Project Report
Project Report
Project Report
BACHELOR OF TECHNOLOGY
In
Submitted by
CERTIFICATE
SEMINAR CO-ORDINATOR
ORDINATOR INT
INTERNAL GUIDE
We take this opportunity to express our deep sense of gratitude to all those
concerned for their valuable suggestions and guidance, especially our project
guides Asst. Prof. Shajan S, Asst. Prof. Chithra Kumar V.K, Department of
Mechanical Engineering. The technical information imparted by them is
gratefully acknowledged.
We would also like to extend our thanks to our friends and family throughout
the course of this project.
Last but not the least, we would like to Thank God, the almighty, without him
this project would have been impossible.
ii
ABSTRACT
Bone fracture is common in day to day life. Fracture occurs when the bone is
subjected to the forces (direct blows, falls or twisting) which are unable to
sustain. Fractured bones are capable of healing itself naturally by generating
new bone forming cells and blood vessels at the fracture site. Therefore
restoring of the fractured parts to their initial position and maintaining them
there until the bone heals is crucial. Drilling of bone is a common procedure to
produce hole for screw insertion to fixate the fracture devices and implants for
immobilization. The magnitudes of the friction energy are greatly dependent
with the drill geometry design and the penetration angle. For the sake of
importance on studying this phenomenon, this paper aims to investigate the
effects of drill geometry on temperatures rise and hole surface in bone drilling
procedure.
This project is based on the in vitro study on the heat generated during
Orthopedic drilling by using Bovine bone, which is used as an alternative to the
human bone, due to its similar properties. The study is performed using HSS
Parallel Shank Twist drill bits on a radial drilling machine.
iii
CONTENTS
ACKNOWLEDGEMENT ii
ABSTRACT iii
LIST OF TABLES vi
1. INTRODUCTION 1
2. LITERATURE STUDY 2
3. PROBLEM IDENTIFICATION 10
4. OBJECTIVES 11
5. METHODOLOGY 12
6. EXPERIMENTAL STUDY 13
6.1.1 BONE 13
6.1.5 THERMOCOUPLE 17
7. EXPERIMENTAL ANALYSIS 21
8. NUMERICAL STUDY 26
iv
9. NUMERICAL ANALYSIS 30
10. DISCUSSIONS 33
11. CONCLUSION 34
13. APPENDICES 36
14. REFERENCES 46
v
LIST OF TABLES
vi
LIST OF FIGURES
vii
1. INTRODUCTION
Bone fracture is common in day to day life. Fracture occurs when the bone is
subjected to the forces (direct blows, falls or twisting) which are unable to
sustain. Fractured bones are capable of healing itself naturally by generating
new bone forming cells and blood vessels at the fracture site. Therefore
restoring of the fractured parts to their initial position and maintaining them
there until the bone heals is crucial. Drilling of bone is a common procedure to
produce hole for screw insertion to fixate the fracture devices and implants for
immobilization.
This project is based on the in vitro study on the heat generated during
Orthopedic drilling by using PUF (Polyurethane Foam). PUF is used as an
alternative to bone, for its similar properties. The study is performed using
specially designed stainless steel surgical drill bits on a CNC drilling machine.
1
2. LITERATURE STUDY
Based on the journal collected, it was seen that the experiments were performed
using CNC 5-Axis Machine with a drilling speed of 1000 rpm and 100 mm/min
feed rate were employed to represent the actual manual surgical hand drill speed
and surgeon penetration feed. The drilling temperatures were measured using
portable thermal infrared camera.
In this experiment, AISI 420B stainless steel medical grade rod with diameter
4.3 mm were ground to form thedrill bits with varying angles namely point
angle, helix angle and web thickness as depicted in Table 1. Stainlesssteel drill
bit exhibits good corrosion resistance and can minimize the tool wear effect.
Totals of 51 holes weredrilled with 3 holes replication for each run. To
eliminate the apparatus wear impact on the result, the apparatuswere cleaned
with a brush and wet tissue before each drilling process.
Theory predicts that a splitpoint drill would reduce friction, and that a quick
helix is neededto clear the bone debris efficiently. This would also beimproved
by the use of a parabolic flute. Such a drill bitwould be more efficient, generate
minimal friction, andreduce the production of thermal energy.
2
Table 1: Effects of drill-bit
bit design geometry parameters with temperature and hole surface
for different drilling penetration angle conditions.
The interaction
ction between the design geometryparameter and the drilling
penetration angle significantly affect the temperature magnitudes and hole
surface. Fromthe conducted investigation, the most significant parameter that
affects the temperature rise and holes surf
surface quality
were penetration angle followed by the point angle. In addition, helix angle and
web thickness give less significanteffect on the hole performance. To conclude,
the results from the conducted experiments provide the referencevalues for the
development
lopment of high performance surgical drill design in orthopedic bone
surgeries application.
During the bone drilling process, the produced chips impact the wall of the
holes generating small cracks on thechip surface and causing them to break
when the critical
ical strain is reached. In addition, due to the deviated angle atthe
beginning of contact point causing a deformation around the hole surface. The
combination from both frictionand thermal effects increase the microfracturing
effect as the penetration angle
angl increase.
3
OPTIMIZATION OF ORTHOPAEDIC DRILLING: A
TAGUCHI APPROACH
4
thermal osteonecrosis. Hence, drilling of bone with minimum temperature is a
major challenge for orthopaedic fracture treatment.
In this study, effects of drill diameter, feed rate and spindle speed on
temperature generated in the dry drilling of PMMA were investigated
The maximum value of temperature obtained for each trial is used for the
analysis. This criteria was used to avoid any possibility of thermal osteonecrosis
(ON). All the values of bone temperature, not their mean values must be below
the cut-off point for ON.
5
DRILLING OF BONE: PRACTICALITY, LIMITATIONSAND
COMPLICATIONS ASSOCIATED
WITH SURGICAL DRILL-BITS
6
Excessive temperatures and durations at these elevated levels can result in the
necrosis(death) of bone, a phenomenon termed osteonecrosis, or the impairment
of osteogenicPotential. There is no definitive consensus regarding critical values
or their durations an increase in temperature of the cortical bone to above 50˚C
has been implicated with a reduced regenerative capacity and above 56˚C with
osteonecrosis a temperature elevation to above 47˚C which is sustained for one
minute has a potent osteo-necrotic effect. Both in vitro and in vivo
animalmodels have hitherto played a pivotal role in the determination of these
thresholdtemperatures and critical durations.
The operational environment for a surgical drill-bit is unique and very unlike
thatexperienced by engineering drill-bits used in manufacturing, or traditional
non-biologicalengineering Skiving is particularly problematic in the case of
Bi-cortical drilling of long bones as the tip can skive along the endo-steal
surface of the farDrilling of Bonecortex, which induces a bending moment on
the fluted portion of the drill-bit If of sufficient magnitude this bending moment
can increase the risk ofbreakage, with the broken portion sometimes becoming
lodged in the medullary canal.
7
The surgical drilling of bone is associated with the generation of heat which
causes atransient rise in temperature of hard and soft tissues to above normal
physiological levels.
Depending on the magnitude of the maximal temperature attained and the
duration forwhich the elevated temperature is maintained thermonecrosis of
bone may ensue. Bone isparticularly susceptible to high temperatures as it has a
relatively low thermal conductivity,the implication being that heat is not easily
dissipated.The general consensus is that a temperature of 47˚C is the
criticalthreshold limit for thermonecrosis to occur in compact bone. This can
have severe and direimplications for implant fixation as a result of osteo elastic
resorption of necrotic bone.
8
ORTHOPAEDIC BONE DRILLS – CAN THEY BEIMPROVED?
TEMPERATURE CHANGES NEAR THE DRILLING FACE
9
3. PROBLEM IDENTIFICATION
Excessive temperatures and durations at these elevated levels can result in the
necrosis(death) of bone, a phenomenon termed osteonecrosis, or the impairment
of osteogenic potential. Necrotic bone is resorbed through osteoclastic activity
and this can have dire andcatastrophic consequences for rigidity of bone screws
and pins, ultimately resulting in thefailure of fracture repair or implant fixation.
Whilst there is no definitive consensusregarding critical values or their
durations an increase in temperature of the cortical bone toabove 50˚C has been
implicated with a reduced regenerative capacity and above 56˚C with
osteonecrosis. Both in vitro and in vivo animalmodels have hitherto played a
pivotal role in the determination of these thresholdtemperatures and critical
durations.
10
4. OBJECTIVES
11
5. METHODOLOGY
12
6. EXPERIMENTAL STUDY
6.1.1 Bone
Testing materials mainly include ox bone. The humerus bone ofadult cattle was
taken for the experiment. This is because abundant researches confirmed
that ox bone has the most similar mechanical properties andthermal properties
with human bone. However, ox bone hashigher density and thicker than human
bone. Under samedrilling conditions, drilling temperature of ox bone is
higherthan that of human bone. Hence, it could meet clinicalsurgical
requirements if necrocytosis of ox bone could be avoided. The humerus bone
has a cylindrical structure and is characterised of even thickness, compact
texture and slightmechanical property changes. It is the first choice of
testingbone sample. The cortical thickness of the used bone sample ranges
between 6~9 mm.
13
Bovine Bone- Material Properties
The experiment used Siddhapura Universal Radial Drilling Machine Model No.
SER- I &II.Main technical parameters included:
Spindle speeds of 62, 119 and 184 RPM were used to evaluate the experimental
study. Natural air cooling was applied. The most important components are the
arm, column, and the drill head. The drill head of the radial drilling machine can
be moved, adjusted in height, and rotated.The tasks that a radial drilling
14
machine can do include boring holes, countersinking, and gri
grinding off small
particles in masonry.
Addison parallel shank twist drill bits (Jobber Series) of diameter 4, 5 and 6mm
were used in this experiment. Diameter
ter of working part, drill bit lengths are
listed in the table shown below.
below Apex angle
le and helix angle of all the selected
twist drills are 118° and 30°.
Drill Diameter 4 mm φ 5 mm φ 6 mm φ
Flute Length 43 mm 52 mm 57 mm
Overall Length 75 mm 86 mm 93 mm
15
Fig 5: Drill Bits Used
The Agilent 34970A data acquisition / data logger switch used in this
experimental study consists of a three-slot mainframe with a built-in 6 1/2 digit
digital multimeter. Each channel can be configured independently to measure
one of 11 different functions without the added cost or hassles of signal-
conditioning accessories. Choose from eight optional plug-in modules to create
a compact data logger, full-featured data acquisition system or low-cost
switching unit. On-module screw-terminal connections eliminate the need for
terminal blocks and a unique relay maintenance feature counts every closure on
every switch for easy, predictable relay maintenance. 34901A features a built-in
thermocouple reference and 20 two-wire channels.
16
Fig 6: Data Acquisition System (DAS)
6.1.5 Thermocouple
17
The positive and negative poles of K thermocouple are connected to the 34970A
data acquisition unit which is connected to the computer. In this way,
thermo electromotive forces produced by hot and cold ends
of the thermocouple could be collected and recognized by
34970A data acquisition unit.
18
6.2 Experimental Procedure
The bone sample was clamped tightly by a jaw vice. A small hole was drilled
firstly on top side of the bone and the hot end of the thermocouple was inserted
into this small hole. The hot end was in full contact with the hole
bottom. Next, the thermocouple was fixed in place with a clamp. Finally,
drilling experiment was implemented at the place of 2mm away from the hot
end.
The drilling was done 3 times with each diameter: 4, 5 and 6mm drill bits we
selected, to gain better accuracy in the temperature measurement. The
temperature readings were noted down. These were repeated for 62, 119 and
184 RPM spindle speeds, totally giving 9 sets of readings.
19
Below shown is the total arrangement of the experimental study with all the
above mentioned components.
20
7. EXPERIMENTAL ANALYSIS
The readings noted by DAS for 4, 5, and 6mm drill bit diameters at different
spindle speeds are as given below:
21
Temperature readings at 184RPM (in ˚C)
Effect of drill diameter on drilling temperature was tested using same bone
sample under air cooling conditions using 4.0, 5.0, and 6.0 mm φ common twist
drill. The corresponding diameter-dependent variation curves of temperature at
the point of 5 mm deep and 2 mm away from the hole wall are shown below.
22
Fig 10: Temperature vs Drill Diameter for 65 rpm
23
temperature greatly. It is suggested to choose appropriate drill to lower the
drilling temperature.
It can be seen from Fig below that all three temperature curves show a linear
variation law as drilling goes on. The maximum drilling temperature of the
24
measuring point is achieved at about 15 s. The highest drilling temperatures at
same time under is 65 r/min, 119 r/min and 184 r/min are 56.2°C, 49.9°C, 4 and
48.2°C. This reflects that under same of other drilling
parameters, drilling temperature decreases with the increase of speed of main
shaft.
60
50
40
65 rpm
30
119 rpm
20
184 rpm
10
0
4 5 6
25
8. NUMERICAL STUDY
Based on the finite element method, DEFORM has proven to be accurate and
robust in industrial application for more than two decades. The simulation
engine is capable of predicting large deformation material flow and thermal
behaviour with astonishing precision. DEFORM is the most widely used
simulation program in the world by leading research institutes and
manufacturers. See our product information for additional details.
26
Fig 14: DEFORM-3D System Interface
CONDITIONS
RPM 120
Feed 0.5mm/rev
The flow stress data was taken at a constant temperature of 296K or 23˚C.
28
8.3 Simulating Drilling Processes with DEFORM-3D
29
9. NUMERICAL ANALYSIS
The drilling simulation was carried out and the temperature v/s time graph
was plotted. The values of temperature change after each 0.1s is shown below
in ˚C:
0 23
0.10126 30.03177
0.20086 31.76746
0.30046 28.32502
0.40006 34.83578
0.50132 40.67566
0.60092 42.46799
0.70052 46.98786
0.80012 50.752
0.8798 55.42126
30
The temperature v/s time graph is as shown below:
31
From the simulated output of a 6mm twisted drill bit running at 120RPM with a
feed of 1mm/rev, it is seen that the highest temperature calculated is 55.4˚C.
With only air cooled conditions and a feed rate not the same with the one we
done in experimental, the result still satisfies the condition. The whole process
took around only 0.87s to complete. With the help of extra coolant and slow
feed rate, the highest temperature read can be maintained and can be optimized
for our thermal necrosis dilemma.
From the numerical analysis of 6mm φ drill bit running at a speed of 120rpm,
the highest temperature recorded was 55.4°C.
While in the experimental analysis of 6mm φ drill bit at 119rpm, the highest
temperature recorded was 49.9°C
• Anisotropic behaviour
• Ambient conditions
32
10. DISCUSSIONS
Thermal insult to living tissue causes damage and eventual cell death. It
has been shown that heating above 55°C causes irreversible change to the
physical properties of bone, probably because of changes in the collagen of
the matrix. Cortical necrosis and delayed healing were reported in bovine
bone after heating to between 43.3° and 68.7°C. Our choice of 50·°C was
arbitrary, but we felt that thermal injury should be reduced to a known ‘safe’
level for local osteo blasts.
The use of a split-point drill bit, with a point angle of 118° and a quick helix
gives an improved performance, reducing the force required (and the time
for heat generation), and therefore causing less thermal damage than a
standard orthopaedic drill.
33
11. CONCLUSION
The surgical drilling of bone is associated with the generation of heat which
causes a transient rise in temperature of hard and soft tissues to above
normal physiological levels. Depending on the magnitude of the maximal
temperature attained and the duration for which the elevated temperature is
maintained thermo necrosis of bone may ensue. Bone is particularly
susceptible to high temperatures as it has a relatively low thermal
conductivity, the implication being that heat is not easily dissipated. Coupled
with a relatively low specific heat, the end result is that the inertial effect
following a localised injection of heat can be considerable. The general
consensus is that a temperature of 47˚C is the critical threshold limit for
thermo necrosis to occur in compact bone. This can have severe and dire
implications for implant fixation as a result of osteoclastic resorption of
necrotic bone. Osteogenic potential can also be compromised due to
exposure to elevated temperatures which can hinder tissue infiltration and
osteo integration required for biological fixation of implants, such as in un
cemented joint arthroplasty.
34
12. SCOPE OF FUTURE WORKS
35
13. APPENDICES
CONTENTS
EXPERIMENTAL AND NUMERICAL
STUDY OF EFFECT OF DRILL
GEOMETRY AND SPEED ON HEAT
GENERATED DURING ORTHOPEDIC
SURGERY
AKASH BEN AJAY 405
GUIDED BY: ASST. PROF. SHAJAN S. ATHEENA TERESA PAULSON 416
BHARATH HS 419
• Fracture occurs when the bone is subjected to the Diameter has the highest
influence on temperature
forces which it is unable to sustain. produced during drilling
PMMA, followed by the
• Bone drilling is a common procedure to prepare an spindle speed and feed
rate respectively.
implant site during orthopaedic surgery.
1
ORTHOPAEDIC BONE DRILLS – CAN THEY BE
IMPROVED?
TEMPERATURE CHANGES NEAR THE DRILLING FACE
• Many orthopaedic operations involve drilling and tapping COLIN NATALI, PAUL INGLE, JOHN DOWELL
before the insertion of screws into bone.
Blunt drill bits will generate higher
temperatures and
• An excessive rise in temperature around a drill hole will cause even smoke, while the increased
thermal necrosis of bone, temperatures of over 50°C create force required for penetration and
irreversible changes in the structure and physical properties of causes poor control of the drill,
bone uncontrolled bursting through the
cortex or drill breakage
5 6
• Thermal insult to living tissue causes damage and eventual • Use of a split-point drill bit, with a point angle of 118° and a
cell death. quick helix gives an improved performance
7 8
2
DRILLING OF BONE: PRACTICALITY, LIMITATIONS
AND COMPLICATIONS ASSOCIATED
• Many geometrical and operational variables influence both WITH SURGICAL DRILL-BITS
the performance and maximal temperature elevation in bone NICKY BERTOLLO AND WILLIAM ROBERT WALSH
as result of the use of drill-bits.
They include:
Depending on the magnitude of the
AXIAL THRUST FORCE
maximal temperature attained and the
ROTATION SPEED duration for which the elevated
TORQUE temperature is maintained thermo
SHARPNESS OF THE CUTTING EDGES necrosis of bone may ensue.
COOLING SYSTEMS (CLOSED OR OPEN LOOP)
CORTICAL THICKNESS
9 10
Increase in temperature results in thermal osteo To avoid thermal necrosis, temperature must be
necrosis which may delay healing. ideally below 55 deg Celsius
11 12
3
EXPERIMENTAL SET UP- PHOTO EXPERIMENTAL SET UP- COMPONENTS
Bovine bone
Radial drilling
machine
4,5,6 mm φ HSS twist
drill bits
Data Acquisition
System (DAS)
Thermocouple
13 14
15 16
4
RADIAL DRILLING MACHINE RADIAL DRILLING MACHINE
• Universal Radial Drilling Machine Model No. SER-I
& II
• Spindle Speed range - 62 to 1980RPM
• The most important components are the
arm, column, and the drill head.
• The drill head of the radial drilling machine can
be moved, adjusted in height, and rotated.
• The tasks that a radial drilling machine can do
include boring holes, countersinking, and grinding
off small particles in masonry.
17 18
THERMOCOUPLE THERMOCOUPLE
19 20
5
DATA ACQUISITION SYSTEM (DAS)
Limitation of the thermocouple nest method :
21 22
23 24
6
Temperatures(°C) at 119rpm Temperatures(°C) at 184rpm
25 26
27 28
7
Temperature vs Drill Diameter for 184
Experimental analysis
rpm
60
50
40
65 rpm
30
119 rpm
20 184 rpm
10
0
4 5 6
29 30
• The simulation engine is capable of predicting large Bone Density 1800 kg/m3
deformation material flow and thermal behaviour
with great precision. Young’s Modulus 20000 MPa
• For the numerical study we used SFTC Deform3D Longitudinal Elastic Modulus 26.1 GPa
v11.0
Poisson’s Ratio 0.36
31 32
8
Simulation Video Simulation Video
33 34
9
Result Conclusion
• From the numerical analysis of 6mm φ drill bit • Lowest temperature recorded was 38.9°C
running at a speed of 120rpm, the highest • Obtained at 184 rpm, drill diameter 4mm.
temperature recorded was 55.4°C • Highest temperature recorded was 56.2°C.
• Obtained at 65 rpm, drill diameter 6mm.
• While in the experimental analysis of 6mm φ • Thus we conclude that temperature produced
drill bit at 119rpm, the highest temperature is maximum when using low speed and large
recorded was 49.9°C drill diameter.
37 38
References References
• Noorazizi, M. S., Izamshah, R., & Kasim, M. S. (2017). Effects • Pandey, R. K., & Panda, S. S. (2012). Optimization of
of Drill Geometry and Penetration Angle on Temperature
and Holes Surfaces for Cortical Bovine Bone: An in Vitro orthopaedic drilling: a Taguchi approach. Int J Theor
Study. Procedia Engineering, 184, 70-77. Appl Res Mech Eng, 1(1), 9-12.
39 40
10
14. REFERENCES
[1] Noorazizi, M. S., Izamshah, R., & Kasim, M. S. (2017). Effects of Drill
Geometry and Penetration Angle on Temperature and Holes Surfaces for
Cortical Bovine Bone: An in Vitro Study. Procedia Engineering, 184, 70-
77.
[3] Natali, C., Ingle, P., & Dowell, J. (1996). ORTHOPAEDIC BONE
DRILLS–CAN THEY BE IMPROVED?: TEMPERATURE CHANGES
NEAR THE DRILLING FACE.Bone & Joint Journal, 78(3), 357-362.
36
46