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论文摘要

髁突颈部骨折坚固内固定后骨折愈合进程中髁突表面应力分布

Stress Distribution Analysis of the Surface of Condyle during Simulated Fracture Healing of the Neck of Condyle by Miniplate Osteosynthesis

作者:杨壮群;虎小毅;王正辉;荔鹏;屠军波;凌伟

Author:YANG Zhuang-qun1,HUXiao-yi1,WANG Zheng-hui2,LI Peng1,TU Jun-bo1,LING Wei3

收稿日期:2005-12-25          年卷(期)页码:2005,23(06):485-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:三维有限元,骨折,内固定,髁突,

Key words:three-dimensional finite element,fracture,internal fixation,condyle,

基金项目:

中文摘要

目的 分析微型钛板内固定对髁突颈部骨折愈合进程中髁突表面生物力学环境的影响,从理论上探讨临 床上髁突颈部骨折内固定术后继发颞下颌关节紊乱病的可能原因。方法 采用三维有限元应力分析方法,分析模 拟髁突颈部骨折微型钛板内固定后骨折愈合进程中髁突表面应力分布的变化。结果 从骨折初期到骨折完全愈 合,微型钛板的固定有助于恢复髁突局部的生物力学环境,但经过12周的固定仍然与正常值有一定的差别。结论  钛板内固定至骨折完全愈合后对髁突表面应力分布的影响可能是临床上髁突颈部骨折内固定术后继发颞下颌 关节紊乱病的原因。

英文摘要

Objective To find the reasons why patients always have temporomandibular disorders (TMD) after condylar frac- ture by analyzing the stress distribution change of the condylar surface whose subcondylar fracture ware fixed by miniplate during the whole healing process.Methods Analyzing the stress distribution change of the condylar surface whose subcondylar fracture were fixed by miniplate during the whole healing process by three-dimension finite element method (3D FEM).Results During the whole healing process of the fracture, the miniplate osteosynthesiswas helpful to the biomechanics environment rehabilitation of the condylar local, but it still had differencewith normal afterfixing 12 weeks long.Conclusion The difference of stress distribu- tion of condylar surface that fractured and fixed by miniplate with normal may be part of the reason of TMD after the subcondylar fracture miniplate osteosynthesis.

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