Biomechanical evaluation of unilateral subcondylar fracture of the mandible on the varying materials: A finite element analysis

Bryan Taekyung Jung, Won Hyeon Kim, Byungho Park, Jong-Ho Lee, Bongju Kim and Jee-Ho Lee

PLOS ONE, 2020, vol. 15, issue 10, 1-14

Abstract: Fixation materials used in the surgical treatment of subcondylar fractures contribute to successful clinical outcomes. In this study, we simulated the mechanical properties of four fixation materials [titanium (Ti), magnesium alloy (Mg alloy), poly-L-lactic acid (PLLA), and hydroxyapatite/poly-L-lactide (HA-PLLA)] in a finite-element analysis model of subcondylar fracture. Two four-hole plates were fixed on the anterior and posterior surfaces of the subcondyle of the mandible. In the simulation model of a subcondylar fracture, we evaluated the stress distribution and mechanical deformation of fixation materials. The stress distribution conspicuously appeared on the condylar neck of the non-fractured side and the center of the anterior plate for all materials. More stress distribution to the biologic component appeared with HA-PLLA than with Ti or Mg alloy, but its effects were less prominent than that of PLLA. The largest deformation was observed with PLLA, followed by HA-PLLA, Mg alloy, and Ti. The results of the present study imply the clinical potential of the HA-PLLA fixation material for open reduction of subcondylar fractures.

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0240352

DOI: 10.1371/journal.pone.0240352

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