Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Engineering and Technology Institute Groningen, Department of Bio-Inspired MEMS and Biomedical Devices, University of Groningen, Nijenborgh 4, 9747 AG, Groningen, The Netherlands.
Sci Rep. 2024 May 23;14(1):11795. doi: 10.1038/s41598-024-62011-4.
The clinical finite element analysis (FEA) application in maxillofacial surgery for mandibular fracture is limited due to the lack of a validated FEA model. Therefore, this study aims to develop a validated FEA model for mandibular fracture treatment, by assessing non-comminuted mandibular fracture fixation. FEA models were created for mandibles with single simple symphysis, parasymphysis, and angle fractures; fixated with 2.0 mm 4-hole titanium miniplates located at three different configurations with clinically known differences in stability, namely: superior border, inferior border, and two plate combinations. The FEA models were validated with series of Synbone polymeric mandible mechanical testing (PMMT) using a mechanical test bench with an identical test set-up. The first outcome was that the current understanding of stable simple mandibular fracture fixation was reproducible in both the FEA and PMMT. Optimal fracture stability was achieved with the two plate combination, followed by superior border, and then inferior border plating. Second, the FEA and the PMMT findings were consistent and comparable (a total displacement difference of 1.13 mm). In conclusion, the FEA and the PMMT outcomes were similar, and hence suitable for simple mandibular fracture treatment analyses. The FEA model can possibly be applied for non-routine complex mandibular fracture management.
临床有限元分析(FEA)在颌面部骨折中的应用由于缺乏有效的 FEA 模型而受到限制。因此,本研究旨在通过评估非粉碎性下颌骨骨折固定来开发一种经过验证的 FEA 模型用于下颌骨骨折治疗。研究人员创建了具有单一简单正中联合、正中旁联合和角部骨折的下颌骨 FEA 模型;使用 2.0mm 4 孔钛迷你板以三种不同的稳定性已知的临床配置固定:在上缘、下缘和两块板组合。FEA 模型使用具有相同测试设置的机械测试台进行一系列 Synbone 聚合物下颌骨机械测试(PMMT)进行验证。第一个结果是,在 FEA 和 PMMT 中都可以重现当前对稳定的简单下颌骨骨折固定的理解。两块板组合可实现最佳骨折稳定性,其次是上缘板和下缘板。其次,FEA 和 PMMT 的发现是一致且可比的(总位移差为 1.13mm)。总之,FEA 和 PMMT 的结果相似,因此适用于简单下颌骨骨折治疗分析。FEA 模型可能适用于非常规复杂下颌骨骨折的管理。
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