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Computational modelling and optimization of porous plates for mandibular fracture fixation accounting for bone healing
Advanced Digital & Additive Manufacturing Center, Khalifa University, Abu Dhabi, United Arab Emirates.
KTH, School of Engineering Sciences (SCI), Engineering Mechanics. Advanced Digital & Additive Manufacturing Center, Khalifa University, Abu Dhabi, United Arab Emirates; Department of Mechanical and Nuclear Engineering, Khalifa University, Abu Dhabi, United Arab Emirates.ORCID iD: 0000-0002-9438-9648
Department of Engineering Management, Prince Sultan University, Riyadh 11586, Saudi Arabia.
Department of Mechanical, Materials and Aerospace Engineering, West Virginia University, WV, USA.
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2025 (English)In: Materials & design, ISSN 0264-1275, E-ISSN 1873-4197, Vol. 254, article id 114060Article in journal (Refereed) Published
Abstract [en]

Appropriate fixation is critical for mandibular fracture healing, as it enhances biomechanical stability. This study assessed the impact of fixation techniques and bone plate designs on angle mandible fractures, aiming to optimize healing processes and maintain structural integrity under varied conditions. Five distinct bone plates were assessed: conventional one dense bone plate (1 DP), two dense bone plates (2 DP), two porous plates (2 PP), a topology-optimized bone plate (OBP), and two modified porous bone plates (2 MPP), while the volume was constrained to 160 mm3 for the designs 2 PP, OBP, and 2 MPP. Four different fracture gaps were considered (e.g. 0.5, 1.0, 1.5, and 2.0 mm) and assembled with titanium bone plates and analyzed under chewing loads. The healing process was predicted using a mechano-regulation algorithm. Conventional plate showed excessive interfragmentary strain (IFS) of approximately 1.4 and 0.6 in the 0.5 mm and 2.0 mm fracture gaps, respectively, which resulted in delayed healing. 2 MPP bone plates exhibited improved biomechanical performance with less stress in the bone plates and improved micromovement at the fracture site, promoting early bone union. The results have the potential to impact maxillofacial surgery by providing potential bone plate designs, ultimately improving patient outcomes and reducing recovery time.

Place, publisher, year, edition, pages
Elsevier BV , 2025. Vol. 254, article id 114060
Keywords [en]
Angle mandible fractures, Bone healing, Mechano-regulation, Porous bone plates, Topology optimization
National Category
Odontology Orthopaedics Applied Mechanics
Identifiers
URN: urn:nbn:se:kth:diva-363803DOI: 10.1016/j.matdes.2025.114060ISI: 001491263200003Scopus ID: 2-s2.0-105004547571OAI: oai:DiVA.org:kth-363803DiVA, id: diva2:1959899
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QC 20250602

Available from: 2025-05-21 Created: 2025-05-21 Last updated: 2025-07-03Bibliographically approved

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Barsoum, Imad

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