Waterjet drilling in porcine bone: the effect of the nozzle diameter and bone architecture on the hole dimensions

Ultrasonic-Vibration-Assisted Waterjet Drilling of [0/45/-45/90]2s Carbon-Fiber-Reinforced Polymer Laminates

The pure waterjet (WJ) drilling process of carbon-fiber-reinforced polymer (CFRP) laminates causes damage, such as tears and delamination, leading to poor-quality hole-wall. Ultrasonic-vibration-assisted technology can improve the quality of hole walls and repair such damage, particularly the delamination of CFRP laminates. In this study, we conducted a numerical and experimental investigation of a high-pressure pure WJ drilling process of CFRP laminates performed using ultrasonic vibration to improve the delamination phenomena of the pure WJ drilling process. An explicit dynamic model using the smoothed particle hydrodynamics method was employed to simulate the ultrasonic-vibration-assisted WJ drilling of CFRP laminates and ascertain the optimal drilling performance. Thereafter, WJ drilling experiments were conducted to verify the numerical simulation. The results illustrate that the employment of ultrasonic vibration significantly increased the material removal rate by approximately 20%. Moreover, the water-wedging action that induces the propagation of delamination was weakened with an increase in the amplitude of the ultrasonic vibration. The hole-wall quality was optimal with the following drilling parameters: amplitude, 10 μm; frequency, 20 kHz; and WJ velocity, 900 m/s. The delamination zone length was only 0.19 mm and was reduced by 85.6% compared with the values obtained using non-assisted WJ drilling.

Feasibility Study to Determine if Microfracture Surgery Using Water Jet Drilling Is Potentially Safe for Talar Chondral Defects in a Caprine Model

OBJECTIVE

Surgical microfracture is considered a first-line treatment for talar osteochondral defects. However, current rigid awls and drills limit access to all locations in human joints and increase risk of heat necrosis of bone. Using a flexible water jet instrument to drill holes can improve the reachability of the defect without inducing thermal damage. The aim of this feasibility study is to determine whether water jet drilling is potentially safe compared with conventional microfracture awls by studying side effects and perioperative complications, as well as the quality of cartilage repair tissue.

DESIGN

Talar chondral defects with 6-mm diameter were created bilaterally in 6 goats (12 samples). One defect in each goat was treated with microfracture created with conventional awls, the contralateral defect was treated with holes created with 5-second water jet bursts at a pressure of 50 MPa. Postoperative complications were recorded and after 24 weeks analyses were performed using the ICRS (International Cartilage Repair Society) macroscopic score and modified O'Driscoll histological score.

RESULTS

Several practical issues using the water jet in the operating theatre were noted. Water jet drilling resulted in fibrocartilage repair tissue similar to the repair tissue from conventional awls.

CONCLUSIONS

These results suggest that water jet drilling gives adequate fibrocartilage repair tissue. Furthermore, the results highlight essential prerequisites for safe application of surgical water jet drilling: stable water pressure, water jet beam coherence, stable positioning of the nozzle head when jetting, and minimizing excessive fluid extravasation.

Surface Topography Analysis of Mg-Based Composites with Different Nanoparticle Contents Disintegrated Using Abrasive Water Jet

This study investigated the effect of abrasive water jet kinematic parameters, such as jet traverse speed and water pressure, on the surface of magnesium-based metal matrix nanocomposites (Mg-MMNCs) reinforced with 50 nm (average particle size) Al₂O₃ particles at concentrations of 0.66 and 1.11 wt.%. The extent of grooving caused by abrasive particles and irregularities in the abrasive waterjet machined surface with respect to traverse speed (20, 40, 250 and 500 mm/min), abrasive flow rate (200 and 300 g/min) and water pressure (100 and 400 MPa) was investigated using surface topography measurements. The results helped to identify the mode of material disintegration during the process. The nanoindentation results show that material softening was decreased in nanocomposites with higher reinforcement content due to the presence of a sufficient amount of nanoparticles (1.11 wt.%), which protected the surface from damage. The values of selected surface roughness profile parameters—average roughness (Ra), maximum height of peak (Rp) and maximum depth of valleys (Rv)—reveal a comparatively smooth surface finish in composites reinforced with 1.11 wt.% at a traverse speed of 500 mm/min. Moreover, abrasive waterjet machining at high water pressure (400 MPa) produced better surface quality due to sufficient material removal and effective cleaning of debris from the machining zone as compared to a low water pressure (100 MPa), low traverse speed (5 mm/min) and low abrasive mass flow rate (200 g/min).

Water jet as a novel technique for enamel drilling ex vivo

To investigate the usage of a water jet for enamel drilling ex vivo, 210 individual extracted molars without lesions or fillings were collected. Then, the specimens were drilled by a water jet or a high-speed dental drill. The cavities of 50 teeth were reconstructed digitally by micro-computed tomography (micro-CT) to measure the height and width. The cavities of 10 teeth were longitudinally incised and their surfaces were observed by scanning electronic microscopy (SEM). After the cavities were filled, 50 fillings were vertically incised. The bonding interface between tooth and filling was observed by SEM. 50 teeth with fillings were stained in 0.1% rhodamine B solution, and then the dye penetration between tooth and filling was observed under the stereomicroscope and confocal laser scanning microscopy (CLSM). The bonding strength between enamel and filling of 50 teeth was simulated and predicted with finite element analysis (FEA). At 140-150 MPa and for 2-3 s, cavities were made with a depth of approximately 764 μm in each tooth. SEM showed the cavity surface in the water jet group had a more irregular concave and convex structure than that in the high-speed dental drill group. There was a trend that the microleakage and bonding width was smaller in the water jet group than in the high-speed dental drill group. FEA indicated that the stress on the resin surface was greater than on the enamel surface in the water jet group. Compared with the tooth drilled by a high-speed dental drill, the tooth drilled by a water jet gained better retention of the filling material and suffered less bonding strength on the enamel surface. Water jet drilling is effective for enamel drilling.

Estimating tissue-level properties of porcine talar subchondral bone

Tissue-level properties of bone play an important role when characterising apparent-level bone biomechanical behaviour and yet little is known about its effect at this hierarchical level. In combination with trabecular morphological data these properties can be used to predict bone strength, which becomes an invaluable tool for clinicians in patient treatment planning. This study developed specimen-specific micro-finite element (μFE) models using validated continuum-level models, containing grayscale-derived material properties, to indirectly establish tissue-level properties of porcine talar subchondral bone. Specimen-specific continuum finite element (hFE) models of subchondral trabecular bone were setup using μCT data of ten cylindrical specimens extracted from juvenile porcine tali. The models were validated using quasi-static uniaxial compression testing. Validated hFE models were used to calibrate the tissue modulus of corresponding μFE models by minimising the difference between the μFE and hFE stiffness values. Key trabecular morphological indices (BV/TV, DA, Conn.D, Tb.Th, EF) were evaluated. Good agreement was observed between hFE models and experiment (CCC = 0.66). Calibrated E_tiss was 504 ± 37.65 MPa. Average BV/TV and DA for μFE specimens were 0.37 ± 0.05 and 0.68 ± 0.11, respectively. BV/TV (r² = 0.667) correlated highly with μFE stiffness. The small intra-specimen variation to tissue-level properties suggests that variations to apparent-level stiffness originate from variations to microarchitecture rather than tissue mechanical properties.

Predictive mechanics-based model for depth of cut (DOC) of waterjet in soft tissue for waterjet-assisted medical applications

The use of waterjet technology is now prevalent in medical applications including surgery, soft tissue resection, bone cutting, waterjet steerable needles, and wound debridement. The depth of the cut (DOC) of a waterjet in soft tissue is an important parameter that should be predicted in these applications. For instance, for waterjet-assisted surgery, selective cutting of tissue layers is a must to avoid damage to deeper tissue layers. For our proposed fracture-directed waterjet steerable needles, predicting the cut depth of the waterjet in soft tissue is important to develop an accurate motion model, as well as control algorithms for this class of steerable needles. To date, most of the proposed models are only valid in the conditions of the experiments and if the soft tissue or the system properties change, the models will become invalid. The model proposed in this paper is formulated to allow for variation in parameters related to both the waterjet geometry and the tissue. In this paper, first the cut depths of waterjet in soft tissue simulants are measured experimentally, and the effect of tissue stiffness, waterjet velocity, and nozzle diameter are studied on DOC. Then, a model based on the properties of the tissue and the waterjet is proposed to predict the DOC of waterjet in soft tissue. In order to verify the model, soft tissue properties (constitutive response and fracture toughness) are measured using low strain rate compression tests, Split-Hopkinson-Pressure-Bar (SHPB) tests, and fracture toughness tests. The results show that the proposed model can predict the DOC of waterjet in soft tissue with acceptable accuracy if the tissue and waterjet properties are known. Graphical Abstract (Left) An overview of the problems of traditional steerable needles and the solutions provided by waterjet steerable needles. (A) Traditional tip-steerable needles and tip-bent needles suffer from poor curvature, especially in soft tissues. (B) Traditional steerable needles are unable to accomplish many bends because the cutting force only results from drastic tissue deformation. (C) The first step for realization of waterjet steerable needles is to understand and model the interaction between waterjet and soft tissues at the tip (predictive model for depth of cut). (D) Then, the equilibrium between shapes cut in the tissue and the straight elastic needle should be understood. (Right) Waterjet steerable needles in which the direction of the tissue fracture is contr olled by waterjet and then the flexible needle follows. The first step for waterjet steerable needle realization is to predict the depth of waterjet cut.

Investigation of cutting quality and surface roughness in abrasive water jet machining of bone

The abrasive water jet machining is known as a cold cutting process and can be effective for developing cut in the bone in orthopedic surgery to prevent thermal necrosis. This research examined surface roughness and cutting quality of bovine femur bone using abrasive water jet machining. Furthermore, the effect of three parameters was studied including water pressure, traverse speed, and the type of abrasive particles. The feed rate of the abrasive particles was considered 100 g/min, and the levels obtained from pure water jet cutting, bone powder abrasive water jet machining, and sugar abrasive water jet machining were compared with each other. Application of bone powder as an abrasive particle caused improved cutting quality, when compared with pure water jet, and in the best case, it resulted Ra and Rz values of 7.36 and 54.76 μm, respectively at the pressure of 3500 bar and traverse speed of 50 mm/min. The minimum surface roughness was obtained using sugar abrasive particles at the pressure of 3500 bar and traverse speed of 50 mm/min. The values of Ra and Rz parameters measured at the most desirable state were 3.87 and 19.72 μm, respectively. The results suggested that use of sugar as an abrasive material, in comparison with pure water jet and bone powder water jet, resulted in improved cutting quality. Furthermore, elevation of water pressure and reduction of traverse speed had a significant effect on improving surface roughness.

Experimental investigation of temperature rise in bone drilling with cooling: A comparison between modes of without cooling, internal gas cooling, and external liquid cooling

Bone fracture occurs due to accident, aging, and disease. For the treatment of bone fractures, it is essential that the bones are kept fixed in the right place. In complex fractures, internal fixation or external methods are used to fix the fracture position. In order to immobilize the fracture position and connect the holder equipment to it, bone drilling is required. During the drilling of the bone, the required forces to chip formation could cause an increase in the temperature. If the resulting temperature increases to 47 °C, it causes thermal necrosis of the bone. Thermal necrosis decreases bone strength in the hole and, subsequently, due to incomplete immobilization of bone, fracture repair is not performed correctly. In this study, attempts have been made to compare local temperature increases in different processes of bone drilling. This comparison has been done between drilling without cooling, drilling with gas cooling, and liquid cooling on bovine femur. Drilling tests with gas coolant using direct injection of CO2 and N2 gases were carried out by internal coolant drill bit. The results showed that with the use of gas coolant, the elevation of temperature has limited to 6 °C and the thermal necrosis is prevented. Maximum temperature rise reached in drilling without cooling was 56 °C, using gas and liquid coolant, a maximum temperature elevation of 43 °C and 42 °C have been obtained, respectively. This resulted in decreased possibility of thermal necrosis of bone in drilling with gas and liquid cooling. However, the results showed that the values obtained with the drilling method with direct gas cooling are independent of the rotational speed of drill.

THERMAL ANALYSIS IN DRILLING OF EX VIVO BOVINE BONES

Bone drilling is a common procedure in Medicine, mainly in traumatology and orthopedic procedure for fractures fixation and in reconstructive surgery. The success of this surgical procedure is dependent on many factors, namely, on heat generation control during the bone drilling. The main concern in bone drilling is the mechanical and thermal damage of the bone induced by inappropriate parameters such as drill speed and feed-rate during the drilling. This study focuses on the temperature generated during drilling of cortical bone tissue (bovine origin) and solid rigid polyurethane foams with similar mechanical properties to the human bone tissue. Different parameters such as drill speed, feed-rate and hole depth were tested. All results showed that improvement of the drilling parameters and the drill temperatures can be estimated. It was concluded that when the drill speed and feed-rate were higher, the bone temperature increase was lower. The obtained results of temperature in the drilling process of polyurethane foam blocks or bovine bone were compared with a good agreement in between both.

Robotic guided waterjet cutting technique for high tibial dome osteotomy: A pilot study

BACKGROUND

Oscillating saws generate high levels of heat (up to 150°C), which can lead to tissue necrosis, delayed healing and infection. Abrasive waterjet-cutting techniques have been described as a new tool to perform bone cuts, with less heat generation.

METHODS

Four lower-limbs of four human alcohol conserved cadavers were tested. Navigation references were attached to the tibia and an intraoperative fluoroscopy-based 3D scan was obtained. A 1.2 mm diameter nozzle was attached to a robotic arm, which was guided to follow a pre-specified path. In addition, a self-designed jet-absorber was applied to protect the posterior neurovascular structures. Magnesium was added as an abrasive substance to improve the cutting ability of the waterjet.

RESULTS

In all four cadavers, the osteotomies could be carried out as planned, resulting in smooth cut surfaces. No damage to the soft-tissues was observed.

CONCLUSIONS

The advantages of abrasive waterjet-cutting give it great potential in orthopaedic surgery. A current disadvantage is the amount of magnesium solute that is left on the surgical field and can be harmful to the patient.

Colliding jets provide depth control for water jetting in bone tissue

In orthopaedic surgery, water jet drilling provides several advantages over classic drilling with rigid drilling bits, such as the always sharp cut, absence of thermal damage and increased manoeuvrability. Previous research showed that the heterogeneity of bone tissue can cause variation in drilling depth whilst water jet drilling. To improve control over the drilling depth, a new method is tested consisting of two water jets that collide directly below the bone surface. The expected working principle is that after collision the jets will disintegrate, with the result of eliminating the destructive power of the coherent jets and leaving the bone tissue underneath the focal point intact. To assess the working principle of colliding water jets (CWJ), the influence of inhomogeneity of the bone tissue on the variation of the drilling depth and the impact of jet time (t_wj) on the drilling depth were compared to a single water jet (SWJ) with a similar power. 98 holes were drilled in 14 submerged porcine tali with two conditions CWJ (impact angle of 30° and 90°) and SWJ. The water pressure was 70MPa for all conditions. The water jet diameter was 0.3 mm for CWJ and 0.4 mm for SWJ. t_wj was set at 1, 3, 5 and 8s. Drilling depth and hole diameter were measured using microCT scans. A non-parametric Levene's test was performed to assess a significant difference in variance between conditions SWJ and CWJ. A regression analysis was used to determine differences in influence of t_wj on the drilling depth. Hole diameter differences were assessed using a one way Anova. A significance level of p<0.05 was set. Condition CWJ significantly decreases the drilling depth variance caused by the heterogeneity of the bone when compared to SWJ. The mean depth for CWJ was 0.9 mm (SD 0.3 mm) versus 4.8 mm (SD 2.0) for SWJ. t_wj affects the drilling depth less for condition CWJ (p<0.01, R²=0.30) than for SWJ (p<0.01, R²=0.46). The impact angle (30° or 90°) of the CWJ does not influence the drilling depth nor the variation in depth. The diameters of the resulting holes in the direction of the jets is significantly larger for CWJ at 90° than for 30° or a single jet. This study shows that CWJ provides accurate depth control when water jet drilling in an inhomogeneous material such as bone. The maximum variance measured by using the 95% confidence interval is 0.6 mm opposed to 5.4 mm for SWJ. This variance is smaller than the accuracy required for bone debridement treatments (2-4 mm deep) or drilling pilot holes. This confirms that the use of CWJ is an inherently safe method that can be used to accurately drill in bones.

Comparative study for surface topography of bone drilling using conventional drilling and loose abrasive machining

Drilling through the bone is a complicated process in orthopaedic surgery. It involves human as a part of the work so it needs better perfection and quality which leads to the sustainability. Different studies were carried out on this curious topic and some interesting results were obtained, which help the orthopaedic surgeon on the operation table. Major problems faced during bone drilling were crack initiation, thermal necrosis and burr formation. The surface topography of the bone is an indirect indication for the sustainability of bone joint. In this study, a comparison is made between conventional and a loose abrasive unconventional drilling technique for the surface characterization of the bone. The attempt has been made to show the feasibility of bone drilling with non-conventional technique and its aftereffect on the bone structure. The burr formation during conventional bone drilling was found to be more which leads to problems such as crack initiation and thermal necrosis. Scanning electrode microscope and surface roughness tester were used to characterize the surface of the fine drilled bone specimen and the results testified quite better surface finish and least crack formation while drilling with loose abrasive unconventional technique.