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Biomechanical Comparison Of Four Mandibular Angle Fracture Fixation Techniques

机译:四种下颌角骨折固定技术的生物力学比较

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摘要

The aim of this study was to make a comparison of the biomechanical behavior of four different internal fixation systems for mandibular angle fractures. A total of 40 polyurethane mandible replicas were employed with different fixation methods: group 1SP, one 2.0-mm four-hole miniplate; group 2PPL, two 2.0-mm four-hole parallel miniplates; group 3DP, one 3D 2.0-mm four-hole miniplate; and group 3DPP, one 3D 2.0-mm eight-hole miniplate. Each group was subjected to incisal or homolateral molar region loading. The load resistance values were easured at load application causing tip displacement of 1, 3, and 5 mm, and at the time at which the system achieves its maximum strength (MS). Means and standard deviations were compared among groups using analysis of variance and the Tukey test. Group 2PPL showed higher strength for all the displacements. For incisal loading, no statistically significant differences were found between groups 1SP, 3DP, and 3DPP. For molar loading, group 1SP and 3DPP showed statistically significant differences. For MS testing, group 1SP and 2PPL showed statistically significant differences in incisal loading; group 1SP and 3DP showed no statistically significant differences; and group 3DPP showed lower values of strength. Two parallel miniplates provide the most favorable mechanical behavior under the conditions tested.
机译:这项研究的目的是比较四种不同的内固定系统对下颌角骨折的生物力学行为。总共使用40种聚氨酯下颌骨复制品,采用不同的固定方法:1SP组,一块2.0毫米四孔小孔板; 2PPL组,两个2.0毫米四孔平行微型板; 3DP组,一块3D 2.0毫米四孔小板;以及3DPP组,一块3D 2.0毫米八孔小板。每组接受切牙或同侧磨牙区负荷。在施加载荷时,会导致尖端位移分别为1、3和5 mm,并在系统达到其最大强度(MS)时确定了载荷阻力值。使用方差分析和Tukey检验比较各组之间的平均值和标准差。 2PPL组对所有位移都显示出较高的强度。对于切牙负荷,在1SP,3DP和3DPP组之间没有发现统计学上的显着差异。对于磨牙负荷,第1SP组和3DPP组显示出统计学上的显着差异。对于MS测试,第1SP组和第2PPL组在切牙负荷上显示出统计学上的显着差异; 1SP组和3DP组无统计学差异;而3DPP组显示出较低的强度值。在测试条件下,两个平行的微型板提供了最有利的机械性能。

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