The effects of drilling force on cortical temperatures and their duration: an in vitro study

Bone loss due to thermonecrosis may weaken the purchase of surgically placed screws and pins, causing them to loosen post-operatively. The goal of this study was to determine how differences in applied drilling forces affect the temperature of cortical tissue near the drilling site. Results from thermocouples placed into fresh cortical bone indicate that increasing the applied drilling force resulted in a significant decrease (P=0.001) of maximum cortical temperatures. Furthermore, increasing the drilling force resulted in a significant decrease (P=0.001) in the average duration of temperature elevations above 50°C. The results of the current study demonstrate that by the application of a larger force to the drill, both maximum cortical temperatures and their duration above 50°C may be effectively reduced, decreasing the potential for thermal necrosis in the neighboring cortical bone.