评估von mises的应力分布和变形模式在斜骨骨复合骨折-一个有限元素分析研究研究
Sathish Radhakrishna1, Sonakshi Prakash2, Sundar S Shyam1
1Department of Oral and Maxillofacial Surgery, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka, 570015, India.
Oral and maxillofacial surgery
|August 4, 2025
概括
在比较Zygomaticomaxillary Complex (ZMC) 骨折固定时,像Frontozygomatic suture + Buttress这样的两点方法提供了优越的稳定性. 对于ZMC骨折,建议使用最小的硬件,减少并发症.
科学领域:
- 生物力学 生物力学
- 口腔和牙面部外科手术
- 生物材料工程 生物材料工程
背景情况:
- 肌肌脊复合体 (ZMC) 对于中脸部支至关重要.
- 对于移位ZMC骨折的最佳固定技术缺乏临床共识.
- 生物力学分析是指导临床决策所需的.
研究的目的:
- 为了比较不同ZMC断裂固定方法中的应力分布和变形.
- 为最佳的ZMC骨折治疗提供生物力学指导.
- 用有限元分析来评估固定技术.
主要方法:
- 来自CBCT扫描的ZMC模型的有限元分析 (FEA).
- 测试四种配置:完整,两点 (FZ+支柱,IOR+FZ) 和三点固定.
- 应用标准化的闭塞和口肌力.
主要成果:
- 完整的ZMC作为控制器.
- 两点FZ+IOR固定显示了最低的应力 (0.25MPa).
- 两点方法的变形比三点固定方式少,三点固定方式的变形最大 (0.0066毫米).
结论:
- FZ+靠固定提供最佳的稳定性,抵御力.
- FZ+轨下固定为最小位移的骨折提供了平衡的稳定性.
- 最少的硬件 (两点固定) 是足够的,三点固定没有优势.
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