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Published in: Head & Face Medicine 1/2020

Open Access 01-12-2020 | Computer Aided Design | Research

Biomechanical evaluation of type p condylar head osteosynthesis using conventional small-fragment screws reinforced by a patient specific two-component plate

Authors: Tetiana Pavlychuk, Denis Chernogorskyi, Yurii Chepurnyi, Andreas Neff, Andrii Kopchak

Published in: Head & Face Medicine | Issue 1/2020

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Abstract

Background

The aim of this study was to evaluate via finite element analysis (FEA) the biomechanical behavior of conventional small-fragment screws reinforced by a patient-specific plate in type p condylar head.

Methods

A finite element model of the mandible was created using Mimics 12.1 software. A type p condylar head fracture was simulated in the right condyle, and the left condyle was used as a control. Two patterns of fixation were investigated: conventional two-screw fixation and the same fixation system reinforced with a small, patient-specific plate. Surface models were imported into the software Ansys 5.7for further volume mesh generation.

Results

The highest stress gradients were observed in the cortical layer of the lateral fragment, located near the screw. The conventional fixation method resulted in equivalent stresses 2 to 10 times greater than the reinforced method. Rigidity of fixation in the reinforced method increased up to 1.25–3 times compared to the conventional two-screw technique.

Conclusion

This study’s findings suggest significant benefits in unfavorable biomechanical conditions from reinforcement of the standard two-screw fixation of condylar head fractures with a small, patient-specific plate acting as a washer.
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Metadata
Title
Biomechanical evaluation of type p condylar head osteosynthesis using conventional small-fragment screws reinforced by a patient specific two-component plate
Authors
Tetiana Pavlychuk
Denis Chernogorskyi
Yurii Chepurnyi
Andreas Neff
Andrii Kopchak
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Head & Face Medicine / Issue 1/2020
Electronic ISSN: 1746-160X
DOI
https://doi.org/10.1186/s13005-020-00236-0

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