributor.authorMadry, H.*
dc.contributor.authorCucchiarini, M.*
dc.contributor.authorChopko, B.*
dc.contributor.authorVaughan, Neil*
dc.contributor.authorArora, M.*
dc.contributor.authorGökkuş, K.*
dc.contributor.authorLozoya lara, M.*
dc.contributor.authorPaiva Cedeño, L.*
dc.contributor.authorVolosnikov, A.*
dc.contributor.authorHesmati, M.*
dc.contributor.authorHo, K.*
dc.date.accessioned2019-04-05T14:15:21Z
dc.date.available2019-04-05T14:15:21Z
dc.date.issued2019-05-10
dc.identifier.citationMediouni, 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.en
dc.identifier.issn0300-7995
dc.identifier.doi10.1080/03007995.2019.1603671
dc.identifier.urihttp://hdl.handle.net/10034/622092
dc.descriptionThis 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/10.1080/03007995.2019.1603671en
dc.description.abstractIntroduction: 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.
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urlhttps://www.tandfonline.com/doi/full/10.1080/03007995.2019.1603671
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectOsteonecrosisen
dc.subjectdrillingen
dc.subjectwater jeten
dc.subjectfinite element analysisen
dc.subjectmachine-learningen
dc.titleAn overview of thermal necrosis: present and futureen
dc.typeArticleen
dc.identifier.eissn1473-4877
dc.contributor.departmentUniversity of Chesteren
dc.identifier.journalCurrent Medical Research & Opinion
dc.date.accepted2019-04-01
or.grant.openaccessYesen
rioxxterms.funderRoyal Academy of Engineeringen_US
rioxxterms.identifier.projectCSIS17/03en_US
rioxxterms.versionAMen
rioxxterms.licenseref.startdate2020-05-10


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