Miniplates orientation for fracture fixation of the mandibular condyle

Mandibular fractures at the condylar region are normally treated with miniplates made of high stiffness and strength metallic materials. Rigid fixation is important to maintain the position of the two bone segments, thus improving the chances of bone union. Failure to achieve adequate stability will...

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Main Authors: Abdul Kadir, Mohammed Rafiq, Haron, H., Kamsah, N., Nordin, N.
Format: Book Section
Published: Springer Berlin Heidelberg 2008
Subjects:
Online Access:http://eprints.utm.my/6950/
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author Abdul Kadir, Mohammed Rafiq
Haron, H.
Kamsah, N.
Nordin, N.
author_facet Abdul Kadir, Mohammed Rafiq
Haron, H.
Kamsah, N.
Nordin, N.
author_sort Abdul Kadir, Mohammed Rafiq
building UTeM Institutional Repository
collection Online Access
description Mandibular fractures at the condylar region are normally treated with miniplates made of high stiffness and strength metallic materials. Rigid fixation is important to maintain the position of the two bone segments, thus improving the chances of bone union. Failure to achieve adequate stability will result in malunion or nonunion. In this study, two different orientations of miniplates were used to analyse the primary stability of the fractured site using finite element method. Three dimensional model of a mandible was reconstructed from CT dataset, and a low subcondylar fracture was simulated on the right side of the mandible. A straight 4-hole miniplate was modeled and placed onto the condylar neck axis and fixed with 2 screws, 2mm in diameter and 7mm long on either side of the fracture line. Two different orientations of the miniplates were used for comparison of primary stability and load transfer to the bone — along the condylar neck and below the mandibular notch. Non-linear contact analysis was used and the bone segments were allowed to slide against each other. Results showed that interface micromotion and stress distribution was larger for the miniplate positioned along the condylar neck compared to the one placed below the mandibular notch. For maximum stability, it is advisable to fix the straight miniplate across the fractured segment below the condylar notch.
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institution Universiti Teknologi Malaysia
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spelling utm-69502017-07-25T03:27:10Z http://eprints.utm.my/6950/ Miniplates orientation for fracture fixation of the mandibular condyle Abdul Kadir, Mohammed Rafiq Haron, H. Kamsah, N. Nordin, N. TJ Mechanical engineering and machinery Mandibular fractures at the condylar region are normally treated with miniplates made of high stiffness and strength metallic materials. Rigid fixation is important to maintain the position of the two bone segments, thus improving the chances of bone union. Failure to achieve adequate stability will result in malunion or nonunion. In this study, two different orientations of miniplates were used to analyse the primary stability of the fractured site using finite element method. Three dimensional model of a mandible was reconstructed from CT dataset, and a low subcondylar fracture was simulated on the right side of the mandible. A straight 4-hole miniplate was modeled and placed onto the condylar neck axis and fixed with 2 screws, 2mm in diameter and 7mm long on either side of the fracture line. Two different orientations of the miniplates were used for comparison of primary stability and load transfer to the bone — along the condylar neck and below the mandibular notch. Non-linear contact analysis was used and the bone segments were allowed to slide against each other. Results showed that interface micromotion and stress distribution was larger for the miniplate positioned along the condylar neck compared to the one placed below the mandibular notch. For maximum stability, it is advisable to fix the straight miniplate across the fractured segment below the condylar notch. Springer Berlin Heidelberg 2008 Book Section PeerReviewed Abdul Kadir, Mohammed Rafiq and Haron, H. and Kamsah, N. and Nordin, N. (2008) Miniplates orientation for fracture fixation of the mandibular condyle. In: IFMBE Proceedings. Springer Berlin Heidelberg, pp. 438-441. ISBN 1680-0737 https://link.springer.com/chapter/10.1007/978-3-540-69139-6_111
spellingShingle TJ Mechanical engineering and machinery
Abdul Kadir, Mohammed Rafiq
Haron, H.
Kamsah, N.
Nordin, N.
Miniplates orientation for fracture fixation of the mandibular condyle
title Miniplates orientation for fracture fixation of the mandibular condyle
title_full Miniplates orientation for fracture fixation of the mandibular condyle
title_fullStr Miniplates orientation for fracture fixation of the mandibular condyle
title_full_unstemmed Miniplates orientation for fracture fixation of the mandibular condyle
title_short Miniplates orientation for fracture fixation of the mandibular condyle
title_sort miniplates orientation for fracture fixation of the mandibular condyle
topic TJ Mechanical engineering and machinery
url http://eprints.utm.my/6950/
http://eprints.utm.my/6950/