International Conference on Global Trends in Engineering, Technology and Management (ICGTETM-2016) An Investigation of Relation between Necrosis and Drilling Parameters Rajesh V. Dahibhate#1 Ashish B. Deoghare#2 Research Scholar, Dept. of Mechanical Engineering, G.H.R.C.E Nagpur, Maharashtra (India). Assistant professor, Dept. of Mechanical Engineering, N.I.T. Silchar, Assam. (India). Abstract-Drilling is a cutting process that uses a drill bit to cut a hole of circular cross section in solid materials. The drill bit is a rotary cutting tool often multipoint. The bit is pressed against the work piece and rotated at rates from hundred to thousand of revolutions per minute. This forces the cutting edge against the work piece, cutting off chips from the hole as it is drilled. This cutting and frictional force increases the temperature above 47 degree Celsius during routine orthopedic bone cuts causing osteonecrosis with potentially negative impacts on bone healing and implant failure. The current literature on bone drilling and thermal necrosis is reviewed. The methodologies involved in the experimental and clinical studies are described and compared. Areas which require further investigation are highlighted and the potential use of more precise experimental setup and future technologies are addressed. Important drill and drilling parameters that could cause increase in bone temperature and hence thermal osteonecrosis are reviewed and discussed: drilling speed, drill feed rate, Experimental methods of temperature measurement during bone drilling are defined and thermal osteonecrosis is discussed with its path physiology, significance in bone surgery and methods for its minimization. Keywords-thermal necrosis, histopathology, Abaqus software. 1. INTRODUCTION During bone drilling heat generation may result in thermal injury due to temperature rise of bone, with potentially devastating the effects on the outcome of orthopedic surgery. During bone drilling shear deformation and friction between the rake face of drill bit causes heat generation. Hyperthermia and carbonization resulting in cell death and bone property changes may be the results of heat generation. A thermal effect damages the vascular system immediately which adds to bone death due to insufficient blood supply. Secondary effects of heating are driven by friction between the chips, drill bit body and the bone. The drill bits are manufactured of a standard such as DIN 1.4112 or AISI 440B and have chemical composition of approximately 0.85% C, 18% Cr, 1% Mo, 1% Mn 1% Si, and trace elements, with the remainder made up of iron. The drill bit material requires to withstand repeated sterilization cycles at temperatures up to13580c. ISSN: 2231-5381 2. LITERATURE REVIEW Heat generation results in necrosis and in extreme conditions even carbonization is possible [1-3].To prevent thermal necrosis favorable drilling conditions and drill bit geometries are studied by experimental investigation in literature [4-7], they concluded that the level of temperature elevation and the duration of thermal exposure should be minimized. The drill bit geometry determines the heat generation [8, 9] the design of drill bit point and cutting edges controls the cutting forces. Rake face is an important place which transforms the energy of shear deformation and friction into heat. Although smaller point angle could reduce shear stress, making cutting edge longer, but in overall literature the effect of point angle is negligible. Since the chisel edge contributes to thrust force its effect is secondary to cutting edges. Furthermore the geometry of the drill bit flutes contributes to the speed of chips expelled from the cutting region [12].and as the chips absorb a large part of heat generated, they can also contributes to heat removal. The other parameter is helix angle that affects the cutting edge geometry and fluted region geometry. It also has effect on generated temperature. If other parameters are kept constant, heat generation increases linearly with the cutting speed. Similarly if drill bit diameter is increased heat generation increases [5].also to be pointed, increasing feed rate and independently the spindle speed also increases temperature. The initial thermal damage and post surgery bone healing is observed to be affected most by spindle speed [14].although it can be said that lower feed rate and slower spindle speed are always a favorable in reducing thermal effects. Other effects like low conductivity material drilling, the chip stream material itself convects the heat from the cutting edge, along the flute, creating a cooling mechanism, where a higher a feed rate leads to a faster chip stream. Davidson and James [15] suggested a thermal model to predict temperature elevation in the bone during drilling. A homogeneous differential equation of heat conduction was derived in the radial direction only and one dimensional conduction equation was solved analytically, kalindini [16].most recently an elastic plastic model was presented by Tu et al.[17] to simulate temperature rise with ABAQUS software to estimate the temperature rise. In general, the literature shows that if the temperature rises above 550C for a period of longer than one-half a minute, http://www.ijettjournal.org Page 220 International Conference on Global Trends in Engineering, Technology and Management (ICGTETM-2016) 3.2 Drill bit specifications- 1. Drill diameter- 3, 6,9mm, 2. Drill tip angle- 1180, 3. Rake angle- 350, 4.Helix angle-280. ISSN: 2231-5381 TABLE I DRILLING PARAMETERS SR.NO SPEED(RPM) TEMPERATURE (0C) 1 600 FEED RATE (mm/sec) 0.3 41.2 46.5 54.2 2 1200 0.6 43.5 47.8 56.5 3 1800 0.9 44.6 49.9 58.4 4 2400 1.2 45.2 51.3 60.2 3mm 6mm 9mm 80 60 40 3mm 20 6mm 0 9mm 600 1200 1800 2400 spindle speed (rpm) Fig. 2 The variation of temperature with spindle speed and drill diameter. All the values are calculated for the initial temperature of 250c and 370c for the drill bit and bone respectively. Temp.(Degree celcius) serious damage .Will be done to the bone, which may take several weeks to fully recover. 3. Aim of the research The objective of this work is to measure the thermal necrosis in bone during orthopedic drilling and to see the effect of various parameters of drilling process on temperature rise. Methods and materials-Sheep bone was selected because it is readily available. Furthermore sheep bone has been used in previous studied on the effect of drilling and cutting. Sheep rib bone was obtained from a local butcher. The soft tissues attached to bone were cleaned with a sharp cutter and saline water and then the bone specimen was dipped in buffer solution. The average specimen thickness was 2mm and average area of the surface across which heat distribution to be studied is 10mmX5mm. 3.1 Experimental apparatus and procedure-To avoid the vibrations and to achieve accuracy CNC milling machine is used for the drilling purpose. the specimen during the drilling process was kept in Phosphate Buffer Solution (sodium salt) with ph 7.4.for this Stock solution A-(Na2HPO4.2H2O), 0.2 molar solution containing 35.61g/L or (Na2HPO4.12H2O), 0.2 molar solution containing 71.64g/L .and Stock solution B-(NaH2PO4.2H2O), 0.2 molar solution contains27.67g/L or (NaH2PO4.2H2O), 0.2 molar solution containing 31.21g/L .on addition of A and B, (X ml of A+Y ml of B), diluted to a total of 200 ml. that is X=19.0,Y=81.0,PH=7.4.For 100 ml-A solution 3.561 g/100 ml, B solution 3.121 g/100 ml.The solution was maintained at 37.80C to simulate live body temperature. The temperature at the drilling site is measured with the help of a infrared thermometer. Four speed range 600, 1200, 1800 and 2400rpm were preferred. These were chosen in order to go below and above the speeds recommended in the literature for the drilling of bone. The drill bit diameter was 3,6 and 9mm and feed rates used were 0.3,0.6,0.9 and1.2 mm/sec.These feeds were chosen arbitrarily, since in orthopedic practice the feed rate varies from surgeon to surgeon and in the case of a particular surgeon there will also be a variation, since the drill is hand-held.After each drilling the specimens were dipped in different bottles containing 10% formalin. After a gap of 45 days and an interval of 4 days the chemical solution was replaced with a new one. 80 60 40 3mm 20 6mm 0 9mm 0.3 0.6 0.9 1.2 Feed rate (mm/sec) Fig. 2 The variation of temperature with spindle feed rate and drill diameter. 4. Histology- An Introduction to Decalcification Bone consists of cells (osteocytes) surrounded by a calcified matrix. In the matrix calcium is in the form of hydroxyapatite crystals [Ca10(PO4)6(OH)2] which are deposited between the fibrous elements. These crystals are dissolved out during the process of decalcification which leaves cohesive tissue with the physical characteristics of dense fibrous connective tissue. There are a number of options available when the histologist is required to produce sections from bone or other calcified specimens. In choosing a technique and processing method consideration must be given to the type of investigation being carried out. In order to protect the cellular and fibrous elements of bone from damage caused by the acids used as decalcifying agents, it is particularly important to http://www.ijettjournal.org Page 221 International Conference on Global Trends in Engineering, Technology and Management (ICGTETM-2016) thoroughly fix these specimens prior to decalcification. After completion of the following steps of fixation, dehydration, clearing and embedding, section cutting, staining with the help on microtome machines the section were made and observed under microscope The ratio of fixed and empty lacunae indicates the spread of heat over bone along length. 6. CONCLUSIONS Fig 3 Histological appearance of bone sections depicting the vascular response.Empty lacunaes indicating traumatized bone. 5. ABAQUS SOFTWARE- A model was made in CATIA software with dimensions of length-50mm, width-10mm and thichness-3mm.the model was then imported in Abaqus. Following properties were applied to it. During the experimentation work it is observed that the effect of spindle speed as well as feed rate should be considered the effect of drill bit diameter like 3, 6, and 9mm that are the general diameters also affect the temperature generation linearly. The selected bone was a rib bone of a three months old lamb which is having almost the same characteristics as that of a human bone. Again from histopathological point of view thinner bones had to be selected. To provide the best cutting conditions and maintaining temperatures at a manageable level it recommended drill bit of 3mm diameter, feed rate of 0.6 mm/sec and speed of 1200 rpm. TABLE II PROPERTY VALUES USED DURING ABAQUS SOFTWARE. PROPERTY 1.Thermal conductivity. 2. Specific heat. 3. Thermal diffusivity. 4. Density. 5. Porosity. 6. Elastic modulus. UNIT w/m0c VALUE 0.15-0.35 Jkg/0c M2/sec Kg/m3 N/m2 KJ/m2 1300 0.3*10-6 1800 5-10% 1.Tension-11-19*109 2.compression-15-20*109 1.Tension-107-146*109 2.compression-156-212*109 3.shear-72-82*109 1. Longitudinal-11-21. 2. Transverse-5-13. 1. Tensile strength-60-70. 2. Compressive strength-70280. 1. Tensile strength-50. 2. Compressive strength-50. 0.5-3%. KJ/m2 1.5 2 7.Ultimate stress N/m 8.Youngs modulus Gpa 9. Longitudinal strength. Mpa 10. Transverse strength. 11. Maximum total elongation. 12. Fracture energy. Mpa Fig. 4 Temperature distribution in drilled bone using Abaqus. ISSN: 2231-5381 ACKNOWLEDGMENT The author wishes to acknowledge the contributors for developing the histopathological sections and conducting drilling processes. The authors also wish to thank the graduation students for their assistance in managing Abaqus software. REFERENCES [1]JuEun Lee,Yoed Rabin,O.Burak Ozdoganlar,A new thermal model for bone drilling with applications to orthopaedic surgery, ,Medical Engineering and physics,33(2011) 1234-1244. [2]Bachus.K.N,Rondind MT,Hutchinson DT.The effect of drilling force on cortical temperature and their duration;an in vitro study,Medical Engineering and physics 2000;22(10):685-91. [3]Fuchsberger A,The damaging temperature at the machining of bone.Unfallchirurgie 1988;14(4);173-83. 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