Comparison of different fixation types used in unilateral mandibular condylar fractures: An in vivo study with new biomechanical model


Çimen E., Önder M. E., CAMBAZOĞLU M., Birant E.

Journal of Craniofacial Surgery, cilt.27, sa.5, ss.1277-1281, 2016 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27 Sayı: 5
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1097/scs.0000000000002754
  • Dergi Adı: Journal of Craniofacial Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1277-1281
  • Anahtar Kelimeler: Biomechanical test, condylar fracture, double mini plate fixation, resorbable plate fixation, single-titanium mini plate fixation
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

Introduction: The aim of this in vivo study is to compare the single-titanium, double-titanium mini plate, and single resorbable plate systems used in internal rigid fixation of the unilateral mandibular condylar fractures on new design biomechanical model. Methods: Thirty synthetic polyurethane models were used for biomechanical testing. Fracture lines were created for each model. Fragments were fixed with single-titanium plates in Group A (n=10), double-titanium plates in Group B (n=10), and single biodegradable plate (PPLA) in Group C (n=10). Masticatory forces were applied to the models and the biomechanical properties of the titanium plate and screws, resorbable plate, and screws were evaluated. Results: The average failure force for Group A, Group B, and Group C is 199, 324, 177N and the average bone displacement for Group A, Group B, Group C is 1.9, 0.3, 2.1mm, respectively. Discussion: Double titanium plates showed the most acceptable results in the fixation of unilateral subcondylar fractures where the single titanium and biodegradable plate systems failed to provide enough stability in unilateral subcondylar fracture fixation. Biodegradable plate systems are still not an alternative in fixation of unilateral condylar fractures.