Biomechanical analysis of titanium fixation plates and screws in sagittal split ramus osteotomies

Niger J Clin Pract. 2016 Jan-Feb;19(1):140-4. doi: 10.4103/1119-3077.164331.

Abstract

Objective: The aim of the study was to evaluate the mechanical behavior of three different fixation methods used in the bilateral sagittal split ramus osteotomy.

Materials and methods: Three different three-dimensional finite element models were created, each corresponding to three different fixation methods. The mandibles were fixed with double straight 4-hole, square 4-hole, and 5-hole Y plates. 150 N incisal occlusal loads were simulated on the distal segments. ANSYS software ((v 10; ANSYS Inc., Canonsburg, PA) was used to calculate the Von Mises stresses on fixative appliances.

Results: The highest Von Mises stress values were found in Y plate. The lowest values were isolated in double straight plate group.

Conclusions: It was concluded that the use of double 4-hole straight plates provided the sufficient stability on the osteotomy site when compared with the other rigid fixation methods used in this study.

Publication types

  • Evaluation Study

MeSH terms

  • Biomechanical Phenomena
  • Bone Plates*
  • Bone Screws*
  • Finite Element Analysis*
  • Humans
  • Mandible / surgery*
  • Osteotomy / instrumentation
  • Osteotomy / methods*
  • Osteotomy, Sagittal Split Ramus
  • Stress, Mechanical
  • Titanium*

Substances

  • Titanium