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Generating topological microstructures on the surface of cortical bone to establish a suitable microenvironment can guide bone cells to achieve bone repair. Single-point diamond tools (SPDTs) have advantages in efficiency and flexibility to fabricate surface microstructures. However, the cutting force during ploughing cannot be predicted and controlled due to the special properties of cortical bone. In this paper, a novel cutting model for ploughing cortical bone using an SPDT was established, and we comprehensively considered the shear stress anisotropy of the bone material and the proportional relationship between the normal force and the tangential force. Then, the orthogonal cutting experiment was used to verify the model. The results show that the error of calculated value and the experimental data is less than 5%. The proposed model can be used to assist the fabrication of microstructures on cortical bone surface using an SPDT. [ABSTRACT FROM AUTHOR]