Diffuse reflectance spectroscopy-enhanced drill for bone boundary detection Article Swipe
Matthieu Duperron
,
Konstantin Grygoryev
,
Gerard Nunan
,
Cormac Eason
,
Jacqueline Gunther
,
Ray Burke
,
Kevin Manley
,
Peter C. O’Brien
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1364/boe.10.000961
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1364/boe.10.000961
Intramedullary nailing is a routine orthopedic procedure used for treating fractures of femoral or tibial shafts. A critical part of this procedure involves the drilling of pilot holes in both ends of the bone for the placement of the screws that will secure the IM rod to sections of the fractured bone. This step introduces a risk of soft tissue damage because the drill bit, if not stopped in time, can transverse the bone-tissue boundary into the overlying muscle, causing unnecessary injury and prolonging healing time due to periosteum damage. In this respect, detecting the bone-tissue boundary before break-through can reduce the risks and complications associated with intramedullary nailing. Hence, in the present study, a two-wavelength diffuse reflectance spectroscopy technique was integrated into a surgical drill to optically detect bone-tissue boundary and automatically trigger the drill to stop. Furthermore, Monte-Carlo simulations were used to estimate the maximum distance from within the bone at which the bone-tissue boundary could be detected using DRS. The simulation results estimated that the detection distance, termed the "look-ahead-distance" was ∼1.5 mm for 1.3 mm source-detector fiber separation. Experimental measurements with 1.3 mm source-detector fiber separation showed that the look-ahead-distance was in the order of 250 µm in experiments with set drill rate and in the range of 1 mm in experiments where the holes were drilled by hand. Despite this difference, the automated DRS enhanced drill successfully detected the approaching bone tissue boundary when tested on samples of bovine femur and muscle tissue.
Related Topics
Concepts
Diffuse reflectance infrared fourier transform
Optics
Reflectivity
Spectroscopy
Materials science
Diffuse reflection
Chemistry
Physics
Quantum mechanics
Biochemistry
Catalysis
Photocatalysis
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1364/boe.10.000961
- OA Status
- gold
- Cited By
- 16
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2914173485
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2914173485Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1364/boe.10.000961Digital Object Identifier
- Title
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Diffuse reflectance spectroscopy-enhanced drill for bone boundary detectionWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
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2019-01-30Full publication date if available
- Authors
-
Matthieu Duperron, Konstantin Grygoryev, Gerard Nunan, Cormac Eason, Jacqueline Gunther, Ray Burke, Kevin Manley, Peter C. O’BrienList of authors in order
- Landing page
-
https://doi.org/10.1364/boe.10.000961Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1364/boe.10.000961Direct OA link when available
- Concepts
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Diffuse reflectance infrared fourier transform, Optics, Reflectivity, Spectroscopy, Materials science, Diffuse reflection, Chemistry, Physics, Quantum mechanics, Biochemistry, Catalysis, PhotocatalysisTop concepts (fields/topics) attached by OpenAlex
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16Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 3, 2023: 3, 2022: 2, 2021: 2Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| publication_date | 2019-01-30 |
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