Biomechanical optimization of bone plates used in rigid fixation of mandibular symphysis fractures.
PURPOSE: To design and optimize a bone plate for fractures of the mandibular symphysis that will provide maximum fracture stability with minimal implanted volume and patient intrusion. The design will be driven by the unique biomechanics specific to this fracture location. MATERIALS AND METHODS: A f...
| Publicado en: | Journal of Oral & Maxillofacial Surgery (02782391) Vol. 68; no. 8; pp. 1833 - 1842 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
W B Saunders
Aug2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105062510&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105062510 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782391 1YP jtl: Journal of Oral & Maxillofacial Surgery (02782391) issn: 02782391 maglogo: N pubinfo: dt: Aug2010 vid: 68 iid: 8 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 105062510 2010723874 10.1016/j.joms.2009.09.108 NLM20537782 105062510 ppf: 1833 ppct: 9 formats: tig: atl: Biomechanical optimization of bone plates used in rigid fixation of mandibular symphysis fractures. aug: au: Lovald S Baack B Gaball C Olson G Hoard A affil: Department Mechanical Engineering, University of New Mexico, Albuquerque, NM 87102, USA. lovalds@hotmail.com sug: subj: Orthopedic Fixation Devices Chin Injuries Computer Simulation Mandibular Fractures Surgery Biomechanics Dentistry Methods Equipment Design Finite Element Analysis Surgery, Oral Equipment and Supplies Miniaturization ab: PURPOSE: To design and optimize a bone plate for fractures of the mandibular symphysis that will provide maximum fracture stability with minimal implanted volume and patient intrusion. The design will be driven by the unique biomechanics specific to this fracture location. MATERIALS AND METHODS: A finite element model of a fractured human mandible was created using computed tomography scans. The boundary conditions included simulating molar, canine, and incisal loading. The bone plate design process included a shape optimization routine and design parameter analysis using the model. The optimized bone plate design was finally compared with standard bone plate configurations according to stress and strain measures. RESULTS: Compared with the miniplate combination, the InterFlex III plate, with the same thickness and just 14% more implanted volume, had only 55% of the plate stress and 25% less fracture strain under the strongest loads considered by the model. Compared with the band/fracture plate combination, the InterFlex plate had 88% of the fracture strain and 74% of the plate stress, despite having only 60% of the plate volume. CONCLUSIONS: The results have demonstrated that the new optimized plate is a hybrid of fixation hardware with the small profile of the smallest miniplate configuration and the superior fixation strength and safety that exceeds that of the larger fracture plate configuration. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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