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Plunging when drilling: Effect of using blunt drill bits

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dc.creatorAlajmo, Giuseppespa
dc.creatorSchlegel, Ursspa
dc.creatorGueorguiev, Boykospa
dc.creatorMatthys, Romanospa
dc.creatorGautier, Emanuelspa
dc.date.accessioned2020-05-25T23:56:23Z
dc.date.available2020-05-25T23:56:23Z
dc.date.created2012spa
dc.description.abstractObjective: Plunging when drilling can be a detrimental factor in patient care. There is, although, a general lack of information regarding the surgeon's performance in this skill. The aim of this study was to determine the effect that using sharp or blunt instruments had on the drill bit's soft tissue penetration, using a simulator. Materials and Methods: Surgeons taking part in an International Trauma Course were invited to participate. Two groups were defined: experienced and inexperienced surgeons. Twelve holes were drilled in the following order: 3 holes with a sharp drill bit in normal bone (SNB), 3 holes with a sharp drill bit in osteoporotic bone (SOB), 3 holes with a blunt drill bit in normal bone, and 3 holes with a blunt drill bit in osteoporotic bone. Mean values and Student t tests were used for statistical analysis. Results: Thirty-seven surgeons participated, 20 experienced and 17 inexperienced surgeons. Mean plunging depths for SNB, SOB, blunt drill bit in normal bone, and blunt drill bit in osteoporotic bone were, respectively, 5.1, 5.4, 21.1, and 13.9 mm for experienced surgeons and 7.6, 7.7, 22, and 15.9 mm for inexperienced surgeons. Drilling with SNB and with SOB was statistically different, with inexperienced surgeons plunging 2.5 mm (P = 0.31) and 2.6 mm (P = 0.042) deeper, respectively. There was a difference (P less than 0.001) between sharp and blunt drill bits in all drilling conditions for both the groups. Conclusions: Our study showed a significant difference in plunging depth when sharp or bunt drill bit was being used. Surgeons, regardless of their experience level, penetrate over 20 mm in normal bone and over 10 mm in osteoporotic bone. Copyright © 2012 by Lippincott Williams and Wilkins.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1097/BOT.0b013e3182336ec3
dc.identifier.issn8905339
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22412
dc.language.isoengspa
dc.relation.citationEndPage487
dc.relation.citationIssueNo. 8
dc.relation.citationStartPage482
dc.relation.citationTitleJournal of Orthopaedic Trauma
dc.relation.citationVolumeVol. 26
dc.relation.ispartofJournal of Orthopaedic Trauma, ISSN:8905339, Vol.26, No.8 (2012); pp. 482-487spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84864342540&doi=10.1097%2fBOT.0b013e3182336ec3&partnerID=40&md5=263d3e58cebd54deba1826ad4f5e0eddspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordArticlespa
dc.subject.keywordDrillspa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordMalespa
dc.subject.keywordOsteoporosisspa
dc.subject.keywordPatient safetyspa
dc.subject.keywordPlungingspa
dc.subject.keywordPriority journalspa
dc.subject.keywordSurgeonspa
dc.subject.keywordSurgical instrumentspa
dc.subject.keywordSurgical techniquespa
dc.subject.keywordAdultspa
dc.subject.keywordBone and bonesspa
dc.subject.keywordEquipment failure analysisspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordOsteotomyspa
dc.subject.keywordPhysiciansspa
dc.subject.keywordProfessional competencespa
dc.subject.keywordBone drillingspa
dc.subject.keywordPatient safetyspa
dc.subject.keywordPlungingspa
dc.subject.keywordSimulationspa
dc.subject.keywordSurgical performancespa
dc.titlePlunging when drilling: Effect of using blunt drill bitsspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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