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下颌骨牵张成骨再生骨的生物力学特性

Biomechanical properties of regenerated bone by mandibular distraction osteogenesis.

作者信息

Li Jihua, Hu Jing, Wang Dazhang, Tang Zhenglong, Gao Zhanwei

机构信息

Department of Oral & Maxillofacial Surgery, Huaxi School of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Chin J Traumatol. 2002 Apr;5(2):67-70.

Abstract

OBJECTIVE

To study the biomechanical properties of the new bone generated by mandibular distraction osteogenesis (DO).

METHODS

A total of 11 healthy adult goats were randomly divided into 2 groups, the experimental group (n=9) and the control group (n=2). For the goats in the experimental group, the bilateral mandibles were gradually lengthened for 10 mm with distraction appliances. Three goats were sacrificed respectively at 2, 4 and 8 weeks after completion of distraction. Compressive, three-point bending and shearing tests were conducted on the standard regenerated bone samples and the whole unilateral mandibular specimens. For the goats in the cont rol group, no operation was made and the whole unilateral mandible was taken as the test specimen.

RESULTS

The compressive strength and bending stiffness of the new bone reached the normal level at 4 and 8 weeks after completion of distraction, respectively. But the shearing strength remained significantly weaker than that of the controls at 8 weeks after distraction.

CONCLUSIONS

The distraction appliance can be removed and the lengthened mandible should be exposed to adaptive functional exercise at 8 weeks after completion of distraction.

摘要

目的

研究下颌骨牵张成骨(DO)所形成的新生骨的生物力学特性。

方法

将11只健康成年山羊随机分为2组,即实验组(n = 9)和对照组(n = 2)。对实验组山羊,使用牵张装置将双侧下颌骨逐渐延长10毫米。牵张完成后,分别在2周、4周和8周处死3只山羊。对标准再生骨样本和单侧下颌骨整体标本进行压缩、三点弯曲和剪切试验。对对照组山羊不进行手术,取单侧下颌骨整体作为测试标本。

结果

牵张完成后,新生骨的抗压强度和弯曲刚度分别在4周和8周达到正常水平。但牵张8周后,其剪切强度仍显著低于对照组。

结论

牵张完成8周后可拆除牵张装置,暴露延长后的下颌骨进行适应性功能锻炼。

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