Finite element analysis of customized reconstruction plates for mandibular continuity defect therapy

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216305%3A26210%2F14%3APU105780" target="_blank" >RIV/00216305:26210/14:PU105780 - isvavai.cz</a>

Výsledek na webu

<a href="http://www.sciencedirect.com/science/article/pii/S002192901300568X" target="_blank" >http://www.sciencedirect.com/science/article/pii/S002192901300568X</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jbiomech.2013.11.016" target="_blank" >10.1016/j.jbiomech.2013.11.016</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Finite element analysis of customized reconstruction plates for mandibular continuity defect therapy

Popis výsledku v původním jazyce

Large mandibular continuity defects pose a significant challenge in oral maxillofacial surgery. One solution to this problem is to use computer-guided surgical planning and additive manufacturing technology to produce patient-specific reconstruction plates. However, when designing customised plates, it is important to assess potential biomechanical responses that may vary substantially depending on the size and geometry of the defect. The aim of this study was to assess the design of two customized plates using finite element method (FEM). These plates were designed for the reconstruction of the lower left mandibles of two ameloblastoma cases (patient1/plate1 and patient2/plate2) with large bone resections differing in both geometry and size. Simulations revealed maximum von Mises stresses of 63 MPa and 108 MPa in plates 1 and 2, and 65 MPa and 190 MPa in the fixation screws of patients 1 and 2. The von Mises strain induced in the bone at the screw-bone interface reached maximum values of 2739 micro-strain for patient 1 and 19575 micro-strain for patient 2. The results demonstrate the influence of design on the stresses induced in the plate and screw bodies. Of particular note, however, are the differences in the induced strains. Unphysiologically high strains in bone adjacent to screws can cause micro-damage leading to bone resorption. This can adversely affect the anchoring capabilities of the screws. Thus, while custom plates offer optimal anatomical fit, attention should be paid to the expected Physiological forces on the plates and the induced stresses and strains in the plate-screw-bone assembly.

Název v anglickém jazyce

Finite element analysis of customized reconstruction plates for mandibular continuity defect therapy

Popis výsledku anglicky

Large mandibular continuity defects pose a significant challenge in oral maxillofacial surgery. One solution to this problem is to use computer-guided surgical planning and additive manufacturing technology to produce patient-specific reconstruction plates. However, when designing customised plates, it is important to assess potential biomechanical responses that may vary substantially depending on the size and geometry of the defect. The aim of this study was to assess the design of two customized plates using finite element method (FEM). These plates were designed for the reconstruction of the lower left mandibles of two ameloblastoma cases (patient1/plate1 and patient2/plate2) with large bone resections differing in both geometry and size. Simulations revealed maximum von Mises stresses of 63 MPa and 108 MPa in plates 1 and 2, and 65 MPa and 190 MPa in the fixation screws of patients 1 and 2. The von Mises strain induced in the bone at the screw-bone interface reached maximum values of 2739 micro-strain for patient 1 and 19575 micro-strain for patient 2. The results demonstrate the influence of design on the stresses induced in the plate and screw bodies. Of particular note, however, are the differences in the induced strains. Unphysiologically high strains in bone adjacent to screws can cause micro-damage leading to bone resorption. This can adversely affect the anchoring capabilities of the screws. Thus, while custom plates offer optimal anatomical fit, attention should be paid to the expected Physiological forces on the plates and the induced stresses and strains in the plate-screw-bone assembly.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

20301 - Mechanical engineering

Projekt

—

Návaznosti

S - Specificky vyzkum na vysokych skolach

Rok uplatnění

2014

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

JOURNAL OF BIOMECHANICS

ISSN

0021-9290

e-ISSN

1873-2380

Svazek periodika

47

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

6

Strana od-do

264-268

Kód UT WoS článku

000331008200036

EID výsledku v databázi Scopus

2-s2.0-84890856781