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两种钛微型钢板在下颌矢状劈开截骨固定中的稳定性比较:绵羊下颌骨的生物力学研究

Comparison of the Stability of Mandibular Sagittal Osteotomy Fixation between Two Types of Titanium Miniplates: A Biomechanical Study in Sheep Mandibles.

作者信息

Trento Guilherme Dos Santos, Pires Felipe Andrade, Santos Fábio André Dos, Costa Delson João da, Rebellato Nelson Luis Barbosa, Klüppel Leandro Eduardo

机构信息

Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, São Paulo State University, Araraquara, São Paulo, Brazil.

Department of Oral and Maxillofacial Surgery, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.

出版信息

Craniomaxillofac Trauma Reconstr. 2018 Jun;11(2):114-117. doi: 10.1055/s-0037-1603455. Epub 2017 May 18.

Abstract

This study aimed to compare the biomechanical stability of the fixation of mandibular sagittal split osteotomy of the ramus by two types of titanium miniplates in sheep mandibles. Seven preserved sheep mandibles with similar weight and size were selected, dissected with complete removal of soft-tissue structures, and sectioned in their midline. After performing sagittal split osteotomy, 5 mm of advancement was standardized and samples were divided into two groups according to the type of titanium miniplate (GI = seven hemimandibles were fixed with straight titanium miniplate, GII = seven hemimandibles were fixed with L-shaped titanium miniplates), and then subjected to compressive load. The means (standard deviation) of the compressive load and extension values were 70.68 N (22.26) and 63.36 mm (15.60) to straight miniplates, and 78.80 N (32.54) and 70.55 mm (5.42) to L-shaped miniplates. After comparison and statistical analysis, the results showed no significant difference between the two types of titanium miniplates.

摘要

本研究旨在比较两种类型的钛微型钢板在下颌支矢状劈开截骨术固定绵羊下颌骨中的生物力学稳定性。选择七具重量和尺寸相似的保存绵羊下颌骨,进行解剖,完全去除软组织结构,并在中线处切开。进行矢状劈开截骨术后,将前移5毫米标准化,样本根据钛微型钢板的类型分为两组(第一组=七块半下颌骨用直钛微型钢板固定,第二组=七块半下颌骨用L形钛微型钢板固定),然后施加压缩载荷。直微型钢板的压缩载荷和伸长值的均值(标准差)分别为70.68 N(22.26)和63.36毫米(15.60),L形微型钢板分别为78.80 N(32.54)和70.55毫米(5.42)。经过比较和统计分析,结果表明两种类型的钛微型钢板之间无显著差异。

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Comparison of five different fixation techniques of sagittal split ramus osteotomy using three-dimensional finite elements analysis.
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Biomechanical evaluation of a T-shaped miniplate fixation of a modified sagittal split ramus osteotomy with buccal step, a new technique for mandibular orthognathic surgery.
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