Which fixation methods are better between three-dimensional anatomical plate and two miniplates for the mandibular subcondylar fracture open treatment?

2019 ◽  
Vol 47 (5) ◽  
pp. 771-777 ◽  
Author(s):  
Shintaro Sukegawa ◽  
Takahiro Kanno ◽  
Masanori Masui ◽  
Yuka Sukegawa-Takahashi ◽  
Tsukasa Kishimoto ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Fixation Methods ◽  
Subcondylar Fracture ◽  
Open Treatment ◽  
Two Miniplates

scholarly journals Biomechanical assessment of different fixation methods in mandibular high sagittal oblique osteotomy using a three-dimensional finite element analysis model

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Charles Savoldelli ◽  
Elodie Ehrmann ◽  
Yannick Tillier
Keyword(s):  
Finite Element ◽  
Stress Distribution ◽  
Three Dimensional ◽  
Von Mises Stress ◽  
Analysis Model ◽  
Element Analysis ◽  
Fixation Methods ◽  
Oblique Osteotomy ◽  
Von Mises

AbstractWith modern-day technical advances, high sagittal oblique osteotomy (HSOO) of the mandible was recently described as an alternative to bilateral sagittal split osteotomy for the correction of mandibular skeletal deformities. However, neither in vitro nor numerical biomechanical assessments have evaluated the performance of fixation methods in HSOO. The aim of this study was to compare the biomechanical characteristics and stress distribution in bone and osteosynthesis fixations when using different designs and placing configurations, in order to determine a favourable plating method. We established two finite element models of HSOO with advancement (T1) and set-back (T2) movements of the mandible. Six different configurations of fixation of the ramus, progressively loaded by a constant force, were assessed for each model. The von Mises stress distribution in fixations and in bone, and bony segment displacement, were analysed. The lowest mechanical stresses and minimal gradient of displacement between the proximal and distal bony segments were detected in the combined one-third anterior- and posterior-positioned double mini-plate T1 and T2 models. This suggests that the appropriate method to correct mandibular deformities in HSOO surgery is with use of double mini-plates positioned in the anterior one-third and posterior one-third between the bony segments of the ramus.

Increased Stiffness of Bioresorbable Plates Following Heating and Three-Dimensional Contouring

2004 ◽  
Author(s):  
Terence E. McIff ◽  
Richard Lark ◽  
Andrea Hilty ◽  
Andrew Cooper ◽  
E. Bruce Toby
Keyword(s):  
Three Dimensional ◽  
Torsional Stiffness ◽  
Radius Of Curvature ◽  
Structural Stiffness ◽  
Metacarpal Fracture ◽  
Cross Sectional ◽  
Fixation Methods ◽  
Metacarpal Bones ◽  
Standard Fixation ◽  
Bioresorbable Plate

A wide copolymer bioresorable plate offers increased structural stiffness following heated contouring of the plate to various diameters which increases its resisting moment of inertia. The increase in bending and torsional stiffness of this design is measured as a function of cross-sectional radius of curvature achieved. Its structural stiffness is compared to three other standard fixation methods used for metacarpal fracture. Substantial increases in stiffness are found after contouring of the wide bioresorbable plate to fit diameters similar to those found in metacarpal bones.

scholarly journals Establishment of a Finite Element Model and Biomechanical Analysis of Different Fixation Methods for Total Talar Prosthesis Replacement

2021 ◽  
Author(s):  
Qian dong Yang ◽  
Le Chang ◽  
Xuting Bian ◽  
Lin Ma ◽  
Tao Xu ◽  
...  
Keyword(s):  
Finite Element ◽  
Finite Element Model ◽  
Screw Fixation ◽  
Articular Surface ◽  
Three Dimensional ◽  
Element Model ◽  
Element Analysis ◽  
Ankle Motion ◽  
Fixation Methods ◽  
Without Screws

Abstract Back ground：A three-dimensional finite element model of the whole foot with high geometric similarity was established and used to simulate the conditions after whole talar prosthesis implantation with several fixation methods, including Screw fixation of subtalar+talus-navicular joint, fixation with screws at only the subtalar joint, and fixation without screws. The biomechanical characteristics of the talus prosthesis were assessed in different gait phases to guide the selection of surgical methods in clinical practice.Methods：With the three-dimensional CT data of a volunteer's foot, Mimics13.0 and Geomagic10.0 software were used to carry out geometric reconstruction of the ankle-related tissues, and Hypermesh10.0 software was used for grid division and material attribute selection. Finally, the data were imported into Abaqus 6.9, and the simulated screw data were applied to different models. Finite element models with different fixation methods were simulated, and the stresses exerted by the human body in three gait phases (heel-strike, midstance and push-off) were simulated. The pressure changes in the articular surface around the talus or the prosthesis, the micromotion of the talus and the prosthesis and ankle motion were measured. Results：Finite element analysis on the biomechanical mechanism showed that screw fixation of the prosthesis in different gait phases mainly increases the pressure on the tibialis articular surface as well as decreases the pressure on the fused articular surface and joint micromotion, which hinders ankle motion. The indicator values were nearly the same in the models of fixation without screws and the normal state.Conclusion：The 3D finite element model created in this study has been verified to be an accurate and reliable model. The biomechanical mechanism varies by fixation method according to finite element analysis. Fixation of the prosthesis without screws yields values most similar to normal values.

Mandibular Subcondylar Fracture: Improved Functional Outcomes in Selected Patients with Open Treatment

2021 ◽  
Vol 148 (3) ◽  
pp. 398e-406e
Author(s):  
Alexander R. Gibstein ◽  
Kevin Chen ◽  
Bruce Nakfoor ◽  
Francesco Gargano ◽  
James P. Bradley
Keyword(s):  
Functional Outcomes ◽  
Subcondylar Fracture ◽  
Open Treatment
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