Subramanian Akshaya, Rudagi B M, Londhe Puja, Palande Chinmayee
Department of Oral and Maxillofacial Surgery, J.M. F's A.C.P.M Dental College and Hospital, Dhule, Maharashtra India.
Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra India.
J Maxillofac Oral Surg. 2024 Feb;23(1):114-121. doi: 10.1007/s12663-022-01799-y. Epub 2022 Sep 30.
To evaluate and compare the efficacy of three osteosynthesis systems in fixation of mandibular angle fractures using Finite Element Analysis.
In this study, we used a three-dimensional finite element analysis to assess the stress, deformation and strain in three different groups with bite force loads. A three-dimensional finite element model of the mandible with three different plating techniques using modelling software 'Solidworks2018' and was analysed for stress, deformation and strain produced in the bone following biting loads of different magnitude using analysing software 'ANSYS Workbench'.
In this study, we found out that the tensile forces in the matrix miniplate with vertical struts were well distributed in the cortical and cancellous bone on comparison with other two fixation systems in fixation of the mandibular angle fracture and therefore prevents lateral displacement, torsion and bending. The matrix miniplate system revealed less displacement of the fracture segments as compared to the other two plating systems.
The use of matrix miniplate for the treatment of mandibular angle fractures can be considered efficacious. The stress transferred onto the cortical & cancellous bone is least in the matrix plate leading to better stability of the fixation system.
使用有限元分析评估和比较三种骨固定系统在下颌角骨折固定中的疗效。
在本研究中,我们使用三维有限元分析来评估在咬合力载荷作用下三个不同组中的应力、变形和应变。使用建模软件“Solidworks2018”构建了采用三种不同接骨板技术的下颌骨三维有限元模型,并使用分析软件“ANSYS Workbench”分析了不同大小咬合力载荷作用下骨骼中产生的应力、变形和应变。
在本研究中,我们发现与其他两种固定系统相比,带有垂直支柱的基质微型接骨板在下颌角骨折固定中,其拉力在皮质骨和松质骨中分布良好,因此可防止侧向移位、扭转和弯曲。与其他两种接骨板系统相比,基质微型接骨板系统显示骨折段的移位较少。
可认为使用基质微型接骨板治疗下颌角骨折是有效的。基质接骨板传递到皮质骨和松质骨上的应力最小,从而使固定系统具有更好的稳定性。