Virtually Reconstructing Bernhard Heine’s Osteotome

Abstract

The osteotome was a hand-cranked medical chainsaw designed in 1830 by the German surgeon Bernhard Heine. Before Heine, surgeons used crude, manual tools, such as hammers, chisels, and handsaws. The osteotome was among the first mechanical tools used in orthopedic surgery, and it preceded the later use of the motorized chainsaw for woodcutting. Due to the small number of units manufactured, questions remain about the osteotome’s usage. To facilitate conservation and assist with investigation, Heine’s osteotome was digitally reconstructed. As with other digital reconstruction attempts in cultural heritage, assumptions were made to facilitate reproduction. To highlight the functional similarities and contrasts between early and contemporary tools, its parts were compared with contemporary chainsaws and surgical tools. Contemporary orthopedic surgeons have largely shifted away from medical chainsaws, such as the osteotome, in favor of reciprocating saws. Due to its small size and medical purpose, the osteotome was designed for greater precision than a modern industrial chainsaw. Based on the reproduction and comparative analysis, the device was likely used in a manner more similar to modern medical reciprocating saws than to its direct descendant, the industrial chainsaw. The Heine osteotome mechanized surgery and its descendants are still used in medicine and the industry. The osteotome model enabled an analysis of its function and use.