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Abstract

This study compares 3 different saw types to determine which is best suited for integration into a minimally invasive bone saw. A handheld electric jigsaw, a coping saw, and a Gigli saw were used to cut into porcine ilium. Heat generated was measured using a thermocouple, and forces applied during cutting were recorded using a force/torque sensor. The coping saw generated an average maximum temperature that was 26°C less than that generated using the jigsaw (P < .001) and 14°C less than that for the Gigli saw (P < .001). On average, the maximum force applied through the coping saw was 14 N less than that through the jigsaw (P < .001) and 18 N less than that through the Gigli saw (P < .001). Out of the 3 saws tested, the coping saw is optimal for cutting bone based on heat generation and required force.

Keywords

bone cutting minimally invasive surgery force sensing orthopedic surgery

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References

Lehman WB , Mohaideen A. , Madan S. , et al. Surgical technique for an "almost" percutaneous triple pelvic osteotomy for femoral head coverage in children 6-14 years of age. J Pediatr Orthop B. 2004;13:57-62.

Paley D. , Tetsworth K. Percutaneous osteotomies. Orthop Clin North Am. 1991;22:613-624.

Koyama T. , Sugano N. , Nishii T. , et al. Computer-assisted spherical osteotomy with a curved-bladed Tuke Saw. Comput Aided Surg. 2006;11:202-208.

Sakuma I. , Mukaiyama K. , Iordachita I. , et al. A bone cutting device for rotational acetabular osteotomy (RAO) with a curved oscillating saw. CARS. 2004;1268:632-637.

Tomita K. , Kawahara N. The threadwire saw: a new device for cutting bone, a brief note. J Bone Joint Surg. 1996;78: 1915-1917.

Bargar WL , Bauer A. , Borner M. Primary and revision total hip replacement using the Robodoc system. Clin Orthop Relat Res. 1998;354:82-91.

Castillo Cruces RA , Wahrburg J. Improving robot arm control for safe and robust haptic cooperation in orthopaedic procedures. Int J Med Robot Comp Asst Surg. 2007;3:316-322.

Maillet P. , Nahum B. , Blondel L. , et al. BRIGIT, a robotized tool guide for orthopedic surgery. In: IEEE International Conference on Robotics & Automation (ICRA). Barcelona, Spain: IEEE; 2005:211-215.

Rodriguez F. , Harris S. , Jakopec M. , et al. Robotic clinical trials of uni-condylar arthoplasty. Int J Med Robot Comp Asst Surg. 2005;1: 20-28.

10.

Shoham M. , Burman M. , Zehavi E. , et al. Bone-mounted miniature robot for surgical procedures: concept and clinical applications. IEEE Trans Rob Autom. 2003; 19:893-901.

11.

Sugita N. , Genma F. , Nakajima Y. , Mitsuishi M. Toolpath optimization for a milling robot for minimally invasive orthopedic surgery. In: IEEE International Conference on Robotics & Automation (ICRA). Los Alamitos, CA: 2007:2273-2278.

12.

Li S. , Chen S. , Branemark PI Heat shock-induced necrosis and apoptosis in osteoblasts. J Orthop Res. 1999;17: 891-899.

13.

Itoh S. , Ito Y. , Shikita T. Basic study on bone cutting forces for developing surgical instruments. Bull Jpn Soc Mech Eng. 1983;26:2295-2301.

14.

Mitsuishi M. , Warisawa S. , Sugita N. , et al. A study of bone micro-cutting characteristics using a newly developed advanced bone cutting machine tool for total knee arthroplasty. CIRP Ann Manuf Technol. 2007 ;54:41-46.

15.

Mitsuishi M. , Warisawa S. , Tajima F. , et al. Development of a 9 axes machine tool for bone cutting. CIRP Ann Manuf Technol. 2003;52:323-328.

16.

Rosner, B. Fundamentals of Biostatistics. 4th ed. Belmont, CA: Duxbury Press; 1995 .

17.

Wevers HW , Espin E. , Cooke TD Orthopedic sawblades: a case study. J Arthroplasty. 1987;2:43-46.

18.

Krause WR , Bradbury DW , Kelly JE , Lunceford EM Temperature elevations in orthopaedic cutting operations. J Biomech. 1982;15:267-275.

Suitability of Three Saws for Minimally Invasive Bone Cutting

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